Effects of three endotracheal tube cuff pressure control measures on microaspiration of gastric content: Study protocol for randomised controlled trial.

AIM: To analyse the effect of endotracheal tube cuff pressure control measures on the microaspiration of the stomach contents by measuring at the level of pepsin in deep tracheal aspiration. DESIGN: A single-blind, randomised controlled trial. METHODS: This trial protocol was reported using the SPIRIT checklist. Endotracheal tube cuff pressure control will be provided with pilot balloon finger palpation, intermittent and continuous. The pepsin level will be measured during deep tracheal secretions in order to assess the effect of different endotracheal tube cuff pressure control measures on the microaspiration of the stomach contents. The samples will be examined within the first 4 h, between the 5th and 24th hours, and between the 25th and 48th hours after intubation. The level of pepsin will be considered positive according to the cut-off value. In addition, the effect of different endotracheal tube cuff pressure controls on the incidence of ventilator-associated pneumonia will be examined. In study group 1, study group 2 and the control group, the number of patients is planned to be 56. TRIAL REGISTRATION: ClinicalTrials.gov Identifier, Number NCT04061083. Registered in 2019. DISCUSSION: The findings will show the effect of different endotracheal tube cuff pressure control methods on microaspiration of stomach content and the possible changes in pepsin level in deep tracheal aspirates. CONCLUSION: This study will shed light on future studies regarding pepsin level as a biomarker in treatment and follow-up patients receiving mechanical ventilator support using an ETT and emphasise the importance of multidisciplinary studies. RELEVANCE TO CLINICAL PRACTICE: As a result of the findings to be obtained from this study, the effect of endotracheal tube cuff pressure control on gastric content microaspiration and ventilator-associated pneumonia will be determined and the most appropriate endotracheal tube cuff pressure control method will be identified to prevent it. Nurses' awareness of endotracheal tube cuff pressure measurement methods will be increased. The frequency and methods of endotracheal tube cuff pressure control will provide strong evidence that can be included in the ventilator-associated pneumonia prevention care bundle.

Conhecimento e conscientização de estudantes de enfermagem sobre o uso da nanotecnologia na área da saúde / Conocimiento y concientización de estudiantes de enfermería sobre el uso de la nanotecnología en el área de salud / Knowledge and awareness of nursing students on the use of nanotechnology in healthcare

Resumo Objetivo Verificar o conhecimento dos estudantes de enfermagem sobre o uso da nanotecnologia na área da saúde e aumentar sua sensibilidade para o assunto nos próximos anos. Métodos Estudo descritivo realizado com 523 estudantes de graduação em enfermagem. Os dados foram coletados por meio de um questionário online entre janeiro e fevereiro de 2018. Resultados A média de idade dos alunos foi de 21,7 ± 3,9 anos; 61,6% eram do sexo feminino. 29,4% afirmaram que a nanotecnologia deve ser utilizada na medicina, e 38,0% afirmaram que ela deve ser utilizada especialmente no diagnóstico, tratamento de doenças e na produção de novos equipamentos médicos. O maior percentual (38,8%) afirmou que a vantagem da nanotecnologia é a economia de tempo, enquanto 39,1% apontaram como desvantagem os seus efeitos tóxicos. Os alunos também afirmaram que ela deve ser utilizada no diagnóstico e tratamento de osteoporose, doenças cardiovasculares, diabetes mellitus, cicatrização de feridas e na produção de novos materiais. Conclusão De acordo com os resultados do estudo, os alunos chegaram às informações sobre nanotecnologia com seus esforços. Para os alunos, a nanotecnologia deveria ser mais utilizada na medicina, especialmente no diagnóstico-tratamento de doenças e na produção de novos equipamentos médicos. Eles determinaram a economia de tempo e os efeitos tóxicos como a principal vantagem e desvantagem da nanotecnologia, respectivamente. Sugerimos a importância de incluir esta tecnologia em treinamentos em hospitais e no currículo das faculdades.

Resumen Objetivo El objetivo de este estudio fue verificar el conocimiento de los estudiantes de enfermería sobre el uso de la nanotecnología en el área de la salud y aumentar su sensibilidad para el asunto en los próximos años. Métodos Estudio descriptivo realizado con 523 estudiantes universitarios de enfermería. Los datos fueron recopilados por medio de un cuestionario realizado en línea entre enero y febrero de 2018. Resultados La edad promedio de los alumnos fue de 21,7 ± 3,9; el 61,6 % era del sexo femenino. El 29,4 % de los alumnos afirmó que la nanotecnología debe ser utilizada en la medicina, mientras que el 38,0 % afirmó que debe ser especialmente utilizada en el diagnóstico, en el tratamiento de enfermedades y en la producción de nuevos equipos médicos. El mayor porcentaje (38,8 %) afirmó que la ventaja de la nanotecnología es el ahorro de tiempo, mientras que el 39,1 % afirmó que sus efectos tóxicos son una desventaja. Los alumnos también afirmaron que se debe utilizar en el diagnóstico y tratamiento de la osteoporosis, enfermedades cardiovasculares, diabetes mellitus, cicatrización de heridas y en la producción de nuevos materiales. Conclusión De acuerdo con los resultados del estudio, los alumnos llegaron a la información sobre nanotecnología mediante sus esfuerzos. Los alumnos consideraban que la nanotecnología debería ser más utilizada en la medicina. Expresaron que se debe usar especialmente en el diagnóstico-tratamiento de enfermedades y en la producción de nuevos equipos médicos. Determinaron las principales ventajas y desventajas de la nanotecnología, como el ahorro de tiempo y los efectos tóxicos, respectivamente. Sugerimos que es importante incluir esta tecnología en capacitaciones en servicio en hospitales y en diseños curriculares de las facultades.

Abstract Objective To determine nursing students' awareness of nanotechnology usage in healthcare and to increase their sensitivity to the subject in the coming years. Methods This descriptive study was developed with 523 undergraduate nursing students. Data were collected using an online questionnaire between January and February 2018. Results The mean age of the students was 21.7 ± 3.9 years; 61.6% were female. According to 29.4% of students, nanotechnology should be used in medicine and for 38.0%, it should be especially used in the diagnosis-treatment of diseases and the production of new medical equipment. The highest percentage (38.8%) of students affirmed that time saving is the advantage of nanotechnology, while 39.1% mentioned its toxic effects as a disadvantage. Students also stated it should be used in the diagnosis and treatment of osteoporosis, cardiovascular diseases, diabetes mellitus, wound healing, and the production of new materials. Conclusion According to results of the study, students achieved the information about nanotechnology with their efforts. They thought nanotechnology should be used more in medicine, especially in the diagnosis-treatment of diseases and in the production of new medical equipment. They determined that time-saving and toxic effects are the top advantage and disadvantage of nanotechnology, respectively. We suggest the importance of including this technology in service training in hospitals and in curricula of faculties.

The process of nurse adaptation to robotic surgery: A qualitative study.

BACKGROUND: This study aimed to reveal the experiences of nurses in robotic surgery and their adaptation to this method. METHODS: This research was planned within the framework of qualitative research methods. The study population consisted of robotic surgery nurses in Turkey. Focus group interviews were conducted after the flow process was developed, and the interviews were supported using a semistructured interview form. Two focus interviews were conducted with 15 participants. RESULTS: As a result of the content analysis, 11 themes were created in four categories. The categories of the study were designed as follows: (1) Training in Robotic Surgery Nursing, (2) Adaptation to Technology in Robotic Surgery Nursing, (3) Changing Roles and Adaptation Process in Robotic Surgery Nursing, and (4) Future of Robotic Surgery. CONCLUSIONS: The lack of clarity regarding the roles and responsibilities of robotic surgery nurses and the lack of arrangements for working conditions are thought to cause professional dissatisfaction and disengagement from work.