Tags: blood cardiac care clinical diabetes heart failure infection patients perioperative pulmonary review risk risk factors study surgery thyroid training transfusion
This retrospective cohort study develops and validates a nomogram for individualized prediction of hospital-acquired infections following median sternotomy cardiac surgery, identifying key risk factors including surgery type, smoking, diabetes, NYHA class, and preoperative TSH levels.
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Tags: ethical principles ethics mentorship nursing ethics nursing faculty nursing students perioperative stress students violence
Explores the critical role of mentoring in nursing education, examining faculty-student relationships, types of mentoring programs, ethical standards, and strategies for building a just culture in academic nursing environments.
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Tags: clinical mentoring nursing faculty perioperative professional socialization student nurse transitioning working together
Transitioning to a new work setting is challenging for many nurses regardless of the time spent in practice. Promoting professional socialization, through mentoring and precepting, helps to facilitate a smooth transition. Effective mentoring, using role play, reflective exercises, and debriefing, provides the transitioning nurse the opportunity to self-actualize his or her potential in the new work environment. The use of Benner’s Novice to Expert Theory and Duchscher's Stages of Transition Theory as a basis for mentorship enhances safety and quality in the provision of care.
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Tags: anesthesia carbohydrate-rich drinks ERAS protocol NPO perioperative Perioperative fasting
For the longest time, any procedure requiring anesthesia was accompanied with perioperative instructions mandating a fast from midnight until the surgery. However, anyone that’s lived long enough has learned to understand that just because something has been done for a long time, it doesn’t mean it should be done for the rest of time. With technological advances and improvements in research, medical practices and patient instructions should evolve. Here, we’ll explore the rationale behind the old modality as it pertains to preoperative care and instructions, what’s changed in research and technology, and finally, what new modalities should be learned, taught, and implemented.
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Tags: acute care critical thinking educating nursing education patient care patient safety perioperative teaching
Working in the acute care hospital, provides many opportunities to learn. As healthcare workers, we must recognize and act quickly on any situation that puts a patient at risk. A recent situation occurred in the hospital that required both the need to act and to provide education in real-time.
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Tags: anesthesia awake awareness perioperative
Anesthesia awareness definition is an unexpected recall of events while under general anesthesia. The majority of the authors place the rate of anesthesia awareness to one patient out of every one thousand patients that experience some form of anesthesia awareness, however the exact mechanism of the pharmacological action of anesthetic is not clearly understood.
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Tags: cardiac cerebral ischemia critical care hemorrhage Hypothermia perioperative recommendations Subarachnoid Hemorrhage Therapeutic Hypothermia therapy traumatic brain injury treatment
The leading cause of death in North America is heart disease, resulting in 611,105 deaths in the last year. Cardiac arrest accounts for more than 300,000 heart disease related deaths.
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Tags: advocacy advocate Community Health Nursing ethics future of nursing media Nurse Education nursing ethics Perception perioperative Position Paper profession reflection
The nursing image connotes a healing caregiver at a patient’s bedside. Nursing as a highly skilled and education profession remains incongruent with media and advertising portrayal of the nursing image, in contrast to published reports as the most trusted profession for the past decade. Current public perceptions of the nursing image are sharply contrasted to that of how nursing prefers to be viewed. This purpose of this work is to edify two contrasting positions of the ethical constructs of the nursing image as well as present posits of the author.
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Tags: experiences nursing students perioperative research student student expectations student outcomes students
The big challenges facing nursing students today have permanent effects on us all as patients. Nursing students need to be able to value the relevance, authority, and utility of nursing research for patient care through embedding research learning in both academic and practice-based settings. Students can be supported in learning how to access, understand, and appraise the authority of research through weaving these skills into enquiry-based learning. Furthermore, encouraging students to undertake research- based practice change projects can support research utilization and development skills.
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