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Investigating the effect of video-based training on adherence of surgical positioning standards: a randomized controlled trial
Background
The operating room is a high-risk environment where proper patient positioning is crucial for minimizing injury and ensuring optimal access to surgical sites. This process requires effective collaboration among surgical team members, particularly operating room nurses who play a vital role in patient safety. Despite advancements in technology, challenges such as pressure injuries persist, with a significant incidence rate. Video-based training (VBT) emerges as a promising educational tool, enhancing knowledge retention and fostering a learner-centered approach. This study aims to evaluate the impact of VBT on adherence to surgical positioning standards, highlighting its potential to improve safety protocols in the operating room.
Methods
In this clinical trial, 62 qualified operating room nurses (50 women, 12 men, average age: 28.90 ± 3.75 years) were randomly divided into control and intervention group (
n
= 31 in each group). The control group only received positioning recommendations, but in the intervention group, in addition to the recommendations, video-based surgical positioning training was performed for 1 month, at least 3 times a week. The performance of nurses in both groups was evaluated through a researcher-made checklist at baseline and post-intervention.
Results
Based on findings, there was no significant difference between the two groups in compliance with surgical positioning standards at baseline (
p
= 0.07). However, after the intervention, compliance scores significantly improved in the VBT group compared to the control group (
p
< 0.001). The VBT group showed a mean improvement of 62.12 points, while the control group improved by 10.77 points (
p
< 0.001).
Conclusions
This preliminary study demonstrated a notable improvement in compliance with surgical positioning standards among operating room nurses following VBT intervention. Despite the promising results, the small sample size and preliminary nature of the research necessitate further studies to confirm these findings and assess long-term outcomes. These initial insights highlight the potential of innovative training methods in enhancing surgical practices.
Journal Article
At home : a short history of private life
\"From one of our most beloved authors, a fascinating excursion into the history behind the place we call home--now richly illustrated with almost four hundred images. A national bestseller, At Home is Bill Bryson's epic chronicle of domestic history. In this lavish new edition, his riveting room-by-room journey of discovery around his house--a Victorian parsonage in southern England--is enhanced by some four hundred carefully selected full color and black and white illustrations. As he did in the hugely successful The Short History of Nearly Everything Illustrated Edition, Bryson complements his sparkling prose with striking illustrations selected from a wide array of sources to create a feast for the eyes as well as the mind. He has one of the liveliest, most inquisitive brains on the planet, and he is a master at turning the seemingly mundane into an occasion for the most diverting exposition imaginable. When you've finished this book, you will see your house--and your daily life--in a new and revelatory light\"-- Provided by publisher.
Book
RETRACTED: Image-guided procedures in the hybrid operating room: A systematic scoping review
The shift from open to minimally invasive procedures with growing complexity has increased the demand for advanced intraoperative medical technologies. The hybrid operating room (OR) combines the functionality of a standard OR with fixed advanced imaging systems to facilitate minimally invasive image-guided procedures.
This systematic scoping review provides an overview of the use of the hybrid OR over the years, and reports on the encountered advantages and challenges.
We conducted a systematic search in PubMed, Embase, Web of Science, and Cochrane library databases for studies that described procedures being performed with the aid of 3D imaging in the hybrid OR.
The search identified 123 studies that described 44 distinct procedures, divided over nine clinical disciplines. The number of studies increased from two in 2010 to 15 in the first five months of 2020. Ninety-nine (80%) of the studies described how 3D imaging was performed in the hybrid OR; 95 (96%) used cone-beam CT; four (4%) used multi-detector CT. Advantages and challenges of the hybrid OR were described in 94 (76%) and 34 (35%) studies, respectively. The most frequently reported advantage of using a hybrid OR is the achievement of more accurate treatment results, whereas elongation of the procedure time is the most important challenge, followed by an increase in radiation dose.
In conclusion, the growing number of clinical disciplines that uses the hybrid OR shows its wide functionality. To optimize its use, future comparative studies should be conducted to investigate which procedures really benefit from being performed in the hybrid OR.
Journal Article
Crafts for revamping your room
\"A variety of crafts to redecorate your room using new and recycled items\"-- Provided by publisher.
BOOK
Bedside POCUS during ward emergencies is associated with improved diagnosis and outcome: an observational, prospective, controlled study
Rapid response teams are intended to improve early diagnosis and intervention in ward patients who develop acute respiratory or circulatory failure. A management protocol including the use of a handheld ultrasound device for immediate point-of-care ultrasound (POCUS) examination at the bedside may improve team performance. The main objective of the study was to assess the impact of implementing such a POCUS-guided management on the proportion of adequate immediate diagnoses in two groups. Secondary endpoints included time to treatment and patient outcomes. Methods A prospective, observational, controlled study was conducted in a single university hospital. Two teams alternated every other day for managing in-hospital ward patients developing acute respiratory and/or circulatory failures. Only one of the team used an ultrasound device (POCUS group). Results We included 165 patients (POCUS group 83, control group 82). Proportion of adequate immediate diagnoses was 94% in the POCUS group and 80% in the control group ( p = 0.009). Time to first treatment/intervention was shorter in the POCUS group (15 [10–25] min vs. 34 [15–40] min, p < 0.001). In-hospital mortality rates were 17% in the POCUS group and 35% in the control group ( p = 0.007), but this difference was not confirmed in the propensity score sample (29% vs. 34%, p = 0.53). Conclusion Our study suggests that protocolized use of a handheld POCUS device at the bedside in the ward may improve the proportion of adequate diagnosis, the time to initial treatment and perhaps also survival of ward patients developing acute respiratory or circulatory failure. Clinical Trial Registration NCT02967809. Registered 18 November 2016, https://clinicaltrials.gov/ct2/show/NCT02967809 .
Journal Article
Thinkterior : amazing bespoke kids interiors
\"This book showcases indoor and outdoor spaces created by Thinkterior, a design firm devoted to designing, fabricating and installing environments for children.\"--Provided by publisher.
Book
Simulation-Based Trial of Surgical-Crisis Checklists
In this study, the authors designed checklists to guide care during operating-room crises and evaluated them in a simulated operating room. The availability of checklists improved adherence to best practices by operating-room teams during simulations of surgical crises.
Operating-room crises (e.g., massive hemorrhage and cardiac arrest) are high-risk, stressful events that require rapid and coordinated care in a time-critical setting. The reported incidence may be rare for an individual practitioner,
1
but the aggregate incidence for a hospital with 10,000 operations a year is estimated to be approximately 145 such events annually.
2
These are situations in which the way the team cares for a patient will make the difference between life and death. Failure to effectively manage life-threatening complications in surgical patients has been recognized as the largest source of variation in surgical mortality among hospitals.
3
–
7
Small-scale studies . . .
Journal Article
At home : a short history of private life
\"From one of our most beloved authors, a fascinating excursion into the history behind the place we call home--now richly illustrated with almost four hundred images. A national bestseller, At Home is Bill Bryson's epic chronicle of domestic history. In this lavish new edition, his riveting room-by-room journey of discovery around his house--a Victorian parsonage in southern England--is enhanced by some four hundred carefully selected full color and black and white illustrations. As he did in the hugely successful The Short History of Nearly Everything Illustrated Edition, Bryson complements his sparkling prose with striking illustrations selected from a wide array of sources to create a feast for the eyes as well as the mind. He has one of the liveliest, most inquisitive brains on the planet, and he is a master at turning the seemingly mundane into an occasion for the most diverting exposition imaginable. When you've finished this book, you will see your house--and your daily life--in a new and revelatory light\"-- Provided by publisher.
BOOK
Digital Escape Rooms as Innovative Pedagogical Tools in Education: A Systematic Literature Review
This paper aims to present a systematic literature review on state-of-the-art Educational Escape Rooms (EERs) with the use of digital technologies. More specifically, the focus of the study is to present the current developments and trends concerning Digital Educational Escape Rooms (DEERs) and investigate how they foster learning outcomes for online learners. Additionally, the present study provides insights into the design process of such technology enhanced EERs. This review is attributed to identifying and covering research gaps since the current literature has focused on the pedagogical aspects of Escape Rooms (ERs) in education, but no studies seem to have been conducted in regard to the pedagogical implications of Digital Escape Rooms (DERs) in educational environments. Based on the exhaustive literature review, an agenda for future research is promised and the implications for designing innovative ER approaches have been highlighted. The anatomy of the fundamental components of conducting systematic literature reviews was followed. The results of the review could be addressed to multidisciplinary teams related to education, game researchers, educational researchers, faculty members, scholars, instructors, and protagonists of educational systems to encourage them to thoroughly study the core elements of DEERs and how they can be applied in virtual educational contexts to facilitate students’ learning achievements.
Journal Article