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      Innovaciones que pueden cambiarlo todo: el futuro de la enfermería quirúrgica Translated title: Innovations that can change everything: the future of surgical nursing

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          Abstract

          Resumen La posibilidad de recoger y estructurar datos de forma masiva en los bloques quirúrgicos supone un salto cualitativo en la capacidad de generar nuevos conocimientos y algoritmos. Esta revisión literaria recopila innovaciones recientes en el entorno quirúrgico en relación con la mejora de los recursos materiales y humanos, de la seguridad del paciente y de las comunicaciones, incorporando distintas visiones sobre el impacto de este nuevo contexto para la Enfermería Quirúrgica.

          Translated abstract

          Abstract The possibility of collecting and structuring data massively in the surgical blocks represents a qualitative leap in the ability to generate new knowledge and algorithms. This new context, in addition to requiring Nursing greater capacity for technological adaptation, could mean the transformation of their professional role. This literary review describes recent innovations in the surgical environment in relation to the improvement of material and human resources, patient safety and communications. Surgical nursing should adapt its role claiming the care of psychosocial care, a task that is not susceptible to be automated.

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          Most cited references32

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          Better Nurse Autonomy Decreases the Odds of 30-Day Mortality and Failure to Rescue

          Research Purpose Autonomy is essential to professional nursing practice and is a core component of good nurse work environments. The primary objective of this study was to examine the relationship between nurse autonomy and 30-day mortality and failure to rescue (FTR) in a hospitalized surgical population. Study Design This study was a secondary analysis of cross-sectional data. It included data from three sources: patient discharge data from state administrative databases, a survey of nurses from four states, and the American Hospital Association annual survey from 2006–2007. Methods Survey responses from 20,684 staff nurses across 570 hospitals were aggregated to the hospital level to assess autonomy measured by a standardized scale. Logistic regression models were used to estimate the relationship between nurse autonomy and 30-day mortality and FTR. Patient comorbidities, surgery type, and other hospital characteristics were included as controls. Findings Greater nurse autonomy at the hospital level was significantly associated with lower odds of 30-day mortality and FTR for surgical patients even after accounting for patient risk and structural hospital characteristics. Each additional point on the nurse autonomy scale was associated with approximately 19% lower odds of 30-day mortality (p < .001) and 17% lower odds of failure to rescue (p < .01). Conclusions Hospitals with lower levels of nurse autonomy place their surgical patients at an increased risk for mortality and FTR. Clinical Relevance Patients receiving care within institutions that promote high levels of nurse autonomy have a lower risk for death within 30 days and complications leading to death within 30 days. Hospitals can actively take steps to encourage nurse autonomy to positively influence patient outcomes.
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            Surgical team turnover and operative time: An evaluation of operating room efficiency during pulmonary resection

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              Real-time instrument detection in minimally invasive surgery using radiofrequency identification technology.

              A key part of surgical workflow recording is recognition of the instrument in use. We present a radiofrequency identification (RFID)-based approach for real-time tracking of laparoscopic instruments.
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                Author and article information

                Journal
                ene
                Ene
                Ene.
                Martín Rodríguez Álvaro (Santa Cruz de La Palma, La Palma, Spain )
                1988-348X
                2020
                : 14
                : 2
                : 14206
                Affiliations
                [1] orgname
                Article
                S1988-348X2020000200006 S1988-348X(20)01400200006
                afd0a172-5d40-42b1-b89b-b583f93615a4

                This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

                History
                : 01 May 2020
                : 01 November 2018
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 32, Pages: 0
                Product

                SciELO Spain

                Categories
                Artículos

                organizational innovation,technology,perioperative nursing,enfermería quirúrgica,enfermería de quirófano,tendencias,automatización,innovación organizacional,tecnología,operating room nursing,trends,automation

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