Title: Multidimensional Assessment of Interoceptive Awareness (MAIA) is a strategy to improve the outcomes of surgical positioning with kinesthetic?
Lubinu Francesco1, MSN, RN, Del Bosco Andrea2 MD, Reato Francesca3, MSN, RN, Dr. Cusma Riccardo Piccione3 MSN, RN, Prof. Carcano Giulio3, Prydryk Lesia1, Piazza Chiara1
1CPS Lugano, Switzerland
2Lugano Regional Hospital, Switzerland
3University of Insubria Varese, Italy
Introduction: From bibliography, the surgical positioning of the patient is necessary to the surgical act but there can be complications both permanent and temporary.
In relation to the increasing application of loco-regional anesthesia, the patient can perceive the techniques used in being positioned. Following the analysis of the recommendations provided for the prevention of injuries by surgical positioning in operating room, today there aren’t operational strategies to reduce the occurrence or the risk.
Moreover, from literature review, there aren’t studies focused on the evaluation of the patient's interoceptive perception, following the administration of this act which is the positioning.
The aim of this non-clinical exploratory study is to assess whether is possible and what instrument is able to detect how often the patient perceives interoceptive variations during the act of positioning between a classical positioning and one with the aid of kinesthetic muscle relaxation.
Materials and Methods: A specific protocol was developed for the application of the two positioning techniques, with a control group and an experimental group. Both groups were given a basic instrument to allow the creation of a basic interoceptive framework and a specially adapted one that allowed to detect the outcomes and the variations following the administration of the two positioning techniques applied in randomized mode. The study was carried out in two centers, one in Switzerland and one in Italy.
Results: From the analysis of data, the results allowed us to gather multiple information, easily ascribable to the operating mode applied by nurses during placements, permitting to identify a multitude of aspects, fundamental to the support of the technique that offers the best chances of final user satisfaction.
Several items were analyzed as Noticing, Not-Distracting, Not-Worrying, Attention Regulation, Emotional Awareness, Self-Regulation, Body Listening, Trusting: from the results analysis, it has been proved to be significant enough to support the implementation of a multicenter clinical trial, to be submitted to all professionals and companies that intend to improve the quality of care provided and constantly monitor the outcomes of the placements made, intervening promptly where there is a need.
Audience Take Away:
- Measure outcomes of nursing care
- Make the study multicentric
- Develop effective operational models
- Sharing of strategic care techniques
- Measure the degree of care satisfaction