Abstract:
AIMS AND OBJECTIVES:To explore the perceptions and experiences of perioperative nurses and Certified Registered Nurse Anaesthetists (CRNAs) in robotic-assisted laparoscopic surgery (RALS). The objective was to identify the factors that affect nursing care of patients who undergo robotic-assisted laparoscopic surgery (RALS). BACKGROUND:The rapid introduction of technological innovations into the healthcare system has created new challenges for perioperative nurses. RALS affects the physical and interpersonal context of the surgical team's work and subsequent patient outcomes. Despite significant changes to the workflow for perioperative nurses and CRNAs, there is little research focusing on the nurses' experience and their challenges with RALS. DESIGN:A qualitative descriptive study. METHOD:Semi-structured interview questions guided data collection. A total of seventeen participants including six preoperative and postoperative nurses, seven intraoperative nurses, and four CRNAs in the United States were interviewed. The interviews were conducted between 26 April-24 June 2018. Data were analysed using thematic analysis, and the COREQ checklist was used to report data collection, analysis and the results. RESULTS:Three major themes and two categories within each theme were identified: (a) surgical innovation: nurse perception and workflow; (b) interprofessional practice: teamwork and standards; and (c) outcome: patient outcomes and system outcomes. CONCLUSIONS:The findings indicate that RALS has the potential to improve patient outcomes when performed in a timely fashion by skilled surgeons, and efficient, well-trained surgical teams. For patients to experience full benefits of RALS, patient characteristics, the underlying reason for surgery, and cost must be considered. RELEVANCE TO CLINICAL PRACTICE:The results of this study highlight the necessity of promoting factors that improve the surgical team training and practice for RALS and will ultimately impact patient outcomes.
journal_name
J Clin Nursjournal_title
Journal of clinical nursingauthors
Schuessler Z,Scott Stiles A,Mancuso Pdoi
10.1111/jocn.15053subject
Has Abstractpub_date
2020-01-01 00:00:00pages
60-74issue
1-2eissn
0962-1067issn
1365-2702journal_volume
29pub_type
杂志文章abstract:AIMS AND OBJECTIVES:The purpose of this study was to understand and document the perspectives of Taiwanese patients with type 2 diabetes regarding the processes and strategies used to self-manage their chronic condition. BACKGROUND:The importance of patients learning self-management through self-regulation has been re...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2007.01962.x
更新日期:2008-03-01 00:00:00
abstract:AIMS:To determine the effect mobile messaging apps on coronary artery disease patient knowledge of and adherence to a healthy lifestyle. BACKGROUND:Due to the increasing incidence of coronary artery disease in recent years, interventions targeting coronary artery disease risk factors are urgent public priorities. The ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14538
更新日期:2018-12-01 00:00:00
abstract:AIMS:This study aimed to investigate the experiences and challenges of New Zealand registered nurses of Chinese ethnicity who have been working during the COVID-19 pandemic. BACKGROUND:New Zealand's nursing workforce is becoming increasingly multicultural as foreign nurses make up an essential part of the New Zealand ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.15607
更新日期:2020-12-21 00:00:00
abstract:AIMS AND OBJECTIVES:To explore new graduate nurses' experiences of professional socialisation by registered nurses in hospital-based practice settings, and identify strategies that support professional identity development. BACKGROUND:Professionalism is reinforced and stabilised in the clinical environment through the...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14510
更新日期:2018-08-01 00:00:00
abstract:AIM:To assess the psychometric properties of the Chinese version of the Satisfaction with the Nursing Home Instrument. BACKGROUND:Resident's satisfaction has been regarded by the literature as a gold standard for quality of nursing home care. Accurate assessment of resident's satisfaction can provide valuable informat...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2005.01507.x
更新日期:2006-12-01 00:00:00
abstract:AIMS AND OBJECTIVES:To examine awareness of aged care home staff regarding daily food and fluid care needs of older people with dementia. BACKGROUND:Older people in residential care frequently are malnourished, and many have dementia. Staff knowledge of the food and fluid needs of people with dementia is limited. Qual...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14066
更新日期:2017-12-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore contact with and knowledge regarding chest drain management among nurses. BACKGROUND:Chest drains are commonly used in both adult and paediatric settings, for example, for cardiothoracic patients or postspinal surgery, where they are inserted intra-operatively to drain excess fluid. Desp...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12299
更新日期:2013-10-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore nurse-practitioner's attitudes towards working with lesbian, gay and bisexual patients. BACKGROUND:Literature suggests that lesbians, gay men and bisexuals have significant health disparities compared to heterosexuals. Although the reasons are multifactorial, research suggests that attit...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13464
更新日期:2016-12-01 00:00:00
abstract::The aim of this study was to compare the attitudes of nurses who had little or no experience of computerized care planning (non-users) with those who had at least two years' experience (users). The study also assessed levels of computer literacy among both cohorts and the training methods that were considered most app...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2702.1999.00273.x
更新日期:1999-07-01 00:00:00
abstract::This paper reviews the literature on nursing competence measurement and reports the results of a comparative quantitative study of the competencies of Project 2000 diplomates and BA (Hons) Adult Nursing graduates from two UK nursing programmes. The findings reveal that graduates appear to overcome any initial limitati...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2702.2000.00331.x
更新日期:2000-05-01 00:00:00
abstract:AIM:The purpose of this study was to explore the paternal role of fathers of very low birth weight infants during their first year of life. BACKGROUND:Following birth, very low birth weight infants often require extended hospitalisation and long-term care. The birth experience and the infant's hospitalisation often ov...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2008.02487.x
更新日期:2009-02-01 00:00:00
abstract:AIMS AND OBJECTIVES:To generate a descriptive theoretical framework for experiences among obstructive sleep apnoea (OSA) patients undergoing continuous positive airway pressure (CPAP) therapy. BACKGROUND:Insufficient information is available about subjective experiences among OSA patients undergoing CPAP therapy. This...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12414
更新日期:2014-01-01 00:00:00
abstract:AIM:To elicit the languages of legitimation of senior nursing academics and national leaders and to investigate the extent to which distinctive disciplinary identities and discourses are embedded in them. BACKGROUND:Over six years after Irish nursing education became established in the higher education sector, an inve...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2009.03079.x
更新日期:2010-03-01 00:00:00
abstract:AIM:The aim of this study was to identify life values in adults with type 2 diabetes and to describe their experiences of how these values may influence self-regulation behaviours. BACKGROUND:Daily self-regulation behaviours have been described as challenging, because the individuals try to find a balance between them...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2010.03243.x
更新日期:2010-09-01 00:00:00
abstract:AIMS AND OBJECTIVES:Based on a secondary analysis of data from a large qualitative study on cancer care communication, we address the question: what do patients with advanced cancer identify as helpful in their communication encounters with health care providers? BACKGROUND:Communication is of critical importance to t...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2009.03158.x
更新日期:2010-07-01 00:00:00
abstract:AIM:To identify the types and frequencies of communication issues (communication pairs, person related, institutional, structural, process and prescription-related issues) detected in medication incident reports and to compare communication issues that caused moderate or serious harm to patients. BACKGROUND:Communicat...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/jocn.15263
更新日期:2020-07-01 00:00:00
abstract:AIMS AND OBJECTIVES:To provide an opportunity for members to express their understandings of spirituality and spiritual care. BACKGROUND:The role and place of spirituality within nursing have been contested by academics and wider society. One argument posited is supporting patients with their spiritual needs is not th...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12411
更新日期:2013-11-01 00:00:00
abstract:AIM AND OBJECTIVE:To examine the correlation between maternal parental self-efficacy and social support as well as predictors of self-efficacy in the early postpartum period. BACKGROUND:Maternal parental self-efficacy is important for mothers' adaptation to motherhood. Lack of support could result in decreased materna...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12507
更新日期:2014-08-01 00:00:00
abstract::Feminist methodology has been used in this study to investigate the subjective work experiences of 19 enrolled nurses. Reflexive conversational techniques enabled participants to relate autobiographical narratives examining their experiences of working in a nursing hierarchy. Two themes are reported: 'nursing identity...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:
更新日期:1997-09-01 00:00:00
abstract:AIMS AND OBJECTIVES:The aims of this integrative literature review are to define the role of a preoperative nurse and to describe the main components and hypothetical outcomes of a preoperative nursing care structure before a surgical patient arrives to an elective procedure. BACKGROUND:The development of medical care...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/jocn.13448
更新日期:2017-04-01 00:00:00
abstract:AIMS:The purpose of this study was to explore the burden experienced by caregivers during the transition from hospital to home. BACKGROUND:With a growing older population, home-based care has gradually gained more recognition. Most older people with hip fracture in Taiwan have to be discharged at a relatively early st...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2005.01130.x
更新日期:2005-07-01 00:00:00
abstract:AIMS AND OBJECTIVES:To determine the effectiveness of an improvement methodology initiative, directed at refining the quality of acute pain management of patients in the first 24 hours post major surgery using the Revised American Pain Society Patient Outcome Questionnaire, pre- and post development of a 'subject matte...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13308
更新日期:2016-09-01 00:00:00
abstract:AIMS AND OBJECTIVES:To examine nurses' experiences in spiritual care in diverse clinical settings, preferably not palliative care. BACKGROUND:Spirituality is part of holistic nursing care. The concept of spiritual literacy is introduced as the nurse's ability to read the spiritual signs of the human experience. DESIG...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12907
更新日期:2015-10-01 00:00:00
abstract:AIM:The purpose of this study was to evaluate and compare the hand and nasal flora of nursing students before and after the clinical practice. BACKGROUND:Hospitals are places where infective agents abound. Healthcare workers, relatives of patients and students practising in the hospital medium are often exposed to the...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2008.02514.x
更新日期:2009-02-01 00:00:00
abstract:AIMS AND OBJECTIVES:To investigate the prevalence of opium use in university students. BACKGROUND:University health professionals and authorities are very concerned about substance use among university students. DESIGN:A survey with a representative sample of 2519 (1126 men and 1393 women) university students and opi...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2006.01157.x
更新日期:2006-04-01 00:00:00
abstract:AIMS AND OBJECTIVES:To discuss findings relating to role extension and loss of nursing care to auxiliary nurses. BACKGROUND:There is ongoing discussion in the literature about what nurses' roles may be and how the extension of role affects patient care. Various models have been devised to measure outcomes and the valu...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2007.02135.x
更新日期:2008-05-01 00:00:00
abstract:AIMS AND OBJECTIVES:To determine the effect of the amount of rice carbohydrates consumed during mealtime on the extent of decrease in postprandial blood pressure in older people with postprandial hypotension. BACKGROUND:The incidence of postprandial hypotension is as high as 74% in older people with hypertension. DES...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,随机对照试验
doi:10.1111/jocn.12864
更新日期:2015-08-01 00:00:00
abstract::This study was designed to identify the feelings and experiences of critical care nurses who have been involved in nursing brain dead patients prior to organ donation. The purpose of the study was to generate knowledge which informs the discipline of nursing. A number of themes relating to nurses' experiences of carin...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2702.2001.00447.x
更新日期:2001-01-01 00:00:00
abstract:AIMS AND OBJECTIVES:This article is a report of an analysis of the concept of dying with dignity. BACKGROUND:Dignity is an important component of providing care for dying patients and their families. Nevertheless, given that this concept is poorly defined, concept analysis is one of the best ways to define and clarify...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/jocn.13143
更新日期:2016-05-01 00:00:00
abstract:AIMS AND OBJECTIVES:To examine nurses' perceptions of barriers to and facilitators of end-of-life care, as well as their association with the quality of end-of-life care. BACKGROUND:Often, dying patients and their families receive their care from general nurses. The quality of end-of-life care in hospital wards is ina...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14130
更新日期:2018-02-01 00:00:00