The demand for high-quality, cost-effective health care in the United States is growing expeditiously due to the passage of the Affordable Health Care Act in 2010, the lack of physicians specializing in primary care and the shortage of graduate level educated nurses (Watson, 2007). The new expectations for access, quality and affordability within the health care system are creating opportunities for nurse practitioners to expand their roles as advance practice nurse specialists (Watson, 2007). This paper will examine the role of the perioperative nurse practitioner. This examination will define perioperative nursing, give a brief history of operating room nursing, and look closely at the role of the nurse practitioner in pre-operative, intra-operative and post-operative care. This paper will report the evidence-based findings that nurse practitioners in the perioperative setting, when compared to physician-only facilitated care, create an equally therapeutic and healing environment for patients and families, improve the efficacy of surgical procedures and increase patient satisfaction with surgical outcomes. Other topics that will be examined include educational training, the scope of practice for nurse practitioners within the perioperative setting and the application of the holistic nursing approach in perioperative care. The final area this paper will examine is The Institute of Medicine’s (IOM) Report on the Future of Nursing and how it’s recommendations have the potential to change perioperative nursing. What is Perioperative Nursing? Perioperative nursing is a specialized area of practice that works with patients before (preoperative), during (intraoperative) and after (postoperative) surgery (Potter et al., 2013). It is pra... ... middle of paper ... ...ursing still continues to decline today because students do not have access to perioperative education in nursing school and once a new nurse has entered the professional medical field, there are no clear pathways to become a perioperative nurse. Works Cited Battie, R. (2013). The IOM Report on the Future of Nursing: What Perioperative Nurses Need to Know. AORN Journal, 98, 227-234. Potter, P., Perry, A., Stockert, P., Hall, A. (2013). Fundamentals of Nursing, (8th Ed.). St. Louis, MO: Elsevier Mosby. Seliman, D., Andsoy, I. (2011). The Importance of a Holistic Approach During the Perioperative Period. AORN Journal, 93, 482-486. Wade, P. (2012). Historical Trends Influencing the Future of Perioperative Nursing. ORNAC Journal, 30, 22-25. Watson, D. (2007). The Multidimensional Role of the Perioperative Nurse Practitioner. Perioperative Nursing Clinics, 2, 19-21.
Loiselle, C. G., Profetto-McGrath, J., Polit, D. F., Beck C. T., (2007). Canadian essentials of nursing research (2nd ed.) Philadelphia: Lippincott Williams & Wilkins.
Mr Edward Sales, RN, BSN, is a perioperative nurse in a 6 beds Operating Room unit. He is the Urology Lead RN, Orthopedics/Spine Service Second Lead RN, and also functions as the Acting Unit Flow Coordinator (in the absence of the Unit Coordinator). Over the past several years, Mr Sales has demonstrated continued leadership in Perioperative Nursing practice. His contributions to this area of practice have positively influenced client care at the nursing service and across the local medical center.
Hinkle, J., Cheever, K., & , (2012). Textbook of medical-surgical nursing. (13 ed., pp. 586-588). Philadelphia: Wolters Kluwer Health
Ignatavicius, D.D. & Workman, M.L.(2010). Medical-Surgical Nursing: Patient-Centered Collaborative Care. (6th ed.). St. Philadelphia PA: Saunders Elsevier
Ignatavicius, D. D., & Workman, M. L. (2013). Care of Intraoperative Patients. Medical-surgical nursing: patient-centered collaborative care (7th ed.). St. Louis: Elsevier.
Hinkle, Janice L, Cheever, Kerry H. (2014). Brunner &Suddarth’s textbook of Medical-Surgical Nursing. Philadelphia: Wolters Kuwer/Lippincott Williams &Wilkins.
...uickly changing medical technology and environment. The bickering and infighting amongst nurses has to come to a stop if the profession is to move forward alongside the other medical professions. It is too late to take nursing back to the point of basic care of the 19th century now fulfilled by certified nurse aides. A nurse is the first and last person many people will ever see. They provide complex care, recognize symptoms and changes when the ever shrinking physician pool is not available, advocate for patient and families, and care deeply for their patients recovery. In this paper the author used past nursing history, current medical demands and advancements, and clinical patient outcomes to argue that the minimum education for a nurse should be a Baccalaureate degree in order to meet the Institute of Medicines goal of 80% of nurses should have BSNs by 2020.
According to agency of health care research and quality it is estimated that almost one third of health care spending is due to inpatient surgical procedures and it also estimates that average hospital costs has been increased from $ 9,100 in 2003 to $11,000 in 2013. [4] Some major reasons for this increase in costs includes lack of coordination, risk associated with complicated surgical procedures, poor patient engagement in decision making, quality requirements and etc. The perioperative surgical homes are very effective in solving these problems and achieve better surgical outcomes as it is a coordinated care which is led by multi specialty physicians who provides continuum of care to patients from the time of decision to 30 days after discharge of the patient i.e., it is incorporated in to include all three phases of surgery; perioperative, intra-operative and postoperative
Lewis, S. L., Dirksen, S. R., Heitkemper, M. M., Butcher, L., & Camera, I. M. (20011). Medical Surgical Nursing (8th ed.). (J. Horn, & K. Green, Eds.) St. Louis, Missouri: Wiley Blackwell Publishing.
Taylor, C. R., Lillis, C., LeMone, P., & Lynn, P. (2011). Fundamentals of nursing: The art and science of nursing care (7th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
Westhead, C. (2007). Perioperative Nursing Management of the Elderly Patient. Canadian Operating Room Nursing Journal, 25(3), 34-41. Retrieved from http://gateway.library.qut.edu.au/login?url=http://search.proquest.com.ezp01.library.qut.edu.au/docview/274594603?accountid=13380.
Ignatavicius, D. D., & Workman, M. L. (2013). Medical-surgical nursing: patient-centered collaborative care (7th ed.). St. Louis: Elsevier Saunders.
The sample used for this study was 145 perioperative nurses from the Association of periOperative Registered Nurses (AORN) membership living in New Jersey. Their ages ranged from 31 to 68 with a mean age of 47.7 years and a median age of 46 years. Ninety-eight percent of the study participants were female. Eighty-six percent were Caucasian, 7.6% were Asian/Pacific Islander, 2.1% were African American, and 2.8% listed other ethnic backgrounds or did not answer the question.
Postoperative education is essential to a patient’s recovery after surgery and should be incorporated as part of the discharge process (Bobay et al., 2015). Currently, nurses are challenged in providing timely and relevant discharge teaching. Lack of nursing resources, complex workloads, and insufficient education hinder effective delivery (Cebeci & Celik, 2008).
Perioperative nursing has a high demand among their nursing colleagues. Even though there are departments that are rather demanding mentally or physically, there is pressure to produce quality nursing in surgical services. Surgery has always been a fascination with the general public. However, a worry that most nurses will be concerned with is the lack of personnel.