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PubMedDate not supplied

Learning about teamwork in operating room clinical placement.

The aim of nursing students' operating room (OR) clinical practice is to gain experience of the perioperative nursing process and to develop skills related to the practice within OR teams in a variety of situations. However, it has previously been problematic to get enough practical experience within OR teams because of the general urgency, e.g. rapid turnover and flow of emergency cases, and preceptors' multiple responsibilities related to their simultaneous need to work as team members. This study describes how Finnish, British and American nursing students (n = 30) experienced learning about teamwork during their OR placement period. The critical incident technique was used for data collection, and data were analysed using a descriptive phenomenological method. Three types of teamwork emerged based on the students' perceptions: functional manifestation of OR teamwork, gaining OR team membership and technical orientation of OR teamwork. The findings are discussed in relation to OR practice, education and research on ways to improve teamwork while maintaining a satisfactory OR learning context and stimulating interest in perioperative nursing.

Attitude of Health Personnel↗
PubMed1991

Perioperative nursing on the Amazon River. An experience that made a difference.

We held a conference at the end of the team's visit. We concluded that there was a continuum of learning in both directions from both countries. Some of the problems and frustrations in medicine are the same worldwide. Leaving the US medical system to work in a remote area is a fascinating and exciting experience. Clean water, electricity, transportation, and food are not taken for granted in this area of the world. The next decade in an area like this holds many different plans, hopes, and projects. Nothing can be taken for granted. All that has been developed could be lost tomorrow. What we do makes a difference, whether it is in the jungles of Brazil or an OR in the United States. To see the health of the general population so markedly improved from our previous visit emphasized that point. Your skills as an OR nurse can be translated to other countries. An instrument may have a different name, but the use is the same. Operating room nursing on the Amazon River is the same, and it is different. You can and do make a difference to your patients each day. We found that the difference is less subtle in an area that has so little.

Brazil↗
PubMedDate not supplied

Learning styles and teaching/learning strategy preferences: implications for educating nurses in critical care, the operating room, and infection control.

OBJECTIVE: To assess the learning styles and educational strategy preferences among critical care nurses, operating room nurses, and infection control practitioners. DESIGN: Descriptive multicenter survey using a self-report questionnaire. SETTING: 108 hospitals from nine geographic regions of the United States. PARTICIPANTS: A random sample of 303 (93%) nurses in the three specialties responded to the survey questionnaires. RESULTS: The majority of participants (64%) had an abstract learning style and preferred the self-directed, discovery approach to learning. CONCLUSIONS: Nurses may be more abstract in their learning styles than previously reported. Experiential learning theory is an effective means of identifying nurses' learning styles and teaching/learning preferences, which can then be used to plan basic and continuing educational programs.

Adult↗
PubMed2002

Disposable surgical face masks for preventing surgical wound infection in clean surgery.

BACKGROUND: Surgical face masks were originally developed to contain and filter droplets of microorganisms expelled from the mouth and nasopharynx of healthcare workers during surgery, thereby providing protection for the patient. However there are several ways in which surgical face masks could potentially contribute to contamination of the surgical wound. OBJECTIVES: To identify and review all randomised controlled trials evaluating disposable surgical face masks worn by the surgical team during clean surgery to prevent post-operative surgical wound infection. SEARCH STRATEGY: All relevant publications about disposable surgical face masks were sought through the Specialised Trials Register of the Cochrane Wounds Group (March 2001). Manufacturers and distributors of disposable surgical masks as well as professional organisations including the National Association of Theatre Nurses and the American Operating Room Nurses Association were contacted for details of unpublished and ongoing studies. SELECTION CRITERIA: Randomised controlled trials (RCTs) and quasi-randomised controlled trials comparing the use of disposable surgical masks with the use of no mask were included. DATA COLLECTION AND ANALYSIS: Data were extracted independently by AL and PE. MAIN RESULTS: Two randomised controlled trials were included involving a total of 1453 patients. In a small trial there was a trend towards masks being associated with fewer infections, whereas in a large trial there was no difference in infection rates between the masked and unmasked group. Neither trial accounted for cluster randomisation in the analysis. REVIEWER'S CONCLUSIONS: From the limited results it is unclear whether wearing surgical face masks results in any harm or benefit to the patient undergoing clean surgery.

Disposable Equipment↗
PubMed2007

[Retained foreign bodies from the view of the OR nurse].

Patient safety in the operating room is of high priority for the surgical team and for all healthcare workers involved. Counting procedures contribute to minimizing potential risks for the patients, especially in preventing them from leaving the operating room with retained, unintended foreign bodies. A total of 64% of operating room nurses involved in a survey are reported as having been involved in a surgical procedure in which the correct count prevented foreign bodies from being left in the patient. In addition, the strengths and potential weak points of the counting procedures could be identified. The results of the survey and drafts for a standard counting control as well as procedural recommendations are presented for discussion. A recommendation can be provided for each surgical department in order to check their own counting methods for avoiding potential risks.

Documentation↗
PubMedDate not supplied

Surgical bone banking: the living donor.

Orthopaedic surgeons have recognized the value of banking previously discarded femoral heads from total joint replacement patients and using the tissue in patients requiring bone grafts. Orthopaedic nurse clinicians or orthopaedic operating room nurses are best qualified to assume the responsibilities of developing and managing a surgical bone bank. This article discusses patient-related aspects of a surgical bone banking program: donor selection, tissue acquisition and storage, and transplantation.

Bone Transplantation↗
PubMedDate not supplied

Operating room registered nurses internship program. A recruitment and retention strategy.

The acute nursing shortage, particularly in perioperative nursing, was a driving force for the creation of a registered nurse (RN) internship program. The program was developed according to the Association of periOperative Nurses (AORN) Standards and Recommended Practices and national practice. Program evaluations led to positive changes in the program. This article describes the process that was followed and the unique features of the program.

Education, Nursing, Continuing↗