The Korean Journal of Rehabilitation Nursing (재활간호학회지)

Korean Academic Society of Rehabilitation Nursing (한국재활간호학회)
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The Development and Effects of Timeout Protocol for Safety in Cataract Surgery Patients

백내장 수술 환자 안전을 위한 타임아웃 프로토콜 개발 및 효과

  • 서은희 (대구보건대학교 간호학과) ;
  • 최연희 (경북대학교 간호학과)
  • Received : 2015.02.11
  • Accepted : 2015.06.08
  • Published : 2015.06.30
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Abstract

Purpose: This study was conducted to develop effective timeout protocol in coordination with current practice and test its clinical effectiveness in pursuit of safety management for patients undergoing cataract surgery. Methods: A total of subjects were 60 women, 50~65 years old, who visit C ophthalmology clinic in D city. They were assigned to 30 experimental group and 30 control group, respectively. Based on the comprehensive literature review, timeout protocol that was suitable for patients undergoing cataract surgery was developed, and then test its effectiveness by measuring blood pressure, pulse, anxiety and sense of well-being among surgical patients. Results: The timeout protocol was found to reduce blood pressure, pulse, and anxiety and increase well-being among surgical patients. Conclusion: As a results, it is necessary to introduce an effective timeout protocol giving positive responses to surgical patients, hence it should be develop a timeout protocol and explore the effectiveness of the protocol.

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References

  1. Beyea, C. S. (2002). Accident prevention in surgical settings-keeping patients safe. Association of periOperative Registered Nurses Journal, 75(2), 361-363. http://dx.doi.org/10.1016/S0001-2092(06)61415-4
  2. Caddick, J., Jawad, S., Southern, S., & Majumder, S. (2012). Sources of anxiety in patients undergoing local anaesthetic plastic surgery. Annals of The Royal College of Surgeons of Englandl, 94(2), 94-98. http://dx.doi.org/10.1308/003588412X13171221501267
  3. Charlton, N. (2004). Time out-the surgical pause that counts. Association of periOperative Registered Nurses Journal, 80(6), 1121-1122. http://dx.doi.org/10.1016/S0001-2092(06)60691-1
  4. Cohen, J. (1988). Statistical power analysis for the behavioral science (2nd ed.). New Jersey: Lawrence Erlbaum Associates Publishing Company.
  5. DeFontes, J., & Surbida, S. (2004). Preoperative safety briefing project. The Permanente Journal, 8(2), 21-27.
  6. Dupuy, H. J. (1978, October). Self-representations of general psychological well-being of American adults. Paper presented at American Public Health Association Meeting. Los angeles, CA.
  7. Foggitt, P. S. (2001). Anxiety in cataract surgery. Journal of Cataract & Refractive Surgery, 27(10), 1651-1655. https://doi.org/10.1016/S0886-3350(01)00859-8
  8. Haugen, A. S., Eide, G. E., Olsen, M. V., Remme, A. R., Haukeland, B. W., & Ah, A. K. (2009). Anxiety in the operating theatre: A study of frequency and environmental impact in patients having local, plexus or regional anaesthesia. Journal of Clinical Nursing, 18(16), 2301-2310. http://dx.doi.org/10.1111/j.1365-2702.2009.02792.x
  9. Jang, Y. M., & Han, J. S. (2011). The effects of preparatory information and according to premedication on the level of anxiety of patients undergoing bronchoscopy. Konyang University Journal of the Korea Academia-Industrial Cooperation Society, 12(9), 4061-4067. http://dx.doi.org/10.5762/KAIS.2011.12.9.4061
  10. Joint Commission on Accreditation of Healthcare Organizations. (2004). Universal protocol for preventing wrong site, wrong procedure, wrong person surgery. Retrieved February 19, 2015. from http://www.jcaho.org/accredited+organization/patient+safety/universal+protocol/universal.
  11. Ju, M. J. (2002). A study on the effect of operating room nurse's information on the preoperative anxiety of the gastrectomy patient's. Unpublished master's thesis, Ewha Woman's University, Seoul.
  12. Jung, B. H., Jo, S. S., Jang, S. H., & Kim, M. G. (2011). The effects of operating site verification and time out performance rate for protocol application on operating room in a general hospital. College of Keimyung University, 15(1),57-64.
  13. Karanfil, L., Bahner, J., & Most, R. (2005). Creating a patient safe environment in a perioperative setting. Association of peri-Operative Registered Nurses Journal, 81(1), 168-186.
  14. Karolewski, K., Komorowski, A. L., & Wysocki, W. M. (2012). Impact of preoperative information on anxiety and disease - related knowledge in women undergoing mastectomy for breast cancer. Journal of Acta Chirurgica Belgica, 112(2), 111-115.
  15. Lee, H. J. (2010). Perioperative anxiety and risk factors of surgical patients under regional anesthesia. Unpublished master's thesis, Konkuk Unuversity, Seoul.
  16. Lee, S. K., & Yoo, Y. S. (2005). Effect of providing information on anxiety, knowledge and compliance of patients with a permanent pacemaker. Korean Journal of Adult Nursing, 17(3), 484-492.
  17. Luck, A., Pearson, S., Maddern, G., & Hewett, P. (1999). Effects of video information on precolonoscopy anxiety and knowledge: a randomised trial. The Lancet Journals, 354(9195), 2032-2035. https://doi.org/10.1016/S0140-6736(98)10495-6
  18. Min, K. J., Oh, S. M., & Park, D. B. (1999). A comparison of normal, depressed and anxious groups=a study on the standardization of the hospital anxiety and depressed scale for Koreans. Journal of the Korean Neuropsychiatric Association, 38(2), 289-296.
  19. Moon, D. U., Hong, S. H., Lee, M. R., Yang, S. J., Jin, Y. W., Bang, B. M., et al. (2008). Describe the advance in the processes that lead to improved time out achievement rate and surgery success using body part marking for surgery. Journal of Korea Society of Quality Assurance in Health Care, 2008(3), 700-703.
  20. Morrell, G. (2001). Effect of structured preoperative teaching on anxiety levels of patients scheduled for cataract surgery. Journal of American Society of Ophthalmic Registered Nurses, 26(1), 4-9. https://doi.org/10.1067/min.2001.113201
  21. Nancy, M. (2004). Universal protocol for preventing wrong site, wrong procedure, wrong person surgery. Journal of Peri-Anesthesia Nursing, 19(5), 348-351. http://dx.doi.org/10.1016/j.jopan.2004.08.001
  22. Norred, C. L. (2000). Minimizing preoperative anxiety with alternativ caring-healing therapies. Association of periOperative Registered Nurses journal, 72(5), 838, 840, 842-843. http://dx.doi.org/10.1016/S0001-2092(06)62015-2
  23. Norton, E. (2007). Implementing the universal protocol hospitalwide. Associationof periOperative Registered Nurses Journal, 85(6), 1187-1196. http://dx.doi.org/10.1016/j.aorn.2007.03.002
  24. Park, J. S., Kim, E. H., & Lee, H. R. (2008). Development and application of timeout protocol on operating room. Korean Journal of Adult Nursing, 20(2), 353-363.
  25. Park, Y. H. (1999). The effects of support group intervention for spouses of stroke patients on caregiver burden and wellbeing. Unpublished doctoral dissertation, Seoul National University, Seoul.
  26. Seo, Y. K., Lee, M. Y., Kim, E. H., Lee, Y. L., & Jung, D. E. (2006). Improving a patient-safe environment in the perioperative setting by implementing a patients verification system. Korea Association of Operating Room Nurses Journal, 14(1), 153-167.
  27. Shuldham, C. M., Fleming, S., & Goodman, H. (2002). The impact of pre-operative education on recovery following coronary artery bypass surgery. European Heart Journal, 23(8), 666-674. http://dx.doi.org/10.1053/euhj.2001.2897
  28. Yazile, S., & Guler, A. (2012). The nurse's role in providing information to surgical patients and family members in Turkey. Association of periOperative Registered Nurses Journal, 95(6), 772-787. http://dx.doi.org/10.1016/j.aorn.2011.06.012
  29. Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Journal of Acta Psychiatrica Scandinavica, 67, 281-286. https://doi.org/10.1111/j.1600-0447.1983.tb00344.x