The Circulating Nurse’s Role in Decreasing Fear to Patient and Designated Family Member Prior to a Surgery under Anesthesia

Patients and family members who undergo surgery experience fear and anxiety prior to their surgical procedure. Fear and anxiety are usually associated, but both have different characteristics. Anxiety is a feeling which has no source and it is the direct result of fear. On the contrary, fear is an emotion to specific danger source (surgery under anesthesia) Therefore, by decreasing fear we will successfully decrease patient’s anxiety levels. Literature reviews have identified areas where empathy, active listening, good communication and emotional support are decreasing fear in patient and family members who will be able to create a source of support to the patient and speed recovery. Research question will be the implementation of an evidence-based emotional support surgical checklist assisting the circulating nurse in decreasing patients and their family’s designee fear of having surgery under anesthesia. Overtime, this increased fear alters or negatively effects a patient’s health. In order to decrease the patients’ levels of fear circulator nurses may use an integrated approach. Researcher developed questionnaires pre and post interview related to an evidence-based emotional support surgical. The method will include a prospective study of 70 patients and their designee family member demographic personal information about decreasing fear of having surgery pre/after evidence-based emotional support checklist implemented. After this implementation, the study could be used to gather accurate data which will be evaluated and present results that nurses significantly and positively influence pre-operatively in the well-being of patients and family members. Following the evidence-based emotional support checklist, which is an easy method for nurses to apply and it is within the scope of their nursing practice, will improve patients’ recovery tremendously, decreases patient and family members fear and increase patients satisfaction at WKBH

Causal frequency-specific contributions of frontal spatiotemporal patterns induced by non-invasive neurostimulation to human visual performance

Neural oscillatory activity is known to play a crucial role in brain function. In the particular domain of visual perception, specific frequency bands in different brain regions and networks, from sensory areas to large-scale frontoparietal systems, have been associated with distinct aspects of visual behavior. Nonetheless, their contributions to human visual cognition remain to be causally demonstrated. We hereby used non-uniform (and thus non-frequency-specific) and uniform (frequency-specific) high-beta and gamma patterns of noninvasive neurostimulation over the right frontal eye field (FEF) to isolate the behavioral effects of oscillation frequency and provide causal evidence that distinct visual behavioral outcomes could be modulated by frequency-specific activity emerging from a single cortical region. In a visual detection task using near-threshold targets, high-beta frequency enhanced perceptual sensitivity (d ) without changing response criterion (beta), whereas gamma frequency shifted response criterion but showed no effects on perceptual sensitivity. The lack of behavioral modulations by non-frequency-specific patterns demonstrates that these behavioral effects were specifically driven by burstfrequency. We hypothesizethat suchfrequency-coded behavioral impact of oscillatory activity may reflect a general brain mechanism to multiplex functions within the same neural substrate. Furthermore, pathological conditions involving impaired cerebral oscillations could potentially benefit in the near future from the use of neurostimulation to restore the characteristic oscillatory patterns of healthy systems

The Circulating Nurse’s Role in Decreasing Fear to Patient and Designated Family Member Prior to a Surgery Under Anesthesia

Patients and family members who undergo surgery experience fear and anxiety prior to their surgical procedure. Fear and anxiety are usually associated, but both have different characteristics. Anxiety is a feeling which has no source and it is the direct result of fear. On the contrary, fear is an emotion to specific danger source (surgery under anesthesia) Therefore, by decreasing fear we will successfully decrease patient’s anxiety levels. Literature reviews have identified areas where empathy, active listening, good communication and emotional support are decreasing fear in patient and family members who will be able to create a source of support to the patient and speed recovery. Research question will be the implementation of an evidence-based emotional support surgical checklist assisting the circulating nurse in decreasing patients and their family’s designee fear of having surgery under anesthesia. Overtime, this increased fear alters or negatively effects a patient’s health. In order to decrease the patients’ levels of fear circulator nurses may use an integrated approach. Researcher developed questionnaires pre and post interview related to an evidence-based emotional support surgical. The method will include a prospective study of 70 patients and their designee family member demographic personal information about decreasing fear of having surgery pre/after evidence-based emotional support checklist implemented. After this implementation, the study could be used to gather accurate data which will be evaluated and present results that nurses significantly and positively influence pre-operatively in the well-being of patients and family members. Following the evidence-based emotional support checklist, which is an easy method for nurses to apply and it is within the scope of their nursing practice, will improve patients’ recovery tremendously, decreases patient and family members fear and increase patients satisfaction at WKBH

The Circulating Nurse\u27s Role in Decreasing Fear to Patient and Designated Family Member Prior to a Surgery Under Anesthesia

Abstract Category: Practice Innovation / Evidence-Based Practice Purpose: The Association of PeriOperative Registered Nurses (AORN) (2017) suggest that circulating nurses should help decrease fear of surgery for patients and caregivers because they experience high levels of anxiety and loss of control. The goal of this study was to assess the perceptions of patients\u27 and caregivers\u27 fear of having surgery under general anesthesia pre/post the implementation of an evidence based (EB) emotional support checklist along with the patients\u27 physiological measures. Methods: This study was a quasi-experimental pre/post single group evaluation research study. 75 patients and 75 caregivers were given a cover letter with a researcher-developed survey that included assessing fear on a scale of 1-10. Physiological measures were also collected. Findings: Patients\u27 top two fears were risk of death (69.3%, 52) and pain (68.0%, 51). For caregivers they were risk of death (87.5%, 70) and complications (78.8%, 63). Patients experienced a decrease in fear (p=.000) as did the caregivers (p=.000). Patients\u27 systolic (p=.000), heart rate (p=.000), and respiratory rate (p=.000) also decreased post EB emotional support checklist. Discussion: The results suggest that an EB emotional support checklist addressed and helped decrease patients\u27 and caregivers\u27 fear along with physiological measures in patients by the intervention given by circulator nurses. Also it reduced mystical ideas of surgery under general anesthesia. Implications for Practice: When patients are undergoing surgery it is highly recommended nurses provide holistic care centered on feelings of fear and emotions of these patients and their family members. Therefore, circulator nurses should have adequate knowledge, skills, and a positive attitude to be able to help patients and family members to move forward on the journey of this critical life event through empathy, active listening, good communication, and emotional support for decreasing fear

The Mexican Tourism Business: Lessons From Domestic Demand For Business Managers

The purpose of this research is to identify priority actions to be taken in Mexico in order to encourage tourism entrepreneurs to take advantage of and to meet domestic tourist demand. In order to do this, the role that domestic tourism has in consumption and demand both nationally and internationally is analysed; opinion leaders from the sector are interviewed and the concept mapping methodology is used in combination with multidimensional scaling to solve the difficulties of prioritizing activities, gaining consensus, and to show graphically how the various stakeholders relate. The main results show three principal groups of activities: one which can be directly addressed by entrepreneurs, and two others, which although they relate to public policy and measurement, can also be driven by the business community

¿Por qué no escuchan los presidentes?

Los depositarios del ejercicio del supremo poder ejecutivo de la Unión, nombre que confiere el artículo 80 de la Constitución Política de los Estados Unidos Mexicanos a los presidentes de la república, están obligados a escuchar al pueblo. Durante su campaña para ocupar tal cargo y mientras lo desempeñan se desgañitan para enarbolar el compromiso de hacerlo. Sin embargo, el pueblo se considera poco atendido aun expresándose a gritos. Un cúmulo exorbitante de tareas intrascendentes consumen un tiempo considerable de las actividades presidenciales, muchas destinadas a incrementar sus niveles de popularidad y a ¿cuidar su imagen¿. A la omnipresencia presidencial se suma también el cerco de colaboradores, familiares, amigos y poderosos. Por ende, hay descuido de tareas fundamentales para los habitantes del país. Desafortunadamente hasta ahora sólo cuando el pueblo se rebela se hace escuchar por los gobernantes. La eliminación de los factores silenciadores del pueblo permitirá escuchar su voz libre para asegurar su dignidad fundada en su mejoramiento económico, social y cultural