In addition to earning contact hour...

In addition to earning contact hours by way of attending education sessions, attendees at this year's Congres had the opportunity to earn contact hours through viewing research/evidence-based practice and clinical improvement/innovation hand-bills Twenty-three research/evidence-based practice posters and 60 clinical improvement/innovation placards were presented. Authors of three research/ evidence-based practice placards received awards of merit from AORN's Nursing Research Committee. Abstracts of the winning [i]affiche[/i]s are featured here.

INCIDENCE AND RISK FACTORS RELATED TO compressing ULCER (PU) IN PATIENTS SUBMITTED TO CORONARY ARTERY BYPASS GRAFT (CABG)

Milene Zimmer, RN; Floracy Games Ribeiro, RN MSN; Adriana Camargo, RN; and Elza Leiko Otubo Hayashi, RN Heart Institute (InCor) University of Sao Paulo Medical indoctrinate Brazil

Purpose. influence ulcer (PU) prevention in patients undergoing cardiac surgeries as it is as CABG must be initiated in the intraoperative period with safe patient positioning. The project of this study was to identify the incidence of PUs, stages of increase and intrinsic and extrinsic risk factors.

Brief description of methodology. The application of mind population consisted of 127 in-hospital patients undergoing elective CABG surgical steps A perioperative assessment tool was occupyed along with the Braden Scale, with yet to be intention of adopting measures to minimize or attenuate PU incidence in our hospital.

ends We found that 11% of the patients bring to maturityed PUs in the postoperative period, with the highest incidence in the sacrum area (572%) followed by means of dorsal area (21.41%), heels (142%) and interscapular area (72%) Of the PUs identified, 216% were descryed in the immediate postoperative period. Regarding their stage of growth 85.7% of the PUs were in stage I and 143% in stage II. Preoperative risk factors were not statistically significant. squeezing ulcer development factors in the intraoperative period were hyperemia (p 00451) and cardiopulmonary bypass time (p 00593) and in the postoperative period inotropic and vasoactive medications utilized in the next to the first day of surgery (p. 00319) The Braden Scale did not demonstrate predictive value regarding PU proceeding for the preoperative period if it be not that proved to be an indispensable tool for predicting PU in the immediate postoperative period (p 00738) and in the secondary postoperative period (p. 0.0855).

Perioperative nursing implications. Nursing care in the intraoperative period requires the utilization of protection devices to obstruct hyperemia in surgeries with reach forthed cardiopulmonary bypass time. Nurses ne to carefully assess patients at risk for intraoperative or postoperative PUs and provide appropriate interventions and monitoring.

COONITIVE-BEHAVIORAL STRATEGIES FOR IV INSERTION PAIN

object The purpose of the intend was to compare the drift of three cognitive-behavioral interventions (ie, guided imagery, listening to self-select music, and viewing a kaleidoscope) and usual care upon IV insertion pain intensity and pain distress and to assess the efficiency on pain of allowing participants to prefer the cognitive-behavioral intervention versus having the intervention randomly assigned according to the researcher.

Brief description of methodology. One-half of 160 adult, same day surgery patients were randomly assigned to receive the same of three cognitive-behavioral interventions or usual care during 1V insertion. The other half chose from among the interventions or usual care. The music intervention consisted of listening to self-select music in succession headphones. Guided imagery was provided from one side a taped intervention played between the sides of headphones. The kaleidoscope was a one-handed device that allowed freedom of the same arm for IV insertion. Participants rated the intensity and distress of the IV insertion forward an 1l-point numeric rating scale. pampers rated the difficulty of the insertion.

deductions The cognitive-behavioral interventions had no statistically significant consequence on IV insertion pain. Significantly more men than women chose usual care when moveed a choice, with this assemblage having the lowest mean pain scores. Pain intensity, distress, and IV insertion difficulty were significantly positively correlated. Patients exhibited satisfaction with receiving the interventions.

Perioperative nursing implications. Cognitive-behavioral interventions appear to be well-liked on same day surgery patients, although they do not restore the pain of IV insertion. Men have les election for these interventions than women

DEVELOPING A SYSTEMATIC REVIEW--TRIALS AND TRIBULATIONS

Allyson Lipp, RN RNT MA, MSc drill of Care Sciences, Pontypridd, southward Wales, and Peggy Edwards, RN BSc HM Stanley, St Asaph, Wales

end This poster intends to outline the initial stages and the preliminary comes of a systematic review into the effectiveness of surgical face masks in clean surgery

Brief description of methodology. The objective of the systematic review was to identify and critically appraise all relevant randomized controll trials in order to determine whether disposable surgical face masks worn by means of the surgical team prevent surgical hurt infection in clean surgery. For the design of the review, the author's definition of clean surgery was used. The literature search was broad and achieved by means of searching for all relevant material, published and unpublished, about disposable surgical face masks. The Specialized Trials Register of the Cochrane detriments Group, manufacturers and distributors of disposable surgical masks, as well as relevant professional organizations were all accessed in order to facilitate the search.