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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
21

Oavsiktlig hypotermi : Operationssjuksköterskans preventiva interventioner / Inadvertent hypothermia : The theatre nurse´s preventive interventions

Holmberg, Petra, Söderback, Carolina January 2014 (has links)
No description available.
22

Operationsprocessen : operationsplaneringssystems betydelse för patientsäkerheten vid kirurgi / Operating Room Management : the importance of an Operating Room Information System for the Patient Safety in Surgery

Hall, Daniel January 2013 (has links)
Introduktion Patientsäkerhet är en viktig del i arbetet med att upprätthålla en god kvalitet inom hälso- och sjukvården och inte minst inom riskfyllda områden som anestesi- och operationssjukvård. Operationsprocessen kan stödjas genom användandet av ett kliniskt informationssystem, ett så kallat operationsplaneringssystem. Vad som dock inte finns väl beskrivet är hur ett sådant här informationssystem skulle kunna bidra till en säkrare vård. Syfte: Syftet med studien var att beskriva processen och vilken betydelse ett operationsplaneringssystem hade för patientsäkerheten på en operationsavdelning utifrån personalens perspektiv. Metod: En empirisk studie med kvalitativ ansats genomfördes och analyserades med riktad innehållsanalys enligt Hsieh & Shannon. Tjugosex intervjuer genomfördes utifrån nio olika befattningar relaterade till operationsprocessen på tre olika sjukhus i mellersta och södra Sverige Resultat: Processen av kirurgska ingrepp bestod av tre olika faser; planering, genomförande och uppföljning. Extern planering hanterades av kirurgisk avdelning eller mottagning. Den interna planeringen hanterades av operationsavdelningen och för att kunna fullfölja planeringen genomfördes en interorganisationell planering. Faktorer att ta hänsyn till under den första fasen var ändringar och bristande planering. Den verkställda planeringen utgjorde arbetsunderlaget vid genomförandet av operationerna. Uppföljningen var mestadels produktionsinriktad och patientrelaterad vårduppföljning saknades. Patientsäkerhet handlade om två saker, perspektiv och betydelse. Patientsäkerhetsperspektivet beskrevs utifrån patient-, organisations- och medarbetareperspektiv. Betydelsen av ett operationsplaneringssystem för patientsäkerheten var relaterad till information, kontrollfunktioner, organisation och förändringar. Konklusion: Patientsäkerheten garanterades av den personal som arbetade i operationsprocessen och inte av operationsplaneringssystemen. Utveckling av säkerhetsfunktioner i operationsplaneringssystemen skulle kunna bidra till ökad patientsäkerhet. / Introduction: Patient safety is an important part in the performance of good quality in healthcare and particularly in critical areas like anesthesia and surgery. The process of surgery can be supported by an operating room information system, but there is no adequate description of how a system like this will support a safer care of the patient. Purpose: The aim of the present study is to describe the process and importance of an operating room information system for the patient safety in operating rooms from the perspective of employees. Method: An empirical study with a qualitative onset was implemented and analyzed using directed content analysis according to Hseih & Shannon. Twenty six interviews were performed from nine different positions during the process of surgery in three different hospitals in mid- and southern Sweden. Results: Operating room management included planning, surgery and evaluation. Extern planning was handled by the surgery ward or reception and intern planning by the surgery department. To complete the process there was an inter-department coordination and planning. Changes and insufficient planning had to be taken into account during this process of planning surgery. Executed planning functioned as the working document during the day of surgery. Evaluation was considered as mostly production-oriented and patient-related evaluation was missing. Two areas emerge from patient safety, perspective and significance. The importance of an operating room information system related to patient safety was information, safety controls, organization and changes. Conclusion: Patient safety was guaranteed by employees who worked in the process of surgery and not by the operating room information systems. Development of safety functions in operating room information system may improve patient safety.
23

Anestesisjuksköterskans metoder att förhindra hypotermi / Nurse anesthetists methods to prevent hypothermia

Lundberg, Karin, Carlstein, Eva-Lena January 2014 (has links)
Hypotermi, en sänkning av kroppens kärntemperatur under 36°C, är en oönskad men vanlig komplikation under den perioperativa perioden. Det är förenat med en rad negativa konsekvenser som kan orsaka lidande för patienter och innebära ökade vårdkostnader. Svårigheterna med att på ett enkelt och effektivt sätt förhindra hypotermi utgör ett hinder i vården och nya produkter utvecklas därför kontinuerligt. En viktig del i anestesisjuksköterskans arbete är att bevara patientens kroppstemperatur så nära det normala som möjligt. Syftet med föreliggande litteraturstudie var att beskriva olika metoder som är lämpliga för anestesisjuksköterskan att använda för att förhindra hypotermi hos vuxna i det perioperativa förloppet. I de 18 resultatartiklarna testades olika metoder för att bibehålla normal kroppstemperatur: täcka patienten, höjd salstemperatur, värmning med varmluft, elektrisk värmning, värmning av infusionsvätskor, värmning med cirkulerande varmvatten och strålningsvärme. Flera metoder visades effektiva men resultaten var inte entydiga. Inget system visades värma bättre än varmluft. Ytterligare forskning krävs för att fastställa nytta och säkerhet för de övriga aktiva värmesystemen men vissa kan komma att utgöra ett komplement till nuvarande strategier. / Hypothermia, a reduction of the body core temperature below 36°C, is an undesirable but common complication in the perioperative period. It is associated to a series adverse events that can cause discomfort to patients and result in increased health care costs. The difficulties involve a simple and effective way to prevent hypothermia and is an obstacle in the care and new products will develop over time. An important part of nurse anesthetists work is to maintain the patient´s body temperature as close to normal as possible. The aim of the literature study was to describe different methods that is appropriate for the nurse anesthetist to use to prevent hypothermia in adults in the perioperative process. In the results of the 18 articles different forms of methods were tested in order to maintain normal body temperature: cover the patient, raised room temperature, forced air warming, electric heating, fluid warming, warming with circulating hot water and radiant warming. Several methods were shown to be effective but the results were not conclusive. No system was demonstrated to be better than forced air warming. Further research is required to confirm the benefit and safety of the other active warming systems, but some may be in addition to current strategies.
24

Carotid artery stenosis : surgical aspects /

Kragsterman, Björn, January 2006 (has links)
Diss. (sammanfattning) Uppsala : Uppsala universitet, 2006. / Härtill 5 uppsatser.
25

Perioperative music and its effects on anxiety, hemodynamics, and pain in women undergoing mastectomy

Binns-Turner, Pamela Gail. January 2008 (has links) (PDF)
Thesis (Ph. D.)--University of Alabama at Birmingham, 2008. / Title from first page of PDF file (viewed June 5, 2008). Includes bibliographical references (p. 77-87).
26

Perioperative immunonutrition in head and neck cancer : a feasibility study /

McCarthy, Mary Agnes Smith. January 2006 (has links)
Thesis (Ph. D.)--University of Washington, 2006. / Vita. Includes bibliographical references (p. 125-137).
27

A experiência cirúrgica de ressecção do câncer colorretal e suas consequências na perspectiva do paciente / The experience of surgical resection of colorectal cancer and its consequences on the patient\'s perspective

Talita Tavares Della Motta 10 September 2013 (has links)
Trata-se de um estudo de abordagem qualitativa sob a perspectiva antropológica, que teve como objetivo apreender os sentidos da experiência cirúrgica de ressecção do câncer colorretal (CCR) e suas consequências na perspectiva do paciente. Utilizou-se o referencial teórico da antropologia interpretativa e o método etnográfico para apreender a experiência de treze pacientes em tratamento cirúrgico por CCR, que foram entrevistados em dois momentos, no pré e pós-operatórios, na unidade de internação de um hospital terciário. A coleta de dados ocorreu no período de junho a dezembro de 2012, por meio de entrevistas semiestruturadas gravadas em áudio, observações participantes e anotações em um diário de campo, cujos dados foram analisados por meio da análise de conteúdo indutiva. Os dados foram decodificados em dois núcleos temáticos, denominados de \"Esperança de cura pelo tratamento cirúrgico\" e \"Busca de confirmação de cura pela cirurgia\". No primeiro núcleo temático, da experiência de adoecimento relatada pelos pacientes foram extraídos os principais aspectos como o momento do aparecimento dos sintomas e do problema, a busca por atendimento à saúde e a suspeita do câncer, a notícia do diagnóstico oncológico, as expectativas e preocupações sobre o tratamento cirúrgico indicado, as consequências, os insucessos dos tratamentos prévios e a possibilidade da estomia intestinal. Com a interpretação destes dados verificamos que, independente dos acontecimentos, os pacientes buscam agregar informações, comportamentos e fatos para a manutenção da esperança de cura com a ressecção do CCR e consideram a estomia intestinal como uma necessidade para a possibilidade de cura. No segundo núcleo temático abordamos a experiência com o tratamento cirúrgico, no qual emergiram as expectativas em relação à ressecção do CCR, a utilização de estratégias de enfrentamento como redes de apoio, suporte profissional e atitudes otimistas na busca por confirmação de cura do câncer com a cirurgia e a estomia intestinal determina a gravidade do seu problema de saúde, contudo conseguem voltar a pensar em projetos de vida futuros. Com a interpretação destes dois núcleos temáticos, apreendemos que a cirurgia é considerada a única chance de cura para conseguirem retomar a sua vida familiar e cotidiana, e para tanto, buscam superar o estigma do câncer e todos os acontecimentos decorrentes do tratamento cirúrgico e do ambiente hospitalar, com canalização dos seus esforços para manter a esperança de que tudo dará certo. No pós-operatório, os pacientes buscam pistas sobre o sucesso da cirurgia e a sua evolução clínica passa a ser o indicativo da obtenção de cura para a nova chance de vida e surge a preocupação de aprendizagem dos cuidados com a estomia intestinal. Os resultados deste estudo poderão contribuir na melhoria do planejamento da assistência perioperatória ao paciente com CCR, com atendimento das suas necessidades / This is a qualitative study from the perspective of anthropology, which aimed to understand the meanings of the experience of surgical resection of colorectal cancer (RCC) and its impact on the patient\'s perspective. The theoretical framework of interpretive anthropology and ethnographic method to capture the experience of thirteen patients in surgical treatment for RCC has been used, who were interviewed on two occasions, before and after surgery, in the inpatient unit of a tertiary hospital. Data collection occurred from June to December 2012, through semi-structured interviews recorded on audio, participant observations and notes in a diary, and data were analyzed using inductive content analysis. The data were decoded in two thematic groups, called \"Hope for healing through surgical treatment\" and \"Seeking confirmation f the cure by surgery.\" \". In the first thematic group, the experience of illness reported by patients, the main aspects such as time of onset of symptoms and the problem were extracted, the search for health care and suspicion of cancer, the news of the cancer diagnosis, expectations and concerns about surgical treatment indicated, the consequences of the failure of previous treatments and the possibility of permanent intestinal ostomy. With the interpretation of these data it was found that regardless the events, patients seek to add information, facts and behaviors to maintain hope of cure with resection of RCC and consider the intestinal ostomy a necessity for the possibility of healing. In the second thematic group the experience with surgical treatment in which emerged the expectations for resection of RCC was addressed, the use of coping strategies such as support networks, professional support and optimistic attitudes in seeking confirmation of curing cancer with ostomy surgery and determine the severity of the health problem, however patients can think about future life plans again. With the interpretation of these two theme groups, we can see that the surgery is considered the only chance of cure and this way patients will be able to have their family life back, and therefore, they seek to overcome the stigma of cancer and all events resulting from surgical treatment and hospital environment, thus, channeling their efforts to keep the hope that everything will be alright. Postoperatively, patients seek clues about the success of surgery and clinical evolution becomes the target of achieving cure for the new chance of life and the concern of ostomy care occurs. The results of this study will contribute to the improvement of perioperative care planning for patients with RCC, with their needs attended
28

Efetividade da intervenção de enfermagem, acompanhamento por telefone, no pós-operatório de idosos: ensaio clínico controlado

Schulz, Renata da Silva January 2013 (has links)
Submitted by Fabiana Gonçalves Pinto (benf@ndc.uff.br) on 2015-12-09T17:07:23Z No. of bitstreams: 1 Renata da Silva Schulz.pdf: 1769123 bytes, checksum: 9d3c4de0e502584c8e773a4bf8ca9627 (MD5) / Made available in DSpace on 2015-12-09T17:07:23Z (GMT). No. of bitstreams: 1 Renata da Silva Schulz.pdf: 1769123 bytes, checksum: 9d3c4de0e502584c8e773a4bf8ca9627 (MD5) Previous issue date: 2013 / Mestrado Acadêmico em Ciências do Cuidado em Saúde / Este estudo teve como objetivos avaliar a efetividade da intervenção acompanhamento por telefone comparado ao tratamento convencional em pacientes idosos de pós-operatório das cirurgias de colecistectomia e herniorrafia e o de analisar a evolução do diagnóstico de enfermagem Recuperação Cirúrgica Retardada (RCR) ao longo de quatro semanas nos grupos envolvidos. Método: Trata-se de um ensaio clínico controlado e randomizado, com abordagem quantitativa, realizado em dois hospitais de ensino do Rio de Janeiro. A amostra foi composta por 43 pacientes, acompanhados por 4 semanas. Para randomização da amostra utilizou-se o Programa Statistical Package for the Social Sciences (SPSS) e como intervenção de enfermagem o acompanhamento por telefone para os pacientes do grupo experimento. Este estudo foi aprovado pelo Comitê de Ética em Pesquisa da Faculdade de Medicina, sob o protocolo nº 327/2010 e CAAE: 09911212.0.0000.5243. A coleta de dados foi realizada durante seis meses, pela enfermeira pesquisadora e por cinco examinadoras que passaram por treinamento diagnóstico. Resultados: Não houve diferença significativa, em nível de 5%, nas variáveis sociais e demográficas modificadas entre os dois grupos de tratamento. Observou-se queda significativa da primeira avaliação para a última avaliação para a característica definidora “perda do apetite com náuseas” do grupo experimento (p = 0,013). Entre a primeira e a última avaliação a característica definidora “precisa de ajuda para completar o autocuidado” no grupo controle apresentou tendência de queda (p = 0,041). Para os fatores relacionados houve queda significativa da “dor” no grupo experimento (p = 0,041) assim como o “sentimento pós-operatório” (p = 0,023). Conclusão: Houve baixa prevalência do diagnóstico de RCR nos grupos para as cirurgias estudadas. Apesar de não ter havido diferença estatística entre os grupos, observou-se maior tendência de queda no grupo experimento. O acompanhamento por telefone é um recurso de baixo custo, acessível por grande parte da população, com altas taxas de adesão e, por isto estendida ao atendimento em saúde pública e privada. Durante o contato telefônico as principais dúvidas foram em relação ao uso de medicações, a ferida operatória e a alimentação. Estudos com maior casuística são necessários para que se possa afirmar que há superioridade estatística quanto à incidência de Recuperação Cirúrgica Retardada quando comparada ao tratamento convencional. / This study aimed to evaluate the effectiveness of the intervention telephone follow-up compared with conventional treatment in elderly patients after cholecystectomy and hernia surgery and to analyze the evolution of nursing diagnosis Delayed Surgical Recovery (DSR) over four weeks, in the groups involved. Methodology: This was a randomized controlled trial with a quantitative approach, performed in two teaching hospitals in Rio de Janeiro. The sample consisted of 43 patients followed for 4 weeks. For randomization of the sample was used the program Statistical Package for Social Sciences (SPSS) and as a nursing intervention, the follow-up by phone for patients in the experimental group. This study was approved by the Ethics Committee of the Faculty of Medicine, under protocol number 327/2010 and CAAE: CAAE: 09911212.0.0000.5243. Data collection was carried out over six months by the research nurse and five examiners who were trained for the diagnois. Results: No significant difference at 5% level, in the social and demographic variables, between the two treatment groups, was found. We observed a significant decrease of the first assessment to last assessment for the defining characteristic "loss of appetite with nausea" in the experimental group (p = 0.013). Between the first and last assessment the defining characteristic "need help to complete self-care" in the control group tended to decrease (p = 0.041). Factors related to significant falls in the "pain" in the experimental group (p = 0.041) as well as "feeling after surgery" (p = 0.023). Conclusion: There was a low prevalence of the diagnosis of DSR in groups for the surgeries studied. Although there was no statistical difference between the groups, there was a greater tendency to fall in the experimental group. Telephone follow-up is a low-cost resource, accessible by most of the population, with high rates of adherence and may be used for health care in public health system. During the telephone contact were the main questions regarding the use of medications, and the power to wound. Studies with larger samples are needed so that one can say that there are statistical superiority regarding the incidence of Delayed Surgical Recovery when compared to conventional treatment.
29

Operationssjuksköterskans upplevelse av återkoppling och återkopplingens betydelse för professionen / Operating theatre nurse´s experience of feedback and feedback´s importance of the profession

Forsberg, Carin, Silén, Maria January 2017 (has links)
Introduktion: Förebyggande och korrekt utförda omvårdnadsåtgärder är en del av operationssjuksköterskans arbete. Operationssjuksköterskan arbetar utifrån den perioperativa vårdprocessen med att planera, genomföra och utvärdera omvårdnadsåtgärder. Återkoppling har visat sig förbättra omvårdnad och utveckla professionen. I litteraturen finns få studier om hur operationssjuksköterskor upplever återkoppling under den perioperativa vårdprocessen. Syfte: Studiens syfte var att beskriva operationssjuksköterskors upplevelse av återkoppling och upplevelse av återkopplingens betydelse för utveckling av professionen. Metod: En kvalitativ intervjustudie med semistrukturerade frågor har analyserats med kvalitativ innehållsanalys. 11 operationssjuksköterskor i åldern 26-60 år och med erfarenhet som operationssjuksköterska mellan 7 månader och 36 år inkluderades, alla var kvinnor. Resultat: Operationssjuksköterskorna önskade mer återkoppling både för professionens utveckling i stort och för förbättrad utvärdering av egna utförda omvårdnadsåtgärder. All återkoppling upplevdes positivt. Avsaknad av samarbete mellan vårdenheter påverkade möjligheten till återkoppling negativt. Brist på återkoppling ledde till eget sökande av återkoppling på utförda omvårdnadsåtgärder. Konklusion: Genom återkoppling kan operationssjuksköterskorna få svar på sina utförda omvårdnadsåtgärder. Återkoppling till operationssjuksköterskan behöver implementeras och utvecklas i det dagliga arbetet. / Introduction: Preventive and correctly taken nursing measures is part of the operating theatre nurse´s work. The operating theatre nurse´s work with the perioperative process by planning and implementing the nursing measures and evaluating them. Feedback has been shown to improve the care and develop the profession. There are few studies in the literature about the operating theatre nurses experience of feedback during the perioperative process. Aim: The aim of this study was to describe the operating theatre nurse´s experience of feedback and the importance of the feedback for the development of the profession. Method: A qualitative study with semi-structured questions has been analyzed with a qualitative content analysis. 11 operating theatre nurses in the age 26-60 years with the experiences an operating theatre nurse from 7 month to 36 years participated, all were women. Results: The operating theatre nurses experienced that it would be significant with more feedback, both for the development of the profession and to improve the evaluation of taken nursing measures. All feedback was positive. Lack of cooperation between care units affected the possibility of feedback negatively. The lack of feedback led them to seeking feedback of nursing measures by themselves. Conclusion: Through feedback the operating theatre nurses can get answer of their taken nursing measures. The feedback to the operating theatre nurses need to be implemented and develop in the daily work.
30

Användande av enkla eller dubbla handskar inom operationssjukvård / The usage of single or double gloving in surgery

Hellberg, Lisa, Jonsson, Sofia January 2012 (has links)
Bakgrund: I litteraturen finns evidens att använda dubbla lager av operationshandskar vid all kirurgi för att förebygga smittspridning mellan patient och personal samt för att förebygga vårdrelaterade infektioner. Operationshandskar kan ha olika tjocklek och taktil känsla beroende på latex eller latexfritt material. Trots att evidens finns att använda dubbla lager operationshandskar förekommer variation i användandet. Syfte: Syftet med studien var att undersöka om operationssjuksköterskor och kirurger väljer enkla eller dubbla handskar vid operationer, samt hur de motiverar sitt val. Metod: Operationssjuksköterskor och kirurger från två operationsavdelningar i Mellansverige undersöktes i en tvärsnittsdesign med intervjustödda enkäter. Flera deltagare intervjuades flera gånger. Resultat: Totalt inkluderades 66 deltagare i studien och 137 intervjuer genomfördes. Nästan hälften av deltagarna motiverade sitt val av handskar med rutin eller vana. Vid samtliga ortopediska operationer användes dubbla handskar. Enkelt lager av handskar användes i högre grad då endast latexfria handskar fanns att tillgå, och den dominerande motiveringen var då att det var mer svårarbetat med dubbla handskar. Slutsats och klinisk betydelse: Användandet av enkla respektive dubbla handskar skiljer sig mellan verksamheterna och mellan yrkeskategorierna. Dubbla handskar användes av samtliga deltagare på den avdelning där skriftliga riktlinjer angående dubbla handskar fanns formulerade. Enkla handskar användes i högre grad då endast latexfria handskar fanns att tillgå. Resultatet i föreliggande studie indikerar att riktlinjer angående dubbla handskar, samt latexfria handskars sämre taktila förmåga kan ha betydelse för hur operationspersonal väljer operationshandskar. / Background: In the literature, there is evidence of the usage of double layered surgical gloves during all surgical procedures in order to prevent the spread of infection between the patient and medical personnel, as well as, to prevent clinical infections. Double layered surgical gloves can have different thickness and tactile feeling depending on latex or latex-free material. Aim: To investigate if operating room nurses and surgeons choose single or double gloving for operations, as well as, how they motivate their choices. Method: Operating room nurses and surgeons from two different operation departments in the middle of Sweden were examined in a cross-sectional design with interview-supported questionnaires. Some participants were interviewed several times. Results: In total, 66 participants were included in the study and 137 interviews were conducted. Almost half of the participants motivated their choice of gloves routinely or habitually. In all orthopedic operations, double gloves were used. Conclusion and clinical implications: The usage of single as opposed to double-gloving differs between departments and between different categories of profession. The majority of participants chose to use double gloves. Double gloves were more frequently used on the ward where written guidelines regarding double gloves were formulated. Single gloves were more commonly used in the pediatric surgery department, where only latex-free gloves were available for use. The result in the present study indicates that guidelines regarding double gloves can be significant for how operation personnel choose surgical gloves.

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