This paper focuses on the key role and practical paths of operating room nurses in infection control,and studies the difficult problems in the prevention and control of surgical site infections.Analyze the infection r...This paper focuses on the key role and practical paths of operating room nurses in infection control,and studies the difficult problems in the prevention and control of surgical site infections.Analyze the infection risk links in the operating room and the core responsibilities of nurses,reveal the multiple role mechanisms of nurses in infection control,design practical strategies from dimensions such as process optimization,skill improvement,and monitoring feedback,and construct an infection control system involving all staff.Research shows that operating room nurses can effectively reduce the risk of infection,improve medical quality,provide core guarantees for patient safety,and promote the transformation of operating room infection control towards refined management through practical actions such as standardized operation execution,real-time risk monitoring,and team collaboration supervision.展开更多
Currently,preoperative visits have problems such as monotonous forms and insufficient humanistic care,which affect patients’psychological states and surgical cooperation.This article analyzes the current situation of...Currently,preoperative visits have problems such as monotonous forms and insufficient humanistic care,which affect patients’psychological states and surgical cooperation.This article analyzes the current situation of preoperative visits and the mechanisms influencing patients’psychology,proposes optimization strategies and safeguard measures,and explores the mechanisms of information transmission,emotional support,trust establishment,and environmental familiarity on patients’psychology.It designs optimization plans from the aspects of personalized content,standardized processes,professional techniques,and diversified forms,supplemented by nurse training,system improvement,and quality evaluation to ensure implementation.Practice shows that the optimized preoperative visit can improve the psychological state of patients,enhance surgical cooperation,and optimize the nurse-patient relationship.The conclusion indicates that scientific and standardized preoperative visits can improve the quality of surgical care through multiple psychological effects and are an important link in perioperative care.展开更多
Aluminum hydroxide adjuvant exhibits a poorly crystalline boehmite(PCB)structure,which demonstrates instability during prolonged storage.In the present study,we systematically investigated the quality alterations of t...Aluminum hydroxide adjuvant exhibits a poorly crystalline boehmite(PCB)structure,which demonstrates instability during prolonged storage.In the present study,we systematically investigated the quality alterations of the adjuvant stored at roo m temperature by analyzing its crystal structure,particle size distribution,electron microscopic characteristics,pH,isoelectric point(pI),and adsorption capacity.These assessments aimed to ensure the effectiveness and safety of vaccine production.Three batches of adjuvants were stored at room temperature for 15 months,and their changes were monitored using X-ray diffraction patterns,transmission electron microscopy(TEM),pH measurements,pI determination,and adsorption capacity analysis.X-ray diffraction revealed that the crystalline phases of aluminum hydroxide initially exhibited a PCB structure,which became progressively more ordered during storage.Notably,after 12 months,a new diffraction peak emerged at 18.2°2θ,with its intensity increasing over time.This corresponded to the formation of highly crystalline gibbsite and bayerite,which compromised the stability of the adjuvant.Furthermore,the pH and pI values decreased during storage,reflecting a decline in the chemical stability of the adjuvant.Comprising nanoparticles with a mean diameter of 130 nm,the adjuvant maintained a high surface area and excellent adsorption capacity.The adsorption rate at 8 mg BSA/mg Al3+consistently exceeded 97%,with no statistically significant differences observed between the adsorption capacities at 1 and 15 months(P>0.05).This indicated that the nanoparticle aluminum hydroxide adjuvant sustained high adsorption efficiency throughout the storage period,underscoring its reliability as a vaccine adsorbent.However,in the later stages of storage,the emergence of highly crystalline gibbsite and bayerite,coupled with declines in pH and pI,negatively impacted the adjuvant’s stability.Based on these findings,we recommended that aluminum hydroxide adjuvants should not be stored at room temperature for longer than 12 months to preserve their quality and efficacy.展开更多
Background and objective Airway stent placement is the effective regimen for central airway obstruction(CAO),while its application scenarios varied.This study aimed to make clinical comparison of airway stent placemen...Background and objective Airway stent placement is the effective regimen for central airway obstruction(CAO),while its application scenarios varied.This study aimed to make clinical comparison of airway stent placement in the intervention room and operating room.Methods Patients underwent airway stent placement between 2014 and 2018 were included in this retrospective case-control study.Clinical performance of airway stent placement in intervention room and operating room were compared.Results 82 patients were included in this study,including 39 in the intervention room and 43 in the operating room.Patients treated in the intervention room had lower Charlson comorbidity index(CCI)(P=0.018)and received less Y-shaped stents(P<0.001).Better clinical response(P=0.026),more stents placed(P<0.001)and longer length of stent(P<0.001)were observed in operating room,while there was no significantly statistical difference of stent-related complications and post-stent survival rate between the two groups.Extracorporeal membrane oxygenation(ECMO)supported airway stent placement procedures were performed in the operating room,which provided definitive safety support for high-risk intervention.Conclusion Patients with CAO could benefit from the operating room scenario,and airway stent placement in the operating room is more suitable for patients with higher CCI scores and receiving more complicated procedures.展开更多
Objective: to comprehensively enhance the nursing effect of strengthening the application of detail management in operating room management by operating room nurses. Methods: 80 patients who came to the operation from...Objective: to comprehensively enhance the nursing effect of strengthening the application of detail management in operating room management by operating room nurses. Methods: 80 patients who came to the operation from January 2020 to December 2020 were selected and divided into the control group with routine nursing and the experimental group with detailed nursing management in the operating room. The patients' satisfaction, operation time, anxiety and body temperature were compared between the two groups. Results: the overall operating room management and detailed management of the optimized nursing measures were effectively improved. The experimental study found that the satisfaction degree of the experimental group was significantly higher than that of the control group, and the whole operation time was shorter than that of the control group. The degree of anxiety of the observation group was lower than that of the control group, and the body temperature was also higher than that of the control group. The relevant data of the two groups of patients had clinical statistical significance, P < 0.05. Conclusion: in the process of comprehensive improvement of surgical treatment, for the whole implementation of relevant nursing, the real effect of routine nursing and corresponding implementation of detail management is adopted, so as to reduce the anxiety of patients in the operating room, ensure the patient's temperature reaches a stable level, effectively shorten the operation time, and thus comprehensively improve the whole satisfaction of the whole detail operating room.展开更多
Objective:According to the World Federation of Medical Education,critical thinking should be part of the training of medical and paramedical students.Professionals can improve the quality of care of patients after sur...Objective:According to the World Federation of Medical Education,critical thinking should be part of the training of medical and paramedical students.Professionals can improve the quality of care of patients after surgery by having or acquiring this skill in health care.Also,Emotional intelligence is introduced as an impor tant and effective factor on the professional performance and mental health of healthcare professionals.Thus,the present study was designed and implemented to determine the relationship between emotional intelligence and critical thinking among operating room nursing students of medical sciences universities in Iran.Methods:This cross-sectional study was done on 420 operating room students in 10 top medical sciences universities of Iran in 2022.The sampling method in this research was multistage sampling.The data collection instruments included demographic characteristics,Rickett's critical thinking,and Bradberry-Greaves'emotional intelligence questionnaires.After receiving the ethics code,data collection was done for 2 months.For data analysis,descriptive and inferential analyses including independent t-tests,analysis of variance,and Pearson correlation were used.The collected data were analyzed by SPSS 18(IBM Corporation,Armonk,New York,United States).P-value<0.05 was considered significant.Results:The mean age of the students participating in this study was 23.02±3.70 years,with women constituting 67.4%of them.The results of data analysis indicated that the mean total score of critical thinking and emotional intelligence was 124.10±37.52 and 114.12±43.63,respectively.A direct significant correlation between critical thinking and emotional intelligence(r=0.459,P-value<0.001)and a significant relationship between gender and emotional intelligence(P-value=0.028)were found.Conclusions:Based on the present study results,educational managers in the Ministry of Health are suggested to consider suitable educational programs for improving critical thinking and emotional intelligence to enhance the quality of care provided by students in operating rooms.展开更多
BACKGROUND Patients’lack of correct understanding of cardiovascular disease and interventional therapy is often accompanied by varying degrees of fear,depression and anxiety.Negative emotion will affect the hemodynam...BACKGROUND Patients’lack of correct understanding of cardiovascular disease and interventional therapy is often accompanied by varying degrees of fear,depression and anxiety.Negative emotion will affect the hemodynamic fluctuation of patients undergoing interventional surgery,which is not conducive to the smooth and safe operation of interventional surgery.Therefore,it is very important to implement effective nursing intervention in the operating room.AIM To explore the intervention effect of motivational psychological nursing combined with programmed nursing on compliance and bad mood of patients in interventional operating room.METHODS A total of 98 patients in the interventional operating room of our hospital from October 2019 to March 2021 were randomly divided into study group(n=49)and control group(n=49).The control group took routine nursing.However,the study group took motivational psychological nursing combined with procedural nursing on the basis of the control group.Statistics were made on rehabilitation compliance,Positive and Negative Affect Schedule of bad mood,Simplified Coping Styles Questionnaire score of coping style and satisfaction of intervention between the two groups before and after intervention.RESULTS The rehabilitation compliance of the study group(95.92%)was higher than that of the control group(81.63%)(P<0.05).After intervention,the scores of upset,fear,irritability,tension and fear in the study group were respectively,which were lower than those in the control group(P<0.05).After intervention,the score of positive coping in the study group was higher than that in the control group.However,the score of negative coping in the study group was lower than that in the control group(P<0.05).The intervention satisfaction of the study group(93.88%)was higher than that of the control group(79.59%)(P<0.05).CONCLUSION The intervention of motivational psychological nursing combined with procedural nursing can improve the rehabilitation compliance,and alleviate the bad mood.In addition,it can change their coping style to the disease,and the patients are more satisfied with the nursing work.展开更多
Objective:To analysis the influence of operating room nursing care management on the incidence rate of nosocomial infection in orthopedic surgery patients.Methodology:Fifty six orthopedic surgery patients who admitted...Objective:To analysis the influence of operating room nursing care management on the incidence rate of nosocomial infection in orthopedic surgery patients.Methodology:Fifty six orthopedic surgery patients who admitted into the hospital between January to December 2018 were enrolled into this study and randomly divided into two groups,which were the control group(under general management)and the observation group(under the operating room nursing care management).Further,the incidence rate of nosocomial infections,the incidence rate of irregular nursing care phenomena,the satisfaction score of nursing care management,and the quality of life score were observed and recorded.Result:The incidence rate of nosocomial infection,the incidence rate of irregular nursing care management,the satisfaction score of nursing care management,and the quality of life score of the observation group were compared to that of the control group,and the result showed P<0.05,indicates the statistical significance between the data indicators.Conclusion:The use of operating room nursing care management in patients with orthopedic surgery has shown a significant effect.展开更多
Objective:Operating room nurses,as essential members of health care teams,often face ethical challenges in the operating room.By using the ethical experiences of operating room nurses,a better understanding of ethics ...Objective:Operating room nurses,as essential members of health care teams,often face ethical challenges in the operating room.By using the ethical experiences of operating room nurses,a better understanding of ethics in the operating room can be achieved,which can lead to better nursing decisions in the face of these challenges.Therefore,this study was conducted to investigate operating room nurses’lived experiences of ethical codes.Methods:A hermeneutic phenomenological study was performed in Hamadan(Iran)from February 2019 to November 2020.Ten operating room nurses were selected as participants by purposive sampling.Data were collected through in-depth and semi-structured interviews.Data analysis was performed based on Van Manen methodology.Results:Data analysis revealed three main themes and 11 sub-themes representing the operating room nurses experience of the ethical code.The main themes were;adherence to professional commitments,preserving patient dignity,and respect to colleagues.Conclusion:The results underlined ethics and ethical values in the operating room.Due to the intense interactions between operating room nurses with the patient and surgical team,commitment to ethics by nurses can lead to improving quality of care and interactions among members of the surgical team.It is suggested that using these codes as a guideline and a framework could be developed to improve the ethical and professional performance of operating room nurses.展开更多
BACKGROUND The nursing working environment is an important subsystem in the hospital environment.A good working environment could have a positive impact on nurses.However,the work-family conflict and unsatisfactory wo...BACKGROUND The nursing working environment is an important subsystem in the hospital environment.A good working environment could have a positive impact on nurses.However,the work-family conflict and unsatisfactory working environment could significantly reduce their working enthusiasm,efficacy as well as the overall quality of the nursing,increase their fatigue,and thereby compromise their career status.AIM To explore the possible status quo and to analyze the correlation between work environment perception and the work-family conflict among nurses in the operating room.METHODS A total of 312 operating room nurses from two first-class hospitals at Grade 2 and two first-class hospitals at Grade 3 in China from May to September 2017 were included in this research using the cluster sampling method.The data,including the general information questionnaire,the practice environment scale of the nursing work index(PES-NWI),and the work-family conflict scale,were systematically collected.Pearson correlation analysis was applied to analyze the correlation between the two scores,with influencing factors analyzed by hierarchical regression analysis.RESULTS A total of 312 questionnaires were issued,and the response rate and effective questionnaire rate were both 96.15%(300/312).The total scores of the PES-NWI scale and the work-family conflict scale were 3.07±0.43(vs maximum up to 4 points)and 52.32±8.79(vs maximum up to 90 points),respectively.The scores of the PES-NWI scale were negatively correlated with that of work-family conflict scale(all P<0.05).The perception of the nursing work environment and the number of night shifts per month were the major factors contributing to the workfamily conflict(all P<0.05).CONCLUSION The nursing work environment and the work-family conflict among nurses in the operating room were both found at a medium level with a negative correlation between the two.展开更多
Objective: To analyze the effect of nursing intervention in operating room for gastric cancer patients in anesthesia recovery period. Methods: From June 2021 to December 2021, 78 patients who underwent gastric cancer ...Objective: To analyze the effect of nursing intervention in operating room for gastric cancer patients in anesthesia recovery period. Methods: From June 2021 to December 2021, 78 patients who underwent gastric cancer surgery in our hospital were selected for research. Combined with the random number table method, they were divided into the control group (providing routine nursing care in operating room) and the observation group (providing nursing intervention in operating room) with 39 patients in each group respectively. The body temperature of the two groups during operation, during abdominal closure and after operation, the time of leaving anesthesia room, extubation, postoperative wakefulness and hospitalization, degree of satisfaction with nursing work was compared. Results: Compared with the control group, the body temperature in the observation group tended to be more normal during operation, during abdominal closure and after operation (P 0.05). The time of leaving anesthesia room, extubation, postoperative wakefulness and hospitalization in the observation group were shorter than those in the control group (P 0.05). The satisfaction degree of the observation group with nursing work was higher than that of the control group (P 0.05). Conclusion: Nursing intervention in operating room is effective for gastric cancer patients in anesthesia recovery period, which can maintain their perioperative temperature stability, promote their postoperative recovery and enhance their satisfaction with nursing work. It is worth adopting.展开更多
Ensuring patient safety within the operating room is a paramount concern in contemporary healthcare, and this guide aims to provide an in-depth exploration of this crucial aspect from the perspective of nurses. Nurses...Ensuring patient safety within the operating room is a paramount concern in contemporary healthcare, and this guide aims to provide an in-depth exploration of this crucial aspect from the perspective of nurses. Nurses play a pivotal role in supporting surgeons and maintaining a safe environment for patients undergoing various medical procedures.展开更多
Background:This study aims to develop and validate a Structured Training Effectiveness Evaluation(STEE)tool based on the Kirkpatrick model for newly graduated registered nurses in the operating room in China.Methods:T...Background:This study aims to develop and validate a Structured Training Effectiveness Evaluation(STEE)tool based on the Kirkpatrick model for newly graduated registered nurses in the operating room in China.Methods:The first phase will involve focus group and individual interviews with nursing educators and newly graduated registered nurses selected using purposive sampling.The data will be analyzed thematically to identify key components necessary to develop the STEE tool.The second phase will develop and validate the STEE tool through a panel of experts using the Delphi method.The item weights will be determined with the analytic hierarchy process technique.The third phase will involve implementation and evaluation of the STEE tool with an exploratory,nonexperimental,and comparative analysis.Descriptive and inferential statistical analyses will be performed with SPSS version 23.Results:The STEE tool for newly graduated registered nurses in the operating room will be useful for evaluating training effectiveness during standardized training.The results obtained with this tool will clarify the effectiveness of training,thereby helping transform nursing students into competent nurses.Conclusion:In this way,this study will provide practical guidance for improving standardized training programs and help newly graduated nurses manage their transition to the clinical work environment and remain in their posts.展开更多
Concomitant with the advancement of contemporary medical technology,the significance of perioperative nursing has been increasingly accentuated,necessitating elevated standards for the pedagogy of perioperative nursin...Concomitant with the advancement of contemporary medical technology,the significance of perioperative nursing has been increasingly accentuated,necessitating elevated standards for the pedagogy of perioperative nursing.Presently,the PBL(problem-based learning)pedagogical approach,when integrated with CBL(case-based learning),has garnered considerable interest.An extensive literature review has been conducted to analyze the application of the PBL-CBL fusion in the education of perioperative nursing.Findings indicate that this integrative teaching methodology not only enhances students’theoretical knowledge,practical competencies,and collaborative skills but also contributes to the elevation of teaching quality.In conclusion,the PBL-CBL teaching approach holds immense potential for broader application in perioperative nursing education.Nevertheless,it is imperative to continually refine this combined pedagogical strategy to further enhance the caliber of perioperative nursing instruction and to cultivate a greater number of exceptional nursing professionals in the operating room setting.展开更多
Objective: to discuss the effect of disinfection and isolation measures in operating room. Methods: from January 2020 to December 2020, 4124 surgical patients were randomly divided into control group (routine operatio...Objective: to discuss the effect of disinfection and isolation measures in operating room. Methods: from January 2020 to December 2020, 4124 surgical patients were randomly divided into control group (routine operation room disinfection measures) and study group (enhanced operation room disinfection and isolation measures) 2062 cases each. Observation index is quality of hand washing, disinfection, isolation and environmental cleanliness;Satisfaction indicators. Results: the incidence rate of nosocomial infection in the study group was significantly lower than that in the control group (0.05%, P > 0.05). The quality indexes of hand-washing, disinfection and isolation and environmental cleanliness in the study group were significantly higher than those in the control group, P < 0.05;The nursing satisfaction index of the study group was significantly higher than that of the control group, P < 0.05. Conclusion: strengthening disinfection and isolation measures in the operating room can reduce the incidence of nosocomial infection, strengthen the quality of hand washing, disinfection and isolation and environmental cleaning in the operating room, and patients have high satisfaction with the intervention measures, which is worth promoting.展开更多
Objective: to explore the related factors of nursing intervention on intraoperative hypothermia of operating room nurses. Methods: 50 operating room nurses in our hospital were randomly selected as the research object...Objective: to explore the related factors of nursing intervention on intraoperative hypothermia of operating room nurses. Methods: 50 operating room nurses in our hospital were randomly selected as the research objects, and retrospective analysis was carried out from June 2019 to June 2020. The influencing factors of intraoperative hypothermia were investigated and analyzed, and coping strategies were explored. The scores of cognition status, professional responsibility and behavior status of nursing staff before and after receiving management guidance were compared and analyzed. Results: according to the data assessment, there was job burnout among the nurses before the guidance, and the nurses' cognitive and behavioral scores were not ideal. After targeted guidance and management, the nurses' cognitive status, professional responsibility and behavioral status scores were all improved. The results of statistical comparison were P < 0.05, with significant difference. Conclusion: there are many factors that affect the nursing intervention of intraoperative hypothermia in operating room nurses. It is necessary to take targeted guidance and management measures to help nursing staff to improve their personal cognition and behavior ability and enhance their professional responsibility, so as to effectively avoid the situation of inadequate intraoperative hypothermia nursing.展开更多
Objective: to explore how to provide high-quality operating room nursing for patients undergoing lung cancer thoracoscope radical operation in the operating room, and to observe the effect of high-quality operating ro...Objective: to explore how to provide high-quality operating room nursing for patients undergoing lung cancer thoracoscope radical operation in the operating room, and to observe the effect of high-quality operating room nursing for patients. Methods: setting the study to begin in January 2019, and completing it in March 2020, selecting patients undergoing lung cancer radical surgery during this period in our hospital as relevant personnel of the study;and there are a total of 80 patients dividing into two groups in double chromosphere randomized way. Performing traditional operating room nursing to patients of control group, and performing optimized operating room related nursing content under the premise of daily operating room nursing to patients of research group. Comparing the effect of operating room nursing of patients in control group and patients in research group. Results: the surgical indexes of patients in study group were better than those in control group;the satisfaction rate of study group were higher that of control group, P < 0.05. Conclusion: strengthening nursing intervention content in the operation room treatment of patients undergoing thoracoscopic radical surgery has more significant effect, which can not only shorten the overall treatment time, but also improve the nursing satisfaction of patients, and it is recommended to be widely used.展开更多
The operating room is an important place for rescuing and treating patients. It plays a key role in the development of medical work. Operating room work has certain particularity, the work intensity is big, the task i...The operating room is an important place for rescuing and treating patients. It plays a key role in the development of medical work. Operating room work has certain particularity, the work intensity is big, the task is heavy, can carry out the operation at any time day and night. The operation has strict requirements on aseptic operation. Any negligence in work and technical mistakes are very likely to lead to some major safety accidents. In order to ensure the orderly advancement of the operation, strict organization and management should be carried out. This paper first analyzes the potential safety problems in the nursing safety management of the operating room in the infectious disease hospital, and studies the relevant measures for the nursing safety management of the operating room in the infectious disease hospital for reference.展开更多
Objective: to explore the application value of group authorization management in improving nursing quality in operating room. Methods: this study was carried out from July 2019 to July 2020. 60 operating room nurses i...Objective: to explore the application value of group authorization management in improving nursing quality in operating room. Methods: this study was carried out from July 2019 to July 2020. 60 operating room nurses in our hospital were selected as observation objects, and the nurses were equally divided by blind selection method. 30 patients in the control group and 30 patients in the observation group were given conventional management and group authorization management respectively. The incidence of adverse events and skill scores of the two groups of nursing staff were observed and compared. Results: 1 nurse in the observation group had an adverse event, while 8 in the control group. The difference between the two groups was significant (P < 0.05). At the same time, combined with the evaluation of the two groups of nurses' emergency ability score, operation coordination proficiency score and specialized equipment use ability score, the observation group of nurses' skills score was better than the control group, the difference between the indicators is significant (p < 0.05). Conclusion: the implementation of group authorization management for operating room nursing staff can significantly reduce the occurrence of adverse events among nurses and improve the professional skills of nursing staff, which is of great significance to improve the quality of nursing in operating room.展开更多
Objective: to explore the practical effect of quality management group in operating room quality management. Methods taking 68 nurses in operating room of our hospital as management objects, the practice of nursing qu...Objective: to explore the practical effect of quality management group in operating room quality management. Methods taking 68 nurses in operating room of our hospital as management objects, the practice of nursing quality management was studied. Results: in the training and examination of the quality management team, the members of the operating room not only greatly improved their comprehensive quality, optimized the overall nursing quality of the operating room, but also provided favorable conditions for the selection of professional talents in the hospital. Conclusion: the participation of the quality management group in the quality management of the operating room has far-reaching significance and remarkable effect, which is worthy of promotion.展开更多
文摘This paper focuses on the key role and practical paths of operating room nurses in infection control,and studies the difficult problems in the prevention and control of surgical site infections.Analyze the infection risk links in the operating room and the core responsibilities of nurses,reveal the multiple role mechanisms of nurses in infection control,design practical strategies from dimensions such as process optimization,skill improvement,and monitoring feedback,and construct an infection control system involving all staff.Research shows that operating room nurses can effectively reduce the risk of infection,improve medical quality,provide core guarantees for patient safety,and promote the transformation of operating room infection control towards refined management through practical actions such as standardized operation execution,real-time risk monitoring,and team collaboration supervision.
文摘Currently,preoperative visits have problems such as monotonous forms and insufficient humanistic care,which affect patients’psychological states and surgical cooperation.This article analyzes the current situation of preoperative visits and the mechanisms influencing patients’psychology,proposes optimization strategies and safeguard measures,and explores the mechanisms of information transmission,emotional support,trust establishment,and environmental familiarity on patients’psychology.It designs optimization plans from the aspects of personalized content,standardized processes,professional techniques,and diversified forms,supplemented by nurse training,system improvement,and quality evaluation to ensure implementation.Practice shows that the optimized preoperative visit can improve the psychological state of patients,enhance surgical cooperation,and optimize the nurse-patient relationship.The conclusion indicates that scientific and standardized preoperative visits can improve the quality of surgical care through multiple psychological effects and are an important link in perioperative care.
文摘Aluminum hydroxide adjuvant exhibits a poorly crystalline boehmite(PCB)structure,which demonstrates instability during prolonged storage.In the present study,we systematically investigated the quality alterations of the adjuvant stored at roo m temperature by analyzing its crystal structure,particle size distribution,electron microscopic characteristics,pH,isoelectric point(pI),and adsorption capacity.These assessments aimed to ensure the effectiveness and safety of vaccine production.Three batches of adjuvants were stored at room temperature for 15 months,and their changes were monitored using X-ray diffraction patterns,transmission electron microscopy(TEM),pH measurements,pI determination,and adsorption capacity analysis.X-ray diffraction revealed that the crystalline phases of aluminum hydroxide initially exhibited a PCB structure,which became progressively more ordered during storage.Notably,after 12 months,a new diffraction peak emerged at 18.2°2θ,with its intensity increasing over time.This corresponded to the formation of highly crystalline gibbsite and bayerite,which compromised the stability of the adjuvant.Furthermore,the pH and pI values decreased during storage,reflecting a decline in the chemical stability of the adjuvant.Comprising nanoparticles with a mean diameter of 130 nm,the adjuvant maintained a high surface area and excellent adsorption capacity.The adsorption rate at 8 mg BSA/mg Al3+consistently exceeded 97%,with no statistically significant differences observed between the adsorption capacities at 1 and 15 months(P>0.05).This indicated that the nanoparticle aluminum hydroxide adjuvant sustained high adsorption efficiency throughout the storage period,underscoring its reliability as a vaccine adsorbent.However,in the later stages of storage,the emergence of highly crystalline gibbsite and bayerite,coupled with declines in pH and pI,negatively impacted the adjuvant’s stability.Based on these findings,we recommended that aluminum hydroxide adjuvants should not be stored at room temperature for longer than 12 months to preserve their quality and efficacy.
文摘Background and objective Airway stent placement is the effective regimen for central airway obstruction(CAO),while its application scenarios varied.This study aimed to make clinical comparison of airway stent placement in the intervention room and operating room.Methods Patients underwent airway stent placement between 2014 and 2018 were included in this retrospective case-control study.Clinical performance of airway stent placement in intervention room and operating room were compared.Results 82 patients were included in this study,including 39 in the intervention room and 43 in the operating room.Patients treated in the intervention room had lower Charlson comorbidity index(CCI)(P=0.018)and received less Y-shaped stents(P<0.001).Better clinical response(P=0.026),more stents placed(P<0.001)and longer length of stent(P<0.001)were observed in operating room,while there was no significantly statistical difference of stent-related complications and post-stent survival rate between the two groups.Extracorporeal membrane oxygenation(ECMO)supported airway stent placement procedures were performed in the operating room,which provided definitive safety support for high-risk intervention.Conclusion Patients with CAO could benefit from the operating room scenario,and airway stent placement in the operating room is more suitable for patients with higher CCI scores and receiving more complicated procedures.
文摘Objective: to comprehensively enhance the nursing effect of strengthening the application of detail management in operating room management by operating room nurses. Methods: 80 patients who came to the operation from January 2020 to December 2020 were selected and divided into the control group with routine nursing and the experimental group with detailed nursing management in the operating room. The patients' satisfaction, operation time, anxiety and body temperature were compared between the two groups. Results: the overall operating room management and detailed management of the optimized nursing measures were effectively improved. The experimental study found that the satisfaction degree of the experimental group was significantly higher than that of the control group, and the whole operation time was shorter than that of the control group. The degree of anxiety of the observation group was lower than that of the control group, and the body temperature was also higher than that of the control group. The relevant data of the two groups of patients had clinical statistical significance, P < 0.05. Conclusion: in the process of comprehensive improvement of surgical treatment, for the whole implementation of relevant nursing, the real effect of routine nursing and corresponding implementation of detail management is adopted, so as to reduce the anxiety of patients in the operating room, ensure the patient's temperature reaches a stable level, effectively shorten the operation time, and thus comprehensively improve the whole satisfaction of the whole detail operating room.
文摘Objective:According to the World Federation of Medical Education,critical thinking should be part of the training of medical and paramedical students.Professionals can improve the quality of care of patients after surgery by having or acquiring this skill in health care.Also,Emotional intelligence is introduced as an impor tant and effective factor on the professional performance and mental health of healthcare professionals.Thus,the present study was designed and implemented to determine the relationship between emotional intelligence and critical thinking among operating room nursing students of medical sciences universities in Iran.Methods:This cross-sectional study was done on 420 operating room students in 10 top medical sciences universities of Iran in 2022.The sampling method in this research was multistage sampling.The data collection instruments included demographic characteristics,Rickett's critical thinking,and Bradberry-Greaves'emotional intelligence questionnaires.After receiving the ethics code,data collection was done for 2 months.For data analysis,descriptive and inferential analyses including independent t-tests,analysis of variance,and Pearson correlation were used.The collected data were analyzed by SPSS 18(IBM Corporation,Armonk,New York,United States).P-value<0.05 was considered significant.Results:The mean age of the students participating in this study was 23.02±3.70 years,with women constituting 67.4%of them.The results of data analysis indicated that the mean total score of critical thinking and emotional intelligence was 124.10±37.52 and 114.12±43.63,respectively.A direct significant correlation between critical thinking and emotional intelligence(r=0.459,P-value<0.001)and a significant relationship between gender and emotional intelligence(P-value=0.028)were found.Conclusions:Based on the present study results,educational managers in the Ministry of Health are suggested to consider suitable educational programs for improving critical thinking and emotional intelligence to enhance the quality of care provided by students in operating rooms.
文摘BACKGROUND Patients’lack of correct understanding of cardiovascular disease and interventional therapy is often accompanied by varying degrees of fear,depression and anxiety.Negative emotion will affect the hemodynamic fluctuation of patients undergoing interventional surgery,which is not conducive to the smooth and safe operation of interventional surgery.Therefore,it is very important to implement effective nursing intervention in the operating room.AIM To explore the intervention effect of motivational psychological nursing combined with programmed nursing on compliance and bad mood of patients in interventional operating room.METHODS A total of 98 patients in the interventional operating room of our hospital from October 2019 to March 2021 were randomly divided into study group(n=49)and control group(n=49).The control group took routine nursing.However,the study group took motivational psychological nursing combined with procedural nursing on the basis of the control group.Statistics were made on rehabilitation compliance,Positive and Negative Affect Schedule of bad mood,Simplified Coping Styles Questionnaire score of coping style and satisfaction of intervention between the two groups before and after intervention.RESULTS The rehabilitation compliance of the study group(95.92%)was higher than that of the control group(81.63%)(P<0.05).After intervention,the scores of upset,fear,irritability,tension and fear in the study group were respectively,which were lower than those in the control group(P<0.05).After intervention,the score of positive coping in the study group was higher than that in the control group.However,the score of negative coping in the study group was lower than that in the control group(P<0.05).The intervention satisfaction of the study group(93.88%)was higher than that of the control group(79.59%)(P<0.05).CONCLUSION The intervention of motivational psychological nursing combined with procedural nursing can improve the rehabilitation compliance,and alleviate the bad mood.In addition,it can change their coping style to the disease,and the patients are more satisfied with the nursing work.
文摘Objective:To analysis the influence of operating room nursing care management on the incidence rate of nosocomial infection in orthopedic surgery patients.Methodology:Fifty six orthopedic surgery patients who admitted into the hospital between January to December 2018 were enrolled into this study and randomly divided into two groups,which were the control group(under general management)and the observation group(under the operating room nursing care management).Further,the incidence rate of nosocomial infections,the incidence rate of irregular nursing care phenomena,the satisfaction score of nursing care management,and the quality of life score were observed and recorded.Result:The incidence rate of nosocomial infection,the incidence rate of irregular nursing care management,the satisfaction score of nursing care management,and the quality of life score of the observation group were compared to that of the control group,and the result showed P<0.05,indicates the statistical significance between the data indicators.Conclusion:The use of operating room nursing care management in patients with orthopedic surgery has shown a significant effect.
基金The study was funded by Vice-chancellor for Research and Technology,Hamadan University of Medical Sciences(No.9805223881).
文摘Objective:Operating room nurses,as essential members of health care teams,often face ethical challenges in the operating room.By using the ethical experiences of operating room nurses,a better understanding of ethics in the operating room can be achieved,which can lead to better nursing decisions in the face of these challenges.Therefore,this study was conducted to investigate operating room nurses’lived experiences of ethical codes.Methods:A hermeneutic phenomenological study was performed in Hamadan(Iran)from February 2019 to November 2020.Ten operating room nurses were selected as participants by purposive sampling.Data were collected through in-depth and semi-structured interviews.Data analysis was performed based on Van Manen methodology.Results:Data analysis revealed three main themes and 11 sub-themes representing the operating room nurses experience of the ethical code.The main themes were;adherence to professional commitments,preserving patient dignity,and respect to colleagues.Conclusion:The results underlined ethics and ethical values in the operating room.Due to the intense interactions between operating room nurses with the patient and surgical team,commitment to ethics by nurses can lead to improving quality of care and interactions among members of the surgical team.It is suggested that using these codes as a guideline and a framework could be developed to improve the ethical and professional performance of operating room nurses.
文摘BACKGROUND The nursing working environment is an important subsystem in the hospital environment.A good working environment could have a positive impact on nurses.However,the work-family conflict and unsatisfactory working environment could significantly reduce their working enthusiasm,efficacy as well as the overall quality of the nursing,increase their fatigue,and thereby compromise their career status.AIM To explore the possible status quo and to analyze the correlation between work environment perception and the work-family conflict among nurses in the operating room.METHODS A total of 312 operating room nurses from two first-class hospitals at Grade 2 and two first-class hospitals at Grade 3 in China from May to September 2017 were included in this research using the cluster sampling method.The data,including the general information questionnaire,the practice environment scale of the nursing work index(PES-NWI),and the work-family conflict scale,were systematically collected.Pearson correlation analysis was applied to analyze the correlation between the two scores,with influencing factors analyzed by hierarchical regression analysis.RESULTS A total of 312 questionnaires were issued,and the response rate and effective questionnaire rate were both 96.15%(300/312).The total scores of the PES-NWI scale and the work-family conflict scale were 3.07±0.43(vs maximum up to 4 points)and 52.32±8.79(vs maximum up to 90 points),respectively.The scores of the PES-NWI scale were negatively correlated with that of work-family conflict scale(all P<0.05).The perception of the nursing work environment and the number of night shifts per month were the major factors contributing to the workfamily conflict(all P<0.05).CONCLUSION The nursing work environment and the work-family conflict among nurses in the operating room were both found at a medium level with a negative correlation between the two.
文摘Objective: To analyze the effect of nursing intervention in operating room for gastric cancer patients in anesthesia recovery period. Methods: From June 2021 to December 2021, 78 patients who underwent gastric cancer surgery in our hospital were selected for research. Combined with the random number table method, they were divided into the control group (providing routine nursing care in operating room) and the observation group (providing nursing intervention in operating room) with 39 patients in each group respectively. The body temperature of the two groups during operation, during abdominal closure and after operation, the time of leaving anesthesia room, extubation, postoperative wakefulness and hospitalization, degree of satisfaction with nursing work was compared. Results: Compared with the control group, the body temperature in the observation group tended to be more normal during operation, during abdominal closure and after operation (P 0.05). The time of leaving anesthesia room, extubation, postoperative wakefulness and hospitalization in the observation group were shorter than those in the control group (P 0.05). The satisfaction degree of the observation group with nursing work was higher than that of the control group (P 0.05). Conclusion: Nursing intervention in operating room is effective for gastric cancer patients in anesthesia recovery period, which can maintain their perioperative temperature stability, promote their postoperative recovery and enhance their satisfaction with nursing work. It is worth adopting.
文摘Ensuring patient safety within the operating room is a paramount concern in contemporary healthcare, and this guide aims to provide an in-depth exploration of this crucial aspect from the perspective of nurses. Nurses play a pivotal role in supporting surgeons and maintaining a safe environment for patients undergoing various medical procedures.
基金Peking University Health Science Center,Grant/Award Number:2019YB30。
文摘Background:This study aims to develop and validate a Structured Training Effectiveness Evaluation(STEE)tool based on the Kirkpatrick model for newly graduated registered nurses in the operating room in China.Methods:The first phase will involve focus group and individual interviews with nursing educators and newly graduated registered nurses selected using purposive sampling.The data will be analyzed thematically to identify key components necessary to develop the STEE tool.The second phase will develop and validate the STEE tool through a panel of experts using the Delphi method.The item weights will be determined with the analytic hierarchy process technique.The third phase will involve implementation and evaluation of the STEE tool with an exploratory,nonexperimental,and comparative analysis.Descriptive and inferential statistical analyses will be performed with SPSS version 23.Results:The STEE tool for newly graduated registered nurses in the operating room will be useful for evaluating training effectiveness during standardized training.The results obtained with this tool will clarify the effectiveness of training,thereby helping transform nursing students into competent nurses.Conclusion:In this way,this study will provide practical guidance for improving standardized training programs and help newly graduated nurses manage their transition to the clinical work environment and remain in their posts.
文摘Concomitant with the advancement of contemporary medical technology,the significance of perioperative nursing has been increasingly accentuated,necessitating elevated standards for the pedagogy of perioperative nursing.Presently,the PBL(problem-based learning)pedagogical approach,when integrated with CBL(case-based learning),has garnered considerable interest.An extensive literature review has been conducted to analyze the application of the PBL-CBL fusion in the education of perioperative nursing.Findings indicate that this integrative teaching methodology not only enhances students’theoretical knowledge,practical competencies,and collaborative skills but also contributes to the elevation of teaching quality.In conclusion,the PBL-CBL teaching approach holds immense potential for broader application in perioperative nursing education.Nevertheless,it is imperative to continually refine this combined pedagogical strategy to further enhance the caliber of perioperative nursing instruction and to cultivate a greater number of exceptional nursing professionals in the operating room setting.
文摘Objective: to discuss the effect of disinfection and isolation measures in operating room. Methods: from January 2020 to December 2020, 4124 surgical patients were randomly divided into control group (routine operation room disinfection measures) and study group (enhanced operation room disinfection and isolation measures) 2062 cases each. Observation index is quality of hand washing, disinfection, isolation and environmental cleanliness;Satisfaction indicators. Results: the incidence rate of nosocomial infection in the study group was significantly lower than that in the control group (0.05%, P > 0.05). The quality indexes of hand-washing, disinfection and isolation and environmental cleanliness in the study group were significantly higher than those in the control group, P < 0.05;The nursing satisfaction index of the study group was significantly higher than that of the control group, P < 0.05. Conclusion: strengthening disinfection and isolation measures in the operating room can reduce the incidence of nosocomial infection, strengthen the quality of hand washing, disinfection and isolation and environmental cleaning in the operating room, and patients have high satisfaction with the intervention measures, which is worth promoting.
文摘Objective: to explore the related factors of nursing intervention on intraoperative hypothermia of operating room nurses. Methods: 50 operating room nurses in our hospital were randomly selected as the research objects, and retrospective analysis was carried out from June 2019 to June 2020. The influencing factors of intraoperative hypothermia were investigated and analyzed, and coping strategies were explored. The scores of cognition status, professional responsibility and behavior status of nursing staff before and after receiving management guidance were compared and analyzed. Results: according to the data assessment, there was job burnout among the nurses before the guidance, and the nurses' cognitive and behavioral scores were not ideal. After targeted guidance and management, the nurses' cognitive status, professional responsibility and behavioral status scores were all improved. The results of statistical comparison were P < 0.05, with significant difference. Conclusion: there are many factors that affect the nursing intervention of intraoperative hypothermia in operating room nurses. It is necessary to take targeted guidance and management measures to help nursing staff to improve their personal cognition and behavior ability and enhance their professional responsibility, so as to effectively avoid the situation of inadequate intraoperative hypothermia nursing.
文摘Objective: to explore how to provide high-quality operating room nursing for patients undergoing lung cancer thoracoscope radical operation in the operating room, and to observe the effect of high-quality operating room nursing for patients. Methods: setting the study to begin in January 2019, and completing it in March 2020, selecting patients undergoing lung cancer radical surgery during this period in our hospital as relevant personnel of the study;and there are a total of 80 patients dividing into two groups in double chromosphere randomized way. Performing traditional operating room nursing to patients of control group, and performing optimized operating room related nursing content under the premise of daily operating room nursing to patients of research group. Comparing the effect of operating room nursing of patients in control group and patients in research group. Results: the surgical indexes of patients in study group were better than those in control group;the satisfaction rate of study group were higher that of control group, P < 0.05. Conclusion: strengthening nursing intervention content in the operation room treatment of patients undergoing thoracoscopic radical surgery has more significant effect, which can not only shorten the overall treatment time, but also improve the nursing satisfaction of patients, and it is recommended to be widely used.
文摘The operating room is an important place for rescuing and treating patients. It plays a key role in the development of medical work. Operating room work has certain particularity, the work intensity is big, the task is heavy, can carry out the operation at any time day and night. The operation has strict requirements on aseptic operation. Any negligence in work and technical mistakes are very likely to lead to some major safety accidents. In order to ensure the orderly advancement of the operation, strict organization and management should be carried out. This paper first analyzes the potential safety problems in the nursing safety management of the operating room in the infectious disease hospital, and studies the relevant measures for the nursing safety management of the operating room in the infectious disease hospital for reference.
文摘Objective: to explore the application value of group authorization management in improving nursing quality in operating room. Methods: this study was carried out from July 2019 to July 2020. 60 operating room nurses in our hospital were selected as observation objects, and the nurses were equally divided by blind selection method. 30 patients in the control group and 30 patients in the observation group were given conventional management and group authorization management respectively. The incidence of adverse events and skill scores of the two groups of nursing staff were observed and compared. Results: 1 nurse in the observation group had an adverse event, while 8 in the control group. The difference between the two groups was significant (P < 0.05). At the same time, combined with the evaluation of the two groups of nurses' emergency ability score, operation coordination proficiency score and specialized equipment use ability score, the observation group of nurses' skills score was better than the control group, the difference between the indicators is significant (p < 0.05). Conclusion: the implementation of group authorization management for operating room nursing staff can significantly reduce the occurrence of adverse events among nurses and improve the professional skills of nursing staff, which is of great significance to improve the quality of nursing in operating room.
文摘Objective: to explore the practical effect of quality management group in operating room quality management. Methods taking 68 nurses in operating room of our hospital as management objects, the practice of nursing quality management was studied. Results: in the training and examination of the quality management team, the members of the operating room not only greatly improved their comprehensive quality, optimized the overall nursing quality of the operating room, but also provided favorable conditions for the selection of professional talents in the hospital. Conclusion: the participation of the quality management group in the quality management of the operating room has far-reaching significance and remarkable effect, which is worthy of promotion.
