Understanding the role of the scrub nurse during robotic surgery

Russell, Bradley

doi:10.7748/ns.2022.e12003

Cited by 3 publications

(2 citation statements)

References 21 publications

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“…El personal de salud debe ser consciente de la ansiedad prequirúrgica que pueden presentar los pacientes y ser capaces de diagnosticar y planificar acciones para reducir o eliminarla (Russell, 2022); saber cómo integrar este aspecto en el plan de cuidados; donde el énfasis está en el toque humano, refiriéndose a un enfoque holístico de la persona, entre las dimensiones esenciales a tomar en consideración son: biológica, psicológica, social y conductual, para lo cual es importante respetar la privacidad del paciente, la autonomía, su sentir emocional y espiritual, para comunicarse de manera efectiva con base en el comportamiento humano y la evaluación del cambio de actitud (Schwartz et al,2021). Desde esta perspectiva, Leppänen et al, (2022), manifiestan que el trato del personal de salud no debe ser solo científico, sino también, humanizado y moral; por lo que la personalidad del profesional de la salud debe estar calificado para atender al paciente quirúrgico de manera holística.…”

Section: Resultsunclassified

Trato humanizado en pacientes quirúrgicos como estrategia para disminuir la ansiedad

Chicaiza¹,

Martínez²,

Martínez³

et al. 2023

LATAM

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La Organización Mundial de la Salud incentivó a los profesionales de salud a mejorar el trato hacia los pacientes, en donde se brinde un trato humanizado y de calidad, donde se mantenga un proceso comunicativo amplio, eficaz y de ayuda hacía la persona, donde todo el personal de salud demuestre compresión hacia los sentimientos del paciente, con la finalidad de brindar cuidados cálidos y efectivos durante todo el proceso quirúrgico, por lo que la presente investigación tuvo como objetivo indagar el trato humanizado en pacientes quirúrgicos como estrategia para disminuir la ansiedad, mediante una revisión bibliográfica de tipo no experimental descriptivo, comparando diferentes investigaciones científicas, en donde se concluyó que el personal de salud debe brindar un trato humanizado a los pacientes previos a una intervención o procedimiento quirúrgico y prepararlos de forma adecuada, física y emocionalmente, para disminuir la ansiedad pre, intra y postquirúrgica.

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Section: Resultsunclassified

Trato humanizado en pacientes quirúrgicos como estrategia para disminuir la ansiedad

Chicaiza¹,

Martínez²,

Martínez³

et al. 2023

LATAM

View full text Add to dashboard Cite

show abstract

“…Limited capacity, however, exists for nursing staff to access team-training exercises, and in addition to regular staff turnover, these restrict wider theatre nurse education in robotic set-up [ 7 ]. These evolving technical challenges added to nursing and practitioner roles compound the importance of educating a larger pool of less experienced team members [ 8 ]. This situation has put increased pressure on education and training outside of the operating room to ensure all team members are adequately prepared to handle the diverse demands of their roles.…”

Section: Discussionmentioning

confidence: 99%

Randomized controlled trial of the CMR immersive virtual reality (IVR) headset training compared to e-learning for operating room configuration of the CMR versius robot

Eley,

Palaniappan,

Carter

et al. 2024

J Robotic Surg

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Robotic surgery offers potential advantages over laparoscopic procedures, but the training for configuring robotic systems in the operating room remains underexplored. This study seeks to validate immersive virtual reality (IVR) headset training for setting up the CMR Versius in the operating room. This single-blinded randomized control trial randomised medical students with no prior robotic experience using an online randomiser. The intervention group received IVR headset training, and the control group, e-learning modules. Assessors were blinded to participant group. Primary endpoint was overall score (OS): Likert-scale 1–5: 1 reflecting independent performance, with increasing verbal prompts to a maximum score of 5, requiring physical assistance to complete the task. Secondary endpoints included task scores, time, inter-rater reliability, and concordance with participant confidence scores. Statistical analysis was performed using IBM SPSS Version 27. Of 23 participants analysed, 11 received IVR and 12 received e-learning. The median OS was lower in the IVR group than the e-learning group 53.5 vs 84.5 (p < 0.001). VR recipients performed tasks independently more frequently and required less physical assistance than e-learning participants (p < 0.001). There was no significant difference in time to completion (p = 0.880). Self-assessed confidence scores and assessor scores differed for e-learning participants (p = 0.008), though not IVR participants (p = 0.607). IVR learning is more effective than e-learning for preparing robot-naïve individuals in operating room set-up of the CMR Versius. It offers a feasible, realistic, and accessible option in resource-limited settings and changing dynamics of operating theatre teams. Ongoing deliberate practice, however, is still necessary for achieving optimal performance. ISCRTN Number 10064213.

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Influence of Surgery Preparation Time on Patient Outcomes

Jang,

Lee

2024

Journal of Nursing Management

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Aims. This study aimed to analyze the effects of the surgery preparation time on patient outcomes. Background. Postoperative complications have a decisive effect on postoperative survival. The anesthesia time is a crucial determinant of such complications. Competent operating room nurses can shorten the surgery preparation time, which is the time from when anesthesia is first administered to the making of the surgical incision. The shortening of this preparation time can shorten the anesthesia time and may reduce postoperative complications. However, discussion of this preparation time is insufficient. Therefore, this study analyzed the effect of the surgery preparation time on patient outcomes. Methods. From electronic health records data, this retrospective cohort study used the data of 1,944 patients who had been immediately admitted to the ICU after their surgery between 2017 and 2020. The patients were divided into two groups: ≥30 minutes preparation time and <30 minutes preparation time groups. We performed chi-squared tests and t-tests to determine differences in preoperation, intraoperation, and postoperation characteristics of the patients and patient outcomes based on the surgery preparation time. Furthermore, we performed a multiple logistic regression by including 12 adjusted variables to determine the influence of the surgery preparation time on patient outcomes. Results. Among the 1,944 patients, 820 were in the ≥30 minutes preparation time group and 1,124 in the <30 minutes preparation time group. The multiple logistic regression analysis showed that the surgery preparation time affects alertness (OR = 1.44; 95% CI: [1.09, 1.90]), ventilator application (OR = 1.32; 95% CI: [1.03, 1.70]), and length of stay in the ICU (OR = 1.69; 95% CI [1.16, 2.47]). Conclusions. The surgery preparation time affects postoperative patient outcomes. The competence of operating room nurses is the most essential aspect of the surgery preparation time. Implications for Nursing Management. It is important to analyze operating room nurses’ tasks, standardize the tasks, and educate nurses according to their experience level to reduce the surgery preparation time and improve patient outcomes.

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Understanding the role of the scrub nurse during robotic surgery

Cited by 3 publications

References 21 publications

Trato humanizado en pacientes quirúrgicos como estrategia para disminuir la ansiedad

Trato humanizado en pacientes quirúrgicos como estrategia para disminuir la ansiedad

Randomized controlled trial of the CMR immersive virtual reality (IVR) headset training compared to e-learning for operating room configuration of the CMR versius robot

Influence of Surgery Preparation Time on Patient Outcomes

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