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Questions and rationale for perioperative nursing
Questions and rationale for perioperative nursing
Questions and rationale for perioperative nursing
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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.
Physical and mental exhaustion can cause burnout in the workforce. Surgery is no exception. Training for the understanding of electocautery, positioning the patient under anesthesia, environment of care, and learning different types of surgery all while maintaining an electrical chart can be overwhelming. Demands of the surgeon and surgical team while not making a mistake should
be enough to mentally wear out any nurse. Many hospitals have adopted perioperative programs that train nurses into and for the perioperative suit. “Surgical nursing requires specialized training and skills that are not routinely offered as part of the curricula in most nursing schools” (Ball, Doyle, and Oocumma, 2015, p. 116). Many nursing programs do not require training in the surgical suite because of the already packed education. A student nurse may follow a surgical nurse for one day however not a full rotation where they may learn about the surgical environment. (Ball, Doyle, and Oocumma, 2015). The staffing of surgical services is a demanding field, which would reflect, in the higher pay. Nevertheless, mental and physical burnout is a common attribute in this field. When there are not enough staff, the nurse takes on more of a case loads, less breaks, shorter lunches, and less vacations because the lack of applicants.
Everyday life in a hospital is complete and absolute chaos. There are doctors and nurses running everywhere to treat patients, ambulances coming through every so often, children and patients crying, and surgeons telling a family that their loved one did not make it. However, outside of all that craziness is an operating room (OR). A place filled with pressure, intensity, high hopes, and stress. There to help control the environment is a surgical technologist. While preparing patients for surgery, surgical technologists manage the equipment and operating room, follow the instructions of the surgeon, and ensure the safety of the patient.
Although nurses do not wield the power of doctors in hospital settings, they are still able to effectively compensate for a doctor’s deficits in a variety of ways to assure patient recovery. Nurses meet a patient’s physical needs, which assures comfort and dignity Nurses explain and translate unfamiliar procedures and treatments to patients which makes the patient a partner in his own care and aids in patient compliance. Nurses communicate patient symptoms and concerns to physicians so treatment can be altered if necessary and most importantly, nurses provide emotional support to patients in distress.
The phenomenon of interest has been identified as the expressions of caring by nurses on acute care general surgical wards (Enns, C., Gregory, D., 2007). This problem statement was addressed promptly and clearly in the article. The caring research that has been obtained in other studies has yielded inconsistent results due to the varying definitions of caring. Numerous research has been done on the phenomenon of caring by nurses specializing in several areas but the population of surgical nurses has been “relatively neglected in caring research” (Enns, 2007). Caring is a phenomenon that has been universal throughout nursing, it is a trend that will forever be current due to the ever changing scope of nursing. Increasing demands on nursing staff and the acuity of the patients causes stressors to the “surgical ward environment (and) affect nurses’ ability to provide ideal care” (Enns, 2007). The aim of this report is to answer the question “What are the expressions of caring from a surgical nurses’ perspective?” (Enns, 2007). An appropriate qualitative study has been chosen because “...
Over the past years, there has been a nursing shortage which has led to the need of more registered nurses in the hospital setting. This is the result of higher acuity of patient care and a decrease in their length of hospital stay. In order for the patients to get safe and quality care, the staffing, education and experience of the nursing staff needs to be made a priority. Because of the lack of nurses, patient quality of care has suffered.
Stomberg, M., Sjöström, B., & Haljamäe, H. (2003). The Role of the Nurse Anesthetist in the Planning of Postoperative Pain Management. AANA Journal, 71(3), 197.
...ing education courses and renew certification. When they are considered competent enough to deliver anesthesia, they must also be able to deal effectively with the daily changes and challenges that a hospital environment can create. They must also be able to “stomach” many types of sense triggers. Although they are one of the top paid nursing practices, they have to endure stress throughout their whole career, starting with the educational aspects.
In the recent years, organizations have paid extra attention to employee stress and its effect on job performance. Burnout, an outcome of stress is known to cause individual, family and organizational problems and health conditions such as insomnia and hypertension. The question many ask is where does it originate from? And, how supported are the employees by the organization? Researchers have attempted to link stress and burnout and its effect on job performance. This research analysis includes different scholarly studies done and that found many contributing factors such as job satisfaction, work and family demands, work environment, and culture.
Ignatavicius, D. D., & Workman, M. L. (2013). Care of Intraoperative Patients. Medical-surgical nursing: patient-centered collaborative care (7th ed.). St. Louis: Elsevier.
After completing a year of post-graduate training, a physician may apply for state medical licensure. They must have good character, be at least 18 years of age of, and pay a fee, they must show documentation of education and training, and they must pass one of the following exams, the National Board of Medical Examiners exam or have 75% or better on the FLEX exam, the National Board of Osteopathic examiners or the state board examination or the USMILE. They must submit supplies of chronological list of activities after med school, and disciplinary actions by licensing board, criminal background check, any health issues, and results of all past required exams and any license or certificate they hold.
Brunner, L.S. & Suddarth, D. S Textbook of Medical- Surgical Nursing, 1988 6th ed. J. B. Lippincott Company, Philadelphia
The purpose of this paper is to address the issue of nursing staffing ratios in the healthcare industry. This has always been a primary issue, and it continues to grow as the population rate increases throughout the years. According to Shakelle (2013), in an early study of 232,432 surgical discharges from several Pennsylvania hospitals, 4,535 patients (2%) died within 30 days of hospitalization. Shakelle (2014) also noted that during the study, there was a difference between 4:1 and 8:1 patient to nurse ratios which translates to approximately 1000 deaths for a group of that size. This issue can be significantly affected in a positive manner by increasing the nurse to patient ratio, which would result in more nurses to spread the work load of the nurses more evenly to provide better coverage and in turn result in better care of patients and a decrease in the mortality rates.
Although students were not allowed in the recovery unit, I was able to talk to one of the recovery nurses. I learned that a nurse’s duty of care includes monitoring the patient’s vital signs and level of consciousness, and maintaining airway patency. Assessing pain and the effectiveness of pain management is also necessary. Once patients are transferred to the surgical ward, the goal is to assist in the recovery process, as well as providing referral details and education on care required when the patient returns home (Hamlin, 2010).
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).
Stress has been shown to have negative effects on college students and their learning. Academic burnout is a substantial problem associated with academic performance and is brought on by stress. A study explained by Shu-Hui Lin and Yun-Chen Huang (2014) is based on two scales, the “Undergraduate Life Stress Scale” and “Learning Burnout Scale” that were used as research tools to explore the life stress among college students and whether or not the results can be used as predictors of academic burnout. This study is intended to specifically identify life stresses associated with academic burnout and to
I went to the operating room on March 23, 2016 for the Wilkes Community College Nursing Class of 2017 for observation. Another student and I were assigned to this unit from 7:30am-2:00pm. When we got their we changed into the operating room scrubs, placed a bonnet on our heads and placed booties over our shoes. I got to observe three different surgeries, two laparoscopic shoulder surgeries and one ankle surgery. While cleaning the surgical room for the next surgery, I got to communicate with the nurses and surgical team they explained the flow and equipment that was used in the operating room.