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Author: Zoher Schuessler Publisher: ISBN: Category : Nurses Languages : en Pages : 364
Book Description
The rapid introduction of technological innovations into health care systems creates new challenges for perioperative nurses. Especially, robotic-assisted laparoscopic surgery has changed both the physical and social context of the surgical team’s work and subsequent surgical outcomes. Despite significant changes to perioperative nursing practice, the perceptions and experiences of the professional nurses who use this technology remain unexplored. This qualitative descriptive study used interviews to examine professional nursing experiences with robotic-assisted surgeries. This qualitative descriptive research was based upon the Determinants of Innovation Within Healthcare Organizations conceptual framework. Seventeen professional perioperative nurses (preoperative, intraoperative, postoperative nurses, and nurse anesthetists) were interviewed. These encounters provided rich information about professional nurses’ perceptions of robotic-assisted surgeries. Content analysis generated three overarching themes: surgical innovation, interprofessional practice, and outcomes with each theme composed of two categories. Nurse perception and workflow emerged as the categories within surgical innovation. Professional nurse perceptions were characterized by optimistic attitudes towards robotic surgery. They appreciated the improved visualization and dexterity that the robot provided the surgeon, despite increased surgical complexity and concerns for patient safety from prolonged Trendelenburg positioning. They also reported that robotic surgery affected workflow, with intraoperative staff experiencing demanding practice changes in order to accommodate the robot. Standards and teamwork emerged as the categories within interprofessional practice. Professional nurses reported that standards in education and clinical competency requirements were needed for effective, safe robotic surgery. Teamwork during robotic surgeries necessitated different communication strategies and changes in professional nursing roles. Patient outcomes and system outcomes emerged under the overarching theme of outcomes. Nurses reported that patient outcomes of robotic surgery improved for some, but not all diagnoses, and that optimal patient outcomes were determined by the surgeon’s skill with robotic-assisted surgery. Nurses noted that some patients (e.g. those with heart and respiratory disease or glaucoma) were not candidates for robotic surgery because of the required positioning. Nurses also described various issues that affected system outcomes, such as longer time needed between surgeries. Despite describing negative aspects associated with being part of the robotic surgery team, these professional nurses were positive about this innovation and overwhelmingly committed to providing safe care to their patients.
Author: Zoher Schuessler Publisher: ISBN: Category : Nurses Languages : en Pages : 364
Book Description
The rapid introduction of technological innovations into health care systems creates new challenges for perioperative nurses. Especially, robotic-assisted laparoscopic surgery has changed both the physical and social context of the surgical team’s work and subsequent surgical outcomes. Despite significant changes to perioperative nursing practice, the perceptions and experiences of the professional nurses who use this technology remain unexplored. This qualitative descriptive study used interviews to examine professional nursing experiences with robotic-assisted surgeries. This qualitative descriptive research was based upon the Determinants of Innovation Within Healthcare Organizations conceptual framework. Seventeen professional perioperative nurses (preoperative, intraoperative, postoperative nurses, and nurse anesthetists) were interviewed. These encounters provided rich information about professional nurses’ perceptions of robotic-assisted surgeries. Content analysis generated three overarching themes: surgical innovation, interprofessional practice, and outcomes with each theme composed of two categories. Nurse perception and workflow emerged as the categories within surgical innovation. Professional nurse perceptions were characterized by optimistic attitudes towards robotic surgery. They appreciated the improved visualization and dexterity that the robot provided the surgeon, despite increased surgical complexity and concerns for patient safety from prolonged Trendelenburg positioning. They also reported that robotic surgery affected workflow, with intraoperative staff experiencing demanding practice changes in order to accommodate the robot. Standards and teamwork emerged as the categories within interprofessional practice. Professional nurses reported that standards in education and clinical competency requirements were needed for effective, safe robotic surgery. Teamwork during robotic surgeries necessitated different communication strategies and changes in professional nursing roles. Patient outcomes and system outcomes emerged under the overarching theme of outcomes. Nurses reported that patient outcomes of robotic surgery improved for some, but not all diagnoses, and that optimal patient outcomes were determined by the surgeon’s skill with robotic-assisted surgery. Nurses noted that some patients (e.g. those with heart and respiratory disease or glaucoma) were not candidates for robotic surgery because of the required positioning. Nurses also described various issues that affected system outcomes, such as longer time needed between surgeries. Despite describing negative aspects associated with being part of the robotic surgery team, these professional nurses were positive about this innovation and overwhelmingly committed to providing safe care to their patients.
Author: Alan David Kaye Publisher: Cambridge University Press ISBN: 1108509525 Category : Medical Languages : en Pages : 281
Book Description
Perioperative Management in Robotic Surgery covers perioperative considerations for robot-assisted surgery (RAS), from preoperative through to postoperative. This is the first extensive, evidence-based, clinical work covering the perioperative management of commonly performed and emerging RAS. Included inside are discussions of surgical procedures, preoperative evaluation, patient selection, common emergencies, complications, pain management and recovery (including same day surgery). There are also reviews of patient management, the basics of various procedures and techniques, useful patient care protocols, as well as an overview of the perioperative issues that are unique to any given RAS procedure. The book is written for anesthesiologists, surgeons, and other perioperative physicians - as well as allied health professionals, nurses, and physician assistants who assist during RAS procedures and help manage patients during the perioperative period.
Author: John Zender Publisher: Saunders ISBN: 9781455704866 Category : Medical Languages : en Pages : 0
Book Description
This issue of Perioperative Nursing Clinics will focus on Robotic Surgery. Article topics will include robotic cardiac surgery, robotic urologic surgery, anesthesia with robotic surgery, robotic surgery in a rural hospital, patient positioning, keeping pace with robotic technology, and educational competencies for robotic surgery.
Author: Jesse C. Selber Publisher: Springer Nature ISBN: 303074244X Category : Medical Languages : en Pages : 162
Book Description
This book describes the current state of robotics in plastic and reconstructive surgery. It examines existing clinical applications, emerging and future applications and evolving technological platforms. Concise yet comprehensive, this book is organized into four sections. It begins with an introduction to robotic microsurgical training and robotic skills assessment, including crowd-sourced evaluation in surgery. Section two explores a variety of robotic clinical application, including robotic breast reconstruction, robotic mastectomy, robotic cleft palate surgery and robotic microsurgery in a urologic private practice. Following this, section three addresses the opportunities and challenges an interested surgeon might face when considering incorporating this technology into their practice. To close, the final section discusses new microsurgical robotic platforms and the potential directions this technology may take in the future. Supplemented with high quality videos and images, Robotics in Plastic and Reconstructive Surgery is an invaluable resource for both plastic surgeons and multi-specialty micro-surgeons.
Author: Rhona Flin Publisher: CRC Press ISBN: 1482246333 Category : Medical Languages : en Pages : 220
Book Description
Enhancing Surgical Performance: A Primer in Non-Technical Skills explains why non-technical skills are vital for safe and effective performance in the operating theatre. The book provides a full account, with supporting empirical evidence, of the Non-Technical Skills for Surgeons (NOTSS) system and behavioural rating framework, which helps identify
Author: Denise Polit Publisher: Lippincott Williams & Wilkins ISBN: 1975141865 Category : Medical Languages : en Pages : 629
Book Description
Updated to reflect the latest innovations in research methods, this worldwide bestseller helps students learn how to read and critically appearaise research reports, speak the language of nursing research, and develop an appreciation of research to enhance nursing practice. AJN award-winning authors Denise Polit and Cheryl Beck clearly and concisely present research essentials, dig into the research steps, and explore quantitative and qualitative research to ignite student curiosity and encourage students to pursue a professional pathway that incorporates thoughtful and effective appraisals of evidence.
Author: Nancymarie Phillips Publisher: Elsevier Health Sciences ISBN: 0323399312 Category : Medical Languages : en Pages : 1008
Book Description
For over 50 years, Berry & Kohn’s Operating Room Technique, 13th Edition has been the text of choice for understanding basic surgical principles and techniques. Highly readable, accurate, and comprehensive, it clearly covers the "nuts and bolts" of surgical techniques in a step-by-step format that makes it easy to effectively apply basic principles to clinical practice. Expert author Nancymarie Phillips emphasizes the importance of teamwork throughout, with practical strategies and examples of how cooperation among perioperative caregivers contributes to positive patient care outcomes. With a strong focus on the physiologic, psychologic, and spiritual considerations of perioperative patients, this updated and expanded new edition gives students the knowledge they need to plan and implement comprehensive, individualized care. Detailed information on the fundamentals of perioperative nursing and surgical technology roles enhances your understanding of basic surgical principles and techniques. Emphasis on teamwork among perioperative caregivers encourages cooperation in attaining positive patient care outcomes. In-depth discussions of patients with special needs related to age or health status help you learn how to develop a plan of care tailored to the unique care parameters of all patients. Focus on the physiologic, psychologic, and spiritual considerations of perioperative patients gives you the knowledge you need to plan and implement comprehensive, individualized care. Content on perioperative patient care for both inpatient and ambulatory procedures highlights key considerations for each setting, as well as for individual surgical procedures. Chapter outlines with page numbers, chapter objectives, and key terms and definitions help you quickly find important information and focus your study time. New illustrations reflect new and changing perioperative procedures, and provide you with key safety information like how to maintain a sterile field, gown, and glove. Enhanced TEACH manual and extensive Evolve resources maximize classroom learning. All Evolve materials are highlighted within the text. Step-by-step coverage of the foundations of surgical techniques enables you to effectively apply basic principles to practice. Additional and updated tables and boxes call attention to the most important concepts from the text. References highlight the evidence-based practice approach used throughout the text.
Author: Institute of Medicine Publisher: National Academies Press ISBN: 030913319X Category : Medical Languages : en Pages : 191
Book Description
The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.
Author: World Health Organization (Genève). World Alliance for Patient Safety Publisher: ISBN: 9789241598552 Category : Languages : en Pages : 124
Book Description
Confronted with worldwide evidence of substantial public health harm due to inadequate patient safety, the World Health Assembly (WHA) in 2002 adopted a resolution (WHA55.18) urging countries to strengthen the safety of health care and monitoring systems. The resolution also requested that WHO take a lead in setting global norms and standards and supporting country efforts in preparing patient safety policies and practices. In May 2004, the WHA approved the creation of an international alliance to improve patient safety globally; WHO Patient Safety was launched the following October. For the first time, heads of agencies, policy-makers and patient groups from around the world came together to advance attainment of the goal of "First, do no harm" and to reduce the adverse consequences of unsafe health care. The purpose of WHO Patient Safety is to facilitate patient safety policy and practice. It is concentrating its actions on focused safety campaigns called Global Patient Safety Challenges, coordinating Patients for Patient Safety, developing a standard taxonomy, designing tools for research policy and assessment, identifying solutions for patient safety, and developing reporting and learning initiatives aimed at producing 'best practice' guidelines. Together these efforts could save millions of lives by improving basic health care and halting the diversion of resources from other productive uses. The Global Patient Safety Challenge, brings together the expertise of specialists to improve the safety of care. The area chosen for the first Challenge in 2005-2006, was infection associated with health care. This campaign established simple, clear standards for hand hygiene, an educational campaign and WHO's first Guidelines on Hand Hygiene in Health Care. The problem area selected for the second Global Patient Safety Challenge, in 2007-2008, was the safety of surgical care. Preparation of these Guidelines for Safe Surgery followed the steps recommended by WHO. The groundwork for the project began in autumn 2006 and included an international consultation meeting held in January 2007 attended by experts from around the world. Following this meeting, expert working groups were created to systematically review the available scientific evidence, to write the guidelines document and to facilitate discussion among the working group members in order to formulate the recommendations. A steering group consisting of the Programme Lead, project team members and the chairs of the four working groups, signed off on the content and recommendations in the guidelines document. Nearly 100 international experts contributed to the document (see end). The guidelines were pilot tested in each of the six WHO regions--an essential part of the Challenge--to obtain local information on the resources required to comply with the recommendations and information on the feasibility, validity, reliability and cost-effectiveness of the interventions.
Author: Zoher Schuessler
Author: Zoher Schuessler
Author: Alan David Kaye
Author: John Zender
Author: Jesse C. Selber
Author: Rhona Flin
Author: Denise Polit
Author: Nancymarie Phillips
Author: Institute of Medicine
Author: World Health Organization (Genève). World Alliance for Patient Safety
Author: Alan D. Kaye