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At least 19 recordsLinked to original sources
PubMed1994

Research priorities for all phases of postanesthesia nursing: a survey by ASPAN.

This ASPAN survey was conducted by Research Committee members regarding the future of research for postanesthesia nursing and asked this question: What do postanesthesia nurses view as priorities for postanesthesia nursing research in various phases of practice? The design for the study was the Delphi technique, which uses a multiple, sequential survey to reach consensus among a group of experts. Four rounds of questionnaires were used to survey volunteer participants (N = 54). The group of experts remained stable (N = 41) for rounds 2 through 4. Findings from the survey indicated several areas of priorities for postanesthesia nursing. Of the top 10 ranked statements, 4 related to discharge criteria. Another high-priority area identified was pain management, with 5 statements pertaining to this subject being ranked in the top 10. Based on this small sample of postanesthesia nurses, this study provides a beginning step for prioritizing areas of research necessary to expand the body of knowledge for postanesthesia nursing.

Adult↗
PubMed1994

Obstetric postanesthesia nursing: a staff education program.

The same standards of nursing care must be provided to all postanesthesia patients, whether these are general surgical patients or those who have received regional or general anesthesia associated with vaginal or cesarean birth. Because obstetric nursing personnel have not had the benefit of didactic and skills training in the area of postanesthesia nursing, additional training is mandated. The article describes a staff education program designed as an educational framework to enhance the knowledge base and assessment skills of obstetric nurses providing postanesthesia care.

Education, Nursing, Continuing↗
PubMed1994

Research preceptors: assisting the postanesthesia nurse to advance from novice to expert researcher.

Benner proposed "novice to expert" to describe and explain the development of clinical skill acquisition in nursing students and practicing nurses. Frequently, nursing students' clinical skill acquisition is facilitated by a clinical instructor or preceptor; however, it is uncommon to facilitate research skills by this method. This article describes the novice-to-expert framework, its applications to practice competency development in students and nurses, and research skill expectations. Developing research skill in PACU nurses through the use of research preceptors is proposed.

Clinical Competence↗
PubMed1994

Decision trees: helping the postanesthesia nurse to plan data analysis.

An important step in the research process is statistical analysis of the data. Data analysis should be planned as variables are identified, as level of measurement is determined, and as research questions or hypotheses are generated. The use of decision trees can assist the PACU nurse in determining which statistical tests are appropriate for the level of variable measurement in the study. The use of decision trees also can assist the PACU nurse when consulting with experts regarding appropriate statistical analysis.

Decision Trees↗
PubMed1991

Acute pain services: a new career direction for postanesthesia nurses.

Postoperative pain management continues to be a challenge to health care professionals. To address this, hospitals across the country are developing Acute Pain Services. It is fast becoming a specialty area and is being incorporated into the realm of practice of anesthesiologists. As postanesthesia nurses, we are in a unique position to enter this new field.

Humans↗
PubMed1993

Triangulation: a method to enhance the validity of postanesthesia nursing studies.

Triangulation is a research method that strengthens the validity of research results by using a variety of research approaches. Five approaches are discussed in this article and consist of multiple investigators, theories, data sources, methods, research designs, and data analysis. For increased understanding, these approaches are applied to the concept of pain. Suggestions are given for postanesthesia patient and nursing research topics that could be studied using the triangulation process.

Data Collection↗
PubMed1995

A salaried compensation model for postanesthesia nurses.

Health care organizations involved in innovative and creative work redesign projects may find traditional pay structures inadequate to meet the needs of the changing environment. The idea of salaried compensation for registered nurses is not unprecedented. However, few salaried compensation models for nurses are described in the literature. This article presents a model that we believe will be of particular interest to nurses in PACUs, because its design allows for adequate call coverage plus flexibility in scheduling. In addition, this compensation model eliminates incidental overtime, thus allowing for a more predictable salary budget.

Humans↗
PubMed1995

An integrative review of ambulatory postanesthesia nursing patient outcome research: 1982 to 1993.

Specialty nursing practice tends to define itself by a set of competencies believed to be essential by the practitioner. A specialty practice is rarely the result of patient outcome research. Although nurses have been caring for postoperative patients since the early 1900s, a review of published ambulatory postanesthesia patient outcome nursing research has not been reported. As part of a larger study, an integrative review of ambulatory postanesthesia research was conducted to investigate adherence to the scientific method and to examine whether reported research findings link nursing process with patient outcome. Data were collected from identified ambulatory postanesthesia research studies published between 1982 and 1993. The tables of contents from 16 nursing journals were examined to identify published studies. The sample for the integrative review consisted of 28 studies meeting inclusion criteria. Data from the 28 studies were collected independently by two researchers on Ambulatory Post Anesthesia Research Literature Instrument (APARLI) coding sheets developed for the review. Findings indicated that the scientific method was used with varied levels of sophistication. The linkage of nursing process with patient outcome did not appear explicitly in the research studies reviewed.

Ambulatory Surgical Procedures↗
PubMed1994

Wound care update for postanesthesia nurses.

New wound care products are increasingly found in many PACUs. Understanding the basic principles of wound healing and being familiar with the different types of dressings is essential for PACU nurses. This article reviews the phases of wound care healing, do's and don'ts of wound management, wound debridement, and the types of dressings available.

Bandages↗
PubMed1994

Postanesthesia nursing care for ambulatory surgery patients post-spinal anesthesia.

There has been a renewed interest in spinal anesthesia in recent years. However, its use for ambulatory surgery patients has not been as well accepted as its use for inpatients because of the high incidence of postdural puncture headache (PDPH) and uncertain patient recovery time before hospital discharge. Recently, studies indicate that the incidence of PDPH can be lowered to an acceptable level by applying improved techniques such as the use of a 27-g spinal needle or a needle with a tip designed like a pencil point, such as a Whitacre (Becton-Dickinson, Rutherford, NJ) or Sprotte (Pajunk, Geisingen, Germany) needle. Also, by using xylocaine or bupivacaine, which are short- or intermediate-acting local anesthetics, rather than tetracaine, a long-acting anesthetic, patients can be safely discharged from the hospital within 4 to 6 hours from the induction of anesthesia. These improved techniques have allowed spinal anesthesia to be a valid, even desirable, option for selected patients undergoing ambulatory surgery. When considering spinal anesthesia for ambulatory surgery patients, it is important that the postanesthesia care staff be knowledgeable, because nursing care is one of the three integral parts of total patient care that makes ambulatory surgery successful. The other two components are surgery and anesthesia management. This presentation reviews the history, indications, benefits, and complications of spinal anesthesia and recommends nursing care for patients undergoing ambulatory surgery.

Adult↗
PubMed1990

Postanesthesia nursing: past, present, and future.

The 10th anniversary of ASPAN it is a time to appraise past accomplishments while simultaneously identifying future goals as we approach a new decade and new century. Historical aspects of PACU nursing care demonstrate the manner in which this specialty evolved. The scope of practice included the acquisition of critical care skills from its very inception. Inherent in these skills, and representative of the core of this nursing specialty, is the PACU element that sets its nurses apart from all other critical care specialists. The ability to render knowledgeable PACU care within a critical care setting constitutes the integral and unique professional identity of PACU nurses. This identity has survived the test of time in light of rapidly accelerating technology. Can it survive in light of other more subtle changes taking place within the health profession? Guarding and preserving the specialty's identity will be the chief challenge for PACU nurses in the 1990s. The critical care skills of these nurses render them vulnerable to exploitation by other critical care units whenever these units are understaffed. Exploitation can also occur when the PACU becomes a resevoir for critical care patients, ie, from the emergency room, due to overcrowded conditions in the ICUs and CCUs. The present nursing shortage is yet another serious problem that administrators may seek to alleviate by consolidating critical care areas. PACU policy will need to reflect sound admission criteria coupled with the absolute support of the department of anesthesia and nursing administration. PACU nurses are encouraged to be alert to patterns of patient admission that do not conform to the policy.(ABSTRACT TRUNCATED AT 250 WORDS)

History, 20th Century↗