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Nursing Open Mar 2020To explore Norwegian operating room nurses' perceptions of how team skills in the inter-professional operating room team influence perioperative nursing in relation to...
AIM
To explore Norwegian operating room nurses' perceptions of how team skills in the inter-professional operating room team influence perioperative nursing in relation to patient safety.
DESIGN
A qualitative, descriptive study based on interviews.
METHODS
Ten operating room nurses ( = 10) employed in four Norwegian hospitals were interviewed individually. A qualitative inductive content analysis was conducted. The study was reported adhering to the Consolidated Criteria for Reporting Qualitative Research Checklist.
RESULTS
Three generic categories, containing three subcategories each, were identified illuminate the operating room nurses' perceptions. The operating room team's team skills influence on (a) the quality of perioperative nursing, about task performance, result for the patient and learning; (b) the progress of perioperative nursing, by keeping focus on the task, being prepared and task distribution and (c) the operating room nurses' work environment in the operating room, including confidence, stress and energy use and irritation or job satisfaction.
Topics: Humans; Job Satisfaction; Norway; Operating Rooms; Perioperative Nursing; Qualitative Research
PubMed: 32089854
DOI: 10.1002/nop2.422 -
Anesthesiology Mar 2019Operating room fires are rare but devastating events. Guidelines are available for the prevention and management of surgical fires; however, these recommendations are... (Review)
Review
Operating room fires are rare but devastating events. Guidelines are available for the prevention and management of surgical fires; however, these recommendations are based on expert opinion and case series. The three components of an operating room fire are present in virtually all surgical procedures: an oxidizer (oxygen, nitrous oxide), an ignition source (i.e., laser, "Bovie"), and a fuel. This review analyzes each fire ingredient to determine the optimal clinical strategy to reduce the risk of fire. Surgical checklists, team training, and the specific management of an operating room fire are also reviewed.
Topics: Electrocoagulation; Fires; Gas Scavengers; Humans; Operating Rooms; Oxygen; Plastic Surgery Procedures
PubMed: 30664060
DOI: 10.1097/ALN.0000000000002598 -
Nursing Open Jul 2021The aim of this study was to explore how operating room nurses (ORNs) experience operating room (OR) team communication concerning non-technical skills.
AIM
The aim of this study was to explore how operating room nurses (ORNs) experience operating room (OR) team communication concerning non-technical skills.
DESIGN
Based on the Scrub Practitioners List of Intraoperative Non-Technical Skill (SPLINTS), qualitative individual in-depth semi-structured interviews were conducted with 11 ORNs in a Norwegian university hospital. Braun and Clarke's six analytic phases for thematic data analysis were used.
RESULTS
Surgeons being unprepared or demanding different instruments than the preoperative information indicates, cause stress and frustration. So does noise and brusquely or poor communication. Ensuring good information flow within the entire team is important. When silence is required, the ORNs communicate with gestures, looks and nods. Creating a positive and secure team culture facilitates discussions, questions and information sharing.
CONCLUSION
Inappropriate dynamics, inaccurate and/or disrespectful communication and noise may reduce patient safety. Interdisciplinary team training may bring attention to the value of communication as a non-technical skill.
Topics: Communication; Humans; Norway; Operating Rooms; Patient Safety; Qualitative Research
PubMed: 33631059
DOI: 10.1002/nop2.830 -
Revista Brasileira de Enfermagem 2018To describe nurses' recommendations for good patient safety practices in the operating room.
OBJECTIVE
To describe nurses' recommendations for good patient safety practices in the operating room.
METHOD
Quantitative, descriptive and exploratory research developed from an online survey of 220 operating room nurses from different regions of Brazil. The data processing for textual analysis was performed by the software IRAMUTEQ.
RESULTS
There were eight recommendations: (1) Involvement of the multiprofessional team and the managers of the institution; (2) Establishment of a patient safety culture; (3) Use of the safe surgery checklist; (4) Improvement of interpersonal communication; (5) Expansion of nurses' performance; (6) Adequate availability of physical, material and human resources; (7) Individual search for professional updating; and (8) Development of continuing education actions.
CONCLUSION
These recommendations can be used as care management strategies by nurses for patient safety in the operating room.
Topics: Adult; Attitude of Health Personnel; Brazil; Female; Humans; Male; Middle Aged; Nurses; Operating Rooms; Organizational Culture; Patient Safety; Practice Guidelines as Topic; Quality of Health Care; Surveys and Questionnaires
PubMed: 30540056
DOI: 10.1590/0034-7167-2018-0449 -
BMC Health Services Research Jul 2019In surgical teams, health professionals are highly interdependent and work under time pressure. It is of particular importance that teamwork is well-functioning in order... (Observational Study)
Observational Study
BACKGROUND
In surgical teams, health professionals are highly interdependent and work under time pressure. It is of particular importance that teamwork is well-functioning in order to achieve quality treatment and patient safety. Relational coordination, defined as "communicating and relating for the purpose of task integration," has been found to contribute to quality treatment and patient safety. Relational coordination has also been found to contribute to psychological safety and the ability to learn from mistakes. Although extensive research has been carried out regarding relational coordination in many contexts including surgery, no study has explored how relational coordination works at the micro level. The purpose of this study was to explore communication and relationship dynamics in interdisciplinary surgical teams at the micro level in contexts of variable complexity using the theory of relational coordination.
METHODS
An ethnographic study was conducted involving participant observations of 39 surgical teams and 15 semi-structured interviews during a 10-month period in 2014 in 2 orthopedic operating units in a university hospital in Denmark. A deductively directed content analysis was carried out based on the theory of relational coordination.
RESULTS
Four different types of collaboration in interdisciplinary surgical teams in contexts of variable complexity were identified representing different communication and relationship patterns: 1) proactive and intuitive communication, 2) silent and ordinary communication, 3) inattentive and ambiguous communication, 4) contradictory and highly dynamic communication. The findings suggest a connection between communication and relationship dynamics in surgical teams and the level of complexity of the surgical procedures performed.
CONCLUSION
The findings complement previous research on interdisciplinary teamwork in surgical teams and contribute to the theory of relational coordination. The findings offer a new typology of teams that goes beyond weak or strong relational coordination to capture four distinct patterns of relational coordination. In particular, the study highlights the central role of mutual respect and presents proposals for improving relational coordination in surgical teams.
Topics: Anthropology, Cultural; Cooperative Behavior; Denmark; Hospitals, University; Humans; Interdisciplinary Communication; Operating Rooms; Patient Care Team; Surgical Procedures, Operative
PubMed: 31358000
DOI: 10.1186/s12913-019-4362-0 -
Brazilian Journal of Anesthesiology... 2024
Topics: Humans; Operating Rooms; Sustainable Growth
PubMed: 37717924
DOI: 10.1016/j.bjane.2023.09.003 -
Anesthesiology Dec 2023
Topics: Operating Rooms; Acid-Base Equilibrium; Humans
PubMed: 37934110
DOI: 10.1097/ALN.0000000000004712 -
Ugeskrift For Laeger Oct 2023With a synchronised data capture and analysis platform, comprehensive data can be collected from the operating room (OR), like in most high-risk industries. This review... (Review)
Review
With a synchronised data capture and analysis platform, comprehensive data can be collected from the operating room (OR), like in most high-risk industries. This review summarises the various benefits from capturing data from every procedure in the OR. From every surgery there are millions of data which, when synchronised and analysed, can help us to identify, understand and mitigate safety threats. Data can be used to increase efficiency, to identify and predict adverse events, and to increase the quality of teaching in the OR. The rapid advances in modern technology and the introduction of high-reliability culture in healthcare will result in more data-driven, precise, and safer surgical care.
Topics: Humans; Operating Rooms; Reproducibility of Results
PubMed: 37874000
DOI: No ID Found -
The British Journal of Surgery Apr 2021How to regular epidemic prevent and control of operating room during COVID-19 pandemics, active and effective measures of regular epidemic prevention and control of the...
How to regular epidemic prevent and control of operating room during COVID-19 pandemics, active and effective measures of regular epidemic prevention and control of the operating room should be attached great importance to prevent spreading the virus.
Topics: COVID-19; Comorbidity; Disease Transmission, Infectious; Humans; Infection Control; Operating Rooms; Pandemics; SARS-CoV-2
PubMed: 33824961
DOI: 10.1093/bjs/znaa148 -
Journal of Graduate Medical Education Aug 2022
Topics: Humans; Internship and Residency; Operating Rooms
PubMed: 35991100
DOI: 10.4300/JGME-D-22-00003.1