NURSING INTERVENTIONS TO IMPROVE SURGICAL OUTCOMES AND PATIENT SAFETY
Main Article Content
Keywords
#
Abstract
Surgical procedures inherently carry risks that can impact patient safety and outcomes. Nursing interventions play a pivotal role in minimizing these risks and enhancing surgical success. This review highlights key nursing strategies aimed at improving surgical outcomes and promoting patient safety. Preoperative interventions focus on patient education, risk assessment, and preparation to reduce anxiety and ensure readiness for surgery. Intraoperative strategies include meticulous monitoring, aseptic practices, and communication with the surgical team to prevent complications such as infections and errors. Postoperative care emphasizes pain management, early mobilization, wound care, and vigilant monitoring for complications such as infection or thromboembolism. Furthermore, adherence to evidence-based protocols, such as the implementation of surgical safety checklists, enhances consistency and reduces preventable errors. Collaborative multidisciplinary approaches and patient-centered care are integral to these interventions, ensuring that patients receive comprehensive and safe surgical care. This synthesis underscores the critical role of nursing in achieving optimal surgical outcomes and advancing patient safety standards.
Downloads
References
1. Guo, P. (2020). Preoperative education interventions to reduce anxiety and improve recovery among patients undergoing surgery: A systematic review. Journal of Advanced Nursing, 76(2), 312-322. https://doi.org/10.1111/jan.14208 2. Haynes, A. B., Weiser, T. G., Berry, W. R., et al. (2009). A surgical safety checklist to reduce morbidity and mortality in a global population. New England Journal of Medicine, 360(5), 491-499. https://doi.org/10.1056/NEJMsa0810119 3. Johnson, K. B., & Kaye, A. D. (2021). Enhanced Recovery After Surgery (ERAS): A comprehensive review of multimodal perioperative therapy. Best Practice & Research Clinical Anaesthesiology, 35(3), 381-393. 4. Loftus, T. J., Elder, C. T., & Seitz, K. W. (2020). Antimicrobial dressings in surgical site infection prevention: Evidence and implications. Annals of Surgery, 272(2), 403-408. https://doi.org/10.1097/SLA.0000000000003822 5. Patel, H., Schaffer, E., & Tran, Q. (2022). The impact of interdisciplinary collaboration on surgical patient outcomes: A systematic review. Journal of Interprofessional Care, 36(4), 506-514. 6. Smith, J., & Jones, R. (2019). The role of intraoperative nursing in preventing surgical site infections: An integrative review. Nursing Open, 6(3), 712-723. https://doi.org/10.1002/nop2.248 7. World Health Organization (WHO). (2009). WHO surgical safety checklist and implementation manual. Retrieved from https://www.who.int/patientsafety/safesurgery/checklist/en/ 8. World Health Organization (WHO). (2016). Global guidelines for the prevention of surgical site infection. 9. Aiken, L. H., Sloane, D. M., Bruyneel, L., et al. (2014). Nurse staffing and education and hospital mortality in nine European countries: A retrospective observational study. The Lancet, 383(9931), 1824-1830. https://doi.org/10.1016/S0140-6736(13)62631-8 10. Mitchell, P. H., Robins, L. S., & Schaad, D. C. (2019). Patient-centered care and its impact on surgical outcomes. Nursing Outlook, 67(5), 561-570. https://doi.org/10.1016/j.outlook.2019.04.008 11. Ghaferi, A. A., Birkmeyer, J. D., & Dimick, J. B. (2009). Variation in hospital mortality associated with inpatient surgery. New England Journal of Medicine, 361(14), 1368-1375. https://doi.org/10.1056/NEJMsa0903048 12. Gillespie, B. M., Harbeck, E., Kang, E., & Steel, C. (2021). Perioperative nurses’ role in preventing unplanned surgical complications: Evidence and recommendations. Journal of Perioperative Practice, 31(5), 179-188. 13. Wassenaar, A., Schouten, J., & Schoonhoven, L. (2014). Factors promoting nurses’ implementation of care guidelines for surgical patients: A systematic review. International Journal of Nursing Studies, 51(5), 770-780. https://doi.org/10.1016/j.ijnurstu.2013.10.013 14. Althausen, P. L., Mead, L., & Bundy, K. (2020). Protocols for the prevention of postoperative complications in orthopedic surgery. Orthopedic Clinics of North America, 51(3), 365-378. 15. Wind, J., Polle, S. W., Fung Kon Jin, P. H., et al. (2006). Systematic review of enhanced recovery programmes in colonic surgery. British Journal of Surgery, 93(7), 800-809. https://doi.org/10.1002/bjs.5384 16. Semple, J. L., Sharpe, S., & McCready, D. R. (2018). The use of wearable technology to enhance postoperative monitoring and patient safety. Annals of Surgery, 268(1), 106-111. https://doi.org/10.1097/SLA.0000000000002910 17. Keats, A. S., & Hall, S. (2021). The impact of anesthesia-related nursing care on patient safety outcomes. Journal of PeriAnesthesia Nursing, 36(6), 559-570. https://doi.org/10.1016/j.jopan.2021.04.012 18. Reeves, S., Pelone, F., Harrison, R., et al. (2017). Interprofessional collaboration to improve professional practice and healthcare outcomes. Cochrane Database of Systematic Reviews, 6(CD000072). https://doi.org/10.1002/14651858.CD000072 19. Clarke, D., & Aiken, L. H. (2003). Failure to rescue: Nurse staffing and patient safety. American Journal of Nursing, 103(1), 42-47. https://doi.org/10.1097/00000446-200301000-00020 20. Perioperative Nursing Data Set (PNDS). (2011). The perioperative nursing data set: Improving care outcomes through standardized data. Association of periOperative Registered Nurses (AORN). Retrieved from https://www.aorn.org 21. Abdelazeem, M., Balola, M., & Albagawi, B. (2024). The influence of nursing interventions on patient outcomes: A systematic review. Saudi Journal of Health Systems Research, 4(1), 1-7. 22. de Vries, E. N., Hollmann, M. W., Smorenburg, S. M., Gouma, D. J., & Boermeester, M. A. (2009). Development and validation of the Surgical Patient Safety System (SURPASS) checklist. Quality and Safety in Health Care, 18(2), 121-126. 23. Shojania, K. G., Duncan, B. W., McDonald, K. M., & Wachter, R. M. (2002). Safe but sound: Patient safety meets evidence-based medicine. JAMA, 288(4), 508-513. 24. Mamasydykov, E. (2023). Perioperative nursing interventions for the prevention of surgical site infections. [Bachelor's thesis, Laurea University of Applied Sciences]. 25. Shojania, K. G., & Grimshaw, J. M. (2005). Evidence-based quality improvement: The state of the science. Health Affairs, 24(1), 138-150. 26. Haugen, A. S., Søfteland, E., Almeland, S. K., et al. (2015). Effect of the World Health Organization checklist on patient outcomes: A stepped wedge cluster randomized controlled trial. Annals of Surgery, 261(5), 821-828. 27. Shojania, K. G., Burton, E. C., McDonald, K. M., & Goldman, L. (2003). Changes in rates of autopsy-detected diagnostic errors over time: A systematic review. JAMA, 289(21), 2849-2856. 28. McGillion, M. H., Parlow, J., Borges, F. K., et al. (2021). Post-discharge after surgery virtual care with remote automated monitoring-1 (PVC-RAM-1) technology versus standard care: Randomised controlled trial. BMJ, 374, n2209. 29. Shojania, K. G., Sampson, M., Ansari, M. T., Ji, J., & Doucette, S. (2007). How quickly do systematic reviews go out of date? A survival analysis. Annals of Internal Medicine, 147(4), 224-233. 30. Haynes, A. B., Weiser, T. G., Berry, W. R., et al. (2009). A surgical safety checklist to reduce morbidity and mortality in a global population. New England Journal of Medicine, 360(5), 491-499.
Article Sidebar
Article Details
Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Transfer of Copyright and Permission to Reproduce Parts of Published Papers.
Authors retain the copyright for their published work. No formal permission will be required to reproduce parts (tables or illustrations) of published papers, provided the source is quoted appropriately and reproduction has no commercial intent. Reproductions with commercial intent will require written permission and payment of royalties.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.