SUMMARY Preoperative frailty predicts adverse postoperative outcomes. Recommendations for preoperative assessment of elderly patients include performing a frailty assessment. Despite the advantages of incorporating frailty assessment into surgical settings, there is limited research on surgical health care professionals' perception and use of frailty assessment for perioperative care. We survey...

BACKGROUND The aim of this study was to survey the relative importance of postoperative recovery targets and perioperative care items, as perceived by a large group of international dedicated professionals. METHODS A questionnaire with eight postoperative recovery targets and 13 perioperative care items was mailed to participants of the first international Enhanced Recovery After Surgery (ERA...

Objectives This study examined the effect of flipped learning in comparison to traditional learning in a surgical nursing practicum. Methods The subjects of this study were 102 nursing students in their third year of university who were scheduled to complete a clinical nursing practicum in an operating room or surgical unit. Participants were randomly assigned to either a flipped learning gro...

BACKGROUND There is only limited empirical evidence about the effectiveness of opinion leaders as health care change agents. AIM To test the feasibility of identifying, and the characteristics of, opinion leaders using a sociometric instrument and a self-designating instrument in different professional groups within the UK National Health Service. DESIGN Postal questionnaire survey. SETTI...

OBJECTIVE To test a causal model of the impact of (a) nursing unit context on professional nursing practice; (b) professional practice on selected organizational (nurses' work satisfaction, nursing turnover, average length of patient stay) and patient outcomes (patient satisfaction, rate of reported medication errors, and falls); and (c) nursing unit context on these same organizational and pat...

Over the last 20 years, medical-surgical nursing has changed and should now be considered an international nursing speciality. Unlike other specialities, there is no opportunity to become a nurse practitioner in most Western countries. These two issues--lack of professional recognition and career development--should be addressed.

The high-risk noncardiac surgical population represents a major global healthcare challenge. Despite widespread advances in medical care, surgery remains a common and effective treatment option for a diverse range of diseases. Far from being replaced by drug therapies, the role of surgical treatment options appears to be growing. Moreover, surgery is now more frequently deemed a viable option f...

BACKGROUND Most anesthesiologists will experience at least one perioperative catastrophe over the course of their careers. Very little, however, is known about the emotional impact of these events and their effects on both immediate and long-term ability to provide care. In this study, we examined the incidence of perioperative catastrophes and the impact of these outcomes on American anesthesi...