Journal of PeriAnesthesia Nursing RSS feed: Current Issue. The Journal of PeriAnesthesia Nursing provides original, peer-reviewed research for a primary audience that includes nurses in perianesthesia settings, including ambulatory surgery, preadmission testing, postanesthesia care (Phases I and II), extended observation, and pain management. The Journal provides a forum for sharing professional knowledge and experience relating to management, ethics, legislation, research, and other aspects of perianesthesia nursing. http://www.jopan.org/?rss=yesElsevier Inc.en © 2012 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved. Journal of PeriAnesthesia Nursing1089-9472271February 2012 © 2012 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved. healthpermissions@elsevier.comhttp://www.jopan.org/article/PIIS1089947211005491/abstract?rss=yesNEW YEARS IS but a memory and 2012 is now well underway. As we move into the New Year, we are provided with an excellent opportunity to glance into the future and examine trends and set goals for the future. Having spent much of the latter half of 2011 immersing myself in patient safety and quality work, it is becoming more and more apparent that patient safety and quality initiatives will be at the forefront of health care issues for 2012. While quality/performance improvement has always been imbedded within the health care system, we are now seeing a concentration around performance measurement that is patient centered and outcomes focused.2012: A Year of QualityVallire D. Hooper10.1016/j.jopan.2011.12.003Journal of PeriAnesthesia Nursing 27, 1 (2012)2012-02-01Journal of PeriAnesthesia Nursing2012-02-01271S1089-9472(11)X0008-4Editorial Opinion12http://www.jopan.org/article/PIIS1089947211004989/abstract?rss=yesDespite advocacy by professional nursing organizations, no randomized controlled trials (RCTs) have evaluated the response of family members to a visit with an adult patient during a postanesthesia care unit (PACU) stay. Therefore, the purpose of this RCT was to evaluate the impact of a brief PACU visitation on the anxiety of family members. The study was conducted in a phase I PACU of a large community-based hospital. Subjects were designated adult family members or significant others of an adult PACU patient who had undergone general anesthesia. A pretest-posttest RCT design was used. The dependent variable was the change in anxiety scores of the visitor after seeing his or her family member in the PACU. Student t test (unpaired, two tailed) was used to determine if changes in anxiety scores (posttest score−pretest score) were different for the PACU visit and no visit groups. A total of 45 participants were studied over a 3-month period, with N=24 randomly assigned to a PACU visit and N=21 assigned to usual care (no PACU visit). Participants in the PACU visit group had a statistically significant (P=.0001) decrease in anxiety after the visitation period (−4.11±6.4); participants in the usual care group (no PACU visit) had an increase in anxiety (+4.47±6.6). The results from this study support the value and importance of PACU visitation for family members.Postanesthesia Care Unit Visitation Decreases Family Member AnxietyAmy J. Carter, JoAnn Deselms, Shelley Ruyle, Marcella Morrissey-Lucas, Suzie Kollar, Shelly Cannon, Lois Schick10.1016/j.jopan.2011.10.004Journal of PeriAnesthesia Nursing 27, 1 (2012)2012-02-01Journal of PeriAnesthesia Nursing2012-02-01271S1089-9472(11)X0008-4Original Articles39http://www.jopan.org/article/PIIS1089947211005004/abstract?rss=yesThe purpose of this pilot study was to evaluate the impact of timing for providing parents with postoperative education in the pediatric setting, their ability to retain information, and their satisfaction with the education provided. A total of 70 subjects were enrolled and randomly assigned to a control or intervention group. The control group received postoperative education just before discharge home, whereas the intervention group received the education during their child’s surgical procedure. Parents’ knowledge retention regarding their child’s postoperative care was evaluated at 24 hours and 7 days after surgery. Their satisfaction with the postoperative education timing was also evaluated at 24 hours post surgery. A significant difference in satisfaction was found between the two groups, but there was no difference in knowledge scores. These results suggest that parents are able to retain information while their child is in surgery, and, in fact, they prefer this timing for postoperative education.Evaluating the Effectiveness of the Timing of Postoperative Education in the Pediatric PopulationMargaret Ruiz, Natasha Rivers, Rodica S. Pop10.1016/j.jopan.2011.10.006Journal of PeriAnesthesia Nursing 27, 1 (2012)2011-12-26Journal of PeriAnesthesia Nursing2011-12-26271S1089-9472(11)X0008-4Original Articles1017http://www.jopan.org/article/PIIS1089947211004990/abstract?rss=yesPreoperative forced-air warming is one way of preventing inadvertent perioperative hypothermia. There is scant evidence, however, on the best warming method or the acceptability of these methods to patients. This pilot study compared two warming protocols: one that commenced at maximum temperature and was titrated down as requested (A) and one that commenced at near body temperature and was titrated up as tolerated (B). A crossover design was used in which each participant (n=10) received both protocols sequentially. The mean device temperature and length of time spent at maximum settings were greater for protocol A (43°C±0°C vs 41°C±1°C, P=.003; and 60±0 vs 41.5±2.8 minutes, P=.004). There was no difference in thermal comfort scores, participant temperature, or sweating between the two protocols. When asked, participants preferred protocol A to B (70% to 30%). Starting at higher device settings appears the more favorable of the two approaches.Preventing Inadvertent Hypothermia: Comparing Two Protocols for Preoperative Forced-Air WarmingKerry-Anne Cobbe, Renatta Di Staso, Jed Duff, Kim Walker, Nicole Draper10.1016/j.jopan.2011.10.005Journal of PeriAnesthesia Nursing 27, 1 (2012)2012-02-01Journal of PeriAnesthesia Nursing2012-02-01271S1089-9472(11)X0008-4Original Articles1824http://www.jopan.org/article/PIIS1089947211005144/abstract?rss=yesAS SOCIAL NETWORKING and Internet connectivity become more available throughout the world, nurses around the globe are able to communicate and learn from each other. They can now share experiences and knowledge as never before. Our nursing colleagues in countries other than the United States face cultural challenges that we do not. In lesser-developed countries, cultural differences place women in situations where they suffer from inequality problems and are limited in their ability to seek education and employment opportunities that we in the United States take for granted.Challenges for Professional Nurses in Other CountriesPatricia Muller-Smith10.1016/j.jopan.2011.11.004Journal of PeriAnesthesia Nursing 27, 1 (2012)2012-02-01Journal of PeriAnesthesia Nursing2012-02-01271S1089-9472(11)X0008-4Article Commentary2525http://www.jopan.org/article/PIIS1089947211004977/abstract?rss=yesThe role of the postanesthesia care unit (PACU) is to provide short-term monitoring of patients after surgery until recovery from anesthesia. The transfer of patients from the PACU to their designated units, however, may be delayed for various reasons. A qualitative descriptive approach was used to explore the experiences of six nurses working in the PACU at a tertiary care hospital in Pakistan. Data were collected using semistructured interviews. The data were grouped into categories and subcategories. An overarching theme that was derived from the content analysis was that of the factors impacting quality patient care. The content analysis generated a broad category of “general effects” and subcategories that included patients, families, and PACU nurses. The findings highlight the effects of prolonged PACU stays on patients, their families, and PACU nurses.Experiences of Nurses Related to Prolonged-Stay Patients in a Postanesthesia Care Unit in Karachi, PakistanSharifa Bashir Lalani, Zeenatkhanu Kanji, Fauziya Ali10.1016/j.jopan.2011.10.003Journal of PeriAnesthesia Nursing 27, 1 (2012)2011-12-26Journal of PeriAnesthesia Nursing2011-12-26271S1089-9472(11)X0008-4Original Articles2636http://www.jopan.org/article/PIIS1089947211005016/abstract?rss=yesAs A Clinical education librarian, I have the opportunity to work with clinicians in their quest for evidence, and, as a result, I have observed occasional obstacles during the search process. In this brief article, I will share steps to help you get started down the right path, with the aim of preventing common problems. I will offer guidance to help the searcher begin with an organized approach, use strategies to refine the question, and take advantage of available resources.Evidence Into Practice: Basic Steps for Planning Your Evidence SearchJennifer Deberg, Susan Adams, Laura Cullen10.1016/j.jopan.2011.11.001Journal of PeriAnesthesia Nursing 27, 1 (2012)2012-02-01Journal of PeriAnesthesia Nursing2012-02-01271S1089-9472(11)X0008-4EBP: Evidence to Practice3741http://www.jopan.org/article/PIIS1089947211005156/abstract?rss=yesWHAT ARE YOU looking forward to in 2014? For the informatics and information technology (IT) world, 2014 is the year in which all Americans are required to have an electronic health record (EHR). It will ideally mark the end of the paper health record and the beginning of the full digitization of the health care system. As many clinical agencies transition to EHRs or upgrade their current systems, perhaps the better question is, “will you be ready?”Informatics Competence in the EHR EraMatthew D. Byrne10.1016/j.jopan.2011.12.001Journal of PeriAnesthesia Nursing 27, 1 (2012)2012-02-01Journal of PeriAnesthesia Nursing2012-02-01271S1089-9472(11)X0008-4Informatics and Health Information Technology4245http://www.jopan.org/article/PIIS1089947211005028/abstract?rss=yesHYPERALGESIA MEANS INCREASED sensitivity to pain. Opioid-induced hyperalgesia (OIH) is a paradoxical situation in which increasing doses of opioid result in increasing sensitivity to pain. OIH has been identified as a clinical reality, but the incidence of clinically significant OIH is unknown. It appears to be a relatively rare but serious consequence of opioid administration. Some researchers postulate that the incidence of OIH may be much greater, as the large number of patients with persistent noncancer pain who fail to get relief from opioids or discontinue opioid therapy because of ineffectiveness may actually have undiagnosed OIH. Currently, it is not possible to predict who will develop OIH as a result of opioid exposure.Opioid-Induced HyperalgesiaChris Pasero, Margo McCaffery10.1016/j.jopan.2011.11.002Journal of PeriAnesthesia Nursing 27, 1 (2012)2011-12-26Journal of PeriAnesthesia Nursing2011-12-26271S1089-9472(11)X0008-4Pain Care4650http://www.jopan.org/article/PIIS108994721100503X/abstract?rss=yesAUTHORS OFTEN MAKE similar missteps when submitting manuscripts to a scholarly journal. After querying the current editors of the Journal of PeriAnesthesia Nursing, seven common missteps were identified (). These are not listed in any particular order. The purpose of this column is not only to identify common mistakes made by authors during their initial submission but also to provide summary advice on how to avoid them. There are several columns within this series on “Writing for Publication” that authors may access for an in-depth discussion. To have knowledge of these common missteps before submission will make the process easier for both the author and editors, alleviating potential frustration and avoiding time-intensive correction.Top Seven Missteps by Authors Submitting Manuscripts to the Journal of PeriAnesthesia NursingDaniel D. Moos10.1016/j.jopan.2011.11.003Journal of PeriAnesthesia Nursing 27, 1 (2012)2011-12-26Journal of PeriAnesthesia Nursing2011-12-26271S1089-9472(11)X0008-4Writing for Publication5154http://www.jopan.org/article/PIIS108994721100548X/abstract?rss=yesTHE USE OF social media, including Facebook, Twitter, LinkedIn, YouTube, Flickr, MySpace, Second Life and other similar sites are increasing exponentially. A Pew report from early 2010 stated that among adults 18 and older, 73% use Facebook, 48% have a profile on MySpace and 14% use LinkedIn. Additionally, 11% of adults over the age of 30 are bloggers. Users of social media who are over the age of 35 grew nearly twice as fast as those 18-35 in the same time period. The use of social media is on the rise and is a common daily occurrence for most of us.Responsible Social NetworkingJan Odom-Forren10.1016/j.jopan.2011.12.002Journal of PeriAnesthesia Nursing 27, 1 (2012)2012-02-01Journal of PeriAnesthesia Nursing2012-02-01271S1089-9472(11)X0008-4The Back Page6163http://www.jopan.org/article/PIIS1089947211005181/abstract?rss=yesMasthead10.1016/S1089-9472(11)00518-1Journal of PeriAnesthesia Nursing 27, 1 (2012)2012-02-01Journal of PeriAnesthesia Nursing2012-02-01271S1089-9472(11)X0008-4FrontmatterA1A1http://www.jopan.org/article/PIIS1089947211005193/abstract?rss=yesEditorial Board10.1016/S1089-9472(11)00519-3Journal of PeriAnesthesia Nursing 27, 1 (2012)2012-02-01Journal of PeriAnesthesia Nursing2012-02-01271S1089-9472(11)X0008-4FrontmatterA2A2http://www.jopan.org/article/PIIS108994721100520X/abstract?rss=yesTable of Contents10.1016/S1089-9472(11)00520-XJournal of PeriAnesthesia Nursing 27, 1 (2012)2012-02-01Journal of PeriAnesthesia Nursing2012-02-01271S1089-9472(11)X0008-4FrontmatterA3A4http://www.jopan.org/article/PIIS1089947211005211/abstract?rss=yesInformation for Contributors10.1016/S1089-9472(11)00521-1Journal of PeriAnesthesia Nursing 27, 1 (2012)2012-02-01Journal of PeriAnesthesia Nursing2012-02-01271S1089-9472(11)X0008-4FrontmatterA6A6