Perioperative Nursing: Challenges and Opportunities in the Gastrointestinal Endoscopy Units
Keywords:
Challenges, Gastrointestinal endoscopy unit, Multidisciplinary collaboration, Patient-centered care, Perioperative nursingAbstract
Perioperative nursing in the Gastrointestinal endoscopy units plays a pivotal role in ensuring safe and effective patient care during endoscopic procedures. This article explores the multifaceted challenges and promising opportunities within this specialized nursing discipline. The challenges encompass diverse domains, including addressing patient anxiety through effective education and emotional support, meticulous infection control practices to prevent healthcare-associated infections, vigilant monitoring of sedated patients, and adept management of emergencies during procedures. Additionally, this article underscores the importance of accommodating special considerations for pediatric and geriatric patients, navigating ethical dilemmas, and respecting cultural diversity.
Conversely, opportunities for improvement in perioperative nursing are abundant. These encompass technological advancements in endoscopic equipment and the integration of health information technology, enhanced training and education through continuing education programs and simulation-based training, fostering multidisciplinary collaboration for comprehensive patient care, and the establishment of robust quality assurance and best practices. Moreover, the article highlights the significance of patient-centered care. It discusses patient education and informed consent, enhancing the patient experience, addressing cultural and ethical considerations, and ensuring privacy and dignity in the perioperative setting.
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References
Amornyotin S. Sedation-related complications in gastrointestinal endoscopy. World J Gastrointest Endosc. 2013;5(11):527-533. doi:10.4253/wjge.v5.i11.527
Wang R, Li Z, Liu S, Zhang D. Global, regional, and national burden of 10 digestive diseases in 204 countries and territories from 1990 to 2019. Front Public Health. 2023;11:1061453. Published 2023 Mar 28. doi:10.3389/fpubh.2023.1061453
Sørensen EE, Olsen IØ, Tewes M, Uhrenfeldt L. Perioperative nursing in public university hospitals: an ethnography. BMC Nurs. 2014;13(1):45. Published 2014 Dec 9. doi:10.1186/s12912-014-0045-7
Salazar Maya ÁM. Nursing Care during the Perioperative within the Surgical Context. Invest Educ Enferm. 2022;40(2):e02. doi:10.17533/udea.iee.v40n2e02
Benze C. Perioperative nursing: scope and standards of practice. AORN Inc. 2021. 1-32. https://www.aorn.org/docs/default-source/guidelines-resources/periop-nursing-scope-standards-of-practice.pdf?sfvrsn=c532cdee_1. Accessed January 20, 2024.
Merchant R, Chartrand D, Dain S, et al. Guidelines to the practice of anesthesia--revised edition 2015. Can J Anaesth. 2015;62(1):54-67. doi:10.1007/s12630-014-0232-8
Westerberg J. Intraoperative nursing roles and responsibilities an educational poster for nursing students. Laurea. 2022:1-49. https://www.theseus.fi/bitstream /handle/10024 /752477/Westerberg_Jenna.pdf?sequence=2. Accessed January 20, 2024.
Adekhera E. Routine postoperative nursing management. Community Eye Health. 2016;29(94):24.
Street M, Phillips NM, Haesler E, Kent B. Refining nursing assessment and management with a new postanaesthetic care discharge tool to minimize surgical patient risk. J Adv Nurs. 2018;74(11):2566-2576. doi:10.1111/jan.13779
Mulugeta H, Ayana M, Sintayehu M, Dessie G, Zewdu T. Preoperative anxiety and associated factors among adult surgical patients in Debre Markos and Felege Hiwot referral hospitals, Northwest Ethiopia. BMC Anesthesiol. 2018;18(1):155. Published 2018 Oct 30. doi:10.1186/s12871-018-0619-0
Farahani MA, Mohammadi E, Ahmadi F, Mohammadi N. Factors influencing the patient education: A qualitative research. Iran J Nurs Midwifery Res. 2013;18(2):133-139.
Okpara PN. Challenges of nursing care of the paediatric surgical patient. Afr J Paediatr Surg. 2018;15(3):154-157. doi:10.4103/ajps.AJPS_28_13
Pang CL, Gooneratne M, Partridge JSL. Preoperative assessment of the older patient. BJA Educ. 2021;21(8):314-320. doi:10.1016/j.bjae.2021.03.005
Rutala WA, Weber DJ. Disinfection and Sterilization in Health Care Facilities: An Overview and Current Issues. Infect Dis Clin North Am. 2016;30(3):609-637. doi:10.1016/j.idc.2016.04.002
Verschoore T, Vandecandelaere S, Vandecandelaere P, Vanderplancke T, Bergs J. Risk factors for complications and mortality related to endoscopic procedures in adults. Acta Gastroenterol Belg. 2016;79(1):39-46.
Faraj J, Vegesna A, Mudali I, et al. Survey and management of anaesthesia related complications in PACU. Qatar medical journal. 2012;2012:64-70. doi:10.5339/qmj.2012.2.15
Belcher AW, Leung S, Cohen B, et al. Incidence of complications in the post-anesthesia care unit and associated healthcare utilization in patients undergoing non-cardiac surgery requiring neuromuscular blockade 2005-2013: A single center study. J Clin Anesth. 2017;43:33-38. doi:10.1016/j.jclinane.2017.09.005
Bruins SD, Leong PM, Ng SY. Retrospective review of critical incidents in the post-anaesthesia care unit at a major tertiary hospital. Singapore Med J. 2017;58(8):497-501. doi:10.11622/smedj.2016126
Laporta ML, Sprung J, Weingarten TN. Respiratory depression in the post-anesthesia care unit: Mayo Clinic experience. Bosn J Basic Med Sci. 2021;21(2):221-228. Published 2021 Apr 1. doi:10.17305/bjbms.2020.4816
Abebe B, Kifle N, Gunta M, Tantu T, Wondwosen M, Zewdu D. Incidence and factors associated with post-anesthesia care unit complications in resource-limited settings: An observational study. Health Sci Rep. 2022;5(3):e649. Published 2022 May 23. doi:10.1002/ hsr2.649
Bowden T, Smith D. An overview of adult cardiopulmonary resuscitation equipment .
Nurs Stand. 2017;31(23):54-63. doi:10.7748/ns.2017.e10461
Higuchi K, Kaise M, Noda H, et al. Three-dimensional visualization improves the endoscopic diagnosis of superficial gastric neoplasia. BMC Gastroenterol. 2021;21(1):242. Published 2021 May 28. doi:10.1186/s12876-021-01829-y
Kakushima N, Fujishiro M. Endoscopic submucosal dissection for gastrointestinal neoplasms. World J Gastroenterol. 2008;14(19):2962-2967. doi:10.3748/wjg.14.2962
Wei MT, Ahn JY, Friedland S. Over-the-Scope Clip in the Treatment of Gastrointestinal Leaks and Perforations. Clin Endosc. 2021;54(6):798-804. doi:10.5946/ce.2021.250
Evans RS. Electronic Health Records: Then, Now, and in the Future. Yearb Med Inform. 2016;Suppl 1(Suppl 1):S48-S61. Published 2016 May 20. doi:10.15265/IYS-2016-s006
Shawwa L. The Use of Telemedicine in Medical Education and Patient Care. Cureus. 2023;15(4):e37766. Published 2023 Apr 18. doi:10.7759/cureus.37766
Mlambo M, Silén C, McGrath C. Lifelong learning and nurses' continuing professional development, a metasynthesis of the literature. BMC Nurs. 2021;20(1):62. Published 2021 Apr 14. doi:10.1186/s12912-021-00579-2
García-Álvarez JM, García-Sánchez A. Nursing Roles in the Quality of Information in Informed Consent Forms of a Spanish County Hospital. Nurs Rep. 2024;14(1):89-98. Published 2024 Jan 4. doi:10.3390/nursrep14010008
Arakelian E, Swenne CL, Lindberg S, Rudolfsson G, von Vogelsang AC. The meaning of person-centred care in the perioperative nursing context from the patient's perspective - an integrative review. J Clin Nurs. 2017;26(17-18):2527-2544. doi:10.1111/jocn.13639
King CR, Shambe A, Abraham J. Potential uses of AI for perioperative nursing handoffs: a qualitative study. JAMIA Open. 2023;6(1):ooad015. Published 2023 Mar 16. doi:10.1093/ jamiaopen/ooad015
Mendez KJW, Piasecki RJ, Hudson K, et al. Virtual and augmented reality: Implications for the future of nursing education. Nurse Educ Today. 2020;93:104531. doi:10.1016/j.nedt. 2020.104531
Adapa K, Jain S, Kanwar R, et al. Augmented reality in patient education and health literacy: a scoping review protocol. BMJ Open. 2020;10(9):e038416. Published 2020 Sep 16. doi:10.1136/bmjopen-2020-038416
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