Global ETD Search
Search theses and dissertations gathered from participating repositories worldwide. Every result links back to the library that holds it. No account is needed.
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Showing 1 to 20 of 45 for “"Perioperative, Operating Room and Surgical Nursing"”.
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Preventing HAPUs in High-Risk Cardiac Cath Patients Using Foam Dressing Protocol
… pressure ulcers (HAPUs). It is relevant to nursing as it provides an ethical perspective regarding patient safety and contributes to our present understanding of HAPU prevention. In spite of having already decreased the total number of HAPUs by 50% in 2015, the cardiac catheterization lab …
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Improving Patients' Pain Management Through Proper Documentation
… project was to improve pain documentation on the Surgical Unit as a means to enhance caregiver communication on finding the best methods to manage patients’ pain. Effectively managing patients’ pain leads to better patient outcomes, increased patient and nurse satisfaction, and decreased length of …
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Fall Prevention
… $30 billion in 2012. When a patient falls, and gets serious injury, these costs could sum up to $14,056 per patient. As a result, hospital stays per patient are observed to increase by approximately 6.3 days longer than those patients who haven’t encountered falls. <strong></strong></p> …
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The Development of Standardized Patient Controlled Analgesia Documentation to Improve Patient Care
<p>On a 28 bed post-surgical unit, reviewing patient records revealed only 26% had thorough patient controlled analgesia (PCA) documentation. A pre-quiz no staff knew all of the required components for documentation or which policies to reference and, on average, the staff were only able to …
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Employee Engagement in the PACU
… that can help advance employee engagement within nursing units. There is a great need for a compelling vision for the operation of a safe, efficient, equitable, effective, and patient centered healthcare delivery system. It is crucial to identify what actions are needed to achieve this vision and …
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Relationships between Personality Factors and Job Satisfaction and Importance for Operating Room and Surgical Unit Staff Nurses
… relationships between personality factors and the satisfaction and importance of selected job factors for staff nurses employed in the operating room and on surgical units. The forty-six subjects were female, registered nurses who were employed full-time either in the operating room or on …
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Surgical Site Infection Reduction Through Nasal Decolonization Prior to Surgery
<p>Surgical site infections (SSIs) are the most common and expensive healthcare-acquired infection. The objective of this nurse-driven process improvement project was to implement a cost-effective and practical decolonization protocol to improve outcomes for high-risk veteran populations undergoing …
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Reducing Operating Room Turnover Times
<p><strong>Background</strong></p> <p>The operating room (OR) in an ambulatory surgery center (ASC) is what generates income for an organization, but it can also be costly if it’s improperly managed. The purpose of this project is to decrease OR turnover time (TOT) in order to increase OR …
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Development of a Nurse Practitioner First Assistant Orientation Program
<p>The demand for surgical services continues to increase, creating a strain in our healthcare system and causing increasing backlog hours for the operating room. Allowing nurse practitioners (NP) to function in an expanded role in the perioperative environment requires additional training beyond …
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Patient-Specific Factors Associated with Surgical Delay in a Large Academic Hospital
… especially in high-stakes locations like the operating room. In addition to financial losses, patients suffer physical and emotional distress, including an increased risk of morbidity or mortality when surgical cases are delayed due to inefficiency. While patient-related causes of delay have …
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Improving Perioperative Pain in Bariatric Surgery Patients with use of Transversus Abdominis Plane (TAP) Blocks
… of preoperative TAP blocks relative to standard intravenous analgesia (usual care [UC]) in reducing total morphine milliequivalents (opioid use) throughout the perioperative continuum of care among a sample of bariatric surgery patients.</p> <p><strong>Background: </strong>Pain remains an …
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Frailty and Post-Operative Outcomes in Adult Hip Fracture Patients
… return to their pre-fracture functional level and have a poor quality of life (Kistler, Nicholas, Kates, & Friedman, 2015; Pioli et al., 2016; Sheehan et al., 2018). The prevalence of frailty in adult hip fracture patients is estimated at 51%. Frail patients with hip fractures are twice as …
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The Effect of Individual Preoperative Interviews in addition to Group Preoperative Teaching on Preoperative and Postoperative Stress
… interviews in addition to the regular group and incidental preoperative teaching, on preoperative and postoperative stress. This effect was measured by the Multiple Affect Adjective Check List (MAACL), number of postoperative analgesics, and number of postoperative catheterizations for …
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The Lived Experience of Recovery Following Transoral Robotic Surgery (TORS) for Head and Neck Cancer
… <p>Ongoing advances in minimally invasive surgical techniques, such as transoral robotic surgery (TORS), has enabled select patients with head and neck cancer to receive treatment that results in less disfigurement and dysfunction compared with traditional approaches. While TORS research …
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Implementation of a Warming Intervention Protocol to Prevent Inadvertent Perioperative Hypothermia in the Ambulatory Surgical Setting
<p><strong>Problem:</strong> The nursing workforce is constantly motivated to find innovative ways to improve patient care, eliminate waste, and maintain affordability through process improvement projects. All surgical patients, regardless of age or gender, can experience a 1-2° C drop in body core …
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Improving Compliance in the Use of Catheter Kit Supplied Hand Sanitizer Prior to the Insertion of an Indwelling Urinary Catheter
… the staff nurses (65% through direct observation and 60% through interview) in the operating room (OR) department do not perform hand hygiene prior to insertion of an indwelling urinary catheter. This performance improvement project aims to educate all OR staff nurses on the practice of hand …
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Emergency Response Improvement Project
… response to emergencies through staff education and protocol development with 100% participation within six months. This need was determined after an intense analysis following a near code on a pediatric patient. After an investigation, two problems were chosen as a focus for improvement: limited …
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Preventing Surgical Site Infections by Utilizing CHG Wipes for Preoperative Skin Preparation
… hospital in Washington. The microsystem has five operating rooms where they provide outpatient, and inpatient surgical procedures. The goal of this project is to reduce and sustain a near zero number of surgical site infections by implementing the use of a no rinse 2% CHG cloth in the surgical …
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Perioperative Nurses Perceptions of Moral Courage
<p>Problem: Threats to patient safety exist in perioperative nursing. Nurse appraisal of these threats and the likelihood to act with moral courage have not been documented. Design: This descriptive correlational study examined moral courage in response to threat to patient safety. The moral …
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A Study of the Relationship between Preoperative Anxiety and Postoperative Vomiting
… <p>The establishment of an underlying basis and need for a study of the relationship of anxiety and postoperative vomiting were made through a review of literature. The factors which researchers believed were contributory to postoperative vomiting and the possible inclusion of anxiety as one …
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