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Pensar Enfermagem / v.28 n.sup / October 2024

DOI: 10.71861/pensarenf.v28iSup.395

Abstract

Introduction

Robotic surgery poses a challenge by bringing technological innovation to the operating

room, which requires an adaptation of traditional nursing care to cope with new complex

procedures, ensuring interventions that promote recovery and safety in the perioperative

period.

Objective

To identify safety-promoting nursing interventions associated with robotic surgery.

Methods

Systematic literature review, based on the Joanna Briggs Institute (JBI) methodology, using

electronic databases: CINAHL, Medline, Scopus and LILACS. The inclusion criteria were

English, Portuguese and Spanish and articles published between January 2014 and May

2024. The methodological quality of the articles was assessed according to the Critical

Appraisal Tools proposed by JBI, in which those with more than 75% compliance with the

criteria were included.

Results

A total of 543 studies were selected, of which only 16 articles met the eligibility criteria.

With different designs, observational (n=1), qualitative (n=4), literature reviews (n=4),

mixed (n=4), delphi (n=1), prospective pilot (n=1) and descriptive quantitative (n=1). The

interventions identified were divided into the three phases of the perioperative period. Pre-

operative: health education, aimed at surgical specificities, fears and doubts of the

person/family; systematized assessment of health history and current condition;

implementation of the operative checklist. Intra-operative: prevention of injuries associated

with surgical positioning; assessment of continuous hemodynamic status; safe

environment; infection control; pre-testing and maintenance of robotic equipment. Post-

operative: control of symptoms and adverse events; early initiation of mobility and training

for self-care. As facilitating factors, specialized training and the quality of communication.

Conclusion

Nursing intervention to promote safety in robotic surgery requires specific knowledge of

the person, centered care that goes beyond the technical aspects of positioning and

configuring the robot. Randomized controlled studies are suggested to evaluate the

effectiveness of nursing care in perioperative safety in the integration of new technologies.

Keywords

Nursing care; Perioperative nursing; Robotic surgery; Safety; Sistematic review.

Bibliography

Çelik S, Tunçbilek Z, Sariköse S, Topaktas G, Canda A. Roles, experience and views of

nurses working in robotic surgery settings: A mixed-methods study. J. Perioper. Pract.

[Internet]. 2024 [cited 2024 fev 14]; 34(7-8):248-256. Available from:

https://doi.org/10.1177/17504589241231100

Vitoriano L, Bridi A, Silva Junior O, Silva C, Louro T, Machado D. Systematization of

perioperative nursing care in robotic surgery: instrument validation. Rev Bras Enferm.

[Internet]. 2023 [cited 2024 fev 12]; 76:e20220666. Available from:

https://doi.org/10.1590/0034-7167-2022-0666pt

Safety-promoting nursing interventions in robotic

surgery: a systematic literature review

Sara Morais Pires1

orcid.org/0000-0001-6461-195X

Ana Maurício1

orcid.org/0000-0001-7074-891X

Lúcia Jerónimo1

orcid.org/0000-0002-0157-2372

Ana Ramos1

orcid.org/0000-0002-4661-0731

Eunice Sá1

orcid.org/0000-0001-5963-6087

Idalina Gomes1

orcid.org/0000-0003-2974-0734

1Lisbon Centre for Research, Innovation and

Development in Nursing. Department of EMC/AI,

Lisbon School of Nursing, Lisbon, Portugal

Corresponding author:

Sara Morais Pires

E-mail: sarapires@esel.pt