Our study showed that preoperative nursing visits could decrease the level of preoperative anxiety and postoperative complications in this patient population.

OBJECTIVE To evaluate the effect of different dressing methods on the wound healing process after pilonidal sinus surgery. METHODS In this clinical trial, 60 patients undergoing pilonidal sinus surgery were randomly assigned to one of three groups. In the first group, hydrogel or alginate and hydrocolloid compounds were used as a standard occlusive dressing method. A modified dressing method was used for the second group, in which transparent hydrocolloid films were replaced by Vaseline gauze. The third group was treated using gauze swabs soaked in normal saline. The length and depth of the studied wounds were recorded once a week for a month. During dressing changes, patient pain was recorded using an 11-point numeric rating scale. The collected data were analyzed by descriptive and inferential statistical methods. RESULTS There was a significant reduction in wound length after 2 weeks in all three groups (P < .05), and the pain experienced by the first and second groups was significantly lower than the third group. However, the modified method used for the second group was associated with a lower cost. CONCLUSIONS Considering the beneficial results of using modern dressings for wound healing and reducing the severity of associated pain, providers may want to consider using modified wound dressings after pilonidal sinus surgery. Study authors recommend that providers receive training on how to use these products.

Context: The operating room is a unique environment in which learning happens through interactions with others and facing complex situations. The results of studies show that non-technical skills play a key role in successful technical performance in critical situations. Therefore, the identification and assessment of them are very valuable. This review study was performed to identify and critique non-technical skill assessment tools for surgical team members. Evidence Acquisition: The Carnwell and Daly critical review method was used for the study design. Articles and documents were searched in databases of PubMed, Google Scholar, Scopus, and ScienceDirect from 1999 to 2019. Results: This literature review yielded 13 assessment tools of non-technical skills in the operating room, including ANTS, AS-NTS, N-ANTS, ANTS-AP for the anesthesia team, OTAS, Oxford NOTEHS, Oxford NOTECHS II, and Revised NOTECHS for the surgical team, SPINTS for scrub nurses, and OSANTS, NOTSS, SDM-RS, and SLI for surgeons. Conclusions: Since the development of the tools depends entirely on the context and task analysis of any member of the surgical team, all countries must customize the available tools and develop similar tools for other members of surgical teams.

Background: 360 degree evaluation is a method that an employee is evaluated by the others and given feedback to him/her. Considering the proper implementation of the sterilization process is important in the prevention of nosocomial infections and has a direct impact on the quality of performance of the surgical team in the operating room. This study was conducted to the Evaluation of CSSD Unit Personnel Performance in Sterilization Process using the 360 Degree technique. Methods: This cross-sectional study was conducted in the educational hospitals of Gillan Province in IRAN, between 2018 and 2019. Assessment of staff performance in CSSD Unit was done by 360 Degree evaluation method in five different stages. The evaluators included the infection control nurses, Supervisors of the sterilization unit, the researcher and the staff of these units as self-assessors. Finally, the collected data were analyzed using SPSS version 20. Results: The evaluation mean scores were as following:  the researcher, 75.97 ± 18.9; infection control nurse, 87.62 ± 7.2; unit supervisor, 87.61 ± 7.8 and staff self-assessment, 88.01 ± 8.1; at different stages of the sterilization process. From all assessors view, the highest and lowest scores were related to the cleaning and Health dimensions. Conclusion: According to assessor’s agreement in scoring of different stages of the sterilization process, the 360 degree evaluation method is a valuable tool in assessment of the staff performance in important tasks. By applying this method, it can be ethically prevented evaluators' individual judgments

Background: Following the widespread approval of laparoscopic procedures, which impose certain restrictions on surgeons' movements and access to information, extensive research has been conducted on improving ergonomic conditions in this field. Ergonomic studies have indicated high levels of physical workload among laparoscopic surgeons. Objectives: The purpose of this study was to clarify the major ergonomic challenges faced by laparoscopic surgeon, their first assistants, and operating room nurses. Methods: This cross-sectional study recruited 62 volunteers with different levels of experience in minimally invasive surgeries between October 2014 and June 2015. Demographic data and the musculoskeletal disorder were collected by demographic questionnaire and the nordic musculoskeletal questionnaire (NMQ). Laparoscopic cholecystectomy procedures and surgical team members' position were recorded by camera then evaluated via the rapid upper limb assessment (RULA) method by ErgoIntelligence -UEA software. The data were analyzed using T-test, ANOVA Test, pearson and Kendall correlation coefficient by using Spss 16 software. Results: 60%of participates are male and 40%are female. The Mean age of male and female participates are 43.94 and37.62, respectively. There is a significant relationship between weight, height and work experience with musculoskeletal disorders and jobs and RULA score. The surgeons had the highest score in Rulla method. Pearson correlation coefficient also showed a significant relationship between age and RULA score. Conclusions: The majority of the participants complained of pain and discomfort after laparoscopy, therefore it is imperative to consider ergonomic issues during such procedures.

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‫ﭘﮋوﻫﺸﻲ‬ ‫ﻋﻠﻤﻲ‬ ‫ﻧﺸﺮﻳﻪ‬ ‫دوره‬ ‫اﻟﺒﺮز،‬ ‫ﭘﺰﺷﻜﻲ‬ ‫ﻋﻠﻮم‬ ‫داﻧﺸﮕﺎه‬

No abstract