Is smoke from electrosurgical devices associated with health hazards?

Bottom line:

Details: NIOSH Health Hazard Evaluation Report: HETA #2001-0066-3019, Morton Plant Hospital Dunedin, Florida
A report of investigation performed at an individual hospital. It documents the smoke generated by electrosurgical devices and references studies on effects of exposure to components of surgical smoke (pp. 4-8).

PubMed
A collection of AORN guidelines, reviews and one cohort study (Gates 2007) on smoke in the operating room. Use the link below to access the results of the search.
Search: (“Inhalation Exposure”[Mesh] OR “Occupational Exposure”[Mesh] OR “Smoke”[Mesh] OR “Air Pollutants”[Mesh]) AND (cautery OR electrosurgery) AND (cohort study OR follow-up OR “research support”

Also, see these review articles in PubMed.

SEARCH METHOD
CDC’s National Institute for Occupational Safety and Health (NIOSH) website
Search using the term electrosurgery

PubMed
Search using different combinations of these concepts:
Problem: electrosurgery, cautery
Exposure: smoke, air pollutants, inhalation, occupational exposure – all of these have medical subject headings in PubMed
Outcome: adverse effects
Methodology: cohort studies, follow-up, research support

What are guidelines and studies on patient room design in relation to nursing workflow and patient safety?

Literature searches found studies on patient room design in relation to patient safety, staff perceptions, and best practices.

To access literature on room design click here.

Then cut and paste the following into the url address bar

http://www.ncbi.nlm.nih.gov/sites/myncbi/collections/public/1TG7hzjdff_vjxM3xlssviLAs/

Information on VTE prevention and care in the orthopedic and spine population

Literature on prevention, treatments, guidelines, and the importance of VTE prevention is available. To access literature, go to Emory University’s instance of PubMed here. Then run the following search.

21422890[uid] OR 21323231[uid] OR 21198726[uid] OR 20847691[uid] OR 20479092[uid] OR 20479087[uid] OR 20436000[uid] OR 19725218[uid] OR 19411101[uid] OR 19405432[uid] OR 19201714[uid]

How to develop a risk factor index to identify patients at an elevated risk of post op injury related to delays or impairment

Bellino S, Quality of life of patients who undergo breast reconstruction after mastectomy: effects of personality characteristics. Plast Reconstr Surg. 2011 Jan;127(1):10-7.

Bech P, Generalized anxiety or depression measured by the Hamilton Anxiety Scale and the Melancholia Scale in patients before and after cardiac surgery. Psychopathology. 1984;17(5-6):253-63.

King, K. B. Coronary Artery Bypass Grafting Concerns Interview Schedule–1-6 Month Follow-Up. Nursing Research Vol. 49, 2000; p167-172, 6p.

Tu, J. V. Risk Index Score. Depressive symptoms and mortality two years after coronary artery bypass graft surgery (CABG) in men. Psychosomatic Medicine, Vol. 65, 2003; p508-510, 3p.

What are the benefits of mobility training and/or physical therapy for cardiac patients?

Searched CINAHL and PubMed for the concepts of mobility training, physical therapy, and cardiac patients.

Mendes RG, Left-ventricular function and autonomic cardiac adaptations after short-term inpatient cardiac rehabilitation: a prospective clinical trial. J Rehabil Med. 2011 Jul;43(8):720-7.

Mendes RG, Short-term supervised inpatient physiotherapy exercise protocol improves cardiac autonomic function after coronary artery bypass graft surgery–a randomised controlled trial. Disabil Rehabil. 2010;32(16):1320-7.

Höfer S, Cardiac rehabilitation in Austria: long term health-related quality of life outcomes.Health Qual Life Outcomes. 2009 Dec 8;7:99.

Kocur P, Effects of Nordic walking training on exercise capacity and fitness in men participating in early, short-term inpatient cardiac rehabilitation after an acute coronary syndrome–a controlled trial.Clin Rehabil. 2009 Nov;23(11):995-1004. Epub 2009 Sep 28.

Polcaro P Left-ventricular function and physical performance on the 6-min walk test in older patients after inpatient cardiac rehabilitation.Am J Phys Med Rehabil. 2008 Jan;87(1):46-52; quiz 53-6, 83.

Reibis R,Implementation of evidence-based therapy in patients with systolic heart failure from 1998-2000.Clin Res Cardiol. 2006 Mar;95(3):154-61. Epub 2006 Jan 19.

Spencer FA, Temporal trends and associated factors of inpatient cardiac rehabilitation in patients with acute myocardial infarction: a community-wide perspective. J Cardiopulm Rehabil. 2001 Nov-Dec;21(6):377-84.

Cupples SA.Inpatient cardiac rehabilitation. Patient education implementation and documentation. J Cardiopulm Rehabil. 1995 Nov-Dec;15(6):412-7.

Elokda A; The physical therapist’s role in phase one cardiac rehabilitation. Acute Care Perspectives, 2005 Winter; 14(4): 1, 3-9

Comparison of primary or team nursing in the neonatal unit

Alcock D ; Lawrence J ; Goodman J ; Ellis J Formative evaluation: implementation of primary nursing. Canadian Journal of Nursing Research (CAN J NURS RES), 1993 Fall; 25(3): 15-28 (26 ref)

Millette K ; Taquino LT ; Lockridge T Primary nursing for neonates… “Caring for critically ill infants: strategies to promote physiological stability and improve developmental outcomes” [December 1999:64].
Critical Care Nurse (CRIT CARE NURSE), 2000 Aug; 20(4): 18, 20 (3 ref)

Bethea SW Primary nursing in the infant special care unit. Journal of Obstetric, Gynecologic & Neonatal Nursing (JOGNN), 1985 May-Jun; 14(3): 202-8 (10 ref 6 bib)

Search of PubMed and CINAHL for the concepts of primary nursing, team nursing and neonatal units

Smith SM Primary nursing in the NICU: a parent’s perspective. Neonatal Network (NEONAT NETW), 1987 Feb; 5(4): 25-7

Lawhon G Providing developmentally supportive care in the newborn intensive care unit: an evolving challenge.
Journal of Perinatal & Neonatal Nursing (J PERINAT NEONAT NURS), 1997 Mar; 10(4): 48-61 (44 ref)

Hodgkinson K What primary nursing means. Australian Nurses Journal (AUST NURSES J), 1990 Apr; 19(9): 16-9 (5 ref)

Gray JE Network analysis of team structure in the neonatal intensive care unit.Pediatrics. 2010 Jun;125(6):e1460-7. Epub 2010 May 10.

Goldschmidt KA, A model of nursing care microsystems for a large neonatal intensive care unit.Adv Neonatal Care. 2006 Apr;6(2):81-8.

Bolton LB, Nurse staffing and patient perceptions of nursing care.J Nurs Adm. 2003 Nov;33(11):607-14.

Mitchell-DiCenso A, A controlled trial of nurse practitioners in neonatal intensive care.Pediatrics. 1996 Dec;98(6 Pt 1):1143-8.

How does nursing staffing affect patient satisfaction?

Searched CINAHL & PubMed for the concepts of Patient satisfaction, Nursing satisfaction and Grouping assignment.

Duffield C, Roche M, Diers D, Catling-Paull C, Blay N. Staffing, skill mix and the model of care.J Clin Nurs. 2010 Aug;19(15-16):2242-51.

Hurst K. UK ward design: patient dependency, nursing workload, staffing and quality-an observational study. Int J Nurs Stud. 2008 Mar;45(3):370-81. Epub 2006 Nov 13.

Adams A, Bond S. Staffing in acute hospital wards: part 1. The relationship between number of nurses and ward organizational environment. J Nurs Manag. 2003 Sep;11(5):287-92.

Mohamed AH. Using the job characteristics model to compare patient care assignment methods of nurses.East Mediterr Health J. 2004 May;10(3):389-405.