Nurses' Experience of Patient Care in Multibed Hospital Rooms: Results From In-Depth Interviews With Nurses After Further Education in Anesthesia.
CONCLUSIONS: The present study characterized well-defined and easily recognizable clinical problems experienced in the care of patients in an MBR setting from a nurse's perspective. The opinion shared by most nurses was that the inability to implement privacy, dignity, and sound communication with patients should be taken into account in future hospital designs. General dissatisfaction with work environment, increased stress, and the risk of errors in care may otherwise follow. PMID: 29362050 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - January 26, 2018 Category: Nursing Authors: Krupic F, Sköldenberg O, Samuelsson K, Eisler T Tags: J Perianesth Nurs Source Type: research

Tips, Tricks, and Techniques for Managing the Chronic Pain Patient in the Ambulatory Setting.
PMID: 29362051 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - January 26, 2018 Category: Nursing Authors: Dubos KE Tags: J Perianesth Nurs Source Type: research

Daily Intentional Nurse Leader Rounding on  Patients.
Daily Intentional Nurse Leader Rounding on Patients. J Perianesth Nurs. 2018 Feb;33(1):90-95 Authors: Hudson-Covolo JL, Rivers R, Irwin B PMID: 29362052 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - January 26, 2018 Category: Nursing Authors: Hudson-Covolo JL, Rivers R, Irwin B Tags: J Perianesth Nurs Source Type: research

Promoting Evidence-Based Practice and Dispelling Urban Legends to Achieve Safer Pain Management.
PMID: 29362053 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - January 26, 2018 Category: Nursing Authors: Quinlan-Colwell A Tags: J Perianesth Nurs Source Type: research

Tips, Tricks, and Techniques for Managing the Chronic Pain Patient in the Ambulatory Setting
TREATING A PATIENT with chronic pain in the ambulatory care setting can pose quite a challenge. Oftentimes, both the nurse and patient can leave the postanesthesia care unit with feelings of dissatisfaction. The patient may report that pain was not effectively addressed, or the patient may express concern regarding future pain management plans of care. Patients can experience anxiety around the actions of the health care providers throughout the perioperative process. The nurse may question why the patient's reported pain was not successfully treated or managed. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - January 22, 2018 Category: Nursing Authors: Kate E. Dubos Tags: Ambulatory Surgery Source Type: research

A Daily Dose of Positive Perspective
EVERY YEAR IN FEBRUARY, perianesthesia nurses celebrate their practice with PeriAnesthesia Nurse Awareness Week (PANAW). It is a time for celebration and validation of just how valued our specialty practice is —to our patients, our facilities, and especially to ourselves and our colleagues. I like to think of it as a time of reckoning, when we come together with a common purpose—recognition and appreciation for our unique specialty and each other. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - January 22, 2018 Category: Nursing Authors: Christine M. Price Tags: The Back Page Source Type: research

Promoting Evidence-Based Practice and Dispelling Urban Legends to Achieve Safer Pain Management
TODAY, MANY NURSES in the perianesthesia setting help patients control their pain by administering pain medications prescribed by orders in which the analgesic medication is dosed according to pain intensity (either number or descriptive word). Many nurses find this practice challenging, particularly when patients are stirred and then report high numeric pain ratings, yet are noted to be somnolent. This practice of tying an analgesic dose to a pain intensity rating is relatively new, beginning early in the 21st century when a  movement started to eliminate as needed (prn) range orders. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - January 22, 2018 Category: Nursing Authors: Ann Quinlan-Colwell Tags: Pain Care Source Type: research

Daily Intentional Nurse Leader Rounding on  Patients
THE CENTERS for Medicare and Medicaid Services  put in place a national patient survey of patient perceptions of care beginning in 2008. Patients are surveyed on their discharge from the acute care hospital to determine their ratings for a series of standardized questions. The survey is a 32-question instrument measuring the patient's percepti on of their experience within the hospital. In October 2012, it became mandatory for hospital's reimbursement to be tied to this value-based purchasing program. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - January 22, 2018 Category: Nursing Authors: Jeffery L. Hudson-Covolo, Rose Rivers, Brandy Irwin Tags: EBP: Evidence to Practice Source Type: research

2018: The Year of Balance
READY OR NOT, 2018 has arrived. Each year it seems that time passes more quickly. Many of us established New Year's resolutions in January, but by February, 80% of these resolutions will have fallen by the wayside.1 It is hard to establish new habits, particularly when those habits focus on diet and exercise. I have, to a certain extent, given up making New Year's resolutions, opting for general maintenance of a healthy lifestyle instead. I'm not always successful, but I do find that just striving for a balance between self, profession, and society is a good practice for me. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - January 22, 2018 Category: Nursing Authors: Vallire D. Hooper Tags: Editorial Opinion Source Type: research

Information for Readers
(Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - January 22, 2018 Category: Nursing Source Type: research

Editorial Board
(Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - January 22, 2018 Category: Nursing Source Type: research

Table of Contents
(Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - January 22, 2018 Category: Nursing Source Type: research

Acknowledgment of Reviewers
The Journal of PeriAnesthesia Nursing thanks its reviewers for helping make the Journal a success. The following individuals are gratefully acknowledged for their time and effort in reviewing manuscripts in 2017. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - January 22, 2018 Category: Nursing Source Type: research

Patients' Experiences During Carotid Endarterectomy Performed Under Local Anesthesia
To describe patients' experiences undergoing a carotid endarterectomy (CEA) under local anesthesia. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - January 19, 2018 Category: Nursing Authors: Anna Ericsson, Camilla Hult, Christine Kumlien Tags: Original Article Source Type: research

Preoperative Pain Management Education: An Evidence-Based Practice Project
The purpose of this evidence-based practice project was to evaluate the effectiveness of a preoperative pain management patient education intervention on improving patients' pain management outcomes. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - January 19, 2018 Category: Nursing Authors: Katherine F. O'Donnell Tags: Original Article Source Type: research

Patients' Experiences During Carotid Endarterectomy Performed Under Local Anesthesia
To describe patients' experiences undergoing a carotid endarterectomy (CEA) under local anesthesia. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - January 19, 2018 Category: Nursing Authors: Anna Ericsson, Camilla Hult, Christine Kumlien Tags: Original Article Source Type: research

Preoperative Pain Management Education: An Evidence-Based Practice Project
The purpose of this evidence-based practice project was to evaluate the effectiveness of a preoperative pain management patient education intervention on improving patients' pain management outcomes. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - January 19, 2018 Category: Nursing Authors: Katherine F. O'Donnell Tags: Original Article Source Type: research

The Swedish Safety Attitudes Questionnaire —Operating Room Version: Psychometric Properties in the Surgical Team
To validate the Swedish Safety Attitudes Questionnaire –operating room (SAQ-OR) version by re-evaluating its psychometric properties for the surgical team. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - January 6, 2018 Category: Nursing Authors: Ulrica Nilsson, Camilla G öras, Fan Yang Wallentin, Anna Ehrenberg, Maria Unbeck Tags: Original Article Source Type: research

Benefits of Passive Warming on Surgical Patients Undergoing Regional Anesthetic Procedures
The purpose of this quality improvement project was to determine if application of preoperative passive warming methods would maintain body temperature in patients receiving regional anesthetic procedures (RAPs). (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - January 6, 2018 Category: Nursing Authors: Amy K. Williams Tags: Original Article Source Type: research

The Swedish Safety Attitudes Questionnaire —Operating Room Version: Psychometric Properties in the Surgical Team
To validate the Swedish Safety Attitudes Questionnaire –operating room (SAQ-OR) version by re-evaluating its psychometric properties for the surgical team. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - January 6, 2018 Category: Nursing Authors: Ulrica Nilsson, Camilla G öras, Fan Yang Wallentin, Anna Ehrenberg, Maria Unbeck Tags: Original Article Source Type: research

Benefits of Passive Warming on Surgical Patients Undergoing Regional Anesthetic Procedures
The purpose of this quality improvement project was to determine if application of preoperative passive warming methods would maintain body temperature in patients receiving regional anesthetic procedures (RAPs). (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - January 6, 2018 Category: Nursing Authors: Amy K. Williams Tags: Original Article Source Type: research

Perianesthesia Nurses and the Family Caregiver.
PMID: 29157756 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - November 22, 2017 Category: Nursing Authors: Odom-Forren J Tags: J Perianesth Nurs Source Type: research

Letter to the Editor.
PMID: 29157757 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - November 22, 2017 Category: Nursing Authors: Olson I Tags: J Perianesth Nurs Source Type: research

Reply.
PMID: 29157758 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - November 22, 2017 Category: Nursing Authors: Hofmann D Tags: J Perianesth Nurs Source Type: research

Effect of Preoperative Education on Postoperative Outcomes Among Patients Undergoing Cardiac Surgery: A Systematic Review and Meta-Analysis.
The objective of this review was to assess the effect of preoperative education on postoperative outcomes among patients undergoing cardiac surgery. DESIGN: Systematic review and meta-analysis. METHODS: A comprehensive literature search was made on PubMed, CINAHL, Ovid, ProQuest, ScienceDirect, Scopus, Web of Science, and the Cochrane database between 1995 and 2015. Fourteen randomized controlled trials were included. Data analysis was performed with RevMan software and created the Supplementary Appendix using the GRADE approach. FINDINGS: Meta-analysis showed that preoperative education reduced anxiety scor...
Source: Journal of Perianesthesia Nursing - November 22, 2017 Category: Nursing Authors: Ramesh C, Nayak BS, Pai VB, Patil NT, George A, George LS, Devi ES Tags: J Perianesth Nurs Source Type: research

The Use of Aromatherapy for Postoperative Pain Management: A Systematic Review of Randomized Controlled Trials.
CONCLUSIONS: Although AT is presented as an inexpensive complementary treatment with a low rate of adverse effects that improves patient satisfaction, it cannot be determined that there is sufficient evidence to conclude its effectiveness as a nonpharmacologic approach to the reduction of postoperative pain intensity. PMID: 29157760 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - November 22, 2017 Category: Nursing Authors: Dimitriou V, Mavridou P, Manataki A, Damigos D Tags: J Perianesth Nurs Source Type: research

Competence Assessment Instruments in Perianesthesia Nursing Care: A Scoping Review of the Literature.
CONCLUSIONS: Integrating more than one data collection method may give support to overcoming some of the limitations, such as lack of objectivity and misinterpretation of the assessment results. In an ever-changing environment, perianesthesia nursing competence requires constant reassessment from the perspective of content validity, scoring methods, and reliability. PMID: 29157761 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - November 22, 2017 Category: Nursing Authors: Jeon Y, Lakanmaa RL, Meretoja R, Leino-Kilpi H Tags: J Perianesth Nurs Source Type: research

Postanesthesia Scoring Methods: An Integrative Review of the Literature.
CONCLUSIONS: There is a need for the development and trial of an evidence based first stage PACU discharge score. PMID: 29157762 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - November 22, 2017 Category: Nursing Authors: Hawker RJ, McKillop A, Jacobs S Tags: J Perianesth Nurs Source Type: research

Does Site Matter? Comparing Accuracy and Patient Comfort of Blood Glucose Samples Taken From the Finger and Palm of the Perioperative Patient.
This study compared two blood glucose (BG) point of care sampling methods to determine which is least painful yet accurate. DESIGN: The two-period, two-treatment crossover trial compared the traditional fingertip sampling method to a form of alternative site testing (AST), palm of the hand. METHODS: Subjects received both methods of BG sampling to compare comfort and accuracy. They were randomly assigned to determine which method was used first. Pain rating (0 to 10) and glucose results for both methods were documented. FINDING: Results indicated that pain rating was significantly lower with AST (1.65) ...
Source: Journal of Perianesthesia Nursing - November 22, 2017 Category: Nursing Authors: Farmer L, Winfield C, Quatrara B, Letzkus L, Schenck P, Finneran P, Pollak D, McCaskill C, Nealy R, Conaway M Tags: J Perianesth Nurs Source Type: research

Perianesthesia Nurses Are My Second Family: A Qualitative Descriptive Study.
CONCLUSIONS: Results demonstrate the need to create and sustain consistently respectful perianesthesia work cultures. Research focusing on unit specific approaches to work distribution, communication, leadership, and technology use is needed. PMID: 29157764 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - November 22, 2017 Category: Nursing Authors: Seefeldt J, Wood S, Bolton P, Fitzpatrick T, Stegenga K, Roberts C Tags: J Perianesth Nurs Source Type: research

The Effect of Preoperative Oral Carbohydrate Solution Intake on Patient Comfort: A Randomized Controlled Study.
E, Baydur H Abstract PURPOSE: The study was conducted to investigate the effect of preoperative oral carbohydrate loading on the preoperative discomforts and postoperative complications of patients undergoing elective thyroidectomy. DESIGN: A randomized controlled clinical trial. METHODS: Ninety patients scheduled for thyroidectomy were divided into three groups: (1) those receiving a carbohydrate-rich drink (CHD), (2) those receiving an overnight 5% glucose intravenous infusion, and (3) those fasting from midnight. The preoperative discomforts and postoperative complications of patients were evaluated u...
Source: Journal of Perianesthesia Nursing - November 22, 2017 Category: Nursing Authors: Çakar E, Yilmaz E, Çakar E, Baydur H Tags: J Perianesth Nurs Source Type: research

Safety of Rolled and Folded Cotton Blankets Warmed in 130 °F and 200°F Cabinets.
CONCLUSIONS: This study provides supportive evidence that warming cabinets may be set at a maximum of 200°F without compromising patient safety. PMID: 29157766 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - November 22, 2017 Category: Nursing Authors: Kelly PA, Morse EC, Swanfeldt JV, Adams AN, Crandall CG, Rush DA, Krogh ML, Cooper SK Tags: J Perianesth Nurs Source Type: research

Nurses' Perceptions of Patient Care Continuity in Day Surgery.
CONCLUSIONS: Based on nurses' perceptions, continuity of care was relatively well realized. PMID: 29157767 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - November 22, 2017 Category: Nursing Authors: Renholm M, Suominen T, Puukka P, Leino-Kilpi H Tags: J Perianesth Nurs Source Type: research

Identifying Nurse Anesthetists' Professional Identity.
CONCLUSIONS: RNAs are at risk of downsizing psychosocial and relational aspects of fundamentals of care in favor of performing technological procedures, and RNAs' professional values are influenced by the work culture in the Department of Anesthesiology. PMID: 29157768 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - November 22, 2017 Category: Nursing Authors: Aagaard K, Sørensen EE, Rasmussen BS, Laursen BS Tags: J Perianesth Nurs Source Type: research

Rethinking Perianesthesia Orientation.
CONCLUSIONS: Perianesthesia nursing has a distinct body of knowledge. Although conventional wisdom suggests that using a single preceptor for nursing orientation leads to better outcomes, our study indicates that allowing orientees to remain in one area until a level of competency is achieved may be more effective. PMID: 29157769 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - November 22, 2017 Category: Nursing Authors: Symmerman L, Kuhns KA, Crockett J, Slade M Tags: J Perianesth Nurs Source Type: research

The Prevention and Recognition of Ulnar Nerve and Brachial Plexus Injuries.
This article will review the clinical presentation, pathophysiology, causative and risks factors, and preventive measures for the two most common nerve injuries. Knowledge of the anatomical structures and components of peripheral nerves prone to injuries during surgery can assist in defining precautionary actions in the perioperative setting. Positioning techniques in the operating room, early recognition of neuropathies, and use of a perioperative tool in the postoperative setting are keys to reduce significant clinical complications. PMID: 29157770 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - November 22, 2017 Category: Nursing Authors: Duffy BJ, Tubog TD Tags: J Perianesth Nurs Source Type: research

Situational Awareness in Critical Care: An Aviation Approach to Reduce Error.
PMID: 29157771 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - November 22, 2017 Category: Nursing Authors: Rodriguez AC, Lee DA, Makic MBF Tags: J Perianesth Nurs Source Type: research

Taking Bullying Out of Health Care: A Patient Safety Imperative.
PMID: 29157772 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - November 22, 2017 Category: Nursing Authors: Ross J Tags: J Perianesth Nurs Source Type: research

The Culture of Kindness.
PMID: 29157773 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - November 22, 2017 Category: Nursing Authors: Iacono MV Tags: J Perianesth Nurs Source Type: research

Erratum.
Authors: PMID: 29157774 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - November 22, 2017 Category: Nursing Tags: J Perianesth Nurs Source Type: research

Ketamine-What Is Old Is New Again.
PMID: 29157775 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - November 22, 2017 Category: Nursing Authors: Golembiewski J Tags: J Perianesth Nurs Source Type: research

Dress Code in the Perianesthesia Setting.
PMID: 29157776 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - November 22, 2017 Category: Nursing Authors: Clifford T Tags: J Perianesth Nurs Source Type: research

Considering the Literature.
PMID: 29157777 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - November 22, 2017 Category: Nursing Authors: Fetzer SJ Tags: J Perianesth Nurs Source Type: research

Reflecting on Racial Disparities in Pediatric Care: Can Perianesthesia Care Nurses Make a Difference?
PMID: 29157778 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - November 22, 2017 Category: Nursing Authors: Voepel-Lewis T, Nafiu OO Tags: J Perianesth Nurs Source Type: research

What's the Big Deal About Evidence-Based Practice?
PMID: 29157779 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - November 22, 2017 Category: Nursing Authors: Mamaril ME Tags: J Perianesth Nurs Source Type: research

What's the Big Deal About Evidence-Based Practice?
AT 9:30 P.M., YOUR 16-year-old son presents to the postanesthesia care unit (PACU) after undergoing an emergency laparoscopic appendectomy with an open exploratory laparotomy. The surgeon reports that the appendix ruptured and that more likely than not your son is now septic. This is real. The nightmare that other parents experience while in your care is now happening to you, the mother. You inquire from your son's PACU nurse what the hospital's evidence-based sepsis protocol is and how soon it will be initiated for your teenager? You know that his best chance of an effective recovery from sepsis is based on the best scien...
Source: Journal of PeriAnesthesia Nursing - November 21, 2017 Category: Nursing Authors: Myrna E. Mamaril Tags: The Back Page Source Type: research

Letter to the Editor
“Acupressure in Management of Postoperative Nausea and Vomiting in High-Risk Ambulatory Surgical Patients” was published in the August 2017 issue of Journal of PeriAnesthesia Nursing. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - November 21, 2017 Category: Nursing Authors: Irene Olson Tags: Letters to the Editor Source Type: research

Reply
Thank you for your inquiry and thoughtful comments. Peer review and discourse are essential to nursing's new knowledge and innovation. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - November 21, 2017 Category: Nursing Authors: Debra Hofmann Tags: Letter to the Editor Source Type: research

Perianesthesia Nurses and the Family Caregiver
NOVEMBER WAS FAMILY caregiver recognition month, focusing on the challenges family caregivers face when their loved ones need around-the-clock care. While perianesthesia nurses typically deal with short-term acute care needs that affect caregivers, we also interface with caregivers responsible for chronic care needs. Examples include the Alzheimer's patient who is cared for by his wife at home after an ambulatory orthopaedic procedure, or a chronically ill or aged parent with arthritis who had surgery for cataracts and is cared for by adult children. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - November 21, 2017 Category: Nursing Authors: Jan Odom-Forren Tags: Editorial Opinion Source Type: research

Erratum
In the original article, “The Nurse Anesthetists' Adherence to Swedish National Recommendations to Maintain Normothermia in Patients During Surgery,” by Ingrid L. Gustafsson, Carina Elmqvist, Mona From-Attebring, Ingrid Johansson, and Mikael Rask (32:5;409-418), the following textual updates have been made to the online version of the article: (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - November 21, 2017 Category: Nursing Tags: Erratum Source Type: research