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Perianesthesia nursing

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https://www.readbyqxmd.com/read/29784268/uniting-perianesthesia-nurses-in-the-southern-hemisphere
#1
Mette Ring, Bente Buch, Joni M Brady
No abstract text is available yet for this article.
June 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/29784254/evidence-based-practice-in-perianesthesia-nursing-application-of-the-american-geriatrics-society-clinical-practice-guideline-for-postoperative-delirium-in-older-adults
#2
Catherine Hebert
Delirium is a pervasive and dangerous syndrome for older adults in the perianesthesia setting, occurring in up to 60% of surgical cases. The American Geriatrics Society performed a systematic review to develop recommendations for the prevention and management of postoperative delirium in older adults. The recommendations emphasize nonpharmacologic interventions with a strong focus on reducing the use of psychoactive medication. Perianesthesia nurses can serve as leaders in translating these recommendations into evidence-based practice at the bedside for older adults...
June 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/29754874/preoperative-screening-for-obstructive-sleep-apnea-and-outcomes-in-pacu
#3
Jill Setaro, Ruth Reinsel, Dana Brun
PURPOSE: Practice guidelines from the perianesthesia community suggest that preoperative identification of patients with obstructive sleep apnea (OSA) and standardized longer observation in postanesthesia care unit (PACU) promotes safety after general anesthesia. The purpose of this study was to determine if longer monitoring of patients with OSA in the PACU improves patient outcomes after general anesthesia. DESIGN: Evidence-based best practices literature review...
May 10, 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/29680176/perianesthesia-nurses-survey-of-their-knowledge-and-practice-with-obstructive-sleep-apnea
#4
Andrea M Erwin, Kim A Noble, June Marshall, Susan Cooper
PURPOSE: Anesthesia, sedation, and analgesia can negatively impact adult patients with obstructive sleep apnea (OSA). Despite known risks, current evidence, and practice guidelines, insufficient evidence exists that standardization and clinical application of OSA screening tools, problem identification, and perioperative nursing intervention and management strategies are consistently implemented for OSA patients across perianesthesia settings. The purpose of this study was to conduct a knowledge and practice assessment of perianesthesia nurses who care for adult patients with diagnosed or undiagnosed OSA...
April 18, 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/29678320/care-of-the-patient-with-a-peripheral-nerve-block
#5
Oluwatobi O Hunter, T Edward Kim, Edward R Mariano, T Kyle Harrison
Long-acting peripheral nerve blocks provide effective postoperative pain management, but there are risks associated with rendering an extremity insensate. Perianesthesia nurses play a major role in anticipating and mitigating risks and carefully monitoring patients for potential complications. This article presents uncommon but important considerations related to the care of patients with a peripheral nerve block. These include compartment syndrome, local anesthetic systemic toxicity, thermal injuries, falls, and fractures as well as their management and prevention...
April 17, 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/29580600/globalization-of-health-service-sharing-of-best-practices-in-perianesthesia-nursing-care-a-case-study-of-cross-border-institutional-collaboration
#6
Esther Lee, Thomas Hamelin, JoAnn Daugherty
Healthcare is a global concern among all nations and nursing is a global profession as evidenced by the flow of healthcare professionals across international boundaries. With English as the language of science and commerce and post-colonial influence in domestic healthcare practice and training, many former Anglo-speaking colonial settlements become parts of an expansive market for health human resources migration. The movement of health personnel mainly flows from low and medium income countries to high income countries to sustain their health systems...
April 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/29580596/a-survey-of-perianesthesia-nursing-electronic-documentation
#7
Matthew D Byrne, Helen Fong, Jamie K Danks
PURPOSE: Electronic health records have become a common part of the perianesthesia care workflow, particularly for data gathering and documentation. The purpose of this survey of perianesthesia nurses was to examine patterns of adoption of electronic health records and their effect on clinical documentation and patient care. DESIGN: A survey was sent to nurses who are members of the American Society of Perianesthesia Nursing (ASPAN). METHODS: The electronic documentation survey was sent to the e-mail addresses of 13,339 ASPAN members representing various practice environments across the United States...
April 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/29580588/globalization-of-perianesthesia-nursing
#8
EDITORIAL
Jan Odom-Forren
No abstract text is available yet for this article.
April 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/29426653/postoperative-symptom-distress-of-laparoscopic-cholecystectomy-ambulatory-surgery-patients
#9
Jan Odom-Forren, Deborah B Reed, Carrell Rush
PURPOSE: The purposes of this study were to (1) identify symptoms that cause postoperative distress in ambulatory surgery patients; (2) identify symptom management techniques that effectively reduce distress of laparoscopic cholecystectomy (LC) postoperative symptoms at home after ambulatory surgery; and (3) identify facilitators and barriers to self-management of postoperative symptoms. DESIGN: A qualitative descriptive study. METHODS: Two focus groups of ambulatory surgery patients who had experienced a laparoscopic cholecystectomy procedure and their caregivers were queried to elicit understanding of postoperative symptoms and symptom management techniques...
February 6, 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/29397339/sleep-snoring-and-surgery-osa-screening-matters
#10
Connie Hardy Tabet, Kathy Lopez-Bushnell
PURPOSE: This study was aimed to identify potential obstructive sleep apnea (OSA) in ambulatory surgical patients and create perianesthesia nursing protocols using a reliable and validated screening tool. DESIGN: Descriptive survey. METHODS: A nurse-initiated OSA survey was conducted in 1,118 preoperative ambulatory patients using the STOP-Bang Questionnaire to identify patients at risk for OSA. The findings resulted in the development of protocols, patient education, and interventions...
January 31, 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/29362043/obstructive-sleep-apnea-emphasis-on-discharge-education-after-surgery
#11
Arbert Nazareno, Cresilda Newsom, Esther Lee, Joseph Burkard
In the United States, the prevalence of obstructive sleep apnea (OSA) in the adult population is increasing. More than half of the surgical patients with OSA are predisposed to increased incidence of perioperative complications. Based on the recent evidence, obstructive events are at the highest on the third day after surgery, which predisposes them for postoperative complications. The American Society of Perianesthesia Nurses recommends that discharge education on OSA should be provided after surgery to patients diagnosed with OSA to promote continuous positive airway pressure (CPAP) compliance and self-care behaviors at home...
February 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/29157778/reflecting-on-racial-disparities-in-pediatric-care-can-perianesthesia-care-nurses-make-a-difference
#12
Terri Voepel-Lewis, Olubukola O Nafiu
No abstract text is available yet for this article.
December 2017: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/29157769/rethinking-perianesthesia-orientation
#13
Lisa Symmerman, Kelly A Kuhns, Jennifer Crockett, Michelle Slade
PURPOSE: To discover the best orientation method for perianesthesia nurses. DESIGN: Pilot study comparing two approaches to orientation. METHODS: Nurses in one group were each assigned to a single preceptor, whom they followed regardless of which of the three distinct areas-the preoperative unit, postanesthesia recovery unit, or Phase II discharge unit-the preceptor was scheduled to work. In the second group, trainees remained in one area, with various preceptors, until proficiency was achieved...
December 2017: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/29157764/perianesthesia-nurses-are-my-second-family-a-qualitative-descriptive-study
#14
Julanne Seefeldt, Stacey Wood, Pamela Bolton, Tara Fitzpatrick, Kristin Stegenga, Cristine Roberts
PURPOSE: Identify the perceptions of perianesthesia nurses regarding behaviors that promote or detract from sustaining a safe, efficient, and satisfying work environment. DESIGN: Two focus groups and seven individual interviews (n=14) were conducted exploring the perceptions regarding team behavior of registered nurses in one pediatric perianesthesia unit. METHODS: Qualitative descriptive data collection, inductive content analysis. FINDINGS: Nurses described a responsive, engaged health care team whose leadership is available and directive when needed, as creating an effective, satisfying work environment...
December 2017: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/29157761/competence-assessment-instruments-in-perianesthesia-nursing-care-a-scoping-review-of-the-literature
#15
Yunsuk Jeon, Riitta-Liisa Lakanmaa, Riitta Meretoja, Helena Leino-Kilpi
PURPOSE: To identify competence assessment instruments in perianesthesia nursing care and to describe the validity and reliability of the instruments. DESIGN: A scoping review in a systematic manner. METHODS: A search in CINAHL, MEDLINE, and ERIC was carried out to identify empirical studies from 1994 to 2015. A narrative synthesis approach was undertaken to analyze the data. FINDINGS: Nine competence assessment instruments in perianesthesia nursing care were identified...
December 2017: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/29157756/perianesthesia-nurses-and-the-family-caregiver
#16
EDITORIAL
Jan Odom-Forren
No abstract text is available yet for this article.
December 2017: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/28739060/organizational-support-workload-and-intent-to-stay-work-environment-perceptions-in-perianesthesia-nursing-units
#17
Jacqueline Ross
PURPOSE: The purpose of this ASPAN study was to understand perianesthesia nurses' perception of their work environments in regards to organizational support, workload, intent to stay, and overall nurse satisfaction. DESIGN: A descriptive design was used with survey methodology. METHOD: An online survey was sent to American Society of PeriAnesthesia Nurses members. The Individual Workload Perception Scale-Revised was used. A total of 2,121 American Society of PeriAnesthesia Nurses members participated (21% response rate)...
August 2017: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/28739058/acupressure-in-management-of-postoperative-nausea-and-vomiting-in-high-risk-ambulatory-surgical-patients
#18
Debra Hofmann, Carrie Murray, Janet Beck, Rebecca Homann
PURPOSE: The purpose of this randomized blinded placebo-controlled research study was to investigate the effect of acupressure over 24 hours postoperatively for ambulatory surgical patients who are identified as high risk for PONV. DESIGN: A randomized blinded placebo-controlled study design was implemented. METHODS: Study enrollment criteria included four of five risk factors as defined in 2006 by American Society of PeriAnesthesia Nurses PONV/postdischarge nausea and vomiting guidelines: female, PONV history or motion sickness, nonsmoker, and volatile gas general anesthetic...
August 2017: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/27444762/staff-developed-pacu-acuity-scoring-grid
#19
Ellen Halfpap
PURPOSE: The goal of this project was to design a tool to classify patients in the postanesthesia care unit (PACU) for acuity as defined by nursing interventions. DESIGN: An instrument development and validation approach was used. METHODS: A PACU acuity scoring grid was developed using the American Society of PeriAnesthesia Nurses (ASPAN) professional guidelines and Rothman Index concepts to help classify patients by acuity and determine PACU acuity class...
August 2016: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/27332346/improving-emr-usability-critical-elements-when-designing-perioperative-emergencies-template
#20
Mary Rachel Romero, Allison Staub
Perianesthesia nursing care involves monitoring of unexpected outcomes before and after surgical and anesthetic procedures. When adverse events occur, reviewing patient data is critical to provide appropriate intervention. Current EMR software systems are limited in structure and are not cohesive in recording adverse events. Users tend to develop workarounds when systems fail to capture workflow. Analysis of adverse incident is incomplete because data entered is not retrievable. Narrative data, while sometimes necessary, cannot easily be analyzed or linked to the structured portion of the record...
2016: Studies in Health Technology and Informatics
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