Research in peri‐operative nursing care

Abstract

This review analyses 97 research reports dealing with peri-operative care which included patients. The literature review was done as the basis of a development project to measure the quality of intra-operative nursing care from the patient's perspective. The pre-operative phase provides information about the teaching, anxiety and stress of patients. Few sources dealt with the intra-operative phase; there were a small amount of reports concerning concrete nursing activities (e.g. surgical position and warming the patient). The most information was available on the post-operative phase, such as recovery, adaptation and the treatment of pain. Peri-operative research is mainly concerned with the quality of nursing care, control of life and ambulatory surgery. The main defects of analysed studies can be characterized as follows: small samples and a single hospital, lack of definition of terms, theoretical ambiguity, short follow-up times, anaesthetic or other drugs used during the care not mentioned in the report (especially in studies on pain and quality). Previously developed research tools had usually been well tested, but there was great variety in the testing of investigator-constructed tools. There were also discrepancies in the evaluation of validity and reliability. Future research should especially deal with treatment of pain and anxiety, information and guidance given to patients, and the costs of surgical care; there is also a need for studies dealing with intra-operative care from the patient's perspective. Although information is already available on the above mentioned topics, more detailed and comprehensive facts are still needed.

Evaluation of the Effect of Occupational Professionalism on the Quality of Intraoperative Care Among Operating Room Nurses

“…While providing an adequate team in terms of quality and quantity, organizations also should consider material needs in order to contribute to the provision of good care. [2][3][4][5] Ameliyathane hemşireleri intraoperatif bakımın kalitesini; hasta hedeflerini tanımlayıp, bireyselleştirilmiş hemşirelik girişim-lerini uygulayarak geliştirebileceklerdir. 4,6,7 Kaliteli hemşirelik bakımının sunulmasında ve bireylerde bakım memnuniyetinin artmasında olumlu profesyonel kimlik önemli yer tutmaktadır.…”

“…5,12 Skalada fiziksel bakım, bilgi verme, destek, saygı, personel karakterleri, çevre ve hemşirelik süreci olmak üzere toplam yedi alt boyut bulunmaktadır. Skalanın Türk toplumuna uyarlanması, 2006 yı-lında Dönmez ve Özbayır tarafından 346 hasta üze-rinde gerçekleştirilmiştir.…”

“…12 Leioenen ve ark.nın çalışmasında hastalar, ameliyathane odasında ve ayılma odasında kendilerini gü-vende hissetmiş ve bu görüşleri hemşireler tarafından da desteklenmiştir. 5 Hastalar ameliyathaneyi sessiz-sakin olarak ve ayılma odasını iyileş-mek için uygun ve huzurlu bulurken, hemşireler bu düşünceye daha az oranda katılmışlardır. Hemşireler, çalışma ortamlarından beklentilerinin karşılanamaması ve daha iyi olanaklarla çalışmanın kaliteli bakımı artıracağını ifade ederek, bakım kalitesini eleştirel değerlendirmiş ve KPHBS puan ortalamaları hastalara göre daha düşük bulunmuştur.…”

Conscious surgery: influence of the environment on patient anxiety

“…Such personal contact of this nature has previously been suggested to be a vital component of intra-operative care (Rudolfsson et al 2003, Leinonen and Leino-Kilpi 1999, Leinonen et al 1996. However, the complete eradication of pre-operative anxiety at such a time is somewhat unrealistic.…”

Patient experiences of anxiety, depression and acute pain after surgery: a longitudinal perspective

“…A review of 97 research reports dealing with peri-operative care identified anxiety as a main focus of research but no mention was made of depression (Leinonen & Leino-Kilpi 1999). The narrow focus on anxiety neglects depression, which have been studied extensively in patients with cancer pain (Noyes & Kathol 1986, Massie & Holland 1990, Carroll et al 1993, White et al 1997, chronic pain populations (Bukberg et al 1984, Magni et al 1990, Hitchcock et al 1994) and sickle cell pain (Pallister 1992, Thomas et al 2001) but remain a minority interest in acute pain.…”