Purpose: This paper aims to identify the consciousness and behaviors of peri-anesthetic nurses to provide safe perioperative drug management.
Methods: Qualitative descriptive study.
Results and discussion: The study revealed that With limited resources, peri-anesthesia nurses have the specialized knowledge and skills of each facility they belong to, endure a great sense of responsibility and role on a daily basis, and develop advanced practice. In the future, it will be necessary to build a system for drug management while fostering a culture that facilitates reporting. It can be said that team medical care and non-technical skills are required more than ever. On the other hand, it is necessary to not be content with getting used to it, but to work hard to fulfill your role as an advanced practitioner on a day-to-day basis.

View full abstract

Objective: Hospital recommendations are crucial since the acquisition of new patients and repeat visits from existing patients are critical aspects of effective hospital management. Therefore, this study aimed to investigate the factors that influence hospital recommendations.
Methods: Data were obtained from an outpatient satisfaction survey conducted by the National Hospital Organization between 2015 and 2019 in Japan. Data from 109 hospitals （537 hospitals in total) were analyzed. Factors affecting hospital recommendations were determined using the forward–backward stepwise method. Additionally, specific measures to improve hospital recommendations were examined using multiple regression analysis.
Results: The following factors were identified as influencing hospital recommendations: "I felt anxious during my first visit （anxiety at the first visit), " "I have a bad impression of this hospital （impression of the hospital), " "I was concerned about the skill and knowledge of the physician （skill and knowledge of the physician), " "I am not satisfied with the treatment/treatment I received today （treatment and procedures), " and "I am dissatisfied with the environment of the examination room （environment of the examination room). " On the other hand, "I am not satisfied with the IVs, injections, medications, or prescriptions I received today （IV/injection/medication) " and "I am dissatisfied with the wait time （waiting time) " were not significant factors influencing the hospital recommendations.
Conclusion: To improve hospital recommendations, it is necessary to enhance physicians’ medical knowledge and expertise so that patients can benefit from the treatment and communication skills. In addition, creating a patient-oriented consultation environment that considers patients’ privacy is essential.

View full abstract

The purpose of this study was to clarify the physical burden on nurses who interact with COVID-19 patients while wearing personal protective equipment (PPE). Nursing staff in specialized wards for COVID-19 patients were surveyed for changes in blood pressure, pulse, and dyspnea in the green and red zones.
Systolic blood pressure fluctuations of -37~+44 mmHg were observed in 2~3 hours of entry time in the red zone. By nursing practice, systolic blood pressure fluctuations of -41~+44 mmHg were observed between the green zone and the red zone regardless of work. In addition, systolic blood pressure decreased by -41~-35 mmHg in the 40s and 50s. Regardless of blood pressure or pulse fluctuations, working with PPE may cause some physical strain. In addition, red zone work under PPE is considered to be the maximum allowable range of 2~3 hours of entry.
In order to ensure the safety and health of workers, it is necessary to improve operations by function.

View full abstract

The National University Hospital Council of Japan has recommended that its constituent hospitals implement an alert notification system for radiologists' reports with abnormal findings to physicians who ordered radiological diagnostic tests to prevent delayed or missed access to their reports. A survey of 51 national university hospitals in Japan found that 33 hospitals had implemented an alert notification system that flagged critical findings. For critical imaging findings requiring action within 24 hours (urgent), 18 hospitals flagged the finding if it was included as the purpose of the imaging request (i.e., the finding was expected by the attending physician) and 31 hospitals flagged the finding if it was not (i.e., the finding was not expected by the attending physician). For critical imaging findings requiring action within 1 to 2 months (semi-urgent), 9 hospitals flagged the finding if it was included as the purpose of the imaging request and 31 hospitals flagged the finding if it was not. There were five different combinations of these alerts. Each hospital must adopt an alert notification approach appropriate for its resources and prevent physicians from becoming so dependent on alerts that they stop paying attention themselves.

View full abstract