Positive impact on heat loss and patient experience of preheated skin disinfection: a randomised controlled trial

Wistrand, Camilla; Söderquist, Bo; Nilsson, Ulrica

doi:10.1111/jocn.13263

Cited by 5 publications

(11 citation statements)

References 24 publications

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“…Thirteen published studies (15% of included studies) had a primary outcome of preventing perioperative hypothermia or temperature monitoring. 35 , 46 , 56 , 74 , 82 , 85 , 86 , 87 , 96 , 98 , 99 , 100 , 104 However, one study was published twice in two different journals. 85 , 87 Active warming (comprising forced air, thermal gown, intravenous (IV) fluid warming or underbody warming) and passive warming strategies (reflective versus cotton blankets or cloths) were tested in various combinations.…”

Section: Resultsmentioning

confidence: 99%

“… 85 , 87 Active warming (comprising forced air, thermal gown, intravenous (IV) fluid warming or underbody warming) and passive warming strategies (reflective versus cotton blankets or cloths) were tested in various combinations. All perioperative hypothermia studies were conducted in the adult population, but within different surgical specialities: interventional cardiovascular procedures; 99 gastro-intestinal or thoracic surgery; 85 , 87 obstetrics; 35 , 98 laparoscopic cholecystectomy; 96 colorectal surgery; 56 gynaecology; 104 cardiovascular 74 or multiple specialities. 82 , 100 One study assessed skin temperatures after blankets warmed to different temperatures in a population of healthy volunteers.…”

Section: Resultsmentioning

confidence: 99%

“…Over half of studies involved interventions that were delivered during the preoperative phase of care (n=41, 48%); 13 studies delivered interventions during the intraoperative phase (n = 13, 15%); 24 , 26 , 31 , 43 , 46 , 51 , 74 , 75 , 86 , 92 , 97 , 99 , 101 13 studies (15%) delivered interventions solely in the postoperative phase, 36 , 39 , 44 , 47 , 48 , 60 , 66 , 68 , 73 , 77 , 82 , 90 , 107 Supplementary file 3 ; eight studies (9%) were based on interventions that were delivered during multiple phases of the perioperative pathway. 34 , 35 , 42 , 56 , 61 , 76 , 85 , 96 Almost half of the included studies assessed outcomes at multiple phases of the perioperative pathway (n = 34, 40%), whilst 24 studies (28%) assessed postoperative outcomes extending beyond the immediate PACU phase.…”

Section: Resultsmentioning

confidence: 99%

“…Thirteen published studies (15% of included studies) had a primary outcome of preventing perioperative hypothermia or temperature monitoring. 35,46,56,74,82,85,86,87,96,98,99,100,104…”

Section: Perioperative Hypothermia Prevention and Temperature Monitoringmentioning

confidence: 99%

“…34,35,42,56,61,76,85,96 Almost half of the included studies assessed outcomes at multiple phases of the perioperative pathway (n = 34, 40%), whilst 24 studies (28%) assessed postoperative outcomes extending beyond the immediate PACU phase. 26,27,34,35,39,40,41,43,45,48,51,55,61,62,64,66,69,73,89,90,92,99,102,109 Five studies (6%) assessed outcomes only during the preoperative phase, 57,58,71,103,106 whilst only four studies assessed outcomes at a single phase of intraoperative care (n=4, 6%), 33,46,56,59,74 and seven studies assessed outcomes during PACU care only (n=7, 8%). 24,44,47,68,82,100,…”

Section: Phases Of Carementioning

confidence: 99%

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<p>Nurse-Led Randomized Controlled Trials in the Perioperative Setting: A Scoping Review</p>

Munday¹,

Higgins²,

Mathew³

et al. 2020

JMDH

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Purpose: Nurses provide care at each phase of the complex, perioperative pathway and are well placed to identify areas of care requiring investigation in randomized controlled trials. Yet, currently, the scope of nurse-led randomized controlled trials conducted within the perioperative setting are unknown. This scoping review aims to identify areas of perioperative care in which nurse-led randomized controlled trials have been conducted, to identify issues impacting upon the quality of these trials and identify gaps for future investigation. Methods: This scoping review was conducted in reference to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews. Searches were conducted in PubMed, Embase, Cumulative Index for Nursing and Allied Health Literature and the Cochrane Central Register of Controlled Trials, with a date range of 2014-19. Sources of unpublished literature included Open Grey, and ProQuest Dissertation and Theses, Clinical Trials.gov and the Australian and New Zealand Clinical Trials Registry. After title and abstract checking, full-text retrieval and data extraction, studies were appraised using the Joanna Briggs Institute Critical Appraisal Checklists for randomized controlled trials. Data were synthesized according to the main objectives. Key information was tabulated. Results: From the 86 included studies, key areas where nurses have led randomized controlled trials include patient or caregiver anxiety; postoperative pain relief; surgical site infection prevention: patient and caregiver knowledge; perioperative hypothermia prevention; postoperative nausea and vomiting; in addition to other diverse outcomes. Issues impacting upon quality (including poorly reported randomization), and gaps for future investigation (including a focus on vulnerable populations), are evident. Conclusion: Nurse-led randomized controlled trials in the perioperative setting have focused on key areas of perioperative care. Yet, opportunities exist for nurses to lead experimental research in other perioperative priority areas and within different populations that have been neglected, such as in the population of older adults undergoing surgery.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Thirteen published studies (15% of included studies) had a primary outcome of preventing perioperative hypothermia or temperature monitoring. 35,46,56,74,82,85,86,87,96,98,99,100,104…”

Section: Perioperative Hypothermia Prevention and Temperature Monitoringmentioning

confidence: 99%

Section: Phases Of Carementioning

confidence: 99%

See 3 more Smart Citations

<p>Nurse-Led Randomized Controlled Trials in the Perioperative Setting: A Scoping Review</p>

Munday¹,

Higgins²,

Mathew³

et al. 2020

JMDH

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Evaluations for Lifting and Traction Forces of Low Extremities with Fracture

Cho

Kim

Kwak

2018

Int. J. Precis. Eng. Manuf.

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Patients experience of warmth and coldness in connection with surgery – a phenomenological study

Gustafsson

Rask

Schildmeijer

et al. 2020

International Journal of Qualitative Studies on Health and Well

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Purpose : The aim was to describe patients’ lived experience of warmth and coldness in connection with surgery. Methods : A reflective lifeworld research (RLR) approach founded on phenomenology and the methodological principles of openness, flexibility, and bridling were used. The data consisted of 16 in-depth interviews with patients from four hospitals in Sweden. Results : Warmth and coldness in connection with surgery means an expectation to maintain one´s daily life temperature comfort. When patients’ needs of temperature comfort is fulfilled it give a sense of well-being and calmness. Despite the body is covered there are feelings of vulnerability. When patients have the ability to change their own temperature comfort, they feel independent. Conclusion : The individual feeling of temperature comfort could be affected or changed to discomfort during the perioperative context, and an intervention is required to avoid suffering due to the care. An ability to independently influence one´s own temperature comfort can strengthen the patient, whereas the opposite entails suffering in silence. The phenomenon is also related to feelings of confidence about receiving the best care as well as being exposed and vulnerable. When the patient´s need of comfortable temperature is met then feelings of security and sense of well-being emerged.

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Positive impact on heat loss and patient experience of preheated skin disinfection: a randomised controlled trial

Abstract: Skin disinfection with preheated skin disinfectant is an easy and inexpensive nursing intervention that has a positive impact on heat loss and on patients' experience of the disinfection process.

Cited by 5 publications

References 24 publications

<p>Nurse-Led Randomized Controlled Trials in the Perioperative Setting: A Scoping Review</p>

<p>Nurse-Led Randomized Controlled Trials in the Perioperative Setting: A Scoping Review</p>

Evaluations for Lifting and Traction Forces of Low Extremities with Fracture

Patients experience of warmth and coldness in connection with surgery – a phenomenological study

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