At The Bedside

Science and care are the foundations of health care. But how much does one inform the other? According to Lianne Jeffs and her team at Sinai Health, a lot.
Through the Science of Care Institute they have a vision of how science and innovation combine to enable more compassionate health care for patients and workers alike. They hope to inspire others to join in.
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Surgery is so incredible. The things we can do today were dreams a generation ago. As a nurse, I love being part of it. I love seeing lives and function restored. Of course, surgery carries risks - some foreseeable, others just bad luck. For good outcomes you need a good surgeon, obviously, but also so much more. As we struggle with increasing need and limited resources, the pressure to optimize and help people recover as fully as possible, as quickly as possible, only grows. New technologies clearly play a role, but so do foundational principles. Here, I take a look at these principles through the lens of Enhanced Recover After Surgery (or ERAS), a set of guidelines used around the world, across many specialties. I am joined by researcher Emily Pearsall, general surgeon Anand Govindarajan, and anesthesiologist Stuart McCluskey. Recorded separately, their narratives weave together and paint a picture of Enhanced Recovery: what it is, what it is not, and what can be learned from years of trying to bring its recommendations to life in the complex reality of caring for patients. Please help to evaluate this podcast by completing a quick survey here: https://docs.google.com/forms/d/e/1FAIpQLSc973DfwJGmbPN192WMgnoNHRRRwD20mp_42pIbrTeje7t44Q/viewform. I’d love to hear from you. Additional Resources: ERAS Society - https://erassociety.org/ ERAS for GI Surgery: Pathophysiological Considerations - https://onlinelibrary.wiley.com/doi/full/10.1111/aas.12601 University of Toronto Best Practice in Surgery: http://bestpracticeinsurgery.ca/

Hospital food is bad. We all know it. As nurses, we have an intimate view of the trays: the grim

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Let's just say it's been a long year.

There is a growing understanding that marketing by health-related industry influences health care. And nurses are the most trusted and numerous health professional. But marketing to nurses? Does that really happen? The answer may surprise you.

Our patients come to us with one request: Make it better! And that's what we try to do. But our system is struggling, clinicians are struggling within it and patients are suffering the harms. So how can we make the system better? For all of us? Lily Yang offers some suggestions.

Pain is interwoven throughout health care and to manage it well requires a high level of skill, expertise and continuous learning. Especially as we grapple with the meaning of opioid safety. Jaclyn Ricci, nurse practitioner and pain specialist offers valuable insight and language to help us better care for our patients in pain.

Looking back across four decades Kathryn shares critical moments that shaped her career and the modern growth of her specialty. Kathryn sees opportunity where others cannot. Hers is a beautiful example of innovation and leadership oriented, always, to meeting the needs of patients and families.