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There are many terms used to describe pressure ulcers: pressure sores, decubitus ulcers, bedsores, and pressure necrosis or ischaemic ulcers. Essentially they all describe damage to the patient's skin and underlying tissue. The nursing literature abounds with information about the risk, grading, prevention and treatment of pressure ulcers. These ulcers are a problem in hospital and long term care facilities, and are a major cause of morbidity. In the hospital setting they contribute to an extended length of stay and by doing so 'block' the bed for use by another patient. The ulcers are difficult to treat, are an ongoing cause for pain and discomfort for the patient and can be a strain on hospital finances. Pressure ulcers are not unique to modern times, as they have been discovered on the remains of an Egyptian mummified body (Armstrong & Bortz 2001). This would suggest that the problem dates back to the Pharoahs, and has continued to be a challenging problem throughout the centuries (Bridel 1992). The escalating costs of treating these ulcers today, has brought about an emphasis on the risk factors, prevention and the appropriate interventions, rather than an acceptance of these ulcers as a tolerable ondition (Bridel 1992). In the operating room, nurses are faced with unique challenges when caring for their patients. This is due to difficulty in caring for patients under the influence of the anaesthesia required for surgery, long periods of forced immobility and the inability of the patient to perceive pain and discomfort from the pressure of the hard surface of the operating room table. These problems are increased by nurses' inability to gain access to the patient because of the sterile drapes required to cover the patient for surgery. Armstrong and Bortz (2001) present information from one study in which it is stated that surgical patients have 90% greater chance of developing pressure ulcers than medical patients. One reason for this may be due to the limited information available in regard to the most effective support surface to place on top of the operating room table. This gap in information is problematic for operating room nurses as it limits their ability to select the most effective item of equipment, and determine if the chosen equipment reduces pressure on tissue intra- operatively. The most effective operating room table mattress used and the skills and knowledge of the operating room nurse about the aetiology and prevention of pressure ulcer prevention, are important aspects of nursing care and can influence patient outcomes. The potential for complications to occur may be dependent on single or combined factors such as the patient's age, disease processes, nutritional status and mobility. Preparatory and supportive nursing interventions for surgical procedures based on best available evidence, nursing experience and patient preference, can reduce the incidence of pressure ulcer development in the perioperative environment. This doctoral portfolio contains four separate sections related and linked together by a common theme - pressure ulcer prevention in the perioperative environment. This first section of the portfolio situates the topic and provides a brief overview of the portfolio. The second section is a critical review of the literature pertaining to the most commonly used operating room table mattresses, and the effectiveness of these mattresses in the prevention of pressure ulcer development. This review highlighted a lack of quality research in this area, and while many evaluations have been undertaken to determine the effectiveness of perating room table mattresses, the results are contradictory concerning the patients, exposures and interventions. Because of issues related to the methodological quality of published research in this area a systematic review using meta- analysis was not possible rather a critical review of the research literature is used. The third section of the portfolio reports on a hermeneutic ethnography of the perceived skills and knowledge of nurses in the prevention of pressure ulcer development in the perioperative environment. This study was designed to determine if pressure ulcer prevention forms an aspect of the everyday practice of perioperative nurses. This review has highlighted the need for operating room nurses to review practices when caring for patients in the perioperative environment particularly in respect of pressure ulcer prevention. The fourth and final section of the portfolio summarises the research and provides recommendations for nursing practice and further research in the area of pressure ulcer prevention in the perioperative environment. / Thesis (D.Nurs.)--Department of Clinical Nursing, 2004.

Diss. (sammanfattning) Uppsala : Uppsala universitet, 2006. / Härtill 5 uppsatser.

Thesis (Ph. D.)--University of Washington, 2006. / Vita. Includes bibliographical references (p. 125-137).

Introduktion: Den perioperativa sjuksköterskan har en viktig roll i den perioperativa miljön, där hon med rätt fingertoppskänsla ska förhålla sig empatisk och se patienten som en individ genom att bevara patientens värdighet, autonomi och integritet. Som blivande operationssjuksköterskor har vi blivit medvetna om att arbetet i den perioperativa vården bedrivs med hög produktion och kostnadseffektivt tänkande. Vi har därför intresserat oss för att undersöka hur den perioperativa sjuksköterskan bevarar patientens värdighet i den högteknologiska miljön. Syftet: Att få en ökad förståelse om hur den perioperativa sjuksköterskan bevarar värdigheten hos patienten i den perioperativa vården. Metod: En kvalitativ induktiv empirisk forskningsmetod. Öppna frågor ställdes enskilt till 14 frivilliga perioperativa sjuksköterskor vid tre olika sjukhus i Sverige. Resultat: Efter en kvalitativ innehållsanalys blev två kategorier synliga i resultatet: Perioperativa sjuksköterskans handlande för att bevara värdigheten för patienten och När patienten inte sätts i fokus. För de två kategorierna blev dessutom åtta subkategorier synliga.  Den perioperativa sjuksköterskans egenskaper och professionella förhållningssätt är av stor betydelse för att värdigheten ska bevaras i den perioperativa miljön. Genom att föra en dialog med patienten skapas trygghet och förtroende. Teamet arbetar för att vården ska bli värdig och patientsäker. Om en oetisk handling uppkommer är det av vikt att den perioperativa sjuksköterskan står upp för sin patient och vågar konfrontera. Konklusion: Via intervjuer i denna studie framkom hur den perioperativa sjuksköterskans handlande bevarar patientens värdighet i den perioperativa vården samt hur hon använder sitt professionella förhållningssätt då patienten inte sätts i fokus. / Introduction: The perioperative nurse has an important role in the perioperative environment, where she with the right sensitivity should act empathetic and see the patient as an individual by keeping the patient's dignity, autonomy and integrity. As future theatre nurses we have become aware of that the work in the perioperative care is conducted with high production and a cost effective way of thinking. Therefore, we found it interesting to investigate how the perioperative nurse keeps the patient's dignity in the high technology environment. Aim: To achieve an increased understanding of how the perioperative nurse keeps the dignity of the patient in the perioperative care. Method: A qualitative inductive empirical research method. Open questions were asked individually to 14 voluntary perioperative nurses at three different hospitals in Sweden. Results: After a qualitative analysis of the content, two categories became visible in the results: The act of the perioperative nurse to keep the dignity of the patient and When the focus is not on the patient. For the two categories, also eight subcategories became visible. The characteristics and professional way to act of the perioperative nurse are of great importance for keeping the dignity in the perioperative environment. By having a dialouge with the patient a sense of safety and confidence is created. The team work towards a dignified and secure care for the patient. If an unethical act occurs it is of great importance that the perioperative nurse stands up for the patient and dares to take the confrontation. Conclusion: Interviews in this study showed how the acts of the perioperative nurse keep the dignity of the patient in the perioperative care and how she uses her professional approach when the focus is not on the patient.

Objeto deste estudo é a percepção do enfermeiro sobre a organização do trabalho no ambiente de Centro Cirúrgico e suas repercussões no processo saúde-doença desses profissionais. Os objetivos traçados foram: identificar a percepção dos enfermeiros sobre a organização do trabalho no Centro Cirúrgico do Hospital Universitário Pedro Ernesto, analisar as repercussões no processo saúde-doença dos enfermeiros decorrentes da organização do trabalho no Centro Cirúrgico. O estudo apoiou-se nas concepções da psicodinâmica do trabalho desenvolvida por Dejours, que busca compreender as vivências dialéticas do sofrimento-prazer decorrentes do trabalho e nas estratégias utilizadas pelos trabalhadores para conter, mitigar ou transformar o sofrimento advindo da organização do trabalho. Trata-se de um estudo qualitativo, descritivo, que utilizou como método o materialismo histórico dialético desenvolvido no período de 2006 à 2007. O local de coleta de dados foi o Hospital Universitário Pedro Ernesto e os sujeitos caracterizaram-se em onze enfermeiros que atuavam no Centro Cirúrgico desta instituição. Como técnicas de coleta de dados foram utilizadas a entrevista semi-estruturada e a observação assistemática. Os sujeitos do estudo preencheram um termo de consentimento livre e esclarecido atendendo à Resolução 196/96. Os dados foram analisados à luz da análise de conteúdo, que evidenciou três categorias: as percepções dos enfermeiros sobre o trabalho no Centro Cirúrgico, trabalho material e imaterial, repercussões do trabalho no processo saúde-doença dos enfermeiros. Os resultados apontaram que os enfermeiros consideram seu trabalho como estressante, desgastante e com repercussões na dimensão subjetiva que se sobrepõem às repercussões na dimensão física devido à organização do trabalho instituída no Centro Cirúrgico. O trabalho também foi caracterizado pelos sujeitos como pouco reconhecido e capaz de gerar sentimentos dialéticos de sofrimento e prazer, satisfação e insatisfação, incidindo diretamente processo saúde-doença destes profissionais através de alterações psicossomáticas. / The study is focused on the nurses perception on Labor Organization in the environment of a Surgical Center, as well as its repercussions on these professionals health-illness process. The objectives were: to identify the nurses perception on labor organization in a Surgical Center at Pedro Ernesto University Hospital, to analyse all repercussions on nurses health-illness process generated from labor organization in a Surgical Center. The study was based on Dejours psycodynamics concepts, that try to comprehend dialetic experiences related to suffering-pleasure that come from nurses activities, as well as strategies used by professionals in order to stop, mitigate or change all suffering that comes from their job. This is a qualitative, descriptive study, that used the historical dialetic materialism as method, which was developed from 2006 to 2007. The place for collecting data was Pedro Ernesto University Hospital and the subjects were eleven nurses that were acting at its Surgical Center. In order to produce this study, semi-structured interview and non-systematic observation were used as data collection techniques; all of the participants were free and clear when they filled in a term of agreement, assuring that Ruling 196/96 was fulfilled. All data were analysed through tables in order to characterize the subjects of the study, and for the statements it was used a content analysis that revealed three categories: nurses perception on labor in a Surgical Center, material and non-material work, work repercussions on nurses health-illness process. Results showed that nurses consider their job stressing, tiring and with higher repercussions on the subjective dimension than on physic dimension due to labor organization stablished in a Surgical Center. Subjects also characterized the work as a non-recognized one, capable of generating dialetic feelings, such as suffering and pleasure, satisfaction and unsatisfaction, repercuting directly on these professionals health-illness process through psychossomatic changes.

Submitted by Jordan (jordanbiblio@gmail.com) on 2017-08-29T16:50:00Z No. of bitstreams: 1 DISS_2014_Ana Laura de Almeida Dias.pdf: 1017791 bytes, checksum: 4013006bdacc910e66cd95454d5dabcd (MD5) / Approved for entry into archive by Jordan (jordanbiblio@gmail.com) on 2017-08-29T16:50:22Z (GMT) No. of bitstreams: 1 DISS_2014_Ana Laura de Almeida Dias.pdf: 1017791 bytes, checksum: 4013006bdacc910e66cd95454d5dabcd (MD5) / Made available in DSpace on 2017-08-29T16:50:22Z (GMT). No. of bitstreams: 1 DISS_2014_Ana Laura de Almeida Dias.pdf: 1017791 bytes, checksum: 4013006bdacc910e66cd95454d5dabcd (MD5) Previous issue date: 2014-04-15 / Introdução: Jejum prolongado aumenta a resposta metabólica ao trauma. Este estudo multicêntrico investigou a diferença entre o tempo de jejum pré-operatório prescrito e o realizado em hospitais brasileiros. Métodos: Foram inicialmente convidados investigadores de 25 hospitais brasileiros para incluírem neste estudo, pacientes candidatos à cirurgia eletiva no período de Agosto de 2011 a Setembro de 2012. A variável de interesse principal foi a diferença entre o tempo de jejum prescrito e realizado. Outras variáveis coletadas foram sexo, idade, diagnóstico (doença maligna ou benigna), tipo de operação, escore físico ASA (Sociedade Americana de Anestesiologia), tipo de hospital (público ou privado), e o estado nutricional. Resultados: Apenas 16 dos 25 hospitais convidados enviaram dados. Os dados de 3715 pacientes (58,1% do sexo feminino) com idade média de 49 (18-94) anos de hospitais de todas as regiões do país foram analisados. A mediana (variação) do tempo de jejum pré-operatório foi de 12 (2-216) horas. Este tempo foi maior (p < 0.001) em 12 hospitais que ainda praticavam o protocolo de jejum tradicional (13[6-216] h) do que os quatro outros hospitais que já adotavam novas diretrizes de jejum (8 [2-48] h). A maioria dos pacientes (n = 2962; 79,4%) foi operada com tempo superior a 8 horas de jejum e 46% (n = 1.718) com mais 12 horas. Não houve influencia do escore físico ASA, idade, sexo, tipo de cirurgia e tipo de hospital no tempo de jejum observado (p > 0.05). Pacientes operados devido à doença benigna tiveram um tempo de jejum pré-operatório significativamente maior do que aqueles por câncer. Conclusão: O tempo de jejum pré-operatório nos hospitais brasileiros estudados é maior que o prescrito. A maioria desses hospitais ainda adota protocolos tradicionais ao invés de diretrizes modernas de jejum pré-operatório e nestes, o tempo de jejum é mais prolongado. Todos os pacientes estão em risco de permaneceram longos períodos de jejum, independente das variáveis estudadas. Pacientes submetidos a cirurgia por doença benigna tem provavelmente maior risco de jejum prolongado. / Background: Prolonged fast increases the organic response after trauma. This multicenter study investigated the difference between the prescribed and the actual preoperative fasting time in Brazilian hospitals. Methods: We initially invited researchers from 25 Brazilian hospitals to include in this study, patients candidates for elective surgery between August 2011 and September 2012. The variable of primary interest was the difference between the time of fasting prescribed and executed. Other variables collected were sex, age, surgical disease (malignancies or benign disease), operation type, ASA (American Society of Anesthesiologists) physical status score, type of hospital (public or private) and the nutritional status. Results: Only 16 of the 25 invited hospitals sent data. The data of 3,715 patients (58.1% females) with median age of 49 (18-94) years-old from hospitals in all regions of the country were analyzed. The median (range) time of preoperative fast was 12 (2-216) h. This time was greater (p < 0.001) in 12 hospitals that still using traditional fasting protocol (13 [6-216] h) than in 4 others that had already adopted new fasting guidelines (8 [2-48] h). The vast majority (n = 2,962; 79.4%) of the patients were operated on bearing greater than 8h of fast and 46% (n = 1,718) with more than 12h. There was no influence of ASA physical score, age, sex, type of surgery, and type of hospital in the observed fasting time. Patients operated on due to a benign disease had a preoperative fasting time longer than those for cancer. Conclusion: The duration of preoperative fasting in Brazilian hospitals studied is greater than the prescribed. Most of these hospitals still adopt traditional rather than modern fasting guidelines and these the fasting time is longer. All patients are remained at risk for long periods of fasting, independent of the variables studied. Patients undergoing surgery for benign disease probably have increased risk of prolonged fasting.

Objeto deste estudo é a percepção do enfermeiro sobre a organização do trabalho no ambiente de Centro Cirúrgico e suas repercussões no processo saúde-doença desses profissionais. Os objetivos traçados foram: identificar a percepção dos enfermeiros sobre a organização do trabalho no Centro Cirúrgico do Hospital Universitário Pedro Ernesto, analisar as repercussões no processo saúde-doença dos enfermeiros decorrentes da organização do trabalho no Centro Cirúrgico. O estudo apoiou-se nas concepções da psicodinâmica do trabalho desenvolvida por Dejours, que busca compreender as vivências dialéticas do sofrimento-prazer decorrentes do trabalho e nas estratégias utilizadas pelos trabalhadores para conter, mitigar ou transformar o sofrimento advindo da organização do trabalho. Trata-se de um estudo qualitativo, descritivo, que utilizou como método o materialismo histórico dialético desenvolvido no período de 2006 à 2007. O local de coleta de dados foi o Hospital Universitário Pedro Ernesto e os sujeitos caracterizaram-se em onze enfermeiros que atuavam no Centro Cirúrgico desta instituição. Como técnicas de coleta de dados foram utilizadas a entrevista semi-estruturada e a observação assistemática. Os sujeitos do estudo preencheram um termo de consentimento livre e esclarecido atendendo à Resolução 196/96. Os dados foram analisados à luz da análise de conteúdo, que evidenciou três categorias: as percepções dos enfermeiros sobre o trabalho no Centro Cirúrgico, trabalho material e imaterial, repercussões do trabalho no processo saúde-doença dos enfermeiros. Os resultados apontaram que os enfermeiros consideram seu trabalho como estressante, desgastante e com repercussões na dimensão subjetiva que se sobrepõem às repercussões na dimensão física devido à organização do trabalho instituída no Centro Cirúrgico. O trabalho também foi caracterizado pelos sujeitos como pouco reconhecido e capaz de gerar sentimentos dialéticos de sofrimento e prazer, satisfação e insatisfação, incidindo diretamente processo saúde-doença destes profissionais através de alterações psicossomáticas. / The study is focused on the nurses perception on Labor Organization in the environment of a Surgical Center, as well as its repercussions on these professionals health-illness process. The objectives were: to identify the nurses perception on labor organization in a Surgical Center at Pedro Ernesto University Hospital, to analyse all repercussions on nurses health-illness process generated from labor organization in a Surgical Center. The study was based on Dejours psycodynamics concepts, that try to comprehend dialetic experiences related to suffering-pleasure that come from nurses activities, as well as strategies used by professionals in order to stop, mitigate or change all suffering that comes from their job. This is a qualitative, descriptive study, that used the historical dialetic materialism as method, which was developed from 2006 to 2007. The place for collecting data was Pedro Ernesto University Hospital and the subjects were eleven nurses that were acting at its Surgical Center. In order to produce this study, semi-structured interview and non-systematic observation were used as data collection techniques; all of the participants were free and clear when they filled in a term of agreement, assuring that Ruling 196/96 was fulfilled. All data were analysed through tables in order to characterize the subjects of the study, and for the statements it was used a content analysis that revealed three categories: nurses perception on labor in a Surgical Center, material and non-material work, work repercussions on nurses health-illness process. Results showed that nurses consider their job stressing, tiring and with higher repercussions on the subjective dimension than on physic dimension due to labor organization stablished in a Surgical Center. Subjects also characterized the work as a non-recognized one, capable of generating dialetic feelings, such as suffering and pleasure, satisfaction and unsatisfaction, repercuting directly on these professionals health-illness process through psychossomatic changes.

Trata-se de um estudo de abordagem qualitativa sob a perspectiva da sociologia da saúde, que teve como objetivo interpretar a experiência de reabilitação da pessoa com estomia intestinal por adoecimento crônico. Utilizou-se o referencial teórico da sociologia da saúde e o método etnográfico para apreender a experiência de quinze pessoas com estomia intestinal por adoecimento crônico, que foram entrevistadas no domicílio. A coleta de dados ocorreu no período de abril a novembro de 2013, por meio de entrevistas semiestruturadas gravadas em áudio, de observações participantes e das anotações em um diário de campo, cujos dados foram analisados por meio da análise de conteúdo indutiva (CEP/EERP-USP número: 220.269). Os dados foram organizados e decodificados em dois núcleos de sentidos, denominados de \"Lidando com os tratamentos e a estomia intestinal\" e \"A história da doença e os tratamentos na minha vida\". A partir destes, construímos dois núcleos temáticos: \"A experiência de reabilitação da pessoa com estomia intestinal por adoecimento crônico\" e \"Em busca da adaptação às necessidades de mudanças no cotidiano\". No primeiro núcleo temático interpretamos a reflexão dos participantes do estudo em relação à normalidade da vida anterior ao adoecimento crônico intestinal e a estomia, em busca de uma definição sobre si e a sua vida, considerando as dificuldades pessoais, familiares, sociais e terapêuticas enfrentadas, preparando-se para a condição de estomizado intestinal, que se apresenta com os desafios sociais nos espaços privados e públicos. No segundo tema apreendemos a convivência da pessoa com a estomia intestinal e as consequências do adoecimento crônico intestinal, na qual a assistência especializada e o autocuidado possibilitaram enfrentar as dificuldades, os preconceitos e o estigma, que vão sendo vividos e vencidos ao longo do tempo, com o estabelecimento de uma nova normalidade de vida como estomizado intestinal. Com a interpretação da experiência destas pessoas, o significado construído sobre a reabilitação das pessoas com estomia intestinal por condição crônica foi \"processo de superação dos desafios do cotidiano de vida, da deficiência e do estigma\". Acreditamos que este estudo poderá subsidiar a melhoria da assistência especializada a essas pessoas, nos diversos contextos de atendimento à saúde, principalmente no que se refere ao acolhimento, implementação de estratégias e de suporte profissional especializado para possibilitar a reabilitação dessas pessoas, após o tratamento cirúrgico com confecção de estomia intestinal, com atendimento da demanda de suas necessidades / This is a study of qualitative approach from the perspective of the sociology of health, which aimed to interpret the experience of rehabilitation of people with intestinal ostomy due to chronic illness. We used the theoretical framework of the sociology of health and the ethnographic method to grasp the experience of fifteen people with intestinal stoma by chronic illness who were interviewed at home. Data collection occurred in the period from April to November 2013, through semi-structured audio taped interviews, participant observations and notes in a field journal, which data were analyzed using inductive content analysis (CEP/EERP-USP number: 220.269). The data were organized and decoded in two groups of meaning, called \"Dealing with the treatments and the intestinal ostomy\" and \"History of the disease and treatments in my life.\" From these, we constructed two thematic groups: \"The experience of rehabilitation of people with intestinal ostomy due to chronic illness\" and \"In search of adapting to changing needs in daily life.\" In the first thematic nucleus we interpreted the reflection of the participants of the study compared to normal life prior to chronic intestinal disease and ostomy, in search of a definition about themselves and their life, considering personal, familiar, social and therapeutic difficulties faced, preparing for the condition of intestinal ostomy patients, presenting with social challenges in private and public spaces. The second topic we apprehended the person living with intestinal ostomy and consequences of chronic intestinal disease, in which specialized care and self-care made possible face difficulties, prejudice and stigma that are being experienced and matured over time, with the establishment of a new normalcy of life as intestinal ostomy patient. With the interpretation of the experience of these people, the meaning built on the rehabilitation of people with intestinal ostomy for chronic condition was \"process of overcoming the challenges of everyday life, disability and stigma.\" We believe that this study may support specialized assistance to these people, in different contexts of health care, especially regarding to the acceptance, implementation of strategies and specialized professional support to enable the rehabilitation of these people after surgery that created the intestinal ostomy, answering the demand of their needs

A prevenção da hipotermia do paciente cirúrgico é um desafio para o enfermeiro. Na literatura há diferentes medidas que podem ser implementadas para a manutenção da temperatura corporal do paciente no perioperatório, salientamos os sistemas de aquecimento cutâneo. O presente estudo teve como objetivo avaliar as evidências disponíveis na literatura sobre qual é o sistema de aquecimento cutâneo mais eficaz para a prevenção da hipotermia, no paciente submetido à cirurgia cardíaca sem circulação extracorpórea, no período intra-operatório. O método de revisão adotado foi a revisão sistemática. As bases de dados PubMed, Cinahl, Embase, Central e Lilacs foram selecionadas para a busca dos estudos primários. Os descritores controlados e não controlados foram delimitados para cada uma das bases de dados. Dos 1.604 estudos localizados e considerando os critérios de inclusão e exclusão adotados, 25 estudos foram selecionados e oito foram incluídos na revisão sistemática. Dos oito estudos primários incluídos, quatro ensaios clínicos testaram o sistema de ar forçado aquecido e o sistema de circulação de água aquecida, sendo que em um destes estudos, a cobertura elétrica de fibra de carbono também foi estudada. Em dois ensaios clínicos, os autores investigaram o sistema de ar forçado aquecido e o sistema de transferência de energia com dispositivos adesivos. Em um ensaio clínico, o sistema de ar forçado aquecido e o sistema Thermogard foram estudados e um estudo primário investigou o pré-aquecimento, na indução anestésica, com o sistema de ar forçado aquecido. Os resultados evidenciados apontaram que o sistema de circulação de água aquecida é o mais eficaz para a manutenção da temperatura corporal do paciente submetido à revascularização do miocárdio sem circulação extracorpórea em comparação ao sistema de ar forçado aquecido. Em relação aos outros sistemas de aquecimento cutâneo há necessidade de novas pesquisas para determinar a eficácia destes em cirurgia cardíaca. A adoção de medidas para a prevenção da hipotermia é de responsabilidade de todos os profissionais que prestam cuidado ao paciente cirúrgico; entretanto, ressaltamos a atuação do enfermeiro perioperatório. Compete a esse profissional o planejamento e implementação de intervenções direcionadas para a melhoria da qualidade do cuidado de enfermagem e promovam a segurança do paciente. / Hypothermia prevention in surgical patients represents a challenge of nurses. Literature discusses different measures that can be put in practice to maintain patients\' perioperative body temperature, among which we highlight cutaneous warming systems. This study aimed to assess available evidence in literature on the most effective cutaneous warming system for hypothermia prevention in patients submitted to cardiac surgery without extracorporeal circulation, during the intraoperative period. The systematic review method was adopted. The databases PubMed, Cinahl, Embase, Central and Lilacs were selected to seek primary studies. Controlled and non-controlled descriptors were delimited for each of the databases. Out of 1,604 studies that were located, in view of the adopted inclusion and exclusion criteria, 25 were selected and eight included in the systematic review. Out of eight primary studies included, four clinical trials tested the forced-air warming system and the circulating-water garment system. In one of these, the carbon fiber resistive heating blanket was also studied. In two clinical trials, the authors investigated the forced-air warming system and the energy transfer pads system. In one clinical trial, the forced-air warming system and the Thermogard system were studied, and one primary study investigated prewarming during induced anesthesia, using the forcedair warming system. The evidenced results appointed that the circulating-water garment system is the most effective to maintain the body temperature of patients submitted to coronary artery bypass graft surgery without extracorporeal circulation in comparison with the forced-air warming system. As for other cutaneous warming systems, further research is needed to determine their efficacy in case of cardiac surgery. All professionals who deliver care to surgical patients are responsible for the adoption of hypothermia prevention measures; nevertheless, perioperative nurses\' actions are highlighted. These professionals are responsible for planning and putting in practice interventions aimed at improving nursing care quality and enhancing patient safety.