Abstract
Purpose
Robotic surgery is an increasingly popular approach across surgical specialties in
several countries. Nurses embedded in this highly-technological environment, however,
could excessively center their attention to the robot, deviating their focus from
the patient. The Perioperative Patient Focused Model is proposed as a theoretical
framework to guide nursing perioperative care towards a patient-centered approach
based upon 4 dimensions: Health System, Safety, Behavioral Responses and Physiological
Responses. This review aimed to understand the role of perioperative nursing in robotic
surgery according to the Perioperative Patient Focused Model.
Design
An integrative review.
Methods
The Whittemore and Knafl methodology guided this review. The following databases were
searched: PubMed, Cochrane Library, ProQuest, Scielo, and LILACS. The keywords used
were “Robotic Surgical Procedures” and “Nursing” and their equivalents in Spanish,
Portuguese, and French, using the Boolean operator “AND,” within the time frame of
2010-2021.
Findings
A total of 1,695 articles were retrieved, of which 26 were retained for the final
analysis. The majority (n = 17) were written in English, with a level of evidence
between 4 and 5. The main actions performed by nursing professionals were retrieved
in the Health Systems, Safety, and Behavioral Responses dimensions, focusing on the
intraoperative and postoperative period. However, most of the patient's responses
were presented in the postoperative stage, even after discharge. Encompassing these
findings, a theoretical framework is proposed.
Conclusions
Nursing professional duties are diverse within the course of robotic surgery. It is
necessary to expand the Perioperative Nursing specialty towards an extended care,
encompassing even the community settings.
Keywords
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Article info
Publication history
Published online: February 06, 2023
Publication stage
In Press Corrected ProofFootnotes
Conflict of Interest: None to report.
Identification
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© 2022 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.
