Abstract:
:The use of scientific evidence to support national recommendations about clinical decisions has become an expectation of multidisciplinary health care organizations. The objectives of this project were to identify the most applicable evidence-rating method for perioperative nursing practice, evaluate the reliability of this method for perioperative nursing recommendations, and identify barriers and facilitators to adoption of this method for AORN recommendations. A panel of perioperative nurse experts evaluated 46 evidence-rating systems for quality, quantity, and consistency. We rated the methods that fully covered all three domains on five aspects of applicability to perioperative nursing practice recommendations. The Oncology Nursing Society's method was rated highest for all five aspects of applicability, and interrater reliability of this method for perioperative recommendations was 100%. Potential barriers to implementation of the rating method include knowledge deficit, staff resources, resistance to change, and fear of showing that lower levels of evidence support some recommendations. Facilitators included education, resource allocation, and starting small. Barriers and facilitators will be considered by the implementation team that will develop a plan to achieve integration of evidence rating into AORN documents. The AORN Board of Directors approved adoption of this method in June 2010.
journal_name
AORN Jjournal_title
AORN journalauthors
Steelman VM,Pape T,King CA,Graling P,Gaberson KBdoi
10.1016/j.aorn.2010.11.034subject
Has Abstractpub_date
2011-04-01 00:00:00pages
433-44issue
4eissn
0001-2092issn
1878-0369pii
S0001-2092(11)00188-8journal_volume
93pub_type
杂志文章相关文献
AORN JOURNAL文献大全abstract::This article presents a summary of literature published in recent years about latex allergy. The first article on allergic reactions associated with latex was published in Britain in 1979. Since then, the number of reported cases has increased. A wide variety of allergic reactions that range from contact dermatitis to...
journal_title:AORN journal
pub_type: 杂志文章,评审
doi:10.1016/s0001-2092(06)62036-x
更新日期:2000-07-01 00:00:00
abstract::Each year, 600,000 hysterectomies are performed in the United States, costing an estimated $4 billion. Approximately 50% of these hysterectomies are performed for menorrhagia or abnormal uterine bleeding. Menorrhagia can have a negative impact on a woman's lifestyle and self-perception, often leading her to seek defin...
journal_title:AORN journal
pub_type: 杂志文章,评审
doi:10.1016/s0001-2092(06)61858-9
更新日期:1999-07-01 00:00:00
abstract::Surgical smoke is generated when tissue vaporizes from the use of various energy-generating devices (eg, electrosurgery units, lasers). Surgical smoke contains toxic gases and vapors that can be hazardous to patients and perioperative staff members. In addition to ocular and upper respiratory tract irritation, surgica...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1002/aorn.12149
更新日期:2018-06-01 00:00:00
abstract::Day surgery has reduced the time allowed for patient contact, but it has not reduced the need for assessment, planning, and delivery of patient care. Day surgery, however, has shifted some responsibility from nurses to patients and their families. Our goals in developing a preoperative assessment plan were to ensure c...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/s0001-2092(07)69021-8
更新日期:1988-02-01 00:00:00
abstract::Several months after we initiated our PAS program, the AABB scrutinized our policy and procedure manual. At the same time, the JCAHO conducted an inspection of our blood bank and its standards. Both reviews were positive, which provided all of us involved in the PAS program with a tremendous sense of accomplishment. E...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/s0001-2092(06)62694-x
更新日期:1997-09-01 00:00:00
abstract::Cleaning, decontaminating, and handling instructions for instruments vary widely based on the type of instrument and the manufacturer. Processing instruments in accordance with the manufacturer's instructions can help prevent damage and keep devices in good working order. Most importantly, proper cleaning and disinfec...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/j.aorn.2015.03.005
更新日期:2015-05-01 00:00:00
abstract::Disasters disrupt everyone's lives, and they can disrupt the flow and function of an OR as well as affect personnel on a professional and personal level even though perioperative departments and their personnel are used to caring for trauma patients and coping with surprises. The Boston Marathon bombing was a new expe...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/j.aorn.2013.07.019
更新日期:2014-02-01 00:00:00
abstract::The combination of silicone oil and blood is difficult to remove from ophthalmic surgical instruments during cleaning and decontamination processes. We sought to establish the most efficient cleaning procedure for this type of contaminated instrument. We uniformly contaminated microscopic instruments made of titanium ...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1002/aorn.13105
更新日期:2020-08-01 00:00:00
abstract::Many people in Southeast Asia are in desperate need of medical attention, but because of poverty, remoteness, and inadequate medical services, they do not receive this care. Beginning in April 2006, a diverse group of health care professionals from around the world served for five months aboard the USNS Mercy, a 1,000...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/j.aorn.2007.10.004
更新日期:2007-11-01 00:00:00
abstract::Approximately 900 surgical site infections (SSIs) were reported to the Wisconsin Division of Public Health annually from 2013 to 2015, representing the most prevalent reported health care-associated infection in the state. Personnel at the Wisconsin Division of Public Health launched an SSI prevention initiative in Ma...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1002/aorn.12123
更新日期:2018-05-01 00:00:00
abstract::Despite recent advances in perioperative patient care, postsurgical pain continues to be undermanaged. There is increasing acceptance of the concept that effective postsurgical pain management is best achieved through combined use of more than one analgesic agent or technique, and overreliance on opioids produces unwa...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/j.aorn.2016.10.012
更新日期:2016-12-01 00:00:00
abstract::Following the surgical insertion of all prosthetic implants, an identical sequence of events occurs, although the magnitude of each response is variable. Initially, to maintain hemostasis, the coagulation system is stimulated and platelet activation occurs. Within minutes, leukocytes accumulate in an attempt to neutra...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/s0001-2092(07)64976-x
更新日期:1983-06-01 00:00:00
abstract::During the past 40 years, total knee arthroplasty (TKA) procedures have improved patients' pain, functional status, and overall health-related quality of life. Improved instrumentation and implant designs enable surgeons to make precise bone resection incisions that have made this a safer and more routinely performed ...
journal_title:AORN journal
pub_type: 杂志文章,评审
doi:10.1016/j.aorn.2007.08.016
更新日期:2008-01-01 00:00:00
abstract::A host of toxic substances exist in the OR. The toxicity of prep solutions, cleaning chemicals, common medications, and trace anesthetic gases varies greatly. Nurses use, direct others in the use of, or administer potential toxins while breathing air that may be contaminated to some degree with anesthetic vapors. Ofte...
journal_title:AORN journal
pub_type: 杂志文章,评审
doi:10.1016/s0001-2092(06)62887-1
更新日期:1998-02-01 00:00:00
abstract::MORBID OBESITY has a significant impact on the health, psychosocial well-being, longevity, and quality of life of those affected. BARIATRIC SURGERY is not a cure for obesity; however, surgical interventions can offer the potential for long-term weight-loss success for individuals who are obese. CAREGIVERS should be pr...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/s0001-2092(06)60589-9
更新日期:2003-12-01 00:00:00
abstract::In general, most of the physicians at the International Congress III, whether they were vascular surgeons, cardiologists, or radiologists, agreed that lasers have their place in vascular medicine. They did acknowledge, however, that further refinements are required in the lasers themselves and in assessment techniques...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/s0001-2092(07)70142-4
更新日期:1990-05-01 00:00:00
abstract::Aseptic technique can best be described as an aggregation of reasonable practices performed in the surgical suite as part of the overall methodology in controlling or minimizing the possibility of infection. The key words in this definition are aggregation and reasonable. The real question is whether the surgical nurs...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/s0001-2092(07)66589-2
更新日期:1992-06-01 00:00:00
abstract::Women scheduled for breast biopsy procedures experience heightened anxiety about the outcomes of their diagnostic procedures. Perioperative nurses have unique opportunities to provide quality nursing care for patients awaiting breast biopsy procedures and their definitive diagnoses. The prevalence (ie, 50%) of benign ...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/s0001-2092(06)62799-3
更新日期:1997-08-01 00:00:00
abstract::Obesity-related laparoscopic sleeve gastrectomy is a common yet technically challenging bariatric procedure that requires specialized surgical knowledge and training for OR personnel. Critical components of care include an effective preoperative assessment, positioning of the patient, and operation and maintenance of ...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/j.aorn.2015.05.019
更新日期:2015-08-01 00:00:00
abstract::The only way that backstabbing will be stopped is if women work together. All women must work toward: developing confidence in themselves; extending a hand to help others; taking the risk to be overt; confronting backstabbers and not letting them be role models; communicating with each other the lessons they learn, an...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/s0001-2092(07)66843-4
更新日期:1990-04-01 00:00:00
abstract::By following these guidelines, a pregnant woman working in the OR can maintain her health despite an erratic schedule, constant periods of standing, and exposure to radiation. Part II of this article will focus on infectious diseases and chemicals, what could happen with maternal exposure, and preventative measures. ...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/s0001-2092(07)68354-9
更新日期:1987-02-01 00:00:00
abstract::A number of deaths from pulmonary embolism caused by deep vein thrombosis (DVT) have been attributed to long-distance airplane travel. Although airplanes provide the most convenient means of long-distance travel, the aircraft environment can take a physical toll on passengers. This article describes the causes and ris...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/s0001-2092(06)61204-0
更新日期:2003-02-01 00:00:00
abstract::IN RESPONSE TO RECENT REPORTS from several major US medical centers regarding possible exposure of surgical patients to transmissible spongiform encephalopathies (TSEs), one institution developed guidelines to care for surgical patients with the preoperative diagnosis of "rule out TSE." BASED ON CURRENT sterilization ...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/s0001-2092(06)60340-2
更新日期:2005-09-01 00:00:00
abstract::A large number of vaginal hysterectomies are performed on an outpatient basis through ambulatory surgery units (ASU). Recognizing this trend, we researched the possibility of performing vaginal hysterectomies in our ASU and developed an outpatient vaginal hysterectomy protocol. The preoperative and postoperative educa...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/s0001-2092(06)63534-5
更新日期:1995-11-01 00:00:00
abstract::AORN conducted its 11th annual compensation survey for perioperative nurses in June 2013. A multiple regression model was used to examine how a number of variables, including job title, education level, certification, experience, and geographic region affect nurse compensation. Comparisons among the 2013 data and prev...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/j.aorn.2013.10.005
更新日期:2013-12-01 00:00:00
abstract::The standard of practice for perioperative hair removal is largely based on research that is outdated and underpowered. Although there is evidence to support the practice of clipping instead of shaving, current recommendations are to remove hair only when absolutely necessary. Human hair is bacteria-laden and challeng...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1002/aorn.12662
更新日期:2019-05-01 00:00:00
abstract::The Surgical Care Improvement Project (SCIP) was formed by a partnership of national organizations with the goal of reducing surgical complications by 25% by 2010. The focus of the SCIP initiative includes four key components that perioperative health care workers can address in reducing the morbidity and mortality of...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/j.aorn.2007.06.013
更新日期:2007-07-01 00:00:00
abstract::OSTEOPOROSIS is a skeletal disorder that compromises bone strength, predisposing a person to an increased risk of fracture. An estimated 700,000 spinal fragility fractures, such as vertebral compression fractures, directly related to osteoporosis occur annually. KYPHOPLASTY, a minimally invasive fracture reduction pro...
journal_title:AORN journal
pub_type: 杂志文章,评审
doi:10.1016/s0001-2092(06)60636-4
更新日期:2003-11-01 00:00:00
abstract::Pharmacology is integrated in all areas of nursing practice. From the most basic entry level to the most advanced clinical practice, nursing curriculums are not complete without pharmacology. The word "pharmacology" often makes nurses and other health care professionals feel uneasy. Pharmacology implies complicated wo...
journal_title:AORN journal
pub_type: 杂志文章,评审
doi:10.1016/s0001-2092(06)62180-7
更新日期:2000-01-01 00:00:00
abstract::The perioperative arena is one of the most information-intensive, intricate, and complex work environments in health care, and it depends on sound communication to help ensure patient safety. Surgical procedures require attention, vigilance, and situational awareness. Noise and other distractions have the potential to...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/j.aorn.2016.09.018
更新日期:2016-12-01 00:00:00