1
|
Sirevåg I, Hansen BS, Tjoflåt I, Gillespie BM. Bi-lingual content validation of the Non-Technical Skills for Operating Room Nurses (NOTSORN) tool: A Delphi study. INTERNATIONAL JOURNAL OF NURSING STUDIES ADVANCES 2024; 7:100218. [PMID: 39155968 PMCID: PMC11327435 DOI: 10.1016/j.ijnsa.2024.100218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2024] [Accepted: 06/17/2024] [Indexed: 08/20/2024] Open
Abstract
Background The primary responsibility of the operating room nurse is to prevent adverse events and patient harm during surgery. Since most preventable adverse events are the result of breakdowns in communication and teamwork, or non-technical skills, training such skills should strengthen the operating room nurses' error prevention abilities. Behavioural marker systems operationalise non-technical skills; however, previous systems for operating room nurses do not cover the full extent of non-technical skills used by operating room nurses. Thus, the Non-technical Skills for Operating Room Nurses (NOTSORN) behavioural marker system was developed. Objective The objective of this study was to establish face and content validity of the Non-Technical Skills for Operating Room Nurses behavioural marker system. This multi-item scale measures individual non-technical skills in operating room nursing. Participants A purposive sample of operating room nursing researchers, educators, and senior clinicians from nine countries worldwide. Methods A two round, Delphi panel with international experts in operating room nursing. The survey was administered online. Content validity index (CVI) was used to measure agreement among panel members. Results 25 operating room nurse experts participated in the online Delphi study. After round 1, 56 items were accepted, 26 items were revised, and 1 item was dropped. Following round 2, all items (6 with minor revisions) were accepted. Thus, the Non-technical Skills for Operating Room Nurses tool comprise 81 items. The scale level CVI score for the final 81 item tool was 0.99. The individual item level CVI scores ranged from 0.9 to 1.0. Conclusions The Non-Technical Skills of Operating Room Nurses behavioural marker system is a nuanced tool with a myriad of non-technical skills operating room nurses need to undertake their work safely. The tool's intended use includes student/trainee supervision, supervision of novice operating room nurses, self-reflection for performance reports, and in operating room nursing education. Over time, use of the tool has the potential to contribute to patient safety in the operating room. Tweetable abstract The NOTSORN tool provides a comprehensive and holistic evaluation of OR nurses' non-technical skills for safe surgical performance.
Collapse
Affiliation(s)
- Irene Sirevåg
- University of Stavanger, Faculty of Health Sciences, Department of Caring and Ethics, Stavanger, Norway
| | - Britt Sætre Hansen
- University of Stavanger, Faculty of Health Sciences, Department of Quality and Health Technology, Stavanger, Norway
| | - Ingrid Tjoflåt
- University of Stavanger, Faculty of Health Sciences, Department of Quality and Health Technology, Stavanger, Norway
| | - Brigid M. Gillespie
- National Health and Medical Research Council Centre of Research Excellence in Wiser Wound Care, Menzies Health Institute Queensland, Australia
- School of Nursing & Midwifery Griffith University, Australia
- Gold Coast University Hospital, Gold Coast Health, Queensland, Australia
| |
Collapse
|
2
|
Nyberg A, Jirwe M, Fagerdahl A, Otten V, Haney M, Olofsson B. Perioperative patient safety indicators-A Delphi study. J Clin Nurs 2024. [PMID: 38757741 DOI: 10.1111/jocn.17212] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2023] [Revised: 03/28/2024] [Accepted: 04/27/2024] [Indexed: 05/18/2024]
Abstract
AIM To identify, define and achieve consensus on perioperative patient safety indicators within a Swedish context. DESIGN A modified Delphi method. METHODS A purposeful sample of 22 experts, all experienced operating room nurse specialists, was recruited for this study. A questionnaire was constructed incorporating statements derived from a preceding study. The experts were asked to rate the importance of each statement concerning patient safety during the perioperative phase. The data collection occurred through an online survey platform between November 2022 and April 2023. The CREDES checklist guided the reporting of this study. RESULTS The three-round Delphi study resulted in consensus on 73 statements out of 103, encompassing 74% process indicators and 26% structure indicators. Key areas of consensus included the use of the Surgical Safety Checklist and optimizing the operating room environment. CONCLUSION Consensus was reached on perioperative safety indicators, underscoring the intricate challenges involved in ensuring patient safety in the operating room. It emphasizes the important integration of both structure and process indicators for comprehensive safety assessment during surgical procedures. Recognizing the difficulty in measuring factors like teamwork and communication, essential for patient safety, the study offers practical guidance. It underlines a balanced approach and specific consensus areas applicable in clinical practice to enhance perioperative patient safety. IMPLICATIONS FOR THE PROFESSION AND PATIENT CARE This study provides concrete practice guidance and establishes a structured framework for evaluating perioperative care processes. It emphasizes the critical role of professionals having the necessary skills and being present during surgical procedures. Additionally, the study underscores the paramount importance of effective communication and teamwork within the operating room team, substantively contributing to overall patient safety enhancement. IMPACT The study focused on addressing the challenge of ensuring patient safety in operating rooms, acknowledging the persistent complications related to surgery despite global efforts to eliminate avoidable harm in healthcare. Consensus was reached on 73 crucial indicators for perioperative patient safety, emphasizing a balanced approach integrating both process and structure indicators for a comprehensive assessment of safety during surgical procedures. The study has a broad impact on professionals and healthcare systems, providing concrete guidance for practice and offering a structured process for evaluating perioperative care. REPORTING METHOD The study is reported informed by 'Guidance on Conducting and REporting DElphi Studies (CREDES) in palliative care: Recommendations derived from a methodological systematic review'. PATIENT OR PUBLIC CONTRIBUTION No patient or public contribution.
Collapse
Affiliation(s)
- Anette Nyberg
- Department of Nursing, Umeå University, Umeå, Sweden
- Department of Diagnostics and Intervention, Anaesthesiology and Intensive Care Medicine, Umeå University, Umeå, Sweden
| | - Maria Jirwe
- Department of Health Sciences, Swedish Red Cross University, Huddinge, Sweden
- Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Solna, Sweden
| | - Ami Fagerdahl
- Department of Clinical Research and Education, Södersjukhuset, Karolinska Institutet, Solna, Sweden
| | - Volker Otten
- Department of Diagnostics and Intervention, Orthopaedics, Umeå University, Umeå, Sweden
| | - Michael Haney
- Department of Diagnostics and Intervention, Anaesthesiology and Intensive Care Medicine, Umeå University, Umeå, Sweden
| | - Birgitta Olofsson
- Department of Nursing, Umeå University, Umeå, Sweden
- Department of Diagnostics and Intervention, Orthopaedics, Umeå University, Umeå, Sweden
| |
Collapse
|
3
|
Yu Q, Wei R, Wei Y, Wu X, Liang T. Psychometric evaluation of the perceived perioperative competence scale-revised among the Chinese operating room nurses: a methodological research. BMC Nurs 2022; 21:79. [PMID: 35387652 PMCID: PMC8988425 DOI: 10.1186/s12912-022-00853-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2021] [Accepted: 03/21/2022] [Indexed: 11/30/2022] Open
Abstract
Background Perioperative competence is necessary to evaluate operating room nurses. The Perceived Perioperative Competence Scale-Revised (PPCS-R) is the only available tool developed specifically for the perioperative setting. However, there is a lack of research on the reliability and validity of this scale among Chinese nurses. Thus, the aim of this study is to translate, culturally adapt, and evaluate the psychometric properties of the Perioperative competence Scale-Revised (PPCS-R) among operating room nurses in China. Methods Instrument cultural adaptation was carried out through forward translation, back translation, expert panel evaluation and pretesting. The psychometric properties (content validation, item analysis, construct validation, and reliability coefficient) of the Chinese PPCS-R (C-PPCS-R) were examined. An online survey was completed from June to August 2020 by operating room nurses (N = 480) in five third-grade class-A hospitals in Beijing. Results The item analysis identified six items for scale reduction. Exploratory factor analysis showed the remaining 34 items loaded on six factors, which were named in accordance with the original scale. The six-factor model showed a good fit through confirmatory factor analysis. The item content validity index for the C-PPCS-R items ranged from 0.857 to 1.000, and that for the total scale was 0.875. Cronbach’s alpha was showed 0.787. Together, the six factors explained 68.62% of the variance. Conclusions The 34-item C-PPCS-R showed good validity and reliability to measure perceived competence among operating room nurses in the Chinese context. The scale can assist nurse managers to identify operating room nurses’ perceived competence, and provides evaluation criteria for career planning, performance appraisal, job assignment, and continuing education.
Collapse
Affiliation(s)
- Qiaomeng Yu
- Department of Operating Room, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China
| | - Ran Wei
- Department of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China
| | - Yongting Wei
- Department of Operating Room, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China
| | - Xiuhong Wu
- National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China
| | - Tao Liang
- School of Nursing, Peking Union Medical College, Beijing, 100730, China.
| |
Collapse
|
4
|
Sirevåg I, Tjoflåt I, Hansen BS. A Delphi study identifying operating room nurses' non-technical skills. J Adv Nurs 2021; 77:4935-4949. [PMID: 34626011 DOI: 10.1111/jan.15064] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2021] [Revised: 08/31/2021] [Accepted: 09/26/2021] [Indexed: 12/01/2022]
Abstract
AIM To identify the non-technical skills of operating room nurses. This is the first empirical study that includes scrub and circulating operating room nurses. DESIGN A three-round modified online Delphi technique was used for this study. METHODS Eligible participants (n = 106) with a minimum of 2 years of operating room nursing experience were selected for the expert panel by self-recruitment from a population (N = 1640) of operating room nurses. Data were collected through online surveys, based on crew recourse management theory, between April and September 2020. Descriptive statistics analysis was used for the quantitative data, and deductive thematic analysis for the qualitative data. Consensus was determined using stability between the survey rounds. RESULTS A consensus was obtained to maintain the non-technical skills categories of situation awareness, leadership, decision-making, communication and teamwork. The qualitative data revealed several novel non-technical skills, including independent decision-making and leadership skills. CONCLUSION The non-technical skills of operating room nurses are more extensive than previously identified. This study has contributed to a verbalization of the tacit knowledge and skills of the operating room nurses. In addition, a list of non-technical skills that should be included in the education of operating room nurses to ensure patient safety in the operating room has been prepared. IMPACT This study addresses the lack of research on the non-technical skills of operating room nurses. When exploring the non-technical skills of scrub and circulating nurses, a diversity of novel non-technical skills was uncovered. This research will provide input for the development of a new training, supervision and assessment tool for accelerated development of the non-technical skills of operating room nurses. This contribution to the verbalization of the formerly tacit non-technical skills may facilitate clinical and formal teaching of such skills and may subsequently impact surgery-related patient safety.
Collapse
|
5
|
Urpo M, Eskola S, Suominen T, Roos M. Teamwork: a perspective of perioperative nurses. CENTRAL EUROPEAN JOURNAL OF NURSING AND MIDWIFERY 2021. [DOI: 10.15452/cejnm.2021.12.0018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
|
6
|
Mei N, Chang L, Zhu Z, Dong M, Zhang M, Zeng L. Core competency scale for operating room nurses in China: Scale development, reliability and validity evaluation. Nurs Open 2021; 9:2814-2825. [PMID: 34247455 DOI: 10.1002/nop2.985] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2020] [Revised: 03/30/2021] [Accepted: 06/08/2021] [Indexed: 11/06/2022] Open
Abstract
AIMS To develop a competency scale for operating room nurses and test its reliability and validity. BACKGROUND The existing Chinese Registered Nurse Competency Scale and the core competency scale for operating room nurses developed abroad cannot fully meet the capacity needs of Chinese operating room nurses. METHODS The scale was developed based on the results of qualitative interview and the Delphi method. Ten experts were selected for expert consultation, and 300 operating room nurses were recruited by convenience sampling for a cross-sectional survey to test the reliability and validity of instrument.The reliability and validity of the scale was assessed based on internal consistency reliability, test-retest reliability and confirmatory factor analysis. Data collection was conducted between March to July, 2015. RESULTS An initial scale with 42 items was confirmed, and 36 items remained. The internal consistency Cronbach's α was 0.97 for the overall scale and 0.88-0.94 for the subscales. The retest reliability ranged from 0.55-0.96. Five factors were extracted by exploratory factor analysis, and they explained 66% of the total variance. The fitting indices of the confirmatory factor analysis were as follows: χ2/df = 3.47, CFI = 0.83, TLI = 0.81, SRMR = 0.06 and RMSEA = 0.09. CONCLUSIONS The core competency scale for operating room nurses with 5 components and 36 items had acceptable reliability and validity. The scale could continue to be optimized in the future.
Collapse
Affiliation(s)
- Na Mei
- The First Affiliated Hospital of Xi 'an Jiaotong University, Xi'an City, China
| | - Ling Chang
- Xi'an Center for Diseases Control and Prevention, Xi'an City, China
| | - Zhonghai Zhu
- Department of Epidemiology and Health Statistics, School of Public Health, Xi 'an Jiaotong University Health Science Center, Xi'an City, China
| | - Min Dong
- Data Management and Biometric Department, EDETEK, Inc., Beijing City, China
| | - Min Zhang
- Periodicals Publishing House of Xi'an Jiaotong University, Xi'an City, China
| | - Lingxia Zeng
- Department of Epidemiology and Health Statistics, School of Public Health, Xi 'an Jiaotong University Health Science Center, Xi'an City, China
| |
Collapse
|
7
|
Dahlberg K, Jaensson M, Flodberg M, Månsson S, Nilsson U. Levels of education and technical skills in registered nurses working in post-anaesthesia care units in Sweden. Scand J Caring Sci 2021; 36:71-80. [PMID: 33559915 DOI: 10.1111/scs.12964] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2020] [Revised: 01/08/2021] [Accepted: 01/18/2021] [Indexed: 12/22/2022]
Abstract
BACKGROUND Specialized nursing care should be provided by nurses working in post-anaesthesia care units to ensure safe and successful recovery after surgery and anaesthesia. However, there is no consensus regarding the competence and education needed by nurses working in post-anaesthesia care units. AIM The aim of this study is to describe and compare levels of education and technical skills in registered nurses working in post-anaesthesia care units in Sweden, as well as the education that post-anaesthesia care unit nurse managers' desire for registered nurses working in post-anaesthesia care units. METHODS This descriptive cross-sectional study was conducted in Sweden between September and December of 2019. A web-based survey was developed that included questions about the levels of education and technical skills possessed by registered nurses working in Swedish post-anaesthesia care units and desired by nurse managers for these nurses. The survey was evaluated for content validity by four experts. The survey was distributed to the nurse manager of each studied post-anaesthesia care unit. All nurse managers received written information and were informed that submitting the survey was considered as consenting to participate in the study. RESULTS Most surveyed nurses held a postgraduate diploma in specialist nursing. Registered nurses performed many tasks autonomously; however, there was a significant difference between specialist nurses and registered nurses, with specialist nurses being more autonomous than registered nurses. Most of the nurse managers (n = 31/45) wanted the registered nurses in their units to have education in postoperative care. The relatively low overall response rate of 58% is a study limitation. CONCLUSIONS Registered nurses working in post-anaesthesia care units in Sweden must have various technical skills. Some of these skills are only performed by specialist nurses, indicating that postoperative care is an advanced level of nursing care.
Collapse
Affiliation(s)
- Karuna Dahlberg
- School of Health Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
| | - Maria Jaensson
- School of Health Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
| | - Magnus Flodberg
- Astrid Lindgren Children's Hospital, Karolinska University Hospital, Stockholm, Sweden
| | - Sandra Månsson
- Perioperative Medicine and Intensive Care, Karolinska University Hospital, Stockholm, Sweden
| | - Ulrica Nilsson
- Perioperative Medicine and Intensive Care, Karolinska University Hospital, Stockholm, Sweden.,Division of Nursing, Department of Neurobiology, Care Sciences, and Society, Karolinska Institute, Stockholm, Sweden
| |
Collapse
|
8
|
Sirevåg I, Aamodt KH, Mykkeltveit I, Bentsen SB. Student supervision using the Scrub Practitioners' List of Intraoperative Non-Technical Skills (SPLINTS-no): A qualitative study. NURSE EDUCATION TODAY 2021; 97:104686. [PMID: 33296825 DOI: 10.1016/j.nedt.2020.104686] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/12/2020] [Revised: 10/05/2020] [Accepted: 11/22/2020] [Indexed: 06/12/2023]
Abstract
BACKGROUND The importance of non-technical skills in the prevention of adverse events in the operating room is well documented through research. With the increased attention to non-technical skills, the need for structured training to support the development of such skills has emerged. The Scrub Practitioners' List of Intraoperative Non-Technical Skills (SPLINTS) is an instrument for structuring observation as well as rating and feedback of non-technical skills for operating room nurses, and it can be used for student supervision and self-reflection. SPLINTS-no is the Norwegian translation and adaptation of SPLINTS. OBJECTIVE To explore the experiences of operating room nurse preceptors using SPLINTS-no in the supervision of operating room students' non-technical skills. DESIGN An explorative qualitative design was used. METHODS Data were collected using semi-structured qualitative interviews with 10 operating room nurse preceptors in a Norwegian university hospital. The data were analysed by inductive qualitative content analysis. RESULTS The operating room nurse preceptors experienced that the use of SPLINTS-no had an impact on the quality of student supervision. They improved their supervision competencies, and the use of SPLINTS-no contributed to consistency in observation and supervision. There were also findings supporting that reflection over non-technical skills contributed to building an increased awareness of these skills. CONCLUSIONS SPLINTS-no has an impact on clinical student supervision through an increased awareness on non-technical skills. It is well accepted by the operating room nurses as a supportive tool in the supervision of non-technical skills of student operating room nurses during clinical placement.
Collapse
Affiliation(s)
- Irene Sirevåg
- Faculty of Health Sciences, University of Stavanger, Postbox 8600 Forus, 4036 Stavanger, Norway; Operating Department, Helse Stavanger HF, Helse Stavanger HF, Postboks 8100, 4068 Stavanger, Norway.
| | - Kristine Horgen Aamodt
- Faculty of Health Sciences, University of Stavanger, Postbox 8600 Forus, 4036 Stavanger, Norway.
| | - Ida Mykkeltveit
- Faculty of Health Sciences, University of Stavanger, Postbox 8600 Forus, 4036 Stavanger, Norway.
| | - Signe Berit Bentsen
- Department of Health and Caring Sciences, Western Norway University of Applied Sciences, Bergen, Norway; Department of Operating Services, Division of Emergencies and Critical Care, Oslo University Hospital, Oslo, Norway.
| |
Collapse
|
9
|
Maharaj A, Cronjé L, Jithoo S. Anaesthetic nurse training in KwaZulu-Natal government hospitals : exploring strengths and deficiencies. SOUTHERN AFRICAN JOURNAL OF ANAESTHESIA AND ANALGESIA 2021. [DOI: 10.36303/sajaa.2021.27.1.2481] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
|
10
|
Non-technical skills and device-related interruptions in minimally invasive surgery. Surg Endosc 2020; 35:4494-4500. [PMID: 32886238 DOI: 10.1007/s00464-020-07962-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2020] [Accepted: 08/27/2020] [Indexed: 10/23/2022]
Abstract
BACKGROUND Device-related interruptions in the operating room (OR) may create stress among health care providers and delays. Although non-technical skills (NTS) of the OR teams, such as situational awareness and communication, are expected to influence device-related interruptions, empirical data on this relationship are limited. METHODS We performed a prospective cohort study of 144 consecutive elective laparoscopic operations during 13 months. A data capture system called the OR Black Box® was used to characterize device-related interruptions, NTS, and distractions. Device-related interruptions were classified according to a priori established categories. Positive and negative NTS instances were identified according to validated measurement tools specific for nurses and surgeons. We assessed the relationship between NTS and device-related interruptions after adjusting for potential confounders. RESULTS A total of 86 device-related interruptions occurred in 48 of 144 operations (33%). They were most frequently classified as device failure (54%) followed by improper assembly (19%) and disconnection (14%). Medians of 1 [interquartile range (IQR) 0-3] and 1 (IQR 0-2) negative NTS instance per operation were demonstrated by nurses and surgeons, respectively. Medians of 28 (IQR 15-38) and 40 (IQR 28-118) positive NTS instances per operation were demonstrated by nurses and surgeons. In a multivariable analysis, a higher frequency of negative NTS instances demonstrated by nurses was associated with device-related interruptions after risk adjustment (Odds Ratio 1.33, p = 0.02). CONCLUSIONS In elective laparoscopic operations, an increased likelihood of device-related interruptions in the OR was associated with more frequent negative NTS demonstrations by nursing teams.
Collapse
|
11
|
Markström I, Bjerså K, Bachrach-Lindström M, Falk-Brynhildsen K, Hollman Frisman G. Operating room nurses' experiences of skin preparation in connection with orthopaedic surgery: A focus group study. Int J Nurs Pract 2020; 26:e12858. [PMID: 32608560 DOI: 10.1111/ijn.12858] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2019] [Revised: 03/06/2020] [Accepted: 05/01/2020] [Indexed: 12/27/2022]
Abstract
BACKGROUND Preoperative skin preparation is performed differently by different operating room nurses. AIM To deepen the understanding of skin preparation within an orthopaedic surgical setting from the operating room nurse perspective and to explore their experiences. METHODS A qualitative exploratory design was used. Four focus group interviews were conducted during 2016-2017, at four hospitals in Sweden, using procedures developed by Krueger and Casey. A total of 19 operating room nurses were recruited through purposive sampling. RESULTS Statements were categorized into four categories of experiences: (1) Knowing, which related to learning and sources of knowledge; (2) Doing, which related to skin preparation and activities based on tradition and evidence; (3) The Team, which related to the assignment of responsibility and collaboration with patients and other professions; and (4) The Setting, which related to factors around the patient and included feelings of time pressure and access to supplies. CONCLUSIONS Theory and practice differ, and some skin preparation used are based on tradition rather than on evidence or recommendations. Elements both within the team in the operating room and within the organization influence the result. Operating room nurses' duty to perform safe skin preparation must be respected in the team.
Collapse
Affiliation(s)
- Ida Markström
- Department of Anesthesiology and Intensive Care, Vrinnevi Hospital, Norrköping, Sweden.,Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden
| | - Kristofer Bjerså
- Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | | | | | | |
Collapse
|
12
|
Brooker KJ, Vikan M, Thyli B. A Qualitative Exploratory Study of Norwegian OR Nurses' Patient Positioning Priorities. AORN J 2020; 111:211-220. [PMID: 31997315 DOI: 10.1002/aorn.12930] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
The purpose of patient positioning is to provide optimal surgical site exposure for surgical team members and prevent negative patient outcomes. This study explores perioperative nurses' experiences when positioning patients for surgery. We collected data using focus group interviews of 17 OR nurses in Norway and used qualitative content analysis to analyze the data. The study findings showed that perioperative nurses emphasized their most important priorities as concepts that can be categorized into three themes: leading and coordinating patient positioning, ensuring patient safety, and promoting efficient use of OR nurses' expertise. The study findings also identify a need to define formal responsibilities in patient positioning and processes for determining positioning outcomes. Perioperative leaders should verify OR nurse competence for patient positioning to help ensure continuity and safety in complex patient pathways.
Collapse
|
13
|
Falk-Brynhildsen K, Jaensson M, Gillespie BM, Nilsson U. Swedish Operating Room Nurses and Nurse Anesthetists' Perceptions of Competence and Self-Efficacy. J Perianesth Nurs 2019; 34:842-850. [PMID: 30738727 DOI: 10.1016/j.jopan.2018.09.015] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2018] [Revised: 09/07/2018] [Accepted: 09/23/2018] [Indexed: 11/27/2022]
Abstract
PURPOSE To compare perceived competence and self-efficacy (SE) among Swedish operating room (OR) nurses and registered nurse anesthetists (RNAs), and to evaluate the relationship between SE and competence, gender, age, and years of experience. DESIGN Comparative cross-sectional survey. METHODS Two validated questionnaires, Perceived Perioperative Competence Scale-Revised and General Self-Efficacy Scale, were sent to members of the Swedish Association of Health Professionals (n = 2,902). FINDINGS The response rate was 39% (n = 1,033). OR nurses showed significantly higher scores on Perceived Perioperative Competence Scale-Revised subscale foundational knowledge and leadership as well as General Self-Efficacy Scale scores compared with RNAs. The RNA group showed significantly higher empathy scores compared with OR nurses. Among the OR nurses professional development made the strongest contribution to SE and proficiency among the RNAs. CONCLUSIONS These results suggest that there are differences in perceived competence and SE between OR nurses and RNAs. Gender may be an independent factor affecting SE.
Collapse
|
14
|
Nordström A, Wihlborg M. A Phenomenographic Study of Swedish Nurse Anesthetists' and OR Nurses' Work Experiences. AORN J 2019; 109:217-226. [PMID: 30694551 DOI: 10.1002/aorn.12582] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
In the complex OR environment, perioperative team members need to practice communication and teamwork to ensure safe, high-quality care. A lack of collaboration among professionals in the OR during surgery results in inefficiency, increased tension, and suboptimal patient care. The purpose of this study was to determine how nurse anesthetists and OR nurses experienced their work in the OR. We used a qualitative design with a phenomenographic approach and conducted 12 interviews in two surgical departments in the southern part of Sweden. We identified four categories of description: team member approach, professional awareness, lifelong learning approach, and safety and the patient's interest. We found that the nurses' work experiences in the OR were multifaceted and correlated with concepts of teamwork, safety, and communication.
Collapse
|
15
|
Abstract
Background: The foundation of all nursing practice is respect for human rights, ethical value and human dignity. In perioperative practice, challenging situations appear quickly and operating theatre nurses must be able to make different ethical judgements. Sometimes they must choose against their own professional principles, and this creates ethical conflicts in themselves. Objectives: This study describes operating theatre nurses’ experiences of ethical value conflicts in perioperative practice. Research design: Qualitative design, narratives from 15 operating theatre nurses and hermeneutic text interpretation. Ethical consideration: The study followed ethical principles in accordance with the Helsinki Declaration and approval was granted by the local university ethics committee. Findings: The result showed that value conflicts arose in perioperative practice when operating theatre nurses were prevented from being present in the perioperative nursing process, because of current habits in perioperative practice. The patient’s care became uncaring when health professionals did not see and listen to each other and when collaboration in the surgical team was not available for the patient’s best. This occurred when operating theatre nurses’ competence was not taken seriously and was ignored in patient care. Conclusion: Value conflicts arose when operating theatre nurses experienced that continuity of patient care was lacking. They experienced compassion with the patient but still had the will and ability to be there and take responsibility for the patient. This led to feelings of despair, powerlessness and of having a bad conscience which could lead to dissatisfaction, and even resignations.
Collapse
|
16
|
Psychometric Validation of the Perceived Perioperative Competence Scale-Revised in the Swedish Context. J Perianesth Nurs 2018; 33:499-511. [DOI: 10.1016/j.jopan.2016.09.012] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2016] [Revised: 09/13/2016] [Accepted: 09/30/2016] [Indexed: 11/18/2022]
|
17
|
Blomberg A, Bisholt B, Lindwall L. Responsibility for patient care in perioperative practice. Nurs Open 2018; 5:414-421. [PMID: 30062035 PMCID: PMC6056433 DOI: 10.1002/nop2.153] [Citation(s) in RCA: 30] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2018] [Accepted: 03/15/2018] [Indexed: 11/18/2022] Open
Abstract
AIM To obtain an understanding of operating theatre nurses' experiences of responsibility for patient care and safety in perioperative practice. DESIGN A hermeneutic design were used. METHOD Data were collected during 2012 from 15 operating theatre nurses who participated in individual interviews. The text was analyzed by hermeneutical text interpretation. FINDINGS The texts revealed two main themes: A formal external responsibility and personal ethical value. Responsibility that the patient was not exposed to risks, protecting the patient's body, systematically planning and organizing work in the surgical team. The personal ethical value meant confirming the patient as a person, caring for the patient and preserving the patient's dignity. A new understanding emerged that the operating theatre nurse always have the patient in mind.
Collapse
|
18
|
Gillespie BM, Harbeck EB, Falk-Brynhildsen K, Nilsson U, Jaensson M. Perceptions of perioperative nursing competence: a cross-country comparison. BMC Nurs 2018; 17:12. [PMID: 29632435 PMCID: PMC5883597 DOI: 10.1186/s12912-018-0284-0] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2017] [Accepted: 03/21/2018] [Indexed: 12/03/2022] Open
Abstract
Background Throughout many countries, professional bodies rely on yearly self-assessment of competence for ongoing registration; therefore, nursing competence is pivotal to safe clinical practice. Our aim was to describe and compare perioperative nurses’ perceptions of competence in four countries, while examining the effect of specialist education and years of experience in the operating room. Methods We conducted a secondary analysis of cross-sectional surveys from four countries including; Australia, Canada, Scotland, and Sweden. The 40-item Perceived Perioperative Competence Scale-Revised (PPCS-R), was used with a total sample of 768 respondents. We used a factorial design to examine the influence of country, years of experience in the operating room and specialist education on nurses’ reported perceived perioperative competence. Results Regardless of country origin, nurses with specialist qualifications reported higher perceived perioperative competence when compared to nurses without specialist education. However, cross-country differences were dependent on nurses’ number of years of experience in the operating room. Nurses from Sweden with 6–10 years of experience in the operating room reported lower perceived perioperative competence when compared to Australian nurses. In comparing nurses with > 10 years of experience, Swedish nurses reported significantly lower perceived perioperative competence when compared to nurses from Australia, Canada and Scotland. Conclusion Researchers need to consider educational level and years of experience in the perioperative context when examining constructs such as competence.
Collapse
Affiliation(s)
- Brigid M Gillespie
- 1School of Nursing & Midwifery, Griffith University, Gold Coast, QLD Australia.,2Gold Coast Hospital and Health Service, Gold Coast, QLD Australia.,3National Centre of Research Excellence in Nursing, Griffith University, Gold Coast, QLD Australia
| | - Emma B Harbeck
- 3National Centre of Research Excellence in Nursing, Griffith University, Gold Coast, QLD Australia.,4Menzies Health Institute Queensland, Griffith University, Gold Coast, QLD Australia
| | - Karin Falk-Brynhildsen
- 5Faculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden
| | - Ulrica Nilsson
- 5Faculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden
| | - Maria Jaensson
- 5Faculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden
| |
Collapse
|
19
|
Abstract
Non-technical skills are the cognitive and interpersonal behaviours that compliment clinical competence in surgery. Effective use of non-technical skills is essential for scrub practice, because they facilitate anticipation of the surgeon's requirements and promote appropriate communication behaviours. This literature review analyses the factors that may influence a scrub practitioner's use of non-technical skills during surgery. Recommendations are made that are intended to improve their use by reducing behavioural variations during surgery.
Collapse
Affiliation(s)
- Guy McClelland
- Senior Lecturer in Operating Department Practice, Faculty of Health and Wellbeing, University of Central Lancashire, Preston, UK
| |
Collapse
|
20
|
Willassen ET, Jacobsen ILS, Tveiten S. Safe Surgery Checklist, Patient Safety, Teamwork, and Responsibility-Coequal Demands? A Focus Group Study. Glob Qual Nurs Res 2018; 5:2333393618764070. [PMID: 29623287 PMCID: PMC5881961 DOI: 10.1177/2333393618764070] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2017] [Revised: 02/01/2018] [Accepted: 02/05/2018] [Indexed: 12/22/2022] Open
Abstract
The use of World Health Organization’s (WHO’s) Safe Surgery checklist is an established practice worldwide and contributes toward ensuring patient safety and collaborative teamwork. The aim of this study was to elucidate operating room nurses’ and operating room nursing students’ experiences and opinions about execution of and compliance with checklists. We chose a qualitative design with semistructured focus group discussions. Qualitative content analysis was conducted. Two main themes were identified; the Safe Surgery checklists have varied influence on teamwork and patient safety, and taking responsibility for executing the checks on the Safe Surgery checklist entails practical and ethical challenges. The experiences and opinions of operating room nurses and their students revealed differences of practices and attitudes toward checklist compliance and the intentions of checklist procedures. These differences are related to cultural and professional distances between team members and their understanding of the Safe Surgery checklists as a tool for patient safety.
Collapse
Affiliation(s)
| | | | - Sidsel Tveiten
- Oslo and Akershus University College of Applied Sciences, Oslo, Norway
| |
Collapse
|
21
|
Oblak T, Skela-Savič B. The attitude of employees in perioperative nursing to training new employees in the workplace: an example of one organization. OBZORNIK ZDRAVSTVENE NEGE 2017. [DOI: 10.14528/snr.2017.51.3.178] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Introduction: There has been little research on systematic training of new employees in perioperative nursing. The aim of the present study was to establish whether the attitude of the employees in perioperative nursing towards the training of new employees in the workplace is connected to their education in perioperative nursing, workload, work competence or attitude of new employees in perioperative nursing. Methods: A quantitative exploratory research was performed in March 2017 and data was collected by means of a structured survey questionnaire. Perioperative nursing staff working in a selected Slovenian hospital's operating theatres, who are trained well enough to work independently (n = 69) and have at least one year of working experience, were questioned to obtain a purposive sample. Descriptive statistics, the Pearson correlation coefficient and factor analysis are shown. Results: Employees in perioperative nursing gladly transmit their knowledge and experience (x = 4.79), growing professionally as they do so ( = 4.63). They see the training of new employees as their personal challenge (x = 4.17). The knowledge of the respondents was shown to be a factor that is marginally positively associated (r = 0.278, p = 0.021) with the attitude to training new employees in the workplace. The training that experienced employees in perioperative nursing have received, their competencies, workload, and their opinion of the work of the new employees, are not connected to the attitudes they posses when training these new employees in the workplace. Discussion and conclusion: The study indicates the need to establish definined criteria relating to the employment of candidates, and may contribute toward the future design of a systematic training course in perioperative nursing.
Collapse
|
22
|
Perioperative Patient Advocacy: An Integrative Review. J Perianesth Nurs 2016; 31:422-33. [DOI: 10.1016/j.jopan.2014.12.001] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2014] [Revised: 12/08/2014] [Accepted: 12/15/2014] [Indexed: 11/19/2022]
|
23
|
Cobbold A. Exploring the perceptions of sterile services staff: a qualitative constructivist study. J Perioper Pract 2015; 25:160-8. [PMID: 26677518 DOI: 10.1177/175045891502500903] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
With innovations in medicine and science, the extended roles for practitioners continue to evolve and merge, often crossing interprofessional boundaries. This paper presents a qualitative study which explored sterile services staff experiences of current practices and how they perceive the prospect of professionalisation.
Collapse
|
24
|
Pupkiewicz J, Kitson A, Perry J. What factors within the peri-operative environment influence the training of scrub nurses? Nurse Educ Pract 2015; 15:373-80. [DOI: 10.1016/j.nepr.2015.03.004] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2013] [Revised: 09/07/2014] [Accepted: 03/20/2015] [Indexed: 12/01/2022]
|
25
|
Björn C, Josephson M, Wadensten B, Rissén D. Prominent attractive qualities of nurses’ work in operating room departments: A questionnaire study. Work 2015; 52:877-89. [DOI: 10.3233/wor-152135] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Affiliation(s)
- Catrine Björn
- Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden
- Centre for Research & Development, Uppsala University/County Council of Gävleborg, Gävle, Sweden
| | - Malin Josephson
- Department of Occupational and Environmental Medicine, Uppsala University Hospital, Sweden
| | - Barbro Wadensten
- Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden
| | - Dag Rissén
- Centre for Research & Development, Uppsala University/County Council of Gävleborg, Gävle, Sweden
- Centre for Musculoskeletal Research, Department of Occupational and Public Health Sciences, Faculty of Health and Occupational Studies, University of Gävle, Gävle, Sweden
| |
Collapse
|
26
|
Relationship Between Operating Room Nursing Staff Expertise and Patient Outcomes. J Nurs Care Qual 2015; 30:167-74. [DOI: 10.1097/ncq.0000000000000092] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
|
27
|
Numminen O, Ruoppa E, Leino-Kilpi H, Isoaho H, Hupli M, Meretoja R. Practice environment and its association with professional competence and work-related factors: perception of newly graduated nurses. J Nurs Manag 2015; 24:E1-E11. [DOI: 10.1111/jonm.12280] [Citation(s) in RCA: 41] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/24/2014] [Indexed: 11/28/2022]
Affiliation(s)
- Olivia Numminen
- Corporate Headquarters; Hospital District of Helsinki and Uusimaa; Helsinki Finland
| | | | - Helena Leino-Kilpi
- Department of Nursing Science; University of Turku; Turku Finland
- Turku University Hospital; Turku Finland
| | | | - Maija Hupli
- Department of Nursing Science; University of Turku; Turku Finland
| | - Riitta Meretoja
- Department of Nursing Science; University of Turku; Turku Finland
- Corporate Headquarters; Hospital District of Helsinki and Uusimaa; Helsinki Finland
| |
Collapse
|
28
|
The N2N instrument to evaluate healthy work environments: an Italian validation. Int Arch Occup Environ Health 2013; 87:217-28. [PMID: 23423280 DOI: 10.1007/s00420-013-0851-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2012] [Accepted: 02/05/2013] [Indexed: 10/27/2022]
Abstract
OBJECTIVES The aims of the study were to (a) validate N2N Healthy Work Environment tool, (b) assess the healthiness of work environments as perceived by nurses themselves and (c) identify the factors associated with Italian nurses' perception of work environment healthiness. METHODS The linguistic and cultural adaptation of USA-N2N Healthy Work Environments was achieved through a process of forward/backward translation. Content validity was assessed by three expert nurses. The stability of the instrument was checked with a test/retest evaluation. The instrument psychometric properties, the confirmatory factor analysis as well the healthiness of the work environment and its determinant factors were evaluated with a sample of 294 nurses. RESULTS The content and face validity of the N2N Healthy Work Environment instrument was confirmed. The instrument demonstrated good internal consistency (α of 0.82), excellent stability values (ρ > 0.70) and high levels of acceptability (response rate: 96.4 %). The confirmatory factor analysis has corroborated the existence of two factors as documented in the original instrument (Mays et al. in J Nurs Manag 19:18-26, 2011). Eighty-seven (29.6 %) nurses perceived the work environment where they work as "healthy". Working under a functional model of care delivery (χ(2) 24.856, p 0.000) and being responsible for one project or more (χ(2) 5.256, p 0.021) were associated with healthy environments. CONCLUSIONS The instrument--valid and reliable, short in the number of items, easy to understand and based on international standards--allows a systematic assessment of the healthiness of the environment and might provide not only the opportunity to evaluate the effects of new organizational models and interventions, but also the possibility to activate a process of self-analysis and a process of ongoing review. The instrument can be used to systematically check the healthiness of Italian working environments, allowing for organizational diagnosis, targeted interventions and international comparisons.
Collapse
|
29
|
McClelland G. Non-technical skills for scrub practitioners. J Perioper Pract 2012; 22:389-392. [PMID: 23413634 DOI: 10.1177/175045891602201204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
The non-technical skills of situational awareness and the formation of effective interpersonal relationships are essential to enhance surgical outcomes. However, most scrub practitioners demonstrate only tacit awareness of these skills and develop such qualities on an informal basis. Application of non-technical skills may be assessed formally, using a structured framework, to transform normative behaviour and to strengthen barriers against the latent threats that may result from fallible humans working in inadequate organisational systems.
Collapse
Affiliation(s)
- Guy McClelland
- School of Health, Brook Building, University of Central Lancashire, Preston PR1 2HE.
| |
Collapse
|
30
|
Rauta S, Salanterä S, Nivalainen J, Junttila K. Validation of the core elements of perioperative nursing. J Clin Nurs 2012. [DOI: 10.1111/j.1365-2702.2012.04220.x] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
31
|
Hamström N, Kankkunen P, Suominen T, Meretoja R. Short hospital stays and new demands for nurse competencies. Int J Nurs Pract 2012; 18:501-8. [DOI: 10.1111/j.1440-172x.2012.02055.x] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Niina Hamström
- Department of Obstetrics and Gynecology; Helsinki University Central Hospital; Helsinki; Finland
| | - Päivi Kankkunen
- Department of Nursing Science; University of Eastern Finland; Kuopio; Finland
| | - Tarja Suominen
- School of Health Sciences, Nursing Science; University of Tampere; Tampere; Finland
| | - Riitta Meretoja
- Corporate Headquarters; Hospital District of Helsinki and Uusimaa; Helsinki; Finland
| |
Collapse
|
32
|
Prieto Rodríguez MÁ, Danet Danet A, Escudero Carretero MJ, Ruiz Azarola A, Pérez Corral O, García Toyos N. [Definition of medical competence. The point of view of chronically-ill patients in the Andalusian public healthcare system (Spain)]. GACETA SANITARIA 2012; 26:450-6. [PMID: 22560239 DOI: 10.1016/j.gaceta.2012.02.007] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/02/2011] [Revised: 02/10/2012] [Accepted: 02/13/2012] [Indexed: 11/30/2022]
Abstract
OBJECTIVE To identify the attributes used by chronically-ill patients to describe physicians' competence in the public healthcare system in Andalucia. METHODS A total of 147 chronically-ill patients and their relatives were included in this qualitative study. Focal groups and in-depth interviews were performed in health centers and outpatient centers in Granada, Malaga, Seville, Cadiz and Cordoba between 2007 and 2008. Content analysis was carried out using Nudist Vivo. RESULTS The participants defined medical competence as combining elements of technical ability and knowledge (awareness of and interest in the disease, continuity of follow-up and requesting specific tests) with interpersonal skills related to communication, information (informing, listening, trust, prompting questions) and attention (courtesy, cordiality, respect, interest and approachability). Primary care was expected to provide a close relationship, personalized treatment, information, drug prescription, and referral to specialized care. Specialized care was expected to provide an accurate diagnosis and appropriate treatment, information and follow-up. Highly valued aspects of emergency care were symptom relief, accurate diagnosis, referral to specialists and courtesy. CONCLUSIONS Chronically-ill patients based their evaluation of medical competence on technical and interpersonal skills.
Collapse
|
33
|
Hamlin L. Just what do we mean when we talk about 'competent' perioperative practitioners? J Perioper Pract 2012; 22:109-110. [PMID: 22567760 DOI: 10.1177/175045891202200401] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Affiliation(s)
- Lois Hamlin
- Postgraduate Programs, University of Technology, Sydney, Australia
| |
Collapse
|
34
|
Gillespie BM, Polit DF, Hamlin L, Chaboyer W. Developing a model of competence in the operating theatre: Psychometric validation of the Perceived Perioperative Competence Scale-Revised. Int J Nurs Stud 2012; 49:90-101. [DOI: 10.1016/j.ijnurstu.2011.08.001] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2011] [Revised: 07/27/2011] [Accepted: 08/02/2011] [Indexed: 11/26/2022]
|
35
|
Kelvered M, Öhlén J, Gustafsson BÅ. Operating theatre nurses' experience of patient-related, intraoperative nursing care. Scand J Caring Sci 2011; 26:449-57. [PMID: 22077815 DOI: 10.1111/j.1471-6712.2011.00947.x] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
The way patient-related, intraoperative nursing care is performed by operating theatre nurses' has not been elucidated in any great detail. The aim of this study therefore was to describe theatre nurses' experience of patient-related, intraoperative nursing care. The study draws on qualitative, interpretive description methodology. Sixteen specialists in operating theatre nursing care, working in rural or metropolitan hospitals in Sweden, were included in the study. Data were collected by means of interviews and analysed using an inductive, qualitative, descriptive analysis technique. The data analysis resulted in 15 overarching nursing care procedures and three motives for nursing care procedures in the field of intraoperative nursing care with the goal of achieving the best surgical outcome for the patient. The operating theatre nurses' experience of patient-related, intraoperative nursing care was described as procedures to create a continuous, confidence-based relationship and situation-related well-being; procedures to guarantee patient safety and well-being by keeping a watchful eye; and procedures to create a secure environment that promotes wound healing, recovery and well-being.
Collapse
Affiliation(s)
- Monica Kelvered
- Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
| | | | | |
Collapse
|
36
|
Watkins N, Kobelja M, Peavey E, Thomas S, Lyon J. An Evaluation of Operating Room Safety and Efficiency: Pilot Utilization of a Structured Focus Group Format and Three-Dimensional Video Mock-Up to Inform Design Decision Making. HERD-HEALTH ENVIRONMENTS RESEARCH & DESIGN JOURNAL 2011; 5:6-22. [DOI: 10.1177/193758671100500102] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Objective: The purpose of this investigation was to identify safety and efficiency-related design features for inclusion in operating room (OR) construction documents. Background: Organizations are confronted with an array of challenges when planning an OR, including inefficiencies in operations, adverse events, and a variety of innovations to choose from. Currently, techniques that can be used in design practice and to inform design decision making for implementable OR solutions are limited. Methods: The project team used a structured focus group format with mixed methods to solicit 19 varying surgical team members' reactions to a three-dimensional video mock-up of a proposed OR. Data from the 19 participants were analyzed using stepwise multiple regression and content analysis of open-ended responses. Results and Discussion: Results demonstrate that several features of the proposed OR design predict meaningful outcomes, including flexibility and satisfaction with the OR setup, adverse event prevention, team performance, and distractions and interruptions. Participants' suggested solutions include universal booms to support anesthetic and perfusion capabilities, a fixed circulating nursing workstation that faces the patient and is at the foot of the operating room table, a wall-mounted monitor across from the surgeon, and wiring to support a touch-screen control arm in OR surgical fields. Conclusions: Findings from structured focus groups with mixed methods lead to implementable design solutions for construction documentation. The expeditious qualities and objectivity of the format are value-adds to the design decision-making process. Future research should use various techniques such as virtual technologies and building information modeling.
Collapse
|
37
|
Papastavrou E, Efstathiou G, Acaroglu R, DA Luz MDA, Berg A, Idvall E, Kalafati M, Kanan N, Katajisto J, Leino-Kilpi H, Lemonidou C, Sendir M, Sousa VD, Suhonen R. A seven country comparison of nurses' perceptions of their professional practice environment. J Nurs Manag 2011; 20:236-248. [PMID: 22050114 DOI: 10.1111/j.1365-2834.2011.01289.x] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Papastavrou E., Efstathiou G., Acaroglu R., da Luz M.D.A., Berg A., Idvall E., Kalafati M., Kanan N., Katajisto J., Leino-Kilpi H., Lemonidou C., Sendir M., Sousa V.D. & Suhonen R. (2011) Journal of Nursing Management A seven country comparison of nurses' perceptions of their professional practice environment Aims To describe and compare nurses' perceptions of their professional practice environment in seven countries. Background There is evidence of variation in the nursing professional practice environments internationally. These different work environments affect nurses' ability to perform and are linked to differing nurse and patient outcomes. Methods A descriptive, comparative survey was used to collect data from orthopaedic and trauma nurses (n = 1156) in Finland, Cyprus, Greece, Portugal, Sweden, Turkey and Kansas, USA using the 39-item Revised Professional Practice Environment instrument. Results Differences were found between participants from the northern countries of Europe, Kansas, USA, and the Mediterranean countries regarding perceptions about control over practice. No between-country differences were reported in the internal work motivation among the nurses from any of the participating countries. Conclusions Although between-country differences in nurses' professional practice environment were found, difficulties related to demographic, cultural and health system differences and the way in which nursing is defined in each country need to be considered in the interpretation of the results. Implications for Nursing Management The results support investment to improve nurse's work environment, which is important for improving the quality of patient care, optimizing patient outcomes and developing the nursing workforce.
Collapse
Affiliation(s)
- Evridiki Papastavrou
- Lecturer, Department of Nursing, School of Health Studies, Cyprus University of Technology, Limassol, Cyprus PhD Student, Department of Nursing, School of Health Studies, Cyprus University of Technology, Limassol, Cyprus Associate Professor, Florence Nightingale School of Nursing, Istanbul University, Istanbul, Turkey Associate Professor, Unidade de Investigacão e Desenvolvimento em Enfermagem (ui&de), Escola Superior de Enfermagem de Lisboa (Nursing research and development Unity ui&de), Lisbon, Portugal Associate Professor, Kristianstad University, Kristianstad, Sweden Professor, Faculty of Health and Society, Malmö University, Malmö, Sweden Researcher, Faculty of Nursing, National and Kapodistrian University of Athens, Athens, Greece Professor, Florence Nightingale School of Nursing, Istanbul University, Istanbul, Turkey Senior Lecturer, Department of Statistics, University of Turku, Turku Professor and Chair/Nurse Manager, Department of Nursing Science/Hospital District of Southwest Finland, University of Turku, Turku, Finland Professor, Faculty of Nursing, National and Kapodistrian University of Athens, Athens, Greece Associate Professor, Florence Nightingale School of Nursing, Istanbul University, Istanbul, Turkey Associate Professor, School of Nursing, The University of Kansas, Kansas City, KS, USA Professor, Principal Investigator, Department of Nursing Science, University of Turku, Turku, Finland
| | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
38
|
Gillespie BM, Chaboyer W, Wallis M, Werder H. Education and Experience Make a Difference: Results of a Predictor Study. AORN J 2011; 94:78-90. [DOI: 10.1016/j.aorn.2010.11.037] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2010] [Revised: 10/25/2010] [Accepted: 11/20/2010] [Indexed: 10/18/2022]
|
39
|
Mabbett GM, Jenkins ER, Surridge AG, Warring J, Gwynn ED. Supporting and supervising district nurse students through patchwork text writing. Nurse Educ Pract 2011; 11:6-13. [DOI: 10.1016/j.nepr.2010.05.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2009] [Revised: 03/23/2010] [Accepted: 05/08/2010] [Indexed: 10/19/2022]
|
40
|
|
41
|
|