Perioperative nurses’ activities in the brazilian scenario: a scoping review

This is a scoping review prepared in accordance with current JBI guidelines, using the checklist for conducting and reporting the study. The search was carried out by two independent researchers, between August and December 2021, in six databases in the health area, using the descriptors nurses, nurse role, intraoperative period, perioperative nursing, surgical centers. Articles published between January 2011 and October 2022, in English, Portuguese or Spanish, were part of the sample. The information was extracted, classified, synthesized and presented descriptively.

Results

Eighteen were included in the research synthesis. The analysis of results made it possible to highlight the implementation of surgical safety measures as prevalent activities in care (50%); in management, material, input and equipment (72%) and room preparation (39%) management; in teaching, permanent nursing education (50%). No studies related to researcher activity were identified.

Conclusion

In the Brazilian scenario, perioperative nurses’ activities range from management to assistance with a smaller proportion in teaching, highlighting their strategic position in mobilizing actions that promote safety and quality in perioperative processes. Protocol registration on the Open Science Framework platform: https://osf.io/8jmq6/

Intraoperative period; Operating room nursing; Nurse’s role; Surgicenters

Article	Author/Year	Activities
A1	Sousa et al, ( ⁸8. Sousa CS , Gonçalves MC , Lima AM , Turrini RN . Advances in the role of surgical center nurses . Rev Enferm UFPE On Line . 2013 ; 7 ( Spe ): 6288 - 93 . ) 2013	Material forecasting and provision; continuing education; surgical positioning; hypothermia control; infection control; robotic surgery care; sector administration.
A2	Guido et al, ( ⁹9. Guido LA , Goulart CT , Brum CN , Lemos AP , Umann J . Nursing perioperative care:an integrative review of literature . J Res Fundam Care . 2014 ; 6 ( 4 ): 1601 - 9 . ) 2014	Perioperative care: nursing guidelines; hypothermia prevention; skin injury prevention; use of Systematization of Perioperative Nursing Care (SAEP); registration of information; material forecasting and provision; mastery of technologies.
A3	Santos et al, ( ¹⁰10. Santos FK , Silva MV , Gomes AM . Understanding the forms of care of nurses in the operating room - a construction based on the grounded theory method . Texto Contexto Enferm . 2014 ; 23 ( 3 ): 696 - 703 . ) 2014	Implementation of procedures and routines; bureaucratic activities.
A4	Campos et al, ( ¹¹11. Campos JA , Costa AC , Dessotte CA , Silveira RC . Scientific production in perioperative nursing from 2003 to 2013 . Rev SOBECC . 2015 ; 20 ( 2 ): 81 - 95 . ) 2015	Surgical center management; material and human resource control and assessment.
A5	Xavier et al, ( ¹²12. Xavier AG , Almeida TC . Systematization of nursing care in perioperative of pulmonary segmentectomy: case studies . Rev Enferm UFPE On Line . 2015 ; 9 ( 4 ): 7468 - 73 . ) 2015	Assessment/nursing diagnoses; guidance to patients; surgical positioning.
A6	Howes et al, ( ¹³13. Howes FM , Treviso P , Caregnato RC . Donor-related lung transplant surgeries: nursing practice in the transoperative period . Rev SOBECC . 2015 ; 20 ( 3 ): 171 - 8 . ) 2015	Provision of material and human resources; contact teams and sectors involved in the transplant; document checking; records of care provided; handover to ICU nurses.
A7	Miranda et al, ( ¹⁴14. Miranda AB , Fogaça AS , Rizzetto M , Lopes LC . Surgical positioning: nursing care in the transoperative period . Rev SOBECC . 2016 ; 21 ( 1 ): 52 - 8 . ) 2016	Prior assessment of patients for positioning planning; SAEP; supervise the nursing staff; continuing education.
A8	Sene et al, ( ¹⁵15. Sene ES , Jardim DP . Nursing practice in minimally invasive video-assisted cardiac surgery . Rev SOBECC . 2016 ; 21 ( 3 ): 170 - 7 . ) 2016	Scheduling; material forecasting and provision; safety checklist; room assembly; SAEP, record of care provided; shift from shift to ICU nurses.
A9	Martins et al, ( ¹⁶16. Martins FZ , Dall’Agnol CM . Surgical center: challenges and strategies for nurses in managerial activities . Rev Gaucha Enferm . 2016 ; 37 ( 4 ): e56945 . ) 2016	Materials management; nursing staff management; staff training; assistance record; elaborate daily roster; manage the rooms.
A10	Lemos et al, ( ¹⁷17. Lemos CS , Poveda VB , Peniche AC . Construction and validation of a nursing care protocol in anesthesia . Rev Lat Am Enfermagem . 2017 ; 25 : e2952 . ) 2017	Assistance to anesthesiologists in patient monitoring and anesthetic induction; intraoperative control and care after reversal.
A11	Berwanger et al, ( ¹⁸18. Berwanger DC , Matos FG , Alves DA , Oliveira JL . Links between diagnostics, results and nursing interventions for patients in the transoperative period . Rev SOBECC . 2018 ; 23 ( 4 ): 195 - 204 . ) 2018	SAEP.
A12	Pinto et al, ( ¹⁹19. Pinto EV , Lunardi LS , Treviso P , Botene DZ . Nurse role in robotic surgery: challenges and prospects . Rev SOBECC . 2018 ; 23 ( 1 ): 43 - 51 . ) 2018	SC preparation with equipment, materials and instruments; handle the robot safely; surgical positioning of patients; preparing the nursing staff for the conversion from robotic surgery to open surgery; guidelines for patients.
A13	Martins et al, ( ²⁰20. Martins RC , Trevilato DD , Jost MT , Caregnato RC . Nursing performance in robotic surgeries: integrative review . Rev Bras Enferm . 2019 ; 72 ( 3 ): 795 - 800 . Review . ) 2019	Instrument management; staff organization; patient safety; assess educational and human resource needs; room preparation.
A14	Gomes et al, ( ²¹21. Gomes ET , Assunção MC , Lins EM , Püschel VA . Nursing in mechanical prevention of venous thromboembolism in surgical patients . Rev Esc Enferm USP . 2021 ; 55 : e03738 . ) 2021	Risk assessment of patients; help patients; guide patients; manage equipment.
A15	Martins et al, ( ²2. Martins KN , Bueno AA , Mazoni SR , Machado VB , Evangelista RA , Bolina AF . Management process in surgicenters from the perspective of nurses . Acta Paul Enferm . 2021 ; 43 : eAPE00753 . ) 2021	Inputs and equipment management; sector organization; administrative activities; people management.
A16	Lemos et al, ( ²²22. Lemos CS , Poveda VB . Role of perioperative nursing in anesthesia: a national overview . Rev Esc Enferm USP . 2022 ; 56 : e20210465 . ) 2022	Management activities; staff sizing; SAEP; anesthetic induction monitoring; supplies management; surgical positioning; nursing records (intercurrences, drains, dressings); orientation to patients; technical procedures (puncture of venous access, aid in aspiration, transfer of patients from the surgical table) Sellick/BURP maneuvers; checking of consent form; shift change; checking of materials intended for anesthesia.
A17	Souza et al, ( ²³23. Souza SS , Farias MT , Bandeira AK , Magalhães MS , Sales MG , Rodrigues AS , et al . Condutas da enfermeira em centro cirúrgico no cenário da pandemia por COVID-19 . Rev Nursing . 2022 ; 25 ( 291 ): 8394 - 8 . ) 2022	Protocols and adaptations for patient care in the context of the COVID-19 pandemic; readjustment of professionals.
A18	Trevilato et al, ( ²⁴24. Trevilato DD , Costa MR , Magalhães AM , Caregnato RC . Nurses’ conceptions regarding patient safety during surgical positioning . Rev Gaucha Enferm . 2022 ; 43 : e20210045 . ) 2022	Safe care planning; management of inputs and equipment; assistant admission; assist in the surgical positioning of patients; interprofessional staff’s involvement; staff training and guidance; care protocol (ELPO scale) application.

Área	Specific activity	Publication
Management	Material, input and equipment management	A1, A2, A3, A4, A6, A8, A9, A10, A12, A14, A15, A16, A18
	Surgical roster management	A6, A8, A9
	SC preparation management	A1, A6, A8, A9, A10, A12, A13
	People management (nursing staff supervision)	A1, A4, A6, A9, A12, A15, A17
	Care indicator management	A12
Care	SAEP	A1, A2, A5, A7, A10, A11, A16
	Nursing guidance to surgical patients	A2, A5, A12, A13, A14
	Nursing records	A2, A6, A8, A9, A10, A12, A16
	Care protocol elaboration and application	A2, A10, A14, A16, A17, A18
	Anesthetic induction monitoring	A10, A16
	Implementation of measures involving surgical safety	A1, A8, A10, A11, A12, A13, A15, A16, A18
	Surgical positioning and injury prevention	A1, A2, A5, A7, A8, A12, A13, A16, A18
	Infection prevention measures	A9, A12
	Technical procedures performed by nurses	A3, A8, A10, A14, A16
	Shift change	A6, A8, A10, A16
	Robotic surgery assistance	A1, A12, A13
Teaching	Nursing staff permanent education	A1, A2, A7, A8, A9, A12, A13, A15, A18

Escola Paulista de Enfermagem, Universidade Federal de São Paulo R. Napoleão de Barros, 754, 04024-002 São Paulo - SP/Brasil, Tel./Fax: (55 11) 5576 4430 - São Paulo - SP - Brazil
E-mail: actapaulista@unifesp.br

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[1] Corresponding author: Denilse Damasceno Trevilato E-mail: denilse.trevilato@gmail.com