Relevant bibliographies by topics / Surgical ward

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  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers
  6. Reports

Academic literature on the topic 'Surgical ward'

Author: Grafiati
Published: 4 June 2021
Last updated: 27 April 2022

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Journal articles on the topic "Surgical ward"

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McLaren, Emma, and Charles Maxwell-Armstrong. "Noise Pollution on an Acute Surgical Ward." Annals of The Royal College of Surgeons of England 90, no. 2 (March 2008): 136–39. http://dx.doi.org/10.1308/003588408x261582.

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INTRODUCTION This study was undertaken to measure and analyse noise levels over a 24-h period on five general surgical wards. PATIENTS AND METHODS Noise levels were measured on three wards with four bays of six beds each (wards A, B and C), one ward of side-rooms only (ward D) and a surgical high dependency unit (ward E) of eight beds. Noise levels were measured for 15 min at 4-hourly intervals over a period of 24 h midweek. The maximum sound pressure level, baseline sound pressure level and the equivalent continuous level (LEq) were recorded. Peak levels and LEq were compared with World Health Organization (WHO) guidelines for community noise. Control measurements were taken elsewhere in the hospital and at a variety of public places for comparison. RESULTS The highest peak noise level recorded was 95.6 dB on ward E, a level comparable to a heavy truck. This exceeded all control peak readings except that recorded at the bus stop. Peak readings frequently exceeded 80 dB during the day on all wards. Each ward had at least one measurement which exceeded the peak sound level of 82.5 dB recorded in the supermarket. The highest peak measurements on wards A, B, C and E also exceeded peak readings at the hospital main entrance (83.4 dB) and coffee shop (83.4 dB). Ward E had the highest mean peak reading during the day and at night – 83.45 dB and 81.0 dB, respectively. Ward D, the ward of side-rooms, had the lowest day-time mean LEq (55.9 dB). Analysis of the LEq results showed that readings on ward E were significantly higher than readings on wards A, B and C as a group (P = 0.001). LEq readings on ward E were also significantly higher than readings on ward D (P < 0.001). Day and night levels differ significantly, but least so on the high dependency unit. CONCLUSIONS The WHO guidelines state that noise levels on wards should not exceed 30 dB LEq (day and night) and that peak noise levels at night should not exceed 40 dB. Our results exceed these guidelines at all times. It is likely that these findings will translate to other hospitals. Urgent measures are needed to rectify this.
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Hull, Louise, David Birnbach, Sonal Arora, Maureen Fitzpatrick, and Nick Sevdalis. "Improving Surgical Ward Care." Annals of Surgery 259, no. 5 (May 2014): 904–9. http://dx.doi.org/10.1097/sla.0000000000000451.

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Zänkert, Anna. "In the Surgical Ward." CNE.fortbildung 13, no. 03 (May 1, 2020): 12–16. http://dx.doi.org/10.1055/a-1126-5896.

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Pucher, Philip H., Rajesh Aggarwal, Pritam Singh, Tharanny Srisatkunam, Ahmed Twaij, and Ara Darzi. "Ward Simulation to Improve Surgical Ward Round Performance." Annals of Surgery 260, no. 2 (August 2014): 236–43. http://dx.doi.org/10.1097/sla.0000000000000557.

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Butler, Christopher M. "Mixed-sex wards – a surgeon's view." Bulletin of the Royal College of Surgeons of England 92, no. 1 (January 1, 2010): 12–13. http://dx.doi.org/10.1308/147363510x481241.

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When I started my medical training nearly 40 years ago life in NHS hospitals seemed so much simpler. General surgeons performed most of the surgery and were managed by their secretaries; nurses nursed; and wards were designated 'male or female surgical'. The wards were overseen by the gimlet eyes of the ward sister and hospital matron. These formidable ladies would have had apoplexy at the sight of or even the thought of a man in the female surgical ward or vice versa.
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MELZACK, R., F. V. ABBOTT, W. ZACKSON, D. S. MULDER, and M. W. L. DAVIS. "Pain on a Surgical Ward." Survey of Anesthesiology 31, no. 6 (December 1987): 352. http://dx.doi.org/10.1097/00132586-198712000-00030.

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Collier, R. "Sleepless in the surgical ward." Canadian Medical Association Journal 180, no. 11 (May 25, 2009): 1095–96. http://dx.doi.org/10.1503/cmaj.090772.

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Sehgal, Apurv, Joel Ward, Dilraj Kalsi, Shaneel Patel, and Ashok Handa. "Improving Surgical Ward Round Quality." Annals of Surgery 266, no. 6 (December 2017): e71-e72. http://dx.doi.org/10.1097/sla.0000000000001586.

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Fattah, Adel. "Leading the surgical ward round." BMJ 330, no. 7487 (February 12, 2005): s68.2—s68. http://dx.doi.org/10.1136/bmj.330.7487.s68-a.

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Ataiyero, Yetunde, Judith Dyson, and Moira Graham. "An observational study of hand hygiene compliance of surgical healthcare workers in a Nigerian teaching hospital." Journal of Infection Prevention 23, no. 2 (February 25, 2022): 59–66. http://dx.doi.org/10.1177/17571774211066774.

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Background Patients sometimes contract healthcare associated infections (HCAI) which are unrelated to their primary reasons for hospital admission. Surgical site infections are the most investigated and most recurrent type of HCAI in developing countries, affecting up to one-third of surgical patients. Objective This study aimed to assess and offer context to the hand hygiene resources available in a Nigerian teaching hospital through ward infrastructure survey, and to determine the hand hygiene compliance rate among surgical healthcare workers (HCWs) in a Nigerian teaching hospital through hand hygiene observations. Methods Ward infrastructure survey was conducted in the two adult surgical wards of the hospital using the World Health Organisation (WHO) hand hygiene ward infrastructure survey form. Hand hygiene observations were monitored over seven days in the surgical wards using a modified WHO hand hygiene observation form. Results Hand hygiene resources were insufficient, below the WHO recommended minimum standards. Seven hundred hand hygiene opportunities were captured. Using SPSS version 24.0, we conducted a descriptive analysis of audit results, and results were presented according to professional group, seniority and hand hygiene opportunities of the participants. Overall hand hygiene compliance was 29.1% and compliance was less than 40% across the three professional groups of doctors, nurses and healthcare assistants. Conclusion Hand hygiene compliance rates of the surgical HCWs are comparable to those in other Sub-Saharan African countries as well as in developed countries.
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Dissertations / Theses on the topic "Surgical ward"

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Stone, Leanne Nicole, and S. F. Burton. "The impact of a ward pharmacist in a surgical ward of a private hospital in the Eastern Cape." Thesis, Nelson Mandela Metropolitan University, 2015. http://hdl.handle.net/10948/5916.

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Medication errors are becoming problematic in both hospital and outpatient settings worldwide. Inappropriate use of medication can cause harm to the patient and maintaining high levels of quality patient care is essential to protect all patients. Clinical pharmacy practice contributes to improved patient care by optimising medication therapy; and promoting health, wellness and disease prevention. The involvement of a pharmacist at a ward level has been shown to improve patient care; reduce mortality and morbidity rates; decrease healthcare costs; minimise medication errors; and improve outcomes of drug therapy. However, clinical pharmacy is a fairly new practice in South Africa and there are limited studies available. This study aimed to evaluate the perceived benefits of a ward-based pharmacist on the provision of pharmaceutical care to patients in a hospital setting and to consequently implement a ward-based pharmacy service. The objectives of the study were: (1) to assess, via a questionnaire, the perceptions and attitudes of medical practitioners and nurses to ward-based pharmacy prior to and after implementation of a ward-based pharmacy service, (2) to implement a ward-based pharmacy service in a selected hospital ward; (3) to document and analyse the nature of the work and activities that a ward pharmacist undertakes, and (4) to document and analyse the frequency and nature of ward pharmacist interventions. The study was conducted in a surgical ward of a private hospital in the Eastern Cape. The study design was an intervention study, using a mixed-methods design, with a convergent approach. A convenience sample of 106 patients was obtained over the eight week study period. Participation was voluntary and confidentiality was maintained at all times. Four data collection tools were used during the study and a pilot study was conducted to ensure their validity and reliability. The quantitative data was analysed statistically while the qualitative questions were analysed through coding the various responses. The results of the study showed that medical practitioners and nurses of a surgical ward had a positive attitude towards ward pharmacy both prior to and after the implementation of a ward pharmacy service. There were ward pharmacist interventions made in 50% (n=106) of the patients who participated in the study. A large percentage (57%; 50; n=87) of the ward pharmacist interventions were pharmacist-initiated interventions to optimise patient care while prescribing errors (51%; 19; n=37) were the most commonly occurring medication error. The majority of the medication items involved in the interventions (34%; 34; n=101) were related to the anti-microbial medication class. Overall, there was a 73% (36; n=49) acceptance rate of the ward pharmacist interventions that were made to both the medical practitioners and nurses. There were a number of factors that had a significant relationship with a ward pharmacist intervention being required which included: (1) number of medication items (p=0.001; Chi² test; p<0.0005 Student’s t-test), (2) length of hospital stay (p<0.0005; Chi² test), (3) presence of one or more chronic disease states (p=0.003; Chi² test) and (4) presence of one or more allergies (p=0.028; Chi² test). The ward pharmacist interventions were shown to be of clinical significance and to have a positive impact on the patients concerned. It can be concluded that the ward pharmacy service was beneficial to the patients, medical practitioners and nursing staff.
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Kreckler, Simon Michael. "Improving patient safety on a surgical ward using a quality improvement approach." Thesis, University of Cambridge, 2012. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.610295.

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MacLeod, Martha L. P. "Experience in everyday nursing practice : a study of 'experienced' surgical ward sisters." Thesis, University of Edinburgh, 1990. http://hdl.handle.net/1842/19083.

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Ödling, Gunvor. "Professional caregivers’ experiences of caring for women with breast cancer on a surgical ward." Doctoral thesis, Umeå universitet, Institutionen för omvårdnad, 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-371.

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The overall aim of the thesis was to describe caregivers’ experiences of caring for women with breast cancer on a surgical ward. The study was based on interviews with narrative parts and tape-recorded clinical supervision sessions. The interviews and clinical supervision sessions were transcribed verbatim, and analysed by content analysis. Nurses (n=10) described life for women with breast cancer as either having freedom or not having freedom, with both physical and existential suffering. Dying occurred either naturally in patients’ own home or unnaturally in hospital. The nurses felt that it is possible to alleviate suffering during dying through providing adequate pain relief but also, through listening, providing information and changing the caring atmosphere (I). Breast cancer as an illness was described from a dark point of view by caregivers (n=37). The descriptions focused on loss of breasts and control, progression of the illness and annihilation. The illness seemed, in the caregivers’ mind, to often end with a painful death. Caregivers who had the opportunity to follow the total care process described a lighter viewpoint (II). According to nurses (=31) the most important needs among women, their relatives and nurses themselves were the needs to talk and receive information. There was a discrepancy between what was described as important needs and the descriptions of how these needs were provided for. Nurses, whose own needs for support were sometimes unsatisfactorily met (III), seemed almost to be unaware of the needs among women and their relatives. In the clinical supervision sessions caregivers reflected on difficult care situations related to women’s, relatives’, and most often caregivers’ feelings (n=38). The care situations were described as evoking feelings of discomfort, powerlessness and reduced self-esteem. These feelings were described by caregivers as arising in connection with caring for especially women with advanced breast cancer in a changing organisation (IV). Caregivers’ descriptions of caring for women with breast cancer show a lot of negative experiences of powerlessness and frustration. They met women and their relatives who suffered in various ways and had considerable need for support. Caregivers often found themselves unable to meet these needs due to organisational obstacles e.g. lack of time and lack of knowledge about other caregivers’ responsibility in the care.
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Ödling, Gunvor. "Professional caregivers' experiences of caring for women with breast cancer on a surgical ward /." Umeå : Univ, 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-371.

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Pucher, Philip. "Structural and care process improvement of ward-based postoperative care to optimise surgical outcomes." Thesis, Imperial College London, 2014. http://hdl.handle.net/10044/1/24994.

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Much of the variation seen in surgical outcomes can be explained by differences in the quality of management of post-operative complications and ward-based care. The surgical ward round (WR) is critical to determining post-operative care and serves as the primary point of interaction between clinician and patient. Despite this, it is an area not subject to training or assessment at present. This thesis demonstrates the high degree of variability which exists in the conduct of WRs. It establishes the link between suboptimal patient assessment and increased risk of preventable post-operative complications. These place patients not only at risk of short-term deterioration, but result in reduced long-term survival as well. In order to quantify WR quality, a novel assessment tool has been developed and validated within a simulated environment. Ward simulation is a nascent branch of simulation which has been only preliminarily explored to date. A simulation environment was developed to take advantage of the known benefits of simulation such as controllability, reproducibility, and recordability, whilst maintaining a high level of fidelity and realism. An evidence-based curriculum for surgical WR training was designed and implemented in a simulation-based course. By focusing on structured generic processes of patient assessment and management, this resulted in significant improvement of trainee performance in routine WRs. To ensure standardised and optimum management of specific conditions, checklists have proven themselves to be of great value in a number of surgical and medical disciplines. Surgical complications are common, yet their management often suboptimal. As part of this thesis, evidence-based protocols for the management of the six most common complications were designed and validated. The implementation of these in a simulation-based randomised, controlled trial has resulted in greatly increased adherence to evidence-based standards of care, as well as improved communication and clinician performance. This thesis explores the variance currently present in surgical ward rounds, and the potentially grave consequences of this for patient outcomes. To date, WRs have been one of the last areas of surgical care still dependent on the Halstedian principle of experiential learning alone. The tools have now been developed with which to assess, improve, and standardise critical structures and care processes in the assessment and management of the post-operative surgical patient. Future implementation of these and integration into surgical curricula will benefit clinician training, patient care, and surgical outcomes alike.
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Pretorious, Georgina. "An assessment of the need for pharmaceutical care in a general surgical ward at Steve Biko Accademic Hospital in Gauteng Province." Thesis, University of Limpopo, 2012. http://hdl.handle.net/10386/1097.

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Thesis (MSc ( Med In Pharmacy)) -- University of Limpopo (Medunsa
Summary Summary Summary The words “researcher” and “pharmacist” are used interchangeably. In the last two decades, the role of the pharmacist has been expanding beyond product orientated functions, such as procurement, stock control and dispensing, towards patient centered functions, in which the pharmacist assumes responsibility for treatment outcomes as part of the health care team. This research aimed to assess the need for the provision of pharmaceutical care from the pharmacist to the surgical wards of Steve Biko Academic Hospital. The objectives of the study were to determine the role of the pharmacist in the general surgical wards, to assist in the design of an antimicrobial ward protocol for the surgical wards, to record and assess antimicrobial patterns in the surgical wards, to describe and categorize the interventions performed by a pharmacist during the provision of pharmaceutical care, to identify factors which limited the provision of pharmaceutical care and provide recommendations for future undertakings, to calculate the cost implications of pharmaceutical care interventions made, to assess the time spent on interventions performed by a pharmacist during the provision of pharmaceutical care and to determine if the medical staff members in the surgical unit feel there is a need for the pharmacist providing pharmaceutical services to the wards. The study was conducted in the surgical wards of Steve Biko Academic Hospital. The study design was a cross-sectional operational study in which 62 patients were recruited over the eight week period. A pilot study was conducted to validate the data collection instruments. The data was analyzed with the assistance of a statistician using various statistical methods for the different variables in the study. ix Of the 62 study patients, 33 were female and 29 were male. The female-to-male ratio of the study patients was thus 1:0.88. The average age of the patient population, was 52.5 ± 17.2 years, with a range of 15 to 88 years. The mean duration of stay for the study patients was 8.9 days, with a range 1 to 111 days. A total of 120 diagnoses were made for the 62 study patients. Conditions diagnosed most frequently included conditions affecting the gastro-intestinal tract (38 patients), conditions affecting the cardiovascular system (28 patients), conditions affecting the endocrine system (14 patients) and infections (12 patients). The five medicines used most frequently in terms of numbers of patients and duration of therapy were paracetamol (53 patients, 277 patient-days), morphine/papaverine/codeine (41 patients, 155 patient-days), enoxaparin sodium (24 patients, 113 patient-days), co-amoxiclav (21 patients, 101 patient-days) and metoclopramide (22 patients, 90 patient-days). A total 188 interventions were made and documented during the study period and 153 (81.4%) interventions were accepted. The number of interventions suggested ranged from 0 to 10, with an average of three interventions per patient and a median of one intervention per patient. The most frequent interventions were made due to system error or non-compliance (29.3% of all interventions), on patient or nursing staffs’ knowledge of the medication (18.6%), untreated medical conditions (11.2%), therapeutic duplications (9.0%) and on prescribed doses and dosing frequency (5.9%). The total time spent providing pharmaceutical care services within the surgical wards over the study period was 32 days (227.9 hours) with an average time of 7.1 hours per day. Of the total time in the ward, 48% was spent on providing pharmaceutical care to the patients, 26% to record and access the total antibiotic usage in the ward, 9% on administration and 6% on meetings. Other functions comprising of 3% and less of the time was information to patients, x communication with doctors, educational sessions with nursing staff, communication with the pharmacy and stock control procedures. Questionnaires were completed by the doctors and nursing staff before and after the study period to determine if they felt there was a need for a pharmacist in the surgical ward. The doctors felt that there was a need for a pharmacist in the ward in terms of providing information and assisting in the rational use of medication. All of the nursing staff felt that there was a need for a pharmacist to visit the surgical ward and specifically to assist with the legal aspects of the prescriptions and with the education of the nursing staff. The pharmacist played an important role in the design of an antimicrobial ward protocol and in order to do so the pharmacist recorded and assessed the antimicrobial prescribing patterns of the surgical wards. In conclusion, the pharmacist present in the ward functioned as a gateway between the nursing staff and the doctors. The interventions that require the most attention was made due to system error and non-compliance. Important interventions were made on the patients’ and nursing staffs’ knowledge of the prescribed medication. The pharmacist played an important role in the education of nursing staff to discuss relevant topics and problems often encountered. Educational sessions with the patients involved giving them advice on home medication and the medication prescribed to them to take home. The amount of patients seen per week increased with time and the average time spent per patient consultation decreased with time. This is a clear indication that the researcher gained confidence and became more familiar with the pharmaceutical care process as the time passed. From the questionnaires completed by the doctors and nursing staff it was clear that they felt that there was a need for a pharmacist in the ward in terms of xi providing information, assisting in the rational use of medication, to assist with the legal aspects of the prescriptions and with the education of the nursing staff.
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Lupaszkoi, Hizden Thomas. "Creating a community of practice to prevent readmissions : An improvement work on shared learning between an intensive care unit and a surgical ward." Thesis, Hälsohögskolan, Högskolan i Jönköping, The Jönköping Academy for Improvement of Health and Welfare, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-30244.

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Background ICU readmissions within 72 hours after discharge from the intensive care unit (ICU) is a problem because this leads to higher mortality and longer hospital stays. This is a particular problem for the hospital studied for this thesis because there are only three fully equipped ICU beds available.   Aim To prevent readmissions by introducing nursing rounds as a concept of “communities of practice” (CoP) and to identify supportive and prohibitive mechanisms in the improvement work and knowledge needed for further improvement work in similar settings.   Methods Questionnaires, focus groups, Nelson’s improvement ramp, and qualitative content analysis.   Results There were no readmissions from the participating ward after the nursing rounds started, but the reason for this is not clear. The staff experienced the nursing rounds as valuable and they reported greater feelings of confidence, increased exchange, and use of their own knowledge.   Discussion The findings presented here support that hypothesis that CoP builds knowledge that can improve patient care. The information provided to the participants during the improvement project was identified as the most supportive mechanism for improvement work, and a lack of resources was seen as the most prohibitive mechanism.
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Andersson, Emilia, and Madelene Kjetselberg. "Anestesisjuksköterskors upplevelser av sin första tid på en operationsavdelning : En empirisk studie." Thesis, Högskolan i Gävle, Avdelningen för vårdvetenskap, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-33130.

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Bakgrund: Anestesisjuksköterska är ett avancerat yrke som ställer höga krav på kompetens och självständighet. Forskning visar att nyexaminerade anestesisjuksköterskor upplever stress och otrygghet i sin nya profession. Syfte: Studiens syfte var att beskriva hur nyexaminerade anestesisjuksköterskor upplever sin första tid på en operationsavdelning. Metod: Deskriptiv design med kvalitativ ansats. Totalt tio anestesisjuksköterskor, från två medelstora och ett litet sjukhus i Mellansverige, inkluderades i studien. Studien har använt ett ändamålsenligt urval. Genom semi-strukturerade intervjuer med utgångspunkt från samlades data in. Data har analyserats med hjälp av en kvalitativ innehållsanalys. Huvudresultat: Ur anestesisjuksköterskornas beskrivningar framkom fyra huvudkategorier; den nya professionen, personlig utveckling, erfarenhet och organisatoriska faktorer och totalt tio subkategorier; att vara ny anestesisjuksköterska, att uppleva ansvar, att ha prestationskrav, känna tilltro till egen förmåga, att känna arbetsglädje, att utvecklas, brist på erfarenhet, erfarenhet skapar trygghet, brist på stöd från organisationen samt stöd från organisationen. Studien visar att anestesisjuksköterskorna upplevde sin första tid på en operationsavdelning som påfrestande men även som intressant och utvecklande. Nya arbetsuppgifter och stort ansvar upplevdes som betungande i början. Bristen på erfarenhet var stundtals påfrestande men stöd från kollegier bidrog till att majoriteten av anestesisjuksköterskorna upplevde trygghet. Då bristande stöd ökade deras upplevelse av otrygghet och ensamhet, framkom en önskan om mentorskap och mer handledning under anestesisjuksköterskornas första tid. Slutsats: Föreliggande studie beskriver nyexaminerade anestesisjuksköterskors upplevelse och resultatet visar att stress och en känsla av ensamhet präglade den första tiden. Bristande erfarenhet kunde vara påfrestande men med stöd från kollegier upplevde de en ökad trygghet. Resultatet visar att det fanns en önskan om mer stöd i form av mentorskap och handledning under anestesisjuksköterskornas första tid. Överlag ger studien en ökad förståelse för hur nyexaminerade anestesisjuksköterskor upplever sin första tid.
Background: To be a Nurse Anesthetist is advanced and involves high demands for competence and independence. Research has shown that newly graduated nurse anesthetists experience stress and insecurity in their new profession. Aim: The study was aimed to describe how newly graduated nurse anesthetists experience their first time at a surgical ward. Method: Descriptive design with qualitative approach. A total of ten nurse anesthetists from two middle-sized and one small hospital in Sweden were included in the study. Purposive sampling has been used. The data were collected by semi-structured interviews with help from an interview guide. The data have been analyzed with a qualitative content analysis. Findings: The nurse anesthetist’s descriptions in the interviews were sorted in to four main categories and ten subcategories. The main categories were; The new profession, Personal development, Experience, and Organizational elements. The subcategories were: Newly graduated nurse anesthetist’s, To have responsibility, Performance anxiety, Belief in own ability, Job satisfaction, To progress, Lack of experience, Experience creates security, Lack of support from the organization and Support from the organization. The nurse anesthetists describe their first period at the surgical ward as demanding but also interesting and stimulating. New assignments and the large responsibility were described as burdensome at first. The lack of experience was at times hard to deal with but the support from the organization increased their feelings of security. In the study, nurse anesthetists’ wanted more support in the form of mentorship and coaching, as lack of support increased their feelings of insecurity and loneliness. Conclusion: The study describes how newly graduated nurse anesthetists’ experience feelings of stress and loneliness during their first period in a surgical ward. Lack of experience was demanding at first but with support from colleagues their feelings of security increased. The results show that newly graduated nurse anesthetists’ wanted more support in the form of mentorship and coaching. The study provides a deeper understanding of how newly graduated nurse anesthetists’ experience their first period in a surgical ward.
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Makoni, Axilia-Tanakasei. "An exploration of cultural issues affecting staff compliance with recommended infection prevention and control practices in a 'ring-fenced' acute hospital elective surgical ward." Thesis, University of Essex, 2018. http://repository.essex.ac.uk/21628/.

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Healthcare associated infection (HCAI) poses a serious threat to patients admitted into hospital as well as health care staff. Whilst recommendations for preventing HCAI exist, many research studies, primarily quantitative in nature, have reported serious concerns about the suboptimal infection prevention and control (IPC) practices adopted by healthcare workers (HCWs) within acute clinical settings. However, there remains a lack of understanding about why suboptimal practices persist. Although quantitative studies have identified poor staff compliance with the IPC recommended practices, attempts to tackle the problem have yielded limited success. It is suggested that a key reason for this is the failure to take into account the cultural context in which the non-compliant behaviours take place. This qualitative study, guided by ethnographic principles, uses a combination of focus groups and individual interviews with frontline staff and organisational leaders to explore cultural issues affecting staff compliance with recommended IPC practices in a ring-fenced acute hospital elective surgical ward (ESW). The study reveals that noncompliance with IPC policies and procedures in the ESW was legitimised and subsequently tolerated by both frontline and managerial staff, especially when the acute hospital was under stress. In particular, the ESW operational ring-fencing policy for protecting elective surgical patients from HCAI acquisition was repeatedly breached due to the conflicting pressures and competing demands of a busy hospital environment. The findings challenge the sustainability of the policy of ring-fencing the ESW as a discrete component of a busy acute hospital in order to protect elective surgical patients from HCAI in the context of the current healthcare system. It is highly likely that, as people live longer due to advances in medicine and technology, the demand for trauma and medical emergency beds will increase in the future, rendering the ring-fencing of any bed unsustainable in an acute hospital setting.
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Books on the topic "Surgical ward"

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Improving patient outcomes: A resource for ward leaders. Keswick: M & K Pub., 2007.

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War wounds of limbs: Surgical management. Oxford: Butterworth-Heinemann, 1993.

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Fearon, Maggie M. MONITOR 2000: An audit of the quality of nursing care for medical and surgical wards. Newcastle upon Tyne: Unique Business Services, 1995.

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Timothy, Miller. The surgical reconstruction of war: Operation Mend. Virginia Beach, Virginia: Donning Company Publishers, 2013.

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Rowley, David I. War wounds with fractures: A guide to surgical management. Geneva, Switzerland: International Committee of the Red Cross, 1996.

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Closs, S. José. A nursing study of sleep on surgical wards: Report prepared for the Scottish Home and Health Department. Edinburgh: Nursing Research Unit, Department of Nursing Studies, University of Edinburgh, 1988.

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Shackleton, Michael. Desert surgeons: New Zealand's Mobile Surgical Unit in World War II. Wellington, N.Z: Ngaio Press, 2011.

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Shackleton, Michael. Desert surgeons: New Zealand's Mobile Surgical Unit in World War II. Wellington, N.Z: Ngaio Press, 2011.

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Goldstone, Leonard A. Monitor: An index of the quality of nursing care for acute medical and surgical wards : North West Nursing Staffing Levels Project Report. 2nd ed. Newcastle upon Tyne: UNN Commercial Enterprises Ltd, 1997.

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McKay, Gary. With healing hands: The untold story of the Australian civilian surgical teams in Vietnam. Crows Nest, N.S.W: Allen & Unwin, 2009.

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Book chapters on the topic "Surgical ward"

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Sigurpalsson, Asgeir Orn, Thomas Philip Runarsson, and Rognvaldur J. Saemundsson. "Stochastic Master Surgical Scheduling Under Ward Uncertainty." In Springer Proceedings in Mathematics & Statistics, 163–76. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-39694-7_13.

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Ralph-Edwards, Anthony. "Routine Surgical Ward Care and Discharge Planning." In Evidence-Based Practice in Perioperative Cardiac Anesthesia and Surgery, 665–69. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-47887-2_59.

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O’Hanlon, Shane. "Management of Delirium on the Surgical Ward." In In Clinical Practice, 61–79. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-75723-0_5.

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Venneri, Francesco, Lawrence B. Brown, Francesca Cammelli, and Elliott R. Haut. "Safe Surgery Saves Lives." In Textbook of Patient Safety and Clinical Risk Management, 177–88. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-59403-9_14.

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AbstractThe World Health Organization (WHO) Safe Surgery Saves Lives campaign aimed to implement safe surgical procedures and patient safety best practices to reduce the incidence of adverse events both in the operating room and in the ward. For decades, the main objectives of safe surgery were mainly focused on the technical procedure. More recently, the implementation of non-technical skills and interpersonal communication have been found to play a significant role in preventing harm in surgical care settings.
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Back, Christoffer O., Areti Manataki, Angelos Papanastasiou, and Ewen Harrison. "Stochastic Workflow Modeling in a Surgical Ward: Towards Simulating and Predicting Patient Flow." In Biomedical Engineering Systems and Technologies, 565–91. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-72379-8_28.

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Regina, Micaela La, Alessandra Vecchié, Aldo Bonaventura, and Domenico Prisco. "Patient Safety in Internal Medicine." In Textbook of Patient Safety and Clinical Risk Management, 213–52. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-59403-9_17.

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AbstractHospital Internal Medicine (IM) is the branch of medicine that deals with the diagnosis and non-surgical treatment of diseases, providing the comprehensive care in the office and in the hospital, managing both common and complex illnesses of adolescents, adults, and the elderly. IM is a key ward for Health National Services. In Italy, for example, about 17.3% of acute patients are discharged from the IM departments. After the epidemiological transition to chronic/degenerative diseases, patients admitted to hospital are often poly-pathological and so requiring a global approach as in IM. As such transition was not associated—with rare exceptions—to hospital re-organization of beds and workforce, IM wards are often overcrowded, burdened by off-wards patients and subjected to high turnover and discharge pressure. All these factors contribute to amplify some traditional clinical risks for patients and health operators. The aim of our review is to describe several potential errors and their prevention strategies, which should be implemented by physicians, nurses, and other healthcare professionals working in IM wards.
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Stephenson, Matt. "WARDS." In The Hands-on Guide to Surgical Training, 45–70. Chichester, UK: John Wiley & Sons, Ltd, 2018. http://dx.doi.org/10.1002/9781119548560.ch2.

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Ahmad, Ali El-Sayed, Razan Salem, and Andreas Zierer. "Aortic Arch Surgery Under Warm Conditions (Moderate to Mild Hypothermia)." In Surgical Management of Aortic Pathology, 935–42. Vienna: Springer Vienna, 2019. http://dx.doi.org/10.1007/978-3-7091-4874-7_67.

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Meiners, S., H. Gerngross, and C. Willy. "Principles of Surgical Management of War Wounds." In Surgery in Wounds, 282–97. Berlin, Heidelberg: Springer Berlin Heidelberg, 2004. http://dx.doi.org/10.1007/978-3-642-59307-9_27.

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Saiz-Ruiz, Jerónimo, and José M. López-Ibor. "Death Due to Suicide in Medical and Surgical Wards." In Epidemiology and Community Psychiatry, 193–97. Boston, MA: Springer US, 1985. http://dx.doi.org/10.1007/978-1-4684-4700-2_27.

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Conference papers on the topic "Surgical ward"

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Back, Christoffer, Areti Manataki, and Ewen Harrison. "Mining Patient Flow Patterns in a Surgical Ward." In 13th International Conference on Health Informatics. SCITEPRESS - Science and Technology Publications, 2020. http://dx.doi.org/10.5220/0009181302730283.

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Arifah, Nur, Fridawaty Rivai, and A. Zulfaidah Putri Delima. "Patient Experiences In Internal And Surgical Ward at State Hospital Labuang Baji Makassar." In 8th International Conference of Asian Association of Indigenous and Cultural Psychology (ICAAIP 2017). Paris, France: Atlantis Press, 2018. http://dx.doi.org/10.2991/icaaip-17.2018.55.

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Shaladi, Ali, Stephen Crockett, and Katharine Thomas. "53 Audited quality improvement project on oxygen prescribing on an acute surgical ward." In Leaders in Healthcare Conference, Poster Abstracts, 4–6 November 2019, Birmingham, UK. BMJ Publishing Group Ltd, 2019. http://dx.doi.org/10.1136/leader-2019-fmlm.53.

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Dharmadhikari, Ashwin, Matsie Mphahlele, Anton Stoltz, Kobus Venter, Rirhandzu Mathebula, Thabiso Masotla, Paul Jensen, et al. "Surgical Face Masks Reduce Multidrug-Resistant Tuberculosis Transmission From Patients On A Hospital Ward." In American Thoracic Society 2011 International Conference, May 13-18, 2011 • Denver Colorado. American Thoracic Society, 2011. http://dx.doi.org/10.1164/ajrccm-conference.2011.183.1_meetingabstracts.a5308.

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Piccione, C., AL Saccone, and H. Aliferopulos. "INT-014 Analysis of complicated intra-abdominal infections costs in a surgical ward characterised by high antibiotic resistance." In Abstract Book, 23rd EAHP Congress, 21st–23rd March 2018, Gothenburg, Sweden. British Medical Journal Publishing Group, 2018. http://dx.doi.org/10.1136/ejhpharm-2018-eahpconf.539.

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Thompson, C., and A. Orr. "4CPS-273 Impact of a specialist pharmacist on hepato-pancreatico-biliary (HpB) surgical ward rounds at a large tertiary liver centre." In 26th EAHP Congress, Hospital pharmacists – changing roles in a changing world, 23–25 March 2022. British Medical Journal Publishing Group, 2022. http://dx.doi.org/10.1136/ejhpharm-2022-eahp.246.

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Porter, Timothy, Rachel Donahue, Katherine Rakoczy, Alexander Pavoll, and Daniel A. Rauch. "Utility of Length of Stay and Direct Cost in Evaluating for Disparities in Pediatric Inpatient Care on a General Medical/Surgical Ward." In AAP National Conference & Exhibition Meeting Abstracts. American Academy of Pediatrics, 2021. http://dx.doi.org/10.1542/peds.147.3_meetingabstract.591.

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Strauss, C., R. Ajitsaria, A. Taylor, H. Marshall, and N. Davey. "G388(P) Who is that patient? A quality improvement project trying to ensure paediatric surgical patients are handed over to the ward paediatricians." In Royal College of Paediatrics and Child Health, Abstracts of the RCPCH Conference–Online, 25 September 2020–13 November 2020. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2020. http://dx.doi.org/10.1136/archdischild-2020-rcpch.332.

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Marni, Linda, Aulia Asman, and Erpita Yanti. "The Effect of Health Education on the Implementation of Early Mobilization in Post op Abdomen Patients in the Surgical Ward of Pariaman’s RSUD in 2018." In 1st International Conference on Sport Sciences, Health and Tourism (ICSSHT 2019). Paris, France: Atlantis Press, 2021. http://dx.doi.org/10.2991/ahsr.k.210130.052.

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Bosch-Frigola, Irene, Fernando Coca-Villalba, María-José Pérez-Lacasta, and Misericordia Carles-Lavila. "THE COSTS OF CARE PROCESSES GENERATED BY THE CARE OF PATIENTS WITH DIABETES MELLITUS AS A NON-COMMUNICABLE DISEASE AND WHO SUFFER FROM EATING DISORDERS (ANOREXIA AND BULIMIA) AND SUBSTANCE ABUSE." In 23° Congreso de la Sociedad Española de Patología Dual (SEPD) 2021. SEPD, 2021. http://dx.doi.org/10.17579/sepd2021o013.

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INTRODUCTION:Diabetes Mellitus (DM) daily care requires personal effort.Patients must strictly:follow nutritional advice,implement lifestyle changes,and routinely and promptly take the drugs prescribed by health professionals among other guidelines.Eating Disorders(ED),such as anorexia and bulimia,are serious pathologies which can seriously affect the health of DM patients if they are not caught in time.However,if abuse of addictive substances is added to the scenario,the consequences for the health of the individual concerned can be very serious. OBJECTIVES:To analyse the variation in the cost of care processes of patients with DM(across all age groups)who also present with an ED and abuse addictive substances(caffeine,tobacco,alcohol,hallucinogens,cocaine,and opiates).These patients’ hospitalisation patterns will be considered for the time period between 2016 and 2018,and will include:type of discharge and admission,the origin of the patient,the type of care,and the patient’s needs during their hospital stay. MATERIAL AND METHODS: Database was provided by Grupo RECH–Red Española de Costes Hospitalarios–www.rechosp.org.The variables analysed included the main diagnoses of the aforementioned health problems.The following types of care were included:hospitalisation at home,in-house hospitalisation,major outpatient surgery,and emergencies,along with the type of patient discharge. METHODOLOGY:Descriptive statistics and Factorial Analysis of Mixed Data methodology(FAMD)were used to cluster the costs by main diagnoses due,jointly,to DM,ED,and the consumption of addictive substances.FactoMineR package has been used to obtain the outputs. RESULTS:There are significant increases in costs related to a patient's main diagnoses when dual pathology is included in the analysis.FAMD shows that surgical costs are similar to the use of substances such as caffeine,nicotine,hallucinogens and opiates,with alcohol standing out;that ward costs increase significantly for alcohol use;and that caffeine intake and hallucinogens are relevant in laboratory costs. CONCLUSIONS:These health problems generate distinct patterns of costs facing hospitals.They need to be identified and diagnosed before they become more serious making it necessary to establish the appropriate attention for the patient in time.
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Reports on the topic "Surgical ward"

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Staff - Head Office - Commonwealth Bank of Australia - Charity - Christmas tree donated by the Cot Fund Committee to the Upper Todman Surgical Ward, AK Ward as Santa Claus - December 1920. Reserve Bank of Australia, March 2022. http://dx.doi.org/10.47688/rba_archives_pn-016051.

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Staff - Head Office - Commonwealth Bank of Australia - Charity - Christmas tree donated by the Cot Fund Committee to the Upper Todman Surgical Ward - Miss Myall McCourt in Santa outfit - 23 December 1919. Reserve Bank of Australia, March 2022. http://dx.doi.org/10.47688/rba_archives_pn-016050.

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