Percepción del paciente sometido a cirugía oftalmológica acerca del cuidado que brinda la enfermera en el Servicio de Cirugía de Día en el Hospital Nacional Guillermo Almenara Irigoyen Lima-Perú 2013 / Perception of the patient with ophthalmic surgery about the care provided by the nurse in Day Surgery Service at the National Hospital Guillermo Almenara Irigoyen Lima-Peru 2013

El objetivo fue determinar la percepción que tiene el paciente sometido a cirugía oftalmológica acerca del cuidado que brinda la enfermera en el servicio de Cirugía de día en el Hospital Nacional Guillermo Almenara Irigoyen. Lima. Perú. 2013. Material y Método: El estudio es de tipo cuantitativo, método descriptivo de corte transversal. La población estuvo constituida por 80 pacientes. La técnica fue la entrevista y el instrumento un formulario sobre el Inventario de Conductas del Cuidado diseñado por Wolf (1994) modificado aplicado previo consentimiento informado. Resultados: Del 100 por ciento (80), 53 por ciento (42) tienen una percepción medianamente favorable, 33 por ciento (14) favorable y 14 por ciento (11) desfavorable. Conclusiones: La mayoría de los pacientes sometidos a cirugía oftalmológica tienen una percepción de medianamente favorable a favorable referido a que la enfermera lo saluda y lo llama por su nombre, lo que le comunica confidencialmente no lo divulga, le presta atención cuando le habla, lo trata con respeto en un ambiente limpio y ordenado, usa un tono de voz suave, cuando llama a la enfermera acude a su llamado, le orienta para que participe en sus cuidados, lo cuida en todo momento desde su ingreso hasta el alta, maneja los equipos con habilidad, cuida de su intimidad durante la preparación para la cirugía y la enfermera le dedica tiempo a sus familiares sobre la intervención...

The objective was to determine the perception of the patient undergoing ophthalmic surgery about the care given by the nurse in the Day Surgery Service at the National Hospital Guillermo Almenara Irigoyen. Lima. Peru. 2013. Material and Methods: The study is quantitative, cross-sectional method. The population consisted of 80 patients. The technique was the interview instrument and a form on the Inventory Behavior Care designed by Wolf (1994) as amended applied prior informed consent. Results: 100 per cent (80), 53 per cent (42) have a moderately positive perception, 33 per cent (14) in favor and 14 per cent (11) unfavorable. Conclusions: Most patients undergoing ophthalmic surgery have a perception of mildly favorable favorably referred to the nurse greets him and calls him by his name, which he communicates confidentially does not report it, pay attention when you speak, you try to respect in a clean and orderly environment, use a soft voice when he called the nurse comes to his call, guides to participate in their care, caregiver at all times from admission to discharge, manage equipment skill, care for their privacy during preparation for surgery and the nurse devotes time to his family about the intervention...

Looking outside to meet internal challenges: the benefits of outsourcing.

Providing resourceful solutions to common facility management challenges can require many steps, including internal and external research, evaluating potential options, and implementing new protocols. The outpatient surgical services administrator at the Surgical Center of York and the Endoscopy Center of Memorial Hospital, York, Pennsylvania, addressed the challenge of managing and meeting surgeons' expectations and requests for better equipment and increased patient volume for ophthalmology procedures while maintaining a strict budget. Outsourcing of surgical equipment was identified as a viable option to meet these needs.

Strabismus: background and surgical techniques.

Through the process of evolution, the position of the eyes within the head has moved from lateral to frontal. Although reducing the panoramic view afforded by the lateral positioning, this new arrangement allowed stereopsis (depth perception) (Hubel and Wiesel 1965).

Modelling emergency decisions: recognition-primed decision making. The literature in relation to an ophthalmic critical incident.

AIMS: To review and reflect on the literature on recognition-primed decision (RPD) making and influences on emergency decisions with particular reference to an ophthalmic critical incident involving the sub-arachnoid spread of local anaesthesia following the peribulbar injection. BACKGROUND: This paper critics the literature on recognition-primed decision making, with particular reference to emergency situations. It illustrates the findings by focussing on an ophthalmic critical incident. DESIGN: Systematic literature review with critical incident reflection. METHODS: Medline, CINAHL and PsychINFO databases were searched for papers on recognition-primed decision making (1996-2004) followed by the 'snowball method'. Studies were selected in accordance with preset criteria. RESULTS: A total of 12 papers were included identifying the recognition-primed decision making as a good theoretical description of acute emergency decisions. In addition, cognitive resources, situational awareness, stress, team support and task complexity were identified as influences on the decision process. CONCLUSIONS: Recognition-primed decision-making theory describes the decision processes of experts in time-bound emergency situations and is the foundation for a model of emergency decision making (Fig. 2). RELEVANCE TO CLINICAL PRACTICE: Decision theory and models, in this case related to emergency situations, inform practice and enhance clinical effectiveness. The critical incident described highlights the need for nurses to have a comprehensive and in-depth understanding of anaesthetic techniques as well as an ability to manage and resuscitate patients autonomously. In addition, it illustrates how the critical incidents should influence the audit cycle with improvements in patient safety.

Increasing surgical throughput in a busy day procedure unit.

In August 2001 the Mater Hospital in Belfast opened a new day procedures unit. The unit comprises an admissions area, two theatres, an endoscopy suite and a 23-bed ward, with one theatre almost solely dedicated to ophthalmic surgery. There are three consultant ophthalmologists who currently perform cataract, orbital, corneal, vitreoretinal and plastic surgery on a regular basis. In the four years that the unit has been running we have had a 57% increase in ophthalmic day case surgery.

Pediatric ophthalmology and anesthesia pearls in the operating room.

Providing nursing care to pediatric patients is both challenging and rewarding. The pediatric ophthalmic caregiver must remain acutely aware of physiologic changes, which may be subtle. Though most pediatric procedures are performed by an anesthesiologist using general anesthesia, the ophthalmic nurse needs to remain vigilant. Problems that arise must be attended to within mere seconds. This paper discusses distraction techniques and gives an overview of the care provided to children under general anesthesia at a major pediatric specialty hospital. This paper relates one ophthalmic nurse's experiences in a hospital-based outpatient surgery center that employs 14 board-certified faculty pediatric anesthesiologists as well as rotational anesthesia residents in their first, second, third, and fellowship years. The outpatient center has five operating rooms, and the inpatient surgery area has 14 operating rooms. Nearly 800 pediatric ophthalmology procedures are done in the outpatient area each year; approximately 20 ophthalmology procedures are done at the inpatient surgery area annually.

Perianesthesia nursing at an ophthalmic hospital in the Middle East.

Health care delivery differs from the United States among different cultures and countries. This descriptive article describes health care delivery at two ophthalmic hospitals in a Middle Eastern country. This description may not be representative of health care delivery throughout that country but is limited to the hospitals described. The purpose of this article is two-fold. First, it allows the readers to compare and contrast health care delivery to their own setting and practice. Second, it allows the reader to appreciate the tremendous work being done in a difficult environment.

Let's get it straight: the nursing implications of adjustable sutures in the adult strabismus patient.

The objective of this paper is to highlight the important nursing interventions and clinical implications in the care of the strabismus patient treated with adjustable sutures. Nurses must use their assessment skills in monitoring the strabismus patient for vagal responses, bleeding, and anxiety during the suture adjustment period. Following adjustment, pain, nausea, vomiting, infection, and safety should be monitored and treated appropriately. Awareness of these nursing implications and human behavioral responses empowers the ophthalmic nurse to provide appropriate and effective care to the strabismus patient treated with adjustable sutures.