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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
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
Crafts for revamping your room
\"A variety of crafts to redecorate your room using new and recycled items\"-- 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
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
Enhancing Integrity and Economic Efficiency Through Effective Details Management of Operating Room Devices
This study aims to assess the impact of details management on the handling of instruments in the operating room, comprehensively evaluating its impact on device intactness, economic efficiency, overall care quality, and physician satisfaction.
We analyzed 1050 procedural packs used in our hospital from March to December 2019. The control group included 525 procedural packs with conventional management (March-August 2019), while the experimental group had 525 instrument packs with details management. Outcome measures included operating room device use, surgical care quality, and device tracking outcome.
Details management showed significantly higher device intactness (97.73%), a marked decrease in device preparation errors (0.00%), and more efficient device checking time (1.13±0.41) compared to conventional management (84.09%, 11.36%, 2.85±1.03) (P < .05). The experimental group had higher scores in intraoperative nursing ability, nursing operating specification, nursing staff professionalism, and device care quality (9.08±0.31, 9.23±0.32, 9.17±0.55, 97.81±0.96) compared to the control group (8.11±0.67, 7.98±0.98, 8.35±0.69, 75.25±1.87) (P < .05). Details management was associated with higher economic efficiency and lower incidences of device loss and mix-up compared to conventional management (P < .05).
Implementing details management in instrument handling positively affects device intactness, economic efficiency, overall care quality, and physician satisfaction. It enhances device intactness, reduces device checking time, improves economic efficiency and overall care quality, and increases physician satisfaction. The findings provide insights into the benefits of a detailed instrument management approach in a hospital setting.
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
Teacher vision: expert and novice teachers' perception of problematic classroom management scenes
Visual expertise has been explored in numerous professions, but research on teachers' vision remains limited. Teachers' visual expertise is an important professional skill, particularly the ability to simultaneously perceive and interpret classroom situations for effective classroom management. This skill is complex and relies on an awareness of classroom events. Using eye tracking measurements and verbal think aloud, we investigated differences in how expert and novice teachers perceive problematic classroom scenes. Sixty-seven teachers participated, 35 experienced secondary school teachers (experts) and 32 teachers-in-training (novices). Participants viewed videos of authentic lessons and their eye movements were recorded as they verbalized thoughts about what they had seen in the lesson and how it was relevant to classroom management. Two different types of videos were viewed: lesson fragments showing (1) multiple events depicting disengaged students with no overt disruptions and (2) multiple events that included a prominent disruptive event affecting the class. Analysis of eye movements showed that novices' viewing was more dispersed whereas experts' was more focused. Irrespective of the video type, expert teachers focused their attention on areas where relevant information was available, while novice teachers' attention was more scattered across the classroom. Experts' perception appears to be more knowledge-driven whereas novices' appears more image-driven. Experts monitored more areas than novices, while novices skipped more areas than experts. Word usage also differed, showing that expertise was associated with a higher frequency of words referencing cognition, perception, and events than novices.
Journal Article