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1
Eakin, Sherri. "Operating room nurses and surgical technologists perceptions of job satisfaction in the operating room environment." Thesis, University of Phoenix, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10024192.
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The predicted future operating room nurse and surgical technologist shortages may have significant implications for the healthcare industry. Improving the job satisfaction of operating room personnel could promote retention and provide adequate staffing in operating rooms. The job satisfaction of operating room nurses and surgical technologists can result in positive or negative work environments. The purpose of the qualitative phenomenological study was to explore the perceptions of job satisfaction of operating room nurses and surgical technologists to discover how job satisfaction influences the intent to leave or remain in the work environment of the operating room. A purposive selection was made of 12 registered nurses and 12 surgical technologists who had varying degrees of experience in the healthcare field, and were working part time or full time in the operating room of a pediatric medical center in North, Texas. Interviews were audio-recorded and the seven steps were used from Moustakas van Kaam analysis to reveal themes and patterns from the research data. Six themes emerged from the research study that included teamwork, recognition from surgeon, working with pediatric patients and their families, staff appreciation, work environment, and executive leadership. Based on the findings, further research is needed to ascertain strategies that would improve operating room registered nurses and surgical technologists’ job satisfaction and retention.
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Gillespie, Brigid Mary, and N/A. "The Predictors of Resilience in Operating Room Nurses." Griffith University. School of Nursing and Midwifery, 2007. http://www4.gu.edu.au:8080/adt-root/public/adt-QGU20070824.123750.
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The nursing workforce has experienced considerable change during the previous decade, resulting in a chronic shortage of nurses. Issues such as economic rationalism, increased workloads, changes in nursing education and the advancing age of the current nursing workforce are the chief contributors to this shortage (Australian Institute of Health & Welfare, 2005b; Buerhaus, Staiger, & Auerbach, 2000b). Operating room (OR) nursing is a primary specialty area that has been especially affected by rising nurse attrition and a reduction in nurse recruitment (Australian College of Operating Room Nurses, 2003; Australian Health Workforce Advisory Committee, 2002). Accordingly, the loss of skilled nurses from the OR specialty compounds the negative effects on morale for those who remain in the environment, as they struggle to provide safe patient care while concomitantly being responsible for the clinical development of neophyte and inexperienced nurses (Australian Health Workforce Advisory Committee, 2002; Arndt, 1998). In the midst of working in the OR environs where the nature of the associated stressors is unique, resilient qualities may assist nurses to meet and overcome these challenges. If there is to be a continued nursing presence in the OR, it is essential that nurses be given the opportunity to develop resilience. At this time when nurse retention rates are continuing to decline steadily, there is a compelling need to identify and describe the relationship between resilience and its predictors in the context of the OR. To date, little is known about predictors of resilience and their potential to ameliorate the effects of workplace stress in the OR. The overall purpose of this study was to identify and describe the predictors of resilience in OR nurses. A literature review and concept analysis of resilience was initially conducted. Hope, self-efficacy, coping and personal characteristics were identified as defining characteristics of resilience. Next, the research was conducted as a mixed method phased study that was underpinned by the pragmatist paradigm, and employed a sequenced combination of qualitative followed by quantitative inquiry (Morgan, 1998). The first phase used a mini-ethnography to identify and describe the components of workplace culture in an OR in relation to their potential impact on nurses ability to adapt in this culture. A triangulated approach was used involving participant observation, a reflective journal, field notes and interviews. This phase revealed that competence, knowledge, collaboration, peer support and the ability to manage challenges were central components of OR workplace culture. From these categories, three themes were abstracted and subsequently developed into constructs that were measured and validated in the larger second phase. The second phase used a predictive correlation survey to describe empirically the relationship between resilience and its hypothesised predictors in a systematic random national sample of nurses who were members of the Australian College of Operating Room Nurses (ACORN), and a combined sample of hospital nurses purposively drawn from two similar hospital sites. The survey included scales measuring perceived competence, collaboration, managing stress, self-efficacy, hope, coping, and resilience, as well as gathering information about the demographic characteristics of nurse respondents. Out of a total potential sample of 1,730 OR nurses, the overall response rate was 51.7% (n = 896). Differences between the ACORN and hospital samples were found in age, years of experience, education and years of employment; therefore, the national and hospital samples findings were analysed separately. Five independent variables hope, self-efficacy, coping, managing stress and competence predicted resilience in the larger sample of ACORN respondents (n = 772). For the substantially smaller sample of hospital respondents (n = 124), hope, self-efficacy and managing stress predicted resilience. Given that the smaller hospital sample resulted in a similar model, this consistency lends strength and weight to the revised resilience model. Over 60% of the variance in resilience was explained by the independent variables in each model. Given the dearth of literature describing the efficacy of resilience in ameliorating stress in OR contexts, the results of this study have extended the theoretical application of the resilience concept to include a nursing context. There is a need to implement resilience-building strategies that address the culture of the OR, both at the departmental and organisational levels. Strategies that provide a supportive workplace environment in relation to goal-orientation, the provision of stress management and education programs, and strategies that facilitate cultural assimilation may improve resilience, and hence retention and recruitment rates in the OR. The findings of this study support the need for further research not only to test the stability of the proposed model among other groups of nurses but also to explore further predictors of resilience in the OR setting.
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Rutherford, John. "Development of a behavioural rating system for the non-technical skills used by anaesthetic nurses and operating department practitioners." Thesis, University of Aberdeen, 2015. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=225952.
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Unintentional harm due to healthcare is common, especially in the operating theatre. Previous research, aiming to reduce harm to patients in the operating theatre, has not examined the non-technical skills of anaesthetic assistants. The aim of this project was to identify the essential non-technical skills required by anaesthetic assistants for safe and effective practice, and to develop a behavioural marking system to assess these skills. A literature review identified three articles which described anaesthetic assistants' non-technical skills. An interview study with anaesthetic assistants (n=22) and anaesthetists (n=23) described the use of situation awareness, teamwork and task management more commonly than leadership or decision making. This was corroborated by a critical incident database review of the Australian Incident Monitoring System from 2002 to 2008. The material identified in the interview study was considered by focus groups of anaesthetic assistants (n=6,7,3,4) to generate headings. These themes were considered by anaesthetic assistant lecturers (n=6) in a Delphi questionnaire, and positive and negative behavioural markers proposed. The Anaesthetic Non-Technical Skills for Anaesthetic Practitioners (ANTS-AP) behavioural marker system was completed by a research panel. The prototype ANTS-AP system had three categories: 'situation awareness', 'communication and teamwork', and 'task management', each with three elements. The reliability, validity and usability of the ANTS-AP system were evaluated by anaesthetic assistants (n=48) observing videos of simulated theatre work at a 3.5 hour workshop. The system had good internal consistency, and was able to discriminate good, average and poor behaviours. The element 'coping with pressure' was removed due to its poor inter-rater reliability. Future work will assess the inter-rater reliability of the ANTS-AP system, when observers have the opportunity for calibration. This project has provided anaesthetic assistants a means of structuring observation and feedback for training and reflection with the goal of improving patient care.
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Alexander, Sherly Bejoy. "An Effective Succession Planning Educational Program for Operating Room Nurses." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2950.
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The current nationwide shortage of registered nurses is a growing problem impacting patient care and hospital operations. The operating room is the area most affected by the nursing shortage. Reasons cited for this shortage include ineffective nursing orientation programs and a decline in job satisfaction. The purpose of this project was to develop a best practice succession planning educational program to provide novice operating room nurses with an introduction to the operating room. The Dreyfus model of skills acquisition and Benner's novice to expert theory guided this project. A 2-step process was used to assess and validate the content and quality of the educational program. In Phase 1, the educational program was distributed to 10 operating room nurse stakeholders for formative review. There was agreement from these reviewers that the educational program covered key concepts important for novice operating room nurses. Two recommendations were made for additional clarification. In Phase II, the educational program was revised and distributed to a group of 10 perioperative professionals for summative review using the AGREE II instrument. The summative review group found the educational program to be clear and concise. The overall summative approval of 100% and recommendations of both review groups guided the final development of the best practice educational module. This best practice educational module will provide a standardized program for educating novice operating room nurses. This project will contribute to positive social change by empowering these nurses while supporting safe care for all surgical patients. Dissemination will occur first within the organization and then to local and national organizations targeting operating room nurses.
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Woldehawariat, Negat. "Experiences of operating room nurses in their work environment at a state hospital in Ethiopia." Thesis, Nelson Mandela Metropolitan University, 2012. http://hdl.handle.net/10948/d1008177.
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Operating room nursing skills are some of the most demanding skills in the nursing profession. At the moment nurses trained in operating room technique are in very short supply in Ethiopia, due to the exodus of nurses to better working environments with more reasonable payment. This is especially noticeable in one of the state hospitals in Addis Ababa, Ethiopia, as emerged in conversations with the head nurse of the operating room in this hospital about the high turnover rate, as well as the high absenteeism rate amongst the nurses working in the operating room. Nurses working in the operating room also expressed unhappiness in their work environment which could cause them to look for other jobs or to be absent from duty. The nurses were facing numerous problems in their work environment such as work overload due to staff shortage, stress due to shortage of supplies because they are not able to do their job as much as the need requires. The researcher identified the need to explore the challenges that the operating room nurses are experiencing in their work environment. The researcher used the following questions to meet the research objectives: What are the experiences of the operating room nurses in their work environment?; What potential assistance would such nurses need to better cope with the problems they experience in their work environment? The research study aimed to explore and describe the experience of operating room nurses in their work environment and on the basis of the findings to develop guidelines to assist the operating room nurses in coping more effectively with their work environment. The researcher used a qualitative approach with an explorative, descriptive and contextual design. Fifteen registered nurses were selected using purposive sampling. Informed consent was obtained from the participants and permission from the Ethics Committee of the Nelson Mandela Metropolitan University, as well as Yekatit 12 Hospital. Data were gathered using face to face interviews and field notes were taken to determine the experiences of the participants. Data were analyzed using Tesch's method of descriptive data analysis (in Creswell, 2003:13). Two main themes with two sub-themes related to the experience of the registered nurses working in the operating room of the state hospital were identified. Main theme one focused on the non-conducive work environment and it focused on the lack of support from management and the problems experienced in the environment. It was found that OR nurses had good working relationships among the nursing staff. Main theme two focused on the limited training opportunities in OR techniques. The sub-themes described the limited exposure to new technology and the quality of nursing education which the participants felt was not taken seriously in Ethiopia. Based on the identified themes guidelines were formulated to assist the registered nurses working in the operating room of a state hospital in Ethiopia. Utilization of these guidelines should assist the registered nurses to cope more effectively with their work environment. Recommendation were made, further research and limitations identified.
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Man, Mei-fun. "A survey of the incidence and causal factors related to occupational back pain in operating theatre nurses in a general acute hospital in Hong Kong /." View the Table of Contents & Abstract, 2005. http://sunzi.lib.hku.hk/hkuto/record/B31384663.
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Brinkman, Mary Adams. "A focused ethnography| Experiences of registered nurses transitioning to the operating room." Thesis, Widener University School of Nursing, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=3570586.
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The operating room (OR) is a unique setting and specialty area of nursing practice that requires optimal orientation and education to render safe and efficient patient care. Unfortunately, there will be a significant shortage of nurses in the operating room in the next five to ten years. The need for new nurses in the operating room is essential as many OR nurses in the workforce will retire within the next five years. Currently, most nursing programs no longer offer perioperative courses in their curriculum. Subsequently, this trend has led to the need for hospitals to educate and orient new nurses to their operating rooms. As hospitals educate their own OR nurses, retention following orientation becomes a priority.
The purpose of this study was to explore nurses' experiences as they transition to a new area of nursing practice, the operating room. A qualitative focused ethnography was conducted using Leininger's ethnonursing research method. Fourteen RNs transitioning to the OR agreed to participate in this study. The OR was a first time experience for the RNs. The setting was a large teaching hospital located in an urban area. Observations and interviews were conducted with the RNs to explore their experiences as they transitioned in the OR.
The RNs' transition included learning the didactics of OR nursing through the web-based AORN Nursing 101 online computer course, practicing skills learned in a simulation laboratory, and rotating through surgical specialty areas under the supervision of an RN preceptor. Influences that facilitated the RNs transition to the OR were the
positive learning experience, perception of belonging and acceptance into the OR culture, stimulating environment, supportive personnel, collegiality among peers, and presence of nursing in the OR. Influences that hindered the RNs' transition to the OR were inconsistency in precepting, being in a hostile environment, limited exposure to the OR prior to the RNs' transition, and an overwhelming environment. Meleis' Transition model emerged in the RNs' experiences of transitioning to the OR.
The need to educate nurses in the operating room is essential to assure safety and positive outcomes for the surgical patient. Structured perioperative courses implemented by hospitals or with partnerships with nursing programs can enhance the education, transition, and retention of nurses new to the OR. The importance of a nurse educator having an advanced degree with experience in the OR specialty was essential in coordinating and mentoring nurses transitioning to this new practice area. RNs who are prepared to precept were vital in the education and retention of these RNs. The need for consistent preceptors was recognized as an essential factor to the RNs' successful transition. The findings contribute to evidence-base practice for the design and implementation of perioperative programs for new nurses.
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Theron, Margot Cecile. "Nursing care practice related to patient safety in the operating room." Thesis, Nelson Mandela Metropolitan University, 2013. http://hdl.handle.net/10948/d1017197.
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Patient safety is a primary concern of members of the surgical team. Professional nurses working in the operating room play a vital role in the safety of the patients from the moment the patient enters the operating room to the discharge of the patient to the unit. Quality nursing care is of the utmost importance and therefore it is the responsibility of a professional nurse to ensure patient safety during the peri-operative period. Team work and good communication in the operating room are essential in order to ensure patient safety. Nursing care practices related to patient safety should be a key aspect to consider in rendering care to the surgical patient and professional nurses should perform their duties to the best of their ability despite lack of resources and shortage of staff. The main purpose of the study was to explore and describe nursing care practice related to patient safety in the operating room at hospitals in the Nelson Mandela Metropolitan area. Once this was established recommendations on how to enhance nursing care practice related to patient safety in the operating room were made. This study is based on a quantitative, explorative, descriptive and contextual design. Convenient sampling was used in this study. Data were collected by means of a self-administered questionnaire. Descriptive and inferential statistics were used to analyse the data. Ethical considerations were adhered to and the findings of the research will be disseminated appropriately. Recommendations based on the findings that emerge from the data, as well as the literature review, will be offered to enhance nursing care practice related to patient safety in the operating room.
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Osborne, Sonya Ranee, and n/a. "Compliance with standard precautions and occupational exposure reporting among operating room nurses in Australia." University of Canberra. Nursing, 2002. http://erl.canberra.edu.au./public/adt-AUC20060823.161225.
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Occupational exposures of healthcare workers tend to occur because of
inconsistent compliance with standard precautions. Also, incidence of occupational
exposure is underreported among operating room personnel. The purpose of this
project was to develop national estimates for compliance with standard precautions
and occupational exposure reporting practices among operating room nurses in
Australia. Data was obtained utilizing a 96-item self-report survey. The Standard
Precautions and Occupational Exposure Reporting survey was distributed
anonymously to 500 members of the Australian College of Operating Room Nurses.
The Health Belief Model was the theoretical framework used to guide the analysis of
data. Data was analysed to examine relationships between specific constructs of the
Health Belief Model to identify factors that might influence the operating room nurse
to undertake particular health behaviours to comply with standard precautions and
occupational exposure reporting. Results of the study revealed compliance rates of
55.6% with double gloving, 59.1% with announcing sharps transfers, 71.9% with
using a hands-free sharps pass technique, 81.9% with no needle recapping and 92.0%
with adequate eye protection. Although 31.6% of respondents indicated receiving an
occupational exposure in the past 12 months, only 82.6% of them reported their
exposures. The results of this study provide national estimates of compliance with
standard precautions and occupational exposure reporting among operating room
nurses in Australia. These estimates can now be used as support for the development
and implementation of measures to improve practices in order to reduce occupational
exposures and, ultimately, disease transmission rates among this high-risk group.
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Osborne, Sonya. "Compliance with standard precautions and occupational exposure reporting among operating room nurses in Australia." Thesis, University of Canberra, 2002. https://eprints.qut.edu.au/66689/1/Osborne_2002_SP_and_OER_UC_Masters_Thesis.pdf.
Full textAbstract:
Occupational exposures of healthcare workers tend to occur because of inconsistent compliance with standard precautions. Also, incidence of occupational exposure is underreported among operating room personnel. The purpose of this project was to develop national estimates for compliance with standard precautions and occupational exposure reporting practices among operating room nurses in Australia. Data was obtained utilizing a 96-item self-report survey. The Standard Precautions and Occupational Exposure Reporting survey was distributed anonymously to 500 members of the Australian College of Operating Room Nurses. The Health Belief Model was the theoretical framework used to guide the analysis of data. Data was analysed to examine relationships between specific constructs of the Health Belief Model to identify factors that might influence the operating room nurse to undertake particular health behaviours to comply with standard precautions and occupational exposure reporting. Results of the study revealed compliance rates of 55.6% with double gloving, 59.1% with announcing sharps transfers, 71.9% with using a hands-free sharps pass technique, 81.9% with no needle recapping and 92.0% with adequate eye protection. Although 31.6% of respondents indicated receiving an occupational exposure in the past 12 months, only 82.6% of them reported their exposures. The results of this study provide national estimates of compliance with standard precautions and occupational exposure reporting among operating room nurses in Australia. These estimates can now be used as support for the development and implementation of measures to improve practices in order to reduce occupational exposures and, ultimately, disease transmission rates among this high-risk group.
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Gosse, C. Suzanne. "Critical thinking skills : a comparative analysis of experienced operating room and medical-surgical registered nurses." Virtual Press, 1995. http://liblink.bsu.edu/uhtbin/catkey/958783.
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Critical thinking skills have emerged as a vital tool for the professional nurse confronting an explosion of technology and compressed plans of treatment. The purpose of this research was to compare the critical thinking skills of experienced registered nurses from two practice settings: the operating room and general medical-surgical floors. Critical thinking was defined as a "composite of attitudes, knowledge, and skills" (Watson-Glaser, 1980, p. 1).The research of Benner (1984) provided the foundation for this research. Benner documented the development of knowledge and skill in nursing practice. Nurses at the proficient and expert stages of development were the focus of this research.A non-random, convenience sample containing fifty one nurses was drawn from two Midwestern hospitals. Demographic data was gathered to further describe the sample. Participation in the study was voluntary and anonymity of subjects was assured.The Watson-Glaser Critical Thinking Appraisal (WGCTA) (1980) was the instrument utilized to measure the critical thinking skills of the experienced nurses. This tool has established validity and reliability and is considered a benchmark for measuring critical thinking ability.Analysis of the WGCTA (1980), results revealed a mean of 54.29, SD 9.66 for the total group of experienced registered nurses (N=5 1). For the operating room nurses (n=28) a mean of 52.71 with a SD of 9.41 was obtained. Among the medical-surgical nurses (n=23), the mean score was 56.21 with a SD of 9.81. T-test and MANOVA analysis was carried out. No significant statistical differences were found between the means in either the total scores of the WGCTA or on the five sub-tests for the two groups. The data submitted for analysis reflected a very experienced group (51 % with > 15 years nursing experience) and predominate Associate and Diploma preparation (61 %). Norming information available for the WGCTA indicated the scores obtained in this research were comparable to much larger samples drawn from nursing students and police officers.A conclusion of this research is that critical thinking, as measured by the WGCTA (1980), develops uniformly across diverse practice areas. An examination of the usefulness of the WGCTA to accurately measure the process of critical thinking in experienced nurses is recommended. More research into the important issues of critical thinking and experienced nursing practice is recommended.School of Nursing
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Richardson-Tench, Marilyn 1947. "Unmasked! : the discursive practice of the operating room nurse : a Foucauldian feminist analysis." Monash University, Faculty of Education, 2001. http://arrow.monash.edu.au/hdl/1959.1/8900.
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Donald, Joan. "The influence of organizational and environmental variables on the quality of worklife of operating room nurses." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp02/NQ28117.pdf.
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Björn, Catrine. "Attractive Work : Nurses´ work in operating departments, and factors that make it attractive." Doctoral thesis, Uppsala universitet, Vårdvetenskap, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-266338.
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Background: Previous studies show that nurse retention is one of the most effective strategies to counteract nursing shortages. Few studies have focused on the crucial resource of registered specialist nurses in operating departments. Aim: The overall aim of this thesis was to gain knowledge on registered specialist nurses’ and assistant nurses’ work in operating departments and on what factors they consider to be important for attractive work. Methods: In Study I, operating room nurses were interviewed regarding their perspective on their work. In Studies II and III, specialist registered nurses and assistant nurses at operating departments in a Swedish county council responded to the Attractive Work Questionnaire. Study IV is a case study with interviews, a review of organisational goal documents and data concerning the number of planned, acute and cancelled operations. Findings: The adaption of the Attractive Work Questionnaire for nurses in operating departments was satisfying. The most important factors for attractive work were: Relationship, Leadership and Status. The factors with the largest discrepancies between their important to work attractiveness and their rating at the nurses’ current work were: Salary, Organisation and Physical Work Environment. It was important for nurses to be able to prepare for and be in control of the different work tasks. However, the daily operating schedule guided the nurses’ work, and changes in the schedule, nurse shortages and the design of the premises constituted obstacles to their work. Conclusion: The Attractive Work Questionnaire provided specific information to management on what to focus on to make work attractive. The majority of the identified attractive factors are already known to be of importance in nurse retention; however, factors requiring more investigation are Equipment, Physical Work Environment and Location (of the workplace). Their work prerequisites did not enable the specialist and assistant nurses to reach what they saw as their daily goals. Regularly occurring activities, such as acute and cancelled operations, were interpreted as obstacles to reaching daily goals.
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Marais, Chantal. "The effectiveness of sensory stimulation therapy to strengthen the well-being of operating room nurses / Chantal Marais." Thesis, North-West University, 2012. http://hdl.handle.net/10394/9173.
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Highly skilled nurses amongst the OR team, are needed in the operating room (OR) to ensure optimal patient safety. Shortages in experienced OR nurses and a stressful working environment prove to have a negative influence on effective safe patient care as well as a negative effect on nurses’ own well-being.
The research focused on the effectiveness of sensory stimulation therapy (SST) to strengthen the well-being of nurses in the OR of a private hospital in the North-West Province. SST, better known as Snoezelen™, is a blend of sight, sounds, textures, aromas and motion providing stimulation to the primary senses (Collier, McPherson, et al., 2010:698). The five primary senses are gently stimulated without any intellectual activity needed. A particular aim with SST is to improve the well-being of individuals by setting them at ease.
The well-being of OR nurses was studied from a resilience viewpoint assuming that, if exposure to stressors was limited and the individual did have an opportunity to recover, stressors may have a positive, toughening effect. Well-being and resilience was used interchangeably in the study. The objectives of the study were to explore and describe OR nurses‟ needs for SST, to explore and describe OR nurses’ suggestions with regard to the implementation of SST in an OR and to explore and describe the effectiveness of a SST intervention to strengthen the well- being of OR nurses in a private hospital in the North-West Province.
An explorative, descriptive quasi-experimental design within a quantitative approach was used. Seventy two participants from two private hospitals in the North-West Province voluntarily participated in the research. A pre-/post-test design was used. One pilot group, one intervention group and one comparison group were identified. Participants from all three the participating groups completed a self administered resilience scale questionnaire before and after the implementation of a SST intervention. Before the intervention 100% participants from the pilot group, 100% participants from the intervention group and 96% participants from the comparison group completed the self administered resilience scale questionnaire. Participants of the intervention group also completed a self report questionnaire from which their needs could be determined and suggestions were made on the implementation of a SST intervention. A 98% response rate was obtained for these self report questionnaires. After the intervention the intervention group’s participants were invited to write narratives regarding their experiences after visiting the SST room.
The intervention was implemented for a period of two consecutive months in the OR of one of the private hospitals. After the intervention an 88% response rate from the pilot group, 100% response rate from the intervention group and a 63% response rate from the comparison group, completing self administered resilience scale questionnaires, were obtained. Data was analysed with the assistance of a statistical consultant at the North-West University in Potchefstroom by using STATISTICA (version 10) and SPSS (version 20, release 20.0.0) (StatSoft Inc., 2011, SPSS Inc., 211). Results indicated that there was no statistical difference between the three participating groups regarding their resilience before the intervention. However, after the intervention, the intervention group demonstrated a statistical increase in their resilience levels.
Based on these results, as well as on conclusions of relevant literature and the feedback from participants in their written narratives, recommendations were formulated with regard to nursing education, nursing practice and further research. Briefly it means that there should be more consideration for OR nurses’ well-being by means of a SST program providing for their needs. Recommendations included the benefits of a SST room in a hospital environment as well as complete instructions on how to create and to furnish such a room. Attributes of resilience, factors influencing resilience levels and methods to increase resilience levels in the workplace should be included in a regular in-service training program. For future research the researcher recommended further studies in order to determine the resilience levels in various departments of private hospitals. This could mean the successful implementation of a SST room in other departments as well which will eventually lead to the improved well-being of all nursing staff. The researcher is willing to act as a consultant if the need arises for the comparison groups to implement a SST intervention in their different departments.Thesis (MCur)--North-West University, Potchefstroom Campus, 2013.
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Malan, Kim. "Registered nurses' knowledge of infection control and sterile technique principles in the operating room complex of private hospitals." Thesis, Nelson Mandela Metropolitan University, 2009. http://hdl.handle.net/10948/1079.
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Infections are a major source of morbidity and cause of mortality during the post-operative phase for patients. Wound infections are the second most commonly encountered type of nosocomial, hospital-acquired, infection in the United States (Nichols, 2007:8). Owing to the fact that wound infection may be induced, such as, by not applying infection control and sterile technique principles in the operating room complex, it is imperative to implement infection control principles and apply sterile technique principles. The researcher noticed that some of the sterile technique principles were not carried out in the operating room complex which lead to the necessity to assess the knowledge of registered nurses’ regarding the implementation of infection control and sterile technique principles. The main goal of the study was to explore and describe the knowledge of registered nurses’ in two private hospitals in the Nelson Mandela Metropole, related to infection control and sterile technique principles in the operating room complex. Following the analysis of the data, the researcher made recommendations for changes to be made to the existing infection control guidelines in the operating room complex. The research design was quantitative, explorative, descriptive and contextual in nature. The sample consisted of all the registered nurses known as scrub nurses, in the operating room complex. The unit managers were excluded from the study, because the researcher utilized their assistance with the handing out and collecting of the questionnaires because, not all scrub nurses were at work at the same time. Firstly a pilot study was conducted (in both private hospitals) to confirm the reliability of the data collection instrument. Data was collected by means of a questionnaire that was self-administered and consisted out of three sections: Section A – Biographical Data; Section B – Knowledge Base Related to Infection Control Principles and Section C – Knowledge Base Related to the Principles of Asepsis. The researcher consulted experts to ensure the reliability and validity of the questionnaires and to ensure that the iv questionnaires would measure what it is intended to measure and that it will remain consistent. The data obtained from the questionnaires was analyzed by means of statistical and inferential analysis and included descriptive statistics with the assistance of a statistician. Following the analysis of the data, recommendations for changes to be made to the existing infection control guidelines in the operating room complex was made. This was done with relevant literature and the guidelines were discussed with experts in the field. The researcher ensured that all the legal and ethical requirements, such as the participants’ right to privacy, were maintained throughout the study.
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Wistrand, Camilla. "Swedish operating room nurses preventive interventions to reduce bacterial growth, surgical site infections, and increase comfort in patients undergoing surgery." Doctoral thesis, Örebro universitet, Institutionen för hälsovetenskaper, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-59394.
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Surgical site infection is a major postoperative complication that causes patient suffering and is costly for society. The general aim of this thesis was to test and describe interventions performed by operating room (OR) nurses to prevent bacterial growth in surgical patients, with the intent to prevent surgical site infections (SSIs) whilst increase patients comfort. In studies I and II, 220 pacemaker patients were tested to compare pre-heated skin disinfection with room-temperature skin disinfection regard-ing bacterial growth, skin temperature and patient experience. Preheated skin disinfection was not less effective compared to room-temperature skin disinfection in reducing bacterial growth after skin disinfection and there were no differences regarding SSIs three month postoperatively. Preheated skin disinfection reduces skin heat loss and was perceived as more pleas-ant compared to room-temperature skin disinfection. In study III, 12 OR nurses were examined regarding bacterial growth on their hands and at the sterile glove cuff end after surgical hand disinfec-tion and again after wearing sterile surgical gloves during surgery. They were compared with a control group of 13 non-health care workers. OR nurses’ hands had higher amounts of bacterial growth at two of three culture sites after surgical hand disinfection compared with the control group, and the bacterial growth increased in both groups with time during surgery. There seems to be a risk of bacterial growth at the glove cuff end during surgery, involving the same type of bacteria as isolated from the hands. In study IV, 890 OR nurses answered an online questionnaire describ-ing OR nurses interventions guided by national guidelines to reduce SSIs, such as preparation of the patient skin, patient temperature, and OR ma-terials used. The proportion of the OR nurses who complied with the national guidelines preventive interventions was high: skin disinfection solution (93.5%), drapes (97.4%) and gowns (83.8%), and double gloves (73%). However, when guidelines were lacking the interventions differed.
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Man, Mei-fun, and 文美芬. "A survey of the incidence and causal factors related to occupational back pain in operating theatre nurses in a general acute hospital inHong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2005. http://hub.hku.hk/bib/B45011667.
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Jonsson, Lina, and Ellen Hedman. "Operations- och anestesisjuksköterskors upplevelser av att använda checklista för säkerhet vid operationer." Thesis, Luleå tekniska universitet, Institutionen för hälsovetenskap, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-63838.
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Bakgrund: World Health Organization, WHO har arbetat fram en checklista för säker kirurgi, som skall stötta arbetslaget i arbetet kring patienten. Checklistans syfte är att förbättra kommunikationen i arbetslaget och minska komplikationer och dödsfall i samband med kirurgi. Studiens syfte var att undersöka operations- och anestesisjuksköterskors upplevelser av att använda checklista för säkerhet vid operationer i sitt dagliga arbete. Metod: Studien var en kvalitativ intervjustudie som genomförts i fokusgrupper med operationssjuksköterskor i ena gruppen och anestesisjuksköterskor i andra. Data från två intervjuer analyserades med hjälp av en kvalitativ innehållsanalys. Resultat: Studien visade att brister fanns vid implementeringen och att personalen arbetade enligt gamla rutiner. Ett varierat intresse fanns till checklistan, vilket resulterade i en varierad följsamhet i användandet. Resultatet visade på att kommunikationen förbättras och att checklistan synliggjorde alla medarbetarna och ökade möjligheten till att alla kunde känna sig delaktig i vården kring patienten. Vid användning av checklistan reds frågetecken ut och checklistan skapade ett öppet klimat där personalen kunde ta upp eventuella frågetecken som fanns. Resultatet i studien visar dock på att checklistan inte löser alla kommunikationsproblem, då det framkommer att dåliga attityder och bristande respekt till varandra fanns och försvårade användandet. Konklusion: Operation -och anestesisjuksköterskorna ansåg att checklistan var ett bra verktyg när det gäller patientsäkerhet, kommunikation och teamarbete men att det fanns brister i följsamheten. De ansåg att användandet av checklistan var personbundet och att det trots checklistans tydliga utformning ändå fanns frågetecken hos personalen, speciellt vem som ansvarade att den blev gjord.
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Guido, Laura de Azevedo. ""Stress e coping entre enfermeiros de centro cirúrgico e recuperação anestésica"." Universidade de São Paulo, 2003. http://www.teses.usp.br/teses/disponiveis/83/83131/tde-22122003-160217/.
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O presente estudo tem como finalidade o conhecimento dos estressores, na atuação dos enfermeiros de centro cirúrgico e recuperação anestésica (CC/RA), assim como as estratégias de coping usadas. A população foi composta por todos os enfermeiros de CC/RA da cidade de Santa Maria, no Rio Grande do Sul. Foram dezessete entrevistados, sendo cinco atuando em hospital privado (29,41%) e doze em hospital público (70,59). Na coleta de dados foram utilizados dois instrumentos: formulário para levantamento de atividades diárias, e inventário de estratégias de coping. Os resultados foram tabulados e analisados usando-se testes não paramétricos. Obteve-se pela avaliação subjetiva e individual dos enfermeiros que 70,59% dos entrevistados percebem-se estressados ao atuar em CC/RA. Pela identificação dos estressores no desempenho das atividades diárias dos enfermeiros, concluiu-se que as condições de trabalho em CC correspondem à área de maior stress para 41,18% dos enfermeiros independentemente do cargo ocupado. Quanto às estratégias de coping mais utilizadas pelos enfermeiros, destaca-se a resolução de problemas. Detectou-se uma diferença significativa entre: stress total e stress percebido por meio da avaliação individual e subjetiva; stress total e o stress decorrente de possuir curso de pós-graduação; stress total e o stress referente ao relacionamento com equipe médica e de enfermagem; ao relacionamento com serviços diretamente ligados à assistência do paciente durante o ato anestésico cirúrgico; atividades relacionadas à administração de pessoal; e condições de trabalho para o desempenho das atividades do enfermeiro de CC. O enfermeiro de CC/RA é estressado, mas tem algumas estratégias que oferecem apoio à realização de sua atividade profissional.This study intents to verify stress and coping among operating room (OR) nurses and recovery room nurses. The population was composed for all nurses in Santa Maria,RS, Brazil. The total of 17 nurses were intervened, that 29,4% was from private hospitals and 70,6% form governmental hospitals. The date was collected by Diary activities inventory and ways of coping questionnaire. The results demonstrated that 70,6% of nurses perceived as stressed. The conditions of work was the stressful item cried (41,18%) and was not dependent of function in OR. They answered that solving problems was the most useful coping strategy. Differences statistical significant were detected among; total of stress and perceived stress; total of stress and post-graduate curse; total of stress and relation ship with doctors, nurses, other departments, staff administration and work conditions. In conclusion, the OR nurses were stressed but the used coping strategies in order to work and live.
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Lidholm, Pernilla, and Elin Östberg. "Fördelar och nackdelar med effektivitetssalsarbete : Operationssjuksköterskors erfarenheter." Thesis, Röda Korsets Högskola, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-280.
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Bakgrund: Sjukvårdens kostnader ökar, liksom antal vårdtillfällen och vårdtyngd och krav finns därför på att effektivisera vården. Samtidigt som vården skall effektiviseras så skall också kvaliteten på vården tillgodoses. Syfte: Att undersöka och beskriva operationssjuksköterskors upplevelser av arbete på effektivitetssal. Metod: Studien utfördes med en beskrivande kvalitativ ansats och ett ändamålsenligt strategiskt urval har använts. Tio operationssjuksköterskor med erfarenhet av att arbeta på effektivitetssal fick svara på sex i förväg utformade frågor genom enskilda intervjuer som spelades in på ljudband. Datan transkriberades sedan och analyserades genom innehållsanalys, där två huvudkategorier och flera underkategorier framkom. Resultat: Det finns både fördelar och nackdelar med arbetet på effektivitetssal samt också erfarenheter som inte kan tolkas som enbart positiva eller negativa. Fördelar var bland annat att arbetet var stimulerande, det var bättre teamarbete och bättre kommunikation. Nackdelar var bland annat att det av vissa ansågs stressigt och att personalen kunde uppleva sämre kontroll. Slutsats: På effektivitetssalarna tycks det råda ett högre tempo, som av operationssjuksköterskorna kan upplevas som både stimulerande och stressigt och med arbetet finns både för- och nackdelar. Klinisk betydelse: Genom resultatet framkommer vad som redan fungerar bra i arbetet på effektivitetssal och även var möjligheter till förbättringar finns, förbättringar som kan göra arbetet än mer effektivt.Background: Costs of healthcare are increasing and so is the amount of admissions to the hospitals as well as the burden of care in the wards, and therefore demands for more efficiency in the healthcare system is required. While healthcare needs to become more efficient there is also a demand that the quality on healthcare is met. Aim: To investigate and describe operating room nurses experiences of working in an efficiency OR unit. Method: The study was conducted using a descriptive qualitative approach and a purposeful sampling strategy was used. Ten operating room nurses, with experience of working in an efficiency OR unit, answered six beforehand designed questions through individual interviews that were recorded on audiotape. The data was transcribed and then analyzed by content analysis, where two main categories and several sub-categories emerged. Result: There are advantages and disadvantages of working in an efficiency OR unit and there is also some experience that can’t be interpreted as solely positive or negative. Advantages were that the work was found stimulating, there was better teamwork and better communication. Disadvantages were, among other things, that work could be found stressful by some of the staff and staff could also experience loss of control. Conclusion: It seems to be a faster pace in efficiency OR units, which can be perceived as both stimulating and stressful among operating room nurses and there are also both advantages and disadvantages with the work. Clinical relevancy: The result shows what already works well in the efficiency OR units and also where opportunities for improvement exist, improvements that could make work more efficient.
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Surgunt, Natalja. "Operacinės slaugytojų susižeidimų adatomis ir kitais aštriais instrumentais rizikos vertinimas." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2014. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2014~D_20140711_084759-08878.
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Darbo tikslas: Įvertinti operacinės slaugytojų susižeidimų adatomis ir kitais aštriais instrumentais riziką.
Tyrimo objektas - operacinės slaugytojų susižeidimų adatomis ir kitais aštriais instrumentais rizika.
Darbo uždaviniai: 1. Įvertinti operacinės slaugytojų susižeidimų adatomis ir kitais aštriais instrumentais dažnumą, pobūdį bei susižeidimų priežastis. 2. Išanalizuoti saugią operacinės darbo aplinką lemiančius veiksnius. 3. Ištirti operacinės slaugytojų požiūrį į susižeidimų adatomis ir kitais aštriais instrumentais pranešimą ir jų registraciją.
Tyrimo metodika: Tyrimas atliktas 2013 metų sausio – balandžio mėnesiais Vilniaus ir Kauno miestų tretinio lygio ligoninėse. Tyrimui panaudota vokiečių mokslininkės dr. Sabine Wicker sudarytos anketos: „Atsitiktinis susižeidimas“ (‚,Ein stich stecktan“) ir „Sumažinti pavojų užsikrėsti – vengti adatos dūrio“ (,,Infektionsrisiken senken – Nadelstichverletzungen vermeiden“). Anketos išverstos į lietuvių kalbą. Viso buvo išdalinta 200 anketų, grižo 185 anketos, iš jų nepilnai atsakytos 10. Statistinei analizei buvo naudotos 175 užpildytos anketos. Statistiniam duomenų apdorojimui naudoti SPSS 17.0 ir Microsoft Excel programų paketai. Statistinis duomenų reikšmingumas tikrintas pagal chi kvadrato (χ2) kriterijų ir statistinį reikšmingumą (p). Duomenų skirtumas reikšmingas, kai p<0,05. Tyrime naudotas faktorinės analizės metodas.
Rezultatai ir išvados: Analizuojant tyrimo duomenis, nustatyta, kad tarp apklaustųjų nebuvo nei vieno... [toliau žr. visą tekstą]Research aim: to assess the risk of operating room nurses injuries with needles and other sharp instruments. Research object: operating room nurses injuries with needles and other sharp instruments. Research objectives: 1. To asses frequency, type and reasons of operating room nurses injuries with needles and other sharp instruments. 2. To analyse influencing causes for safe operating room environment. 3. To analyse the operating room nurses attitudes towards registration and reporting of injuries inflicted by needles and other sharp instruments. Research methodology: Research was done in January–April 2013 in Vilnius and Kaunas 3rd level hospitals. For this research two types of questionnaires, written by German scientist Dr. Sabine Wicker, were used: „Incidental Injury“ („Ein stich Stecktan“) and „Minimizing the danger of infection – prevent the needle puncture“ (,,Infektionsrisiken senken – Nadelstichverletzungen vermeiden“). Questionnaires were translated to Lithuanian language. There were 200 questionnaires distributed in total, 185 of them were returned and 10 were not fully answered. 175 fully answered questionnaires were used for statistical analysis. SPSS 17.0 and Microsoft Excel programs were used for statistical data analysis. Statistical data meaningfulness was verified by chi quadrant (χ2) criteria and statistical meaningfulness. Data difference is meaningful when p<0,05. Factor analysis method was used for the research. Results and conclusions: During the... [to full text]
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Ramdas, Leonard Harichand. "Strategies to Prevent the Unintentional Retention of Foreign Objects in Surgical Patients." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1656.
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The Institute of Medicine's report in 2000, To Err Is Human: Building a Safer Health
System, highlighted the seriousness of medical errors in the U.S. health care system. The unintentional retention of foreign objects in surgical patients is one of those errors. At the time of this study, there was no standardized counting policy and process across operating rooms in the United States. The purpose of this project was to develop a best practice educational counting program to help prevent the unintentional retention of foreign objects in surgical patients. The Logic Model was used to guide the design of the educational program and expected learning outcomes. A draft of the educational program was distributed to 10 perioperative stakeholders for an initial formative review. Changes were incorporated into the program and it was distributed to 6 perioperative experts for an additional summative assessment and content validation utilizing the AGREE II Instrument. The overall quality evaluation of the educational program was 85%, indicating that it was of high quality. Four of the respondents recommended the educational program for implementation without any changes and 2 recommended it for implementation with some minor modifications related to rewording of one question in the pretest-posttest. There were no recommended modifications in the content of the educational program. As a result, the project was recommended for adoption as a best practices-based educational program to prevent the unintentional retention of foreign objects in surgical patients. The study promotes positive social change by providing suggestions to improve the provision of safe care to surgical patients and decrease health care costs.
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Ekman, Jakob, and Benjamin Bernroth. "Liten tuva stjälper ofta stort lass : Bakteriell kontamination över tid av operationsinstrument vid öppen neurokirurgi." Thesis, Umeå universitet, Institutionen för omvårdnad, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-115892.
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Bakgrund: Postoperativa sårinfektioner orsakar lidande för den drabbade patienten och kostnader för patienten, vården och samhället. Intraoperativ kontamination av operationsinstrumenten är en av källorna till dessa infektioner. Operationssjuksköterskan är ansvarig för aseptiken och operationsinstrumenten. Syfte: Syftet med denna pilotstudie var att mäta graden av bakteriell kontamination över tid på operationsinstrument som används vid öppen neurokirurgi samt observera utvalda källor till kontamination under samma tid. Metod: Denna studie designades som en kvantitativ icke-experimentell observationsstudie. Datainsamlingen skedde under hösten 2015 och bestod av omhändertagandet av specifika instrument som använts av operatören under operationen efter förutbestämd åtgången knivtid. Bakterieodlingar på dessa instrument skedde sedan på laboratorium enligt en förutbestämd metod och graden av kontamination mättes genom observation av mängden colony forming units (CFU). Resultaten presenteras i form av förändringar av mängden CFU. Resultat: Fem operationer observerades och tio odlingar utfördes på tio instrument. Totalt tio CFU registrerades under samtliga observationer. Ingen signifikant ökning av antal CFU kunde observeras från en till två timmars knivtid (P=0,156). Antal dörröppningar ökade från 3,4 till 9,0 och antal personer på operationssalen ökade från 5,4 till 5,8. Slutsats: Trots det ringa antal observationer som ingick i denna studie tyder resultaten på god aseptik och minimal bakteriell kontamination på operationsinstrumenten under operationens två första timmar. Ytterligare forskning med längre observationer, fler observationer och observationer kring annan typ av kirurgi behövs.Background: Post-operative surgical site infections (SSI) cause suffering for the afflicted patient and is a great cost for the patient, the health care system and society. Intra-operative contamination of surgical instruments is one of the sources of these infections. The operating room nurse is responsible for preventing infections. Purpose: The purpose of this pilot-study was to measure the degree of bacterial contamination over time on surgical instruments used in open neurosurgery as well as to observe specific sources of contamination during this time. Method: The design was a quantitative nonexperimental observational study. The data collection took place during autumn 2015 and consisted of the sampling of specific instruments used by the surgeon during surgery after preset elapsed operating times. Bacterial culturing on these instruments was then carried out at a laboratory according to a preset routine and the degree of contamination was measured by observing the amount of colony forming units (CFU). The results are presented as changes in CFU. Results: Five operations were observed and ten bacterial culturings were conducted on ten instruments. A total of ten CFU was registered during all observations. No significant increase in the number of CFU could be observed from one to two hours of elapsed surgery (P=0,156). The amount of door openings increased from 3,4 to 9,0 and the number of personnel in the operating room increased from 5,4 to 5,8. Conclusion: Despite the small number of observations included in this study the results indicate good aseptics and minimal bacterial contamination on the surgical instruments during the first two hours of surgery. Further research with longer observations, more observations and observations on other forms of surgery is needed.
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Slater, Michelle McHugh. "National Inquiry of Clinical Nurse Leadership in the Operating Room." Case Western Reserve University Doctor of Nursing Practice / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=casednp1476639876263273.
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Jay, Rita A. "Relationship of organizational work climate to nurse turnover in operating room settings." Thesis, Capella University, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3724927.
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Organizational work climates in healthcare organizations were described in the literature using a social framework of structured interactions, defined roles, and behavioral responses between team members of physicians and nurses. It was hypothesized that the characteristics of physician-nurse collaboration, physician dominance, and nurse autonomy in socially complex work settings have relationships to turnover intent in nurses who work in operating room settings. In an era of nursing shortages the challenge of nurse retention and the evidence of challenging work climate become even more critical for healthcare organizations. This research study examined a gap in knowledge regarding the extent to which aspects of organizational work climate predict nurse turnover in operating room work settings. A quantitative correlational study using three work climate characteristics of physician-nurse collaboration, physician dominance, and nurse autonomy was conducted using the Jefferson Scale of Attitudes Toward Physician-Nurse Collaboration (Hojat & Herman, 1985, Developing an Instrument to Measure Attitudes toward Nurses: Preliminary Psychometric Findings) and the Anticipated Turnover Scale (Hinshaw & Atwood, 1983, Nursing Staff Turnover, Stress, and Satisfaction: Models, Measures, and Management). Responses from 322 Operating Room staff nurses who were members of a national professional nursing organization were examined in the analyses. The study concluded that the independent variables of collaboration, dominance, and autonomy were not significant in predicting turnover among nurses in the operating room setting.
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Cosgrove, Marianne S. "PERCEIVED IMPACT OF AMBIENT OPERATING ROOM NOISE BY CERTIFIED REGISTERED NURSE ANESTHETISTS." VCU Scholars Compass, 2019. https://scholarscompass.vcu.edu/etd/5963.
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It is widely acknowledged that elevated levels of noise are commonplace in the healthcare environment, particularly in high acuity areas such as the operating room (OR). Excessive ambient noise may pose a threat to patient safety by adversely impacting provider performance and interfering with communication among perioperative care team members. With respect to the certified registered nurse anesthetist (CRNA), increased ambient OR noise may engender distractibility, diminish situation awareness and cause untoward health effects, thereby increasing the possibility for the occurrence of error and patient injury.
This research project analytically examines the perceived impact of ambient noise in the operating room by CRNAs. Findings from this study reveal that CRNAs perceive elevated noise to be regularly present in the OR, specifically during the critical emergence phase of the anesthetic. However, CRNAs feel that increased noise only occasionally limits their ability to perform procedures, concentrate and communicate with the perioperative team. OR noise rarely interferes with memory retrieval. CRNAs perceive that noise is sometimes a threat to patient safety but infrequently engenders adverse patient outcomes. CRNAs do not perceive noise in the OR to be detrimental to their health but strongly agree that excessive noise can and should be controlled.
Increased ambient OR noise is a veritable reality that may pose a potential threat to patient safety. Further research to identify elevations in noise during critical phases of the anesthetic and delineation of significant contributors to its genesis is warranted.
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Liechty, Elizabeth. "Values and perceptions of caring by perioperative nurse associates." Virtual Press, 1995. http://liblink.bsu.edu/uhtbin/catkey/958799.
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Caring is emerging as an important concept for the nursing profession especially within the perioperative arena (Bickler, 1994; McNamara, 1995; Rawnsley, 1990). The purposes of this study were to investigate: (a) the relationship between perioperative nurse associates' values and caring behaviors; and (b) the relationship between perioperative nurse associates' perceptions of own demonstrated caring behaviors to demonstrated caring behaviors of nurse managers.The study was based upon Watson's (1985) model of Human Caring. The instruments used were Staub's (1989) Values Questionnaire and Nkongho's (1990) Caring Ability Inventory. A demographic profile of study participants was obtained. The population included all nurses (48,000) who were members of the Association of Operating Room Nurses (AORN). The sample consisted of 300 randomly selected non-managerial perioperative nurse associates obtained from the membership list of AORN.A cover letter explaining the study along with a demographic questionnaire and three survey instruments were mailed to the 300 perioperative associates at their home address. The surveys were returned to the investigator by mail in a furnished self-addressed stamped envelope (n=96). Procedures for human subject protection were followed.A descriptive correlation design and descriptive statistics were used for data analysis. Perioperative nurses identified three recurring themes as suggestions for incorporating caring behaviors by nurse managers; (a) improved communication skills; (b) increased accessibility; and (c) empowerment of nurses. Findings showed a moderately positive and significant relationship between values and caring behaviors supporting Watson's Theory of Human Care (1985). Results showed no relationship of caring behaviors between nurse associates and nurse managers. However, the data did reveal that nurse associates perceived themselves as more caring than the nurse managers.School of Nursing
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Boson, Maria, and Linda Smedman. "Operationssjuksköterskans upplevelse av sin yrkesroll : -en kvalitativ intervjustudie." Thesis, Mittuniversitetet, Institutionen för hälsovetenskap, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-13527.
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Bakgrund Yrket som operationssjuksköterska är idag den äldsta sjuksköterskespecialiteten men förblir främst en dold yrkesroll på grund av att det utövas bakom stängda dörrar. Yrkesrollen skildrades som komplex och kretsade omkring patienten, samarbetet och den tekniska utrustningen Patricia Benners teorier om sjuksköterskans yrkesutveckling användes som teoretisk förankring i studien. Syfte Studiens syfte var att belysa hur operationssjuksköterskan upplever sin yrkesroll. Metod Studien genomfördes med en kvalitativ ansats och tio semistrukturerade intervjuer utfördes med operationssjuksköterskor från två sjukhus i Sverige under våren 2011. Alla intervjuer spelades in och transkriberades ordagrant. Insamlat data analyserades med kvalitativ innehållsanalys. Resultat I textanalysen identifierades tolv subkategorier och fyra kategorier; rollen som omvårdnadsansvarig, upplevelsen av vad som gör operationssjuksköterskan trygg i sin yrkesroll, betydelsen av att vara medarbetare i arbetet på operationssalen och synen på den egna professionen. Operationssjuksköterskorna beskrev sitt arbete som patientfokuserat och möjligheten att hjälpa medförde känslan av att göra skillnad. Erfarenhet och uppskattning gav ett självförtroende som resulterade i att operationssjuksköterskorna blev trygga i sin yrkesroll. Operationssjuksköterskorna beskrev kommunikation på salen som essentiellt för ett fungerande samarbete och menade att de anpassade sig efter sina medarbetare. Operationssjuksköterskorna upplevde sin yrkesroll både som osynlig och utvecklande. Citat från informanterna presenterades i texten för att tydliggöra resultatet. Slutsats Studien visade att operationssjuksköterskorna har en central roll för omvårdnaden på operationsavdelningen och för patienten. Operationssjuksköterskans närvaro och kompetens vid operationer var oersättlig men ständigt beroende av teamet omkring sig.Background The profession of operating room nurse is now the oldest nursing specialty, but remains primarily a hidden profession because it is exercised behind closed doors. The professional role were described as complex and revolved around the patient, cooperation and the technical equipment. Patricia Benners theories on the nurses’ professional development were used as a theoretical basis in the study. Aim The study aimed to elucidate how the operating room nurse perceives the professional role. Method The study was conducted with a qualitative approach and ten semi-structured interviews were carried out with operating room nurses from two hospitals in Sweden in spring 2011. All interviews were recorded and transcribed verbatim. To analyze the collected data content analysis with an inductive approach was used. Result In the text analysis twelve subcategories and four categories were identified: the role as being responsible of nursing, the experience of what makes the operating room nurse safe in the professional role, the meaning of being a co-worker during the work on the operating room and the view on the own profession Quotes from the informants were presented in the text to clarify the result. Conclusion The study showed that the operating room nurse has a central role for nursing in the surgical ward and the patient. The operating room nurse presence and expertise in operations was irreplaceable, but always dependent of the team around him/her.
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Mitchell, Lucy. "Development of a behavioural rating system for scrub nurses' non-technical skills." Thesis, University of Aberdeen, 2011. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=167786.
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In the first study, a literature review and semi-structured interviews with experienced scrub nurses (n=25) and consultant surgeons (n=9), identified ‘communication’, ‘teamwork’, ‘situation awareness’ and ‘coping with stress’ skills as important skills for scrub practitioners. The second study used focus groups (n=4 groups) of experienced scrub nurses (total n=16 participants) to sort and label the extracted non-technical skill data, from study 1, into skill categories and underlying elements. The focus groups also generated ‘behavioural markers’ describing good and poor performance of those elements. This preliminary taxonomy contained eight categories with 28 underlying elements. An expert panel, comprising two psychologists and a subject matter expert used an iterative process, with reference to the system design guidelines, to refine the taxonomy. The resulting prototype was called the Scrub Practitioners’ List of Intraoperative Non-Technical Skills (SPLINTS) system which had three skill categories – ‘Situation awareness’; ‘Communication and teamwork’; ‘Task management’, each of which had three underlying elements. The third study tested the psychometric properties of the prototype SPLINTS system. Scrub practitioners (n=34) attended a single-day evaluation session where they received training (5 hours) and practice (1 hour) using the SPLINTS system before rating the scrub practitioner’s behaviour seen in standardized surgical video scenarios (n=7) (1 hour). Within-group agreement was acceptable (rwg >.7) for the three skill categories and for six of the nine elements. Future work will assess the usability of SPLINTS system in the operating theatre environment. This project has provided scrub practitioners with a structured method for training and assessing an important aspect of performance, which could help to reduce adverse events in the operating theatre.
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Kriel, Dora Jenice. "Perceptions of nurses with regard to staffing in the operating rooms of a private hospital." Thesis, Nelson Mandela Metropolitan University, 2017. http://hdl.handle.net/10948/18014.
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Despite a number of research studies showing the correlation between higher nurse staffing levels and improved outcomes, RCN members continues to report lower nurse-to-patient ratios than what research results suggests (RCN, 2011:1). This reflected a general concern within the nursing profession. The operating room requires appropriate staffing which is critical to the safety of surgical patients and quality of patient care. The research study was motivated by the researcher’s own experiences while working in an OR in a private hospital where continuous discussions were held with management about the shortage of skilled staff; and where a shortage of OR nurses resulted in the use of Central Sterilizing Department (CSD) staff to do OR duties. The objective of the study was to explore and describe the perceptions of nurses regarding staffing in the operating rooms of a private hospital in the Nelson Mandela Bay Health District. The researcher used qualitative methods and designs to explore and described the perception of nurses regarding staffing in the operating room (OR) of a private hospital in the Nelson Mandela Bay Health District. The research population of the study included all the nurses working in the OR of a private hospital. The total number of 20 OR nurses was individually interviewed by means of semi-structured interviews. Three main themes emerged that includes nurses ‘perceptions with regard to the implications of inadequate staffing in the OR; nurses experiences towards top management with regard to staffing in the OR and recommendations from participants to improve staffing in the OR. Research findings concluded that nurses have a perception that shortage of OR nurses causes lack of communication, physical, emotional and psychological strain. They also perceived OR nurses to work under unrealistic conditions and to receive added responsibilities due to staff shortages, which affect the overall delivery of quality patient care. Comments included failure of management to attend to staff complaints and the perception of high staff turnover due to a lack of recognition and acknowledgement of overworked staff.
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Korsner, Borg Suzanne, and Larsson Frida Runnquist. "Operationssjuksköterskans hantering av vassa instrument i operationssalen." Thesis, Röda Korsets Högskola, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-657.
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Bakgrund Operationspersonal är den yrkesgrupp inom vården som är mest utsatt för risk för blodsmitta genom frekvent hantering av stickande och skärande instrument samt exponering av blod. Bland operationssjuksköterskor finns en stark önskan att arbeta så säkert som möjligt för att minska risken för smittöverföring. Det finns föreskrifter, metoder och hjälpmedel för att förhindra stick- och skärskador men få skriftliga riktlinjer och rutiner. Syfte Syftet med den här studien är att undersöka operationssjuksköterskans hantering av stickande och skärande instrument i operationssalen. Metod Studiens design är en empirisk tvärsnittsstudie med en kvantitativ ansats. En strukturerad observationsstudie utfördes på Södersjukhuset i Stockholm. 18 operationssjuksköterskor observerades under 50 operationer. Resultat Studiens resultat visar på brister inom samtliga områden som observerats. Beskrivna hjälpmedel och metoder för att förhindra stick- och skärskador användes i liten utsträckning. Trots detta utfördes viss hantering av vassa instrument på ett säkert sätt. Stundom utfördes arbetet på ett riskfyllt sätt. Slutsats Beskrivna hjälpmedel och metoder för säker hantering av stickande och skärande instrument finns men användes i liten utsträckning vilket resulterar i ett självstyrt säkerhetsarbete i operationssalen. Hjälpmedel bör göras mer tillgängliga, tydliga rutiner och skriftliga riktlinjer för hantering av stickande och skärande instrument behövs. Klinisk betydelse Studien kan fungera som en del av ett utvecklingsarbete på Södersjukhuset gällande hantering av stickande och skärande instrument. Utvecklingsarbetet kan exempelvis leda till en uppdatering av innehållet i kundanpassade operationsset och plocklistor samt att skriftliga riktlinjer tas fram.Background Operating room personnel are at particularly high risk of injury and blood borne diseases due to handling of sharp items and frequent blood exposure. Operating room nurses aim to perform at a high level of security to reduce the risk of transmission of blood borne diseases. To prevent sharps injuries there are regulations, methods and safety devices but few written guidelines. Aim The aim of this study is to identify how the operating room nurse handles sharps within the operating room. Method A quantitative cross-sectional study was conducted at Södersjukhuset in Stockholm, Sweden. 18 operating room nurses participated in this structured observation study during 50 operations. Results The result indicates shortcomings in obtaining a safe working environment in all observed areas. Safety devices and other methods to prevent sharps injuries were seldom used. Despite this the work with sharps was mainly conducted in a safe way. At times the work was performed in a hazardous manner. Conclusions The safety devices and methods described in the study exist but are seldom used which leads to a subjective work method regarding safety in the operating room. The safety devices need to be made more accessible and explicit guidelines are needed. Clinical significance This study may be part of a quality improvement project at Södersjukhuset regarding handling and routines concerning sharps. The quality improvement effort can result in alterations of the contents in the procedure pack and the development of written guidelines.
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Bull, Rosalind Margaret. "Theatre wear must be worn beyond this point : a hermeneutic ethnographic exploration of operating room nursing." Title page, table of contents and abstract only, 2002. http://web4.library.adelaide.edu.au/theses/09PH/09phb9355.pdf.
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Norman, Maria, and Rita Thunvall. "Operationssjuksköterskors upplevelse av arbetsrelaterad stress." Thesis, Röda Korsets Högskola, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-111.
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Bakgrund: Sjukvården är en miljö med förekomst av arbetsrelaterad stress. På en operationsavdelning är arbetet mycket intensivt och det bedrivs högspecialiserad vård. Syfte: Syftet med studien var att beskriva operationssjuksköterskors upplevelse av arbetsrelaterad stress. Metod: En empirisk kvalitativ studie genomfördes. Fyra strategiskt utvalda operationssjuksköterskor från två olika operationsavdelningar vid ett stort universitetssjukhus i Mellansverige deltog i studien. Ljudinspelade intervjuer genomfördes med hjälp av en semistrukturerad intervjuguide. En manifest innehållsanalys utfördes. Resultat: Tre huvudkategorier påträffades; färdigheter, arbetsmiljö och operationsplanering. Operationssjuksköterskorna beskrev att avsaknad av erfarenhet och kontroll var bidragande faktorer för upplevd arbetsrelaterad stress. Dålig kommunikation mellan kollegor och en operationsplanering som inte överensstämde med de resurser som fanns tillgängliga var också bidragande faktorer till uppkomst av arbetsrelaterad stress. Slutsatser: Resultatet visar att arbetsrelaterad stress är ett existerande problem inom operationssjukvården och bör utforskas vidare för att förbättra operationssjuksköterskornas arbetsvillkor och miljö.Background: Health care is an environment with the presence of work-related stress. An operation department is very intense and it is carried on highly specialized care. Purpose: The purpose of this study was to describe operating room nurses' experience of work-related stress. Method: An empirical qualitative study was conducted. Four strategically selected operation room nurses from two different operation department at a large teaching hospital in central Sweden participated in the study. Recorded interviews were conducted with the help of a semi-structured interview guide. A manifest content analysis was performed. Results: Three main categories were found; skills, work environment and operation planning. Operating room nurses described the lack of experience and control as contributing factors to perceived work-related stress. Poor communication between colleagues and an operations scheduling, which was inconsistent with the resources that were available were also contributing factors to the incidence of work-related stress. Conclusions: The results tend to show that occupational stress is an existing problem in surgical care and should be further explored to improve the surgical nurses' working conditions and environment.
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Bringhed, Ulrika, and Caroline Telhede. "Kompartmentsyndrom : operationssjuksköterskans förebyggande omvårdnad." Thesis, Karlstads universitet, Institutionen för hälsovetenskaper, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-37286.
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Introduktion: Omvårdnad är operationssjuksköterskans huvudområde. Operationssjuksköterskan ska förebygga skador och komplikationer som kan uppstå vid en operation. En sådan komplikation kan vara kompartmentsyndrom. Kompartmentsyndrom är en ovanlig komplikation men kan leda till allvarliga skador. Det är därför viktigt att operationssjuksköterskan beaktar det i sitt arbete. Syfte: Detta arbete syftar till att belysa operationssjuksköterskans erfarenheter av att arbeta med att förebygga kompartmentsyndrom i den perioperativa omvårdnaden. Metod: En kvalitativ ansats tillämpades och data samlades in via intervjuer. Insamlade data analyserades genom kvalitativ innehållsanalys. I arbetet deltog 11 operationssjuksköterskor, tio kvinnor och en man, som arbetade på fyra olika operationsavdelningar vid två olika sjukhus. Resultat: I den kvalitativa innehållsanalysen av texten framkom två kategorier, Att arbeta förebyggande samt Att handla på osäker grund. I den förstnämnda kategorin beskrevs hur operationssjuksköterskorna genomförde en individuell riskbedömning, var noggranna i positioneringen och utförde lägesändring samt massage av patientens ben för att förebygga kompartmentsyndrom. I den andra kategorin, Att handla på osäker grund, beskrevs en osäkerhet i den perioperativa omvårdnaden kring kompartmentsyndrom. Det belystes en osäkerhet runt ämnet, omvårdnadsinterventionerna ifrågasattes och en brist på vetenskaplig evidens framkom. Konklusion: Det fanns brister i riktlinjer och rutiner gällande omvårdnad kring kompartmentsyndrom. Det fanns även en brist i att implementera ny kunskap i operationssjuksköterskans omvårdnad för att kunna arbeta evidensbaserat.Introduction: Nursing is the main area for the operating room (OR) nurse. The OR nurse will prevent injuries and complications that can occur during surgery. One such complication can be compartment syndrome. Compartment syndrome is a rare complication but can lead to serious injuries. It is therefore important that the OR nurse take this in consideration in their work. Aim: This essay aims to highlight the OR nurse's experiences of working with the prevention of compartment syndrome in the perioperative nursing. Method: A qualitative approach was applied and the data were collected through interviews. Collected data were analyzed by qualitative content analysis. The essay enrolled 11 OR nurses, ten women and one man, who worked in four different surgical wards at two different hospitals. Result: After a qualitative content analysis of the data were conducted two categories emerged, Preventive work and To act on uncertain foundations. The first category described how the OR nurse undertook an individual risk assessment, was accurate in positioning and performed a change in position and massage of the patient’s leg to prevent compartment syndrome. The second category, To act on uncertain foundations, described an uncertainty in the perioperative care regarding compartment syndrome. It highlighted an uncertainty around the topic, nursing interventions were questioned and a lack of scientific evidence emerged. Conclusion: There were a lack of guidelines and recommendations regarding care about compartment syndrome. There was also a lack of implementing new knowledge in nursing to provide an evidence-based practice.
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Jansson, Ann-Sofie, and Karin Viberg. "Att inhämta information för att stärka patientsäkerheten-Operationssjuksköterskors berättelser : En kvalitativ intervjustudie." Thesis, Karlstads universitet, Institutionen för hälsovetenskaper, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-37486.
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Introduktion: Operationssjuksköterskors arbete är svårdefinierat och komplext där huvudansvaret ligger på patientens perioperativa omvårdnad, medicintekniska produkter och instrumentvård. Operationssjuksköterskor är skyldiga att utföra patientsäker vård i samråd med patienten. Preoperativa samtal kan vara ett redskap för att inhämta patientcentrerad information. Syfte: Att beskriva hur operationssjuksköterskor inhämtar information om patienten avseende säker vård samt undersöka operationssjuksköterskors erfarenheter av den perioperativa dialogen. Metod: En deskriptiv kvalitativ intervjustudie genomfördes. Semistrukturerade intervjuer genomfördes med tio operationssjuksköterskor från tre sjukhus. Intervjuerna transkriberades och texterna analyserades genom kvalitativ innehållsanalys med induktiv ansats. Resultat: Tre huvudkategorier framkom: ”Olika sätt att erhålla information”, ”Olika sätt att arbeta patientsäkert”, ”Möjligheter och hinder att genom den perioperativa dialogen erhålla information”. Operationssjuksköterskorna prioriterade inte samtal med patienten för att inhämta information. Tidsbrist, vårdorganisation och operationssjuksköterskornas attityder ansågs vara hinder för patientsamtal. De använde sig istället av operationsanmälan, journal och andrahandsinformation från kollegor. Operationssjuksköterskorna ansåg vården vara patientsäker även utan preoperativa samtal. Konklusion: Studien visar att operationssjuksköterskorna anser sig kunna utföra patientsäker vård och kan inhämta den information de behöver om sin patient utan att ha kommunicerat med patienten. Operationssjuksköterskorna har ett ansvar att hävda sin roll som patientens advokat för att kunna utföra en individanpassad vård. För att operationssjuksköterskan ska kunna utöva en mer patientcentrerad vård behövs kanske en förändring av operationssjuksköterskornas attityder och om så ska ske är det viktigt med ett organisatoriskt erkännande av hela deras arbetsfält.
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Runesson, Sofia, and Eva Sundbrandt. "Att arbeta med tillgångar och motgångar : Operationssjuksköterskors erfarenheter av att bevara patientens kroppsliga integritet." Thesis, Karlstads universitet, Institutionen för hälsovetenskaper, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-31466.
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I samband med operation exponeras patientens kropp för att kunna genomföra ett ingrepp och det är operationssjuksköterskans uppgift att bevara patientens kroppsliga integritet. Det finns dock inga tydliga riktlinjer för detta och kan vara en svår utmaning för operationssjuksköterskor. Syftet med studien var att beskriva operationssjuksköterskors erfarenheter av hur de bevarar patientens kroppsliga integritet. Kvalitativ ansats med intervjuer som datainsamlingsmetod valdes för att beskriva operationssjuksköterskors erfarenheter inom området. Urvalet bestod av nio operationssjuksköterskor fördelade på fyra sjukhus inom tre län. Datamaterialet analyserades enligt en kvalitativ innehållsanalys och resulterade i sju subkategorier under en och samma kategori. Operationssjuksköterskorna beskrev begreppet integritet som en människas personliga sfär och att varje enskild patients integritet bevaras genom individanpassad vård. Skydda patientens kroppsliga integritet kan göras genom att skyla kroppen och undvika obehöriga blickar, men samtidigt finns faktorer som försvårar bevarandet av patientens kroppsliga integritet. En kombination av professionalism och empati menar operationssjuksköterskorna leder dem till att bevara patientens kroppsliga integritet där patientrelationen är viktig men av olika skäl kan utebli. Slutsatsen av resultatet är att patientrelationen är viktig för att kunna inhämta den information operationssjuksköterskan behöver för att kunna bevara patientens kroppsliga integritet.During a surgery the patient’s body is exposed in order to carry out the surgery and it is the operating room nurse’s main task to care for and to protect the patient’s bodily integrity. However, at this time there are no clear guidelines on how to treat this subject and it can be a difficult challenge for the nurses. The purpose of this study was to describe the operating room nurses experiences of how they best protect the patient's bodily integrity. A qualitative approach with interviews and data collection methods was chosen to describe the operating room nurses' experiences in the field. The sample consisted of nine surgical nurses, spread across four hospitals in three counties. The data was analyzed according to a qualitative content analysis and resulted into seven sub-categories under the same category. Operating room nurses described the concept of integrity as a human's personal space, and that each patient’s integrity is maintained through individualized care. Protecting the patient’s bodily integrity can be done by covering the body and preventing unauthorized eyes but there are factors that can for different reasons make this difficult. The operating room nurses think that a combination of professionalism and empathy leads them to maintain the patient's bodily integrity where patient relationship is important, but for various reasons may be compromised. The conclusions from the result is that the patient relationship is important in order to obtain the information that the operating room nurse needs to be able to protect the patient's bodily integrity.
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Göransson, Anna, and Kristin Snihs. "Vad händer med mina händer? : Prevalens av självrapporterade handeksem och urtikaria hos verksamma operationssjuksköterskor och kirurger i Region Östergötland." Thesis, Karlstads universitet, Institutionen för hälsovetenskaper, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-42665.
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Introduktion: Grundläggande för operationssjukvård är att kunna använda sina händer för att utföra god specialistsjukvård och omvårdnad av patienten. Att drabbas av eksem på händer, handleder, underarmar eller urtikaria till följd av kontaktallergi kan medföra att händernas funktion påverkas. Syfte: Syftet med studien var att undersöka prevalensen av självrapporterade handeksem, urtikaria och möjliga riskfaktorer hos verksamma operationssjuksköterskor och kirurger samt identifiera statistiska samband hos respondenterna. Metod: Studien genomfördes med kvantitativ metod. Data samlades in via elektroniska enkäter. Sammanlagt samlades 150 enkäter in. För statistisk bearbetning och analys användes ett statistiskt dataprogram. Resultat: Förekomst av eksem på händer, handleder eller underarmar vid något tillfälle självrapporterades av 44% av respondenterna, varav 24% upplevt eksem de senaste två åren. Uppkomst av urtikaria på händer, handleder eller underarmar vid något tillfälle självrapporterades av 28,7% respondenter. En högre andel av de som självrapporterat eksem och urtikaria hade också åtminstone en övrig allergi. Konklusion: I studien framkom att nästan var femte personal på operationsavdelningar inom Region Östergötland hade haft handeksem någon gång under de senaste två åren. Denna siffra är i enighet med tidigare forskning, dock är bortfallet i denna undersökningsgrupp för stort för att kunna generalisera resultatet.Introduction: To be able to use your hands to carry out perioperative care and nursing is fundamental. To suffer from eczema on your hands, wrists, forearms or urticaria as a consequence of contact allergy, can affect the function of the hands. Aim: The aim of the study was to research the prevalence of self-reported hand eczema, urticaria and risk factors among working operating room nurses and surgeons in the region of Östergötland and to identify statistical relations among the respondents. Method: The study was carried out with a quantitative method. Data was gathered through electronic questionnaires. A total of 150 questionnaires were collected. For statistical processing and analyse, a statistic computer program were used. Result: Prevalence of eczema on hands, wrists and forearms at any time were self-reported among 44% of the respondents, and 24% had experienced eczema during the last two years. Experience of urticaria on hands, wrists and forearms at any time were reported by 28,7% respondents. A greater amount of the respondents who self-reported eczema and urticarial also described at least one additional allergy. Conclusion: The study showed that almost every fifth personnel on the surgical ward in the region of Östergötland, had self-reported hand eczema at some time during the two last years. Former research has shown similar data, but the number of non-respondents were too high to be able to generalize the result of this study.
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Herbert, Suzan Margaret. "Factors underlying registered nurse interactions in a multicultural tertiary healthcare perioperative area." Thesis, Stellenbosch : Stellenbosch University, 2015. http://hdl.handle.net/10019.1/97009.
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Thesis (MCur)--Stellenbosch University, 2015.ENGLISH ABSTRACT: Disruptive behaviour among health care providers in high stress areas such as the perioperative setting has been linked to negative patient safety. Conflicts of power, role and personality lead to communication failure, which are identified as the leading root cause of medication errors and wrong site surgery. The aim of the study was to explore and describe the factors underlying registered nurse (RN) interactions in a tertiary healthcare perioperative area. A non-experimental, descriptive, exploratory study with self-administered survey using a quantitative approach was used. The total population of N=52 participants working in the perioperative area of a Middle Eastern tertiary healthcare centre were invited to participate in the study and the response rate was n=44, 85%. A structured self-administered questionnaire was used to collect the data. Reliability and validity was assured by means of a pilot study and consultation with nursing experts and a statistician. The Health Research Ethics Committee of the University of Stellenbosch approved the study. Permission for the study to be done in the tertiary care centre was obtained from the Internal Ethical Review Board and the Nursing Executive. Informed written consent was obtained from the participants. Anonymity and confidentiality was respected. The data was analysed with the assistance of a statistician and presented in frequencies, tables and histograms. The responses were compared using Mann-Whitney U test, Kruskal- Wallis ANOVA and Spearman’s Rank correlation, on a 95% confidence level. Only one factor showed a significant result, following Spearman’s Rank correlation that an association exists between work experience and lateral violence (p≤0.045239). The open-ended questions were categorized into themes and respect and communication emerged as factors necessary in teamwork and task management The level of respect and open communication between RNs were seen as important factors for interacting with colleagues in the workplace and if poor, affects team work. An area of concern was the high number of neutral responses to the statements on morale and conflict. Underpinned by the literature and the outcomes of this study, it is recommended that strong leadership is required to implement regular team building activities. Furthermore, perioperative staff should be monitored for emotional fatigue which results from conflict situations in order to avert adverse patient care events.
AFRIKAANSE OPSOMMING: Steurende gedrag onder gesondheidsorgwerkers in hoë gespanne areas soos in die perioperatiewe omgewing, word gekoppel aan negatiewe pasiënt veiligheid. Konflikte van mag, rol en persoonlikheid lei tot mislukking van kommunikasie wat geïdentifiseer word as die hoofoorsaak van foute by die toediening van medikasie en verkeerde plek vir chirurgie. Die doel van die studie was om die faktore te ondersoek en te beskryf wat onderliggend is aan geregistreerde verpleeg (GV) interaksies in ’n tersiêre gesondheidsorg perioperatiewe area. ’n Nie-eksperimentele, beskrywende, ondersoekende studie met ’n self-administrerende opname deur ’n kwantitatiewe benadering, was gebruik. Die totale populasie van N=52 deelnemers wat in die perioperatiewe area van ’n Midde-Oosterse tersiêre gesondheidsorgsentrum werk, was uitgenooi om deel te neem aan hierdie studie en die responskoers was n=44, 85%. ’n Gestruktureerde self-administrerende vraelys was gebruik om die data te kollekteer. Betroubaarheid en geldigheid was verseker deur die gebruik van ’n loodsprojek en konsultasie met verpleegdeskundiges, asook ’n statistikus. Die Gesondheidsnavorsingsetiekkomitee aan die Universiteit van Stellenbosch het die studie goedgekeur. Toestemming vir die uitvoer van die studie by die tersiêre gesondheidssentrum was verkry van die Interne Etiese Oorsigraad en die Uitvoerende Verplegingsbestuur. Ingeligte geskrewe toestemming was verkry van die deelnemers. Anonimiteit en vertroulikheid was gerespekteer. Die data was geanaliseer met die hulp van ’n statistikus en aangebied in frekwensies, tafels en histogramme. Die response was vergelyk deur van Mann-Whitney U-toets, Kruskal-Wallis ANOVA of Spearman se Rangkorrelasie op ’n 95% vertroulikheidsvlak gebruik te maak. Slegs een faktor het ’n beduidende resultaat getoon, dat daar ’n assosiasie bestaan tussen werkservaring en laterale geweld (p≤0.045239), deur Spearman se Rangkorrelasie te volg. Die ope-vrae was gekategoriseer in temas. Respek en kommunikasie het as noodsaaklike faktore vir spanwerk en taakbestuur na vore gekom. Die vlak van respek en ope kommunikasie tussen geregistreerde verpleegsters was gesien as belangrike faktore vir interaksie met kollegas in die werkplek en indien dit swak is, affekteer dit spanwerk. ’n Area van besorgdheid was die hoë aantal neutrale response op die stellings oor moraal en konflik. Ondersteun deur die literatuur en die uitkomste van die studie, word dit aanbeveel dat sterk leierskap vereis word om gereelde spanbou aktiwiteite te implementeer. Verder behoort perioperatiewe personeel gemonitor te word vir emosionele moegheid wat spruit uit konfliksituasies, ten einde nadelige pasiëntsorg af te weer.
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Salvage, Eva. "Vårdenhetschefers och sektionsledares uppfattningar om operationssjuksköterskans perioperativa omvårdnadsarbete samt införande av denna arbetsmetod." Thesis, Högskolan i Gävle, Avdelningen för hälso- och vårdvetenskap, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-11588.
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Introduktion: Den perioperativa omvårdnaden där operationssjuksköterskan ingår innefattar faserna före, under och efter operation och kan ses som ett arbetssätt. Perioperativ omvårdnad har utarbetats under 1990-talet. Arbetssättet har inte efterlevts i någon stor grad trots positiva effekter för patienter och personal. Operationssjuksköterskans arbete är fortfarande övervägande traditionellt, med fokus på tiden då patienten är sövd och opereras. Vårdenhetschefers och sektionsledares uppfattningar om den perioperativa omvårdnaden har betydelse för hur arbetet bedrivs på operationsavdelningar. Syfte: Att beskriva vårdenhetschefers och sektionsledares uppfattningar om operationssjuksköterskans perioperativa omvårdnadsarbete samt om införandet av perioperativ omvårdnad. Metod:Datainsamling skedde genom öppna intervjuer med fyra vårdenhetschefer och fyra sektionsledare inom operationssjukvården på två länssjukhus och två universitetssjukhus i Sverige. Insamlad data har analyserats kvalitativt med manifest innehållsanalys. Huvudresultat: Perioperativ omvårdnad som arbetssätt hade enligt vårdenhetschefer och sektionsledare inom operationssjukvård ett värde genom att förnya operationssjuksköterskans arbetssätt vilket anses förbättra patientens omvårdnad. För att införa perioperativ omvårdnad krävdes att olika behov tillgodoses, som tydliggörande av patientnyttan, stöd som skapar rätt förutsättningar, samt att det behövs motivation hos operationssjuksköterskor. Slutsats: Perioperativt omvårdnadsarbete är, trots dess värde, inte möjligt att genomföra utan långtgående förändringar i synsätt och organisation.Introduction: Perioperative care in which the operating room nurse takes part includes the phases before, during and after operation and can be seen as a way of working in parallel with the care process. This approach has however not been applied to any great extent in pratice despite several studies having shown the positive effects for both patients and staff. The common view of the operating room nurse’s role is still a traditional one with the focus on the time when the patient is anaesthetized and during the actual surgery. Unit managers and section leaders perceptions of perioperative care are important since it affects how the approach is applied in practice. Aim: To describe the unit managers and section leaders perceptions of the operating nurse’s perioperative care work together with how the process is applied in practice. Method: Data were collected by semi-structured interviews with four unit managers and four section leaders within the operating room unit of two provincial hospitals and two university hospitals in Sweden. Data have been analysed with a qualitative content analysis. Main results: Perioperative care as an approach has, according to the unit managers and section leaders in the operating room unit, a value as it revitalises the operating room nurse’s method of working which in turn is thought to improve patient care. It is maintained that in order to introduce perioperative care certain requirements need to be fulfilled, such as clarification of the benefit to patients, support in order to create the right conditions, as well as the need for motivated operating room nurses. Conclusion: Perioperative nursing care is, despite its value, not possible to implement without farreaching changes to how operating room nursing is approached as well as organisational changes.
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Bexell, Hanna, and Agnes Ulvegard. "Patientkännedom i den perioperativa vården : En intervjustudie med operationssjuksköterskor." Thesis, Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-55128.
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Introduktion: Operationssjuksköterskan ansvarar för en god och patientsäker perioperativ omvårdnad. Preoperativ personcentrerad information är en förutsättning för att kunna tillgodose patientens unika behov och främja kontinuitet i vården. Patientens individuella riskfaktorer är väsentligt för operationssjuksköterskan att känna till för att kunna förebygga vårdskador och genomföra en patientsäker perioperativ vård. Syfte: Syftet var att beskriva operationssjuksköterskors erfarenheter av att inhämta information för att skapa patientkännedom i den perioperativa vården. Metod: En kvalitativ studiedesign med en induktiv ansats tillämpades. Tio operationssjuksköterskor på ett länssjukhus i Sverige intervjuades. Intervjuerna spelades in och transkriberades i sin helhet. Innehållsanalys valdes som metod för dataanalys. Resultat: Två generiska kategorier framkom: Ta del av skriftlig information om patienten och Det preoperativa mötet med patienten. Dessa bildar tillsammans den övergripande huvudkategorin Förutsättning för personcentrerad och patientsäker perioperativ vård. Till den generiska kategorin Ta del av skriftlig information om patienten hör subkategorierna Att inhämta grundläggande kunskap och Att prioritera och ta vara på möjligheter. Till den generiska kategorin Det preoperativa mötet med patienten hör subkategorierna Att träffa och tala med patienten och Att skapa förutsättningar för samtal. Konklusion: Resultatet bidrar med fördjupade kunskaper kring vad som är väsentligt att veta om patienten i den perioperativa vården och varför det är viktig information, utifrån operationssjuksköterskans perspektiv. Både skriftlig information och ett preoperativt möte med patienten behövs för att skapa förutsättning för personcentrerad och patientsäker perioperativ vård. Resultatet tyder på att det behövs ett förändrat arbetssätt för att möjliggöra skapandet av god kännedom om varje enskild patient och på så sätt öka patientsäkerheten.Introduction: The operating room nurse is responsible for a good and safe perioperative care. Preoperative person-centered information is a prerequisite to meet the patient´s unique needs and promote continuity of care. The patient´s individual risk factors are essential for the operating room nurse to know in order to prevent hospital acquired injuries and to accomplish safe perioperative care. Aim: The aim was to describe operating room nurses´ experiences of obtaining information to create knowledge of the patient in perioperative care. Method: A qualitative study with an inductive approach was conducted. Ten operating room nurses at a hospital in Sweden were interviewed. The interviews were recorded and transcribed. Content analysis was chosen as the method of data analysis. Result: Two generic categories emerged: Read written information about the patient and The preoperative meeting with the patient. These generic categories together form the main category Prerequisite for person-centered and safe perioperative care. The generic category Read written information about the patient includes the subcategories To acquire basic knowledge and To prioritize and to seize opportunities. The generic category The preoperative meeting with the patient includes the subcategories To meet and talk with the patient and To create conditions for conversation. Conclusion: The findings contribute to a deeper knowledge of what is essential to know about the patient in perioperative care and why this is important information, from the operating room nurse´s perspective. Both written information and a preoperative meeting with the patient are required to create prerequisite for person-centered and safe perioperative care. The results indicate a need of change in the way of working to enable good knowledge of each patient, and thereby increase patient safety in perioperative care.
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Fonseca, Rosa Maria Pelegrini. "Revisão integrativa da pesquisa em enfermagem em centro cirúrgico no Brasil: trinta anos após o SAEP." Universidade de São Paulo, 2008. http://www.teses.usp.br/teses/disponiveis/7/7139/tde-16052008-092125/.
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O presente estudo teve como objetivo geral sintetizar a contribuição das pesquisas produzidas pela enfermagem brasileira em centro cirúrgico. Trata-se de revisão integrativa da literatura nacional, dos artigos no período de 1978 a 2006 e indexados nas bases de dados: LILACS, DEDALUS e SCIELO. Para a coleta de dados foi elaborado um formulário. Foram localizados 56 artigos sendo que a maioria dos autores 58 (40.85%) atuando na área do ensino. Os artigos foram classificados pelo título em seis temas sendo 06 (10,71%) artigos enfocam a visita pré-operatória (VP); 29 (51,78%) dos artigos referem-se à assistência de enfermagem no período transoperatório (PTI); 12 (21,43%) à assistência em sala de recuperação anestésica (SRPA); 01 (1,79%) à visita pós operatória(VPO); 05(8,93%) à construção ou validação de instrumento (CVI); 03 (5,36%) à percepção do paciente (PP). A VP é vista como uma estratégia importante na obtenção de dados para a realização do procedimento anestésico cirúrgico sem expor o paciente a riscos e danos. O PTI aborda diversos aspectos que envolve o paciente como: a ansiedade, medo, participação da família no processo assistencial e os diagnósticos de enfermagem. Com relação SRPA fica caracterizado que é indispensável a presença do enfermeiro na prevenção das complicações. A VPO aparece como uma fase muito incipiente o enfermeiro de CC. A necessidade de se registrar a assistência de enfermagem perioperatória prestada ao paciente por meio de um instrumento estruturado objetiva dar seqüências a esta, documentá-la, facilitar a pesquisa e servir como meio de comunicação entre os setores. Quanto à PP, os pacientes se sentem seguros quando compreendem as orientações recebidas. O tratamento cordial e atencioso é percebido pelo paciente cirúrgico durante todas as fases do SAEP, mesmo estando em uma situação de desconforto, seja emocional ou fisiológica. Isso vem a confirmar a importância da assistência humanizada e individualizada. Os conteúdos dos artigos abordaram as fases do SAEP, as dificuldades e facilidades encontradas na prestação da assistência ao paciente cirúrgico. Fica evidente que a maior dificuldade está relacionada ao número insuficiente de enfermeiros que trabalham no CC e na SRPA em relação ao número de cirurgias programadas. Os objetivos foram alcançados e os 30 anos de pesquisa no Brasil, vêm contribuindo num ritmo crescente para a construção do conhecimento e influenciando positivamente o enfermeiro para o bom desempenho da assistência ao paciente cirúrgico e famíliaThe present study had as a general objective to synthesize the contribution of the researches produced by Brazilian nursing for surgical centers. It\'s a matter of the integrative review of national literature, articles from 1978 to 2006 and indexed at the LILACS, DEDALUS and SCIELO databases. A form was elaborated to extract the data. There were found 56 articles in which most of the authors - 58 (40.85%) - act on education. Articles were classified on titles, divided on six themes in which 06 (10.71%) are focused the pre-operation visit (VP); 29 (51.78%) refer to nursing assistance at transoperating period (PTI); 12 (21.43%) to assistance at anesthesia recovering room (SRPA); 01 (1.79%) to pos operating visit (VPO); 05 (8.93%) to instruments construction or validation (CVI); 03 (5.36%) to patient\'s perception (PP). The VP is seemed as an important strategy to fulfill surgical anesthesia procedures without exposing the patient to risks and damages. The PTI approaches several aspects that involve the patient, such as: anxiety, fear, family participation during the assistance process and the nursing diagnosis. Regarding SRPA it is characterized that the presence of the nurse is indispensable to prevent complications. The VPO appears as a very incipient phase to the surgical center nurse. The necessity of registering the perioperating nursing assistance given to the patient through a structured instrument means to give sequence to this, document it, facilitate the research and serve as media between the sectors. As for the PP patient feel safe when they comprehend the given orientations. Cordial and thoughtful treatment is perceived by the surgical patient during all phases of SAEP, even in an uncomfortable situation, emotional or physiological. It confirms the importance of humanized and individualized assistance. The articles contents approach the phases of SAEP, the difficulties and facilities during the assistance to the surgical patient. It is evident that the major difficult is related to the insufficient number of nurses that work at a surgical center and at the SRPA comparing to the number of surgeries programmed. The objectives were reached and the 30 years of researches in Brazil have been contributing in a crescent rhythm to the knowledge building and positively influencing the nurse to a better assistance performance to the surgical patient and the family
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Nilsson, Rebecca, and Carina Sörensen. "Operationssjuksköterskors erfarenheter vid organdonation när donatorn är hjärndöd." Thesis, Karlstad University, Faculty of Social and Life Sciences, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-4498.
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En operationssjuksköterska kan under sin yrkesverksamma tid förväntas att ansvara vid en operation där patienten konstaterats hjärndöd och det beslutats att organdonation ska genomföras. Syftet med denna studie var att beskriva operationssjuksköterskors erfarenheter vid organdonation när donatorn är hjärndöd. Studien har en kvalitativ ansats, där forskarna strävar efter en helhetsförståelse av det studerade intresseområdet. Datainsamling utfördes via ostrukturerade intervjuer med öppna frågor. Sju intervjuer genomfördes med operationssjuksköterskor som medverkat vid organdonation när donatorn var hjärndöd. Innehållsanalys genomfördes och fyra huvudkategorier framträdde: Inför donation, Genomförande av donation, Efter donation och Etiska aspekter vid donation. Resultatet visade att operationssjuksköterskorna hade liknande erfarenheter vid organdonation när donatorn var hjärndöd som vid andra operationer angående arbetsuppgifter och ansvarsområden. Teamarbete hade en central roll och vikten av värdighet i vården framträdde tydligt. Många olika tankar och känslor väcktes hos operationssjuksköterskorna i samband med en organdonation. En operationssjuksköterska kan under sin yrkesverksamma tid förväntas att ansvara vid en operation där patienten konstaterats hjärndöd och det beslutats att organdonation ska genomföras. Syftet med denna studie var att beskriva operationssjuksköterskors erfarenheter vid organdonation när donatorn är hjärndöd. Studien har en kvalitativ ansats, där forskarna strävar efter en helhetsförståelse av det studerade intresseområdet. Datainsamling utfördes via ostrukturerade intervjuer med öppna frågor. Sju intervjuer genomfördes med operationssjuksköterskor som medverkat vid organdonation när donatorn var hjärndöd. Innehållsanalys genomfördes och fyra huvudkategorier framträdde: Inför donation, Genomförande av donation, Efter donation och Etiska aspekter vid donation. Resultatet visade att operationssjuksköterskorna hade liknande erfarenheter vid organdonation när donatorn var hjärndöd som vid andra operationer angående arbetsuppgifter och ansvarsområden. Teamarbete hade en central roll och vikten av värdighet i vården framträdde tydligt. Många olika tankar och känslor väcktes hos operationssjuksköterskorna i samband med en organdonation.
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Gidlund, Åsa, and Rebecka Karlsson. "Operationssjuksköterskors uppfattningar om det intraoperativa teamarbetet : En kvalitativ intervjustudie." Thesis, Mittuniversitetet, Institutionen för hälsovetenskap, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-14057.
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Bakgrund: I en operationssal arbetar ett multiprofessionellt team. För att effektivt kunna bedöma och utvärdera kvaliteten på det intraoperativa teamarbetet, samt stärka patientsäkerheten, är det av stor betydelse att få en djupare förståelse för operationssjuksköterskors upplevelser kring begreppet teamarbete. Syfte: Syftet med studien var att belysa operationssjuksköterskors uppfattningar om det intraoperativa teamarbetet. Metod: Semistrukturerade intervjuer genomfördes med 14 operationssjuksköterskor från två sjukhus i mellersta Norrland. Insamlad data analyserades med hjälp av kvalitativ innehållsanalys. Resultat: Utifrån analysen framkom tre kategorier och tio underkategorier. De tre kategorierna var: Operationssjuksköterskans upplevelser av sin roll i teamet, Interaktionen mellan de olika yrkeskategorierna i teamet och Betydelsen av att utveckla och förbättra teamet. Att planera arbetet och ligga steget före beskrevs som att ha kontroll över situationen. Ett väl fungerande teamarbete präglades av tydlig kommunikation och att bekräfta varandra stärkte teamkänslan. Slutsats: Studien belyser en rad faktorer kring operationssjuksköterskornas uppfattningar om vad som kan bidra till ett väl fungerande intraoperativt teamarbete. Mer forskning av kvalitativ ansats behövs för att tydliggöra och få en större förståelse av operationssjuksköterskans upplevelser i samband med detta.Background: The operating room is a place where multidisciplinary teamwork is carried out. In order to effectively assess and evaluate the quality of intraoperative teamwork, and enhance patient safety, it is of great importance to gain a deeper understanding of operating room nurses’ perceptions around the concept of teamwork. Aim: The purpose of the study was to describe operating room nurses’ perceptions of the intraoperative teamwork. Method: Semi-structured interviews were carried out with 14 operating room nurses at two hospitals in north central Sweden. Collected data was analyzed using qualitative content analysis. Result: Three categories and ten sub-categories emerged from the analysis. The three categories were: Operating room nurses’ perceptions of their professional role in the team, Interaction between professionals in the team and, The importance of building and improving the team. To plan work and stay ahead were described as achieving control of the situation. Effective teamwork was characterized by clear communication and, team spirit was strengthened by acknowledging each other. Conclusion: This study demonstrates a number of factors surrounding the operating room nurses’ perceptions of what may contribute to a high functioning intraoperative teamwork. Further research with a qualitative approach is needed to clarify and gain a greater understanding of operating room nurses’ perceptions in the context of teamwork.
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Artursson, Borbas Maria, and Johanna Bohman. "Den sövda patientens värdighet på operationssalen : En kvalitativ observationsstudie." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-353564.
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Background: To maintain the patient's dignity is important for the theatre nurse, which becomes extra clear when the patient is anesthetized. However, there are few studies with focus on dignity of the anesthetized patient in the operating room. Aim: The purpose of this study was to observe how the dignity of the anesthetized patient is utilized in the operating room. Method: An ethnographic observational study with a qualitative approach was used. The study was conducted at a university hospital in Sweden. Through a strategic selection, 20 operations were observed for 40 hours. Result: The result shows differences in staff involvement depending on operation. For operations requiring more extensive preparation, a clearer intention to do the best for the patient was observed. Even the importance of teamwork was observed. The result also showed how the communication between the staff affected the view of the patient and the importance of keeping professionalism in order not to compromise the patient's dignity. Conclusion: The dignity of the patient was preserved by the staff. However, there were situations, conversations and actions that showed a violation of the patient's dignity. On occasion, an offense was followed by a preservation by another staff, showing the importance of teamwork in relation to the maintenance of the dignity. The larger and more extensive intervention, the more signs of commitment and care about the patient were observed. This can be explained by the fact that violations of external dignity can be replaced by actions that strengthen internal dignity.Bakgrund: Upprätthållandet av patientens värdighet är en central del i operationssjuksköterskans roll, vilket är extra viktigt då patienten är sövd. Det finns dock få studier inom operationssjukvård som fokuserar på hur den sövda patientens värdighet upprätthålls på operationssalen. Syfte: Syftet med studien var att observera hur den sövda patientens värdighet bevaras på operationssalen och vad i samtal och beteenden som talar för och emot att värdigheten upprätthålls. Metod: En etnografisk observationsstudie med kvalitativ ansats användes. Studien utfördes på en operationsavdelning på ett universitetssjukhus i Sverige. Genom ett strategiskt urval observerades 20 operationer under 40 timmar. Resultat: Resultatet påvisar olikheter i personalens engagemang beroende på operationens omfattning. Vid operationer som krävde mer omfattande förberedelser observerades en större intention hos personalen att göra det bästa för patienten. Vikten av teamarbete observerades och hur personalen tillsammans kan upprätthålla patientens värdighet. Resultatet visade också hur kommunikationen mellan personalen på salen påverkade synen på patienten och vikten av att bevara sin professionalitet för att inte kränka patientens värdighet. Slutsats: Personal observerades bevara patientens värdighet. Det förekom dock situationer, samtal och ageranden som visade på en kränkning av patientens värdighet. Vid en del tillfällen skedde en kränkning, efterföljt av en bevarande åtgärd av en annan personal, vilket visar betydelsen av teamarbete i relation till upprätthållandet av den sövda patientens värdighet. Ju större ingrepp desto fler tecken på engagemang och omsorg om patienten observerades. Detta kan förklaras med att en kränkning av den yttre värdigheten kan ersättas med ageranden och åtgärder som stärker den inre värdigheten.
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Byhlin, Emelie, and Ulrika Emanuelsson. "Operationssjuksköterskors erfarenhet av det trycksårsförebyggande arbetet i den pre- och intraoperativa omvårdnaden." Thesis, Karlstads universitet, Institutionen för hälsovetenskaper (from 2013), 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-78425.
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Bakgrund: Trycksår kan uppkomma i samband med operation och påverka patientens livskvalité. Uppkomsten av trycksår kan vara orsakade av en kombination av flera faktorer och operationssjuksköterskornas ansvar är att minimera uppkomsten av trycksår i den pre- och intraoperativa omvårdnaden.Syfte: Syftet var att belysa operationssjuksköterskors erfarenheter av det trycksårsförebyggande arbetet i den pre- och intraoperativa omvårdnaden.Metod: En kvalitativ intervjustudie med semistrukturerade frågor som analyserats genom konventionell innehållsanalys. Deltagarna bestod av 12 operationssjuksköterskor, alla kvinnor, på tre sjukhus i Mellansverige.Resultat: Resultatet visade att operationssjuksköterskorna inhämtade information inför operationen för att utföra adekvata omvårdnadsåtgärder. När trycksårsförebyggande åtgärder utfördes användes olika tryckavlastande material. Erfarenhet gav operationssjuksköterskorna kunskap för att hantera de utmaningar som det trycksårsförebyggande arbetet innebar. Samarbetet i operationslaget kring patienten belystes som en viktig del i det trycksårsförebyggande arbetet.Konklusion: Operationssjuksköterskorna hade tillsammans med operationslaget en del utmaningar i det trycksårsförebyggande arbetet. Utmaningarna bemötte operationssjuksköterskorna med sin kunskap för att göra operationen så bra som möjligt för patienten. Uppmärksamhet på patientens pre- och intraoperativa positionering borde lyftas fram eftersom komplikationer från positionering fortfarande existerar, särskilt hos patienter med flera riskfaktorer. Därför är rutindokument och uppföljning av patientens pre- och intraoperativa positionering betydelsefull.Background: Pressure ulcers may occur in connection with surgery and affect the patient's quality of life. The occurrence of pressure ulcers may be caused by a combination of several factors and the responsibility of the operating nurses is to minimize the occurrence of pressure ulcers in the pre- and intraoperative nursing care.Aim: The aim was to elucidate the operation nurses’ experiences of the pressure ulcerprevention work in pre- and intraoperative nursing.Method: A qualitative interview study with semi-structured questions analyzed through conventional content analysis. The participants consisted of 12 operating nurses, all women, at three hospitals located in the middle of Sweden.Result: The result showed that the operating nurses obtain information before the operationto be able to perform adequate measures. To carry out pressure ulcer prevention they used various pressure-relieving materials. Through experience, the operating nurses developed knowledge of the pressure ulcer prevention work so they could handle the challenges that occurs in a better way. The collaboration in the operating room around the patient was highlighted as an important part of the pressure ulcer prevention work.Conclusion: The operating nurses, together with the operating team, had some challenges in the pressure ulcer prevention work. To make the surgery as good as possible for the patient the operating nurses used their nursing knowledge. Attention to patients pre- and intraoperative positioning should be kept emphasized as patients still are suffering from complications due to pressure ulcer. Especially patients with multiple risk factors. Therefore, the use of routine documents and follow-up of the patient's pre- and intraoperative positioning are important.
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Silva, Tiago Manuel Magalhães Cardoso da. "Competências não técnicas do enfermeiro instrumentista." Master's thesis, Instituto Politécnico de Setúbal. Escola Superior de Saúde, 2016. http://hdl.handle.net/10400.26/17276.
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Relatório de Estágio apresentado para cumprimento dos requisitos necessários à obtenção do grau de Mestre em Enfermagem PerioperatóriaO presente relatório de estágio enquadra-se no 1º Curso de Mestrado em Enfermagem Perioperatória, da Escola Superior de Saúde do Instituto Politécnico de Setúbal. Foi redigido segundo a metodologia de projeto, focando-se na integração de conhecimentos e competências adquiridas durante o curso, no domínio da enfermagem perioperatória. Tem como objetivos estabelecidos: (1) reflexão crítica acerca das atividades realizadas em contexto de estágio; (2) desenvolvimento de um projeto acerca das competências não técnicas do enfermeiro instrumentista; (3) reflexão crítica acerca do desenvolvimento de competências de mestre em enfermagem perioperatória. De forma a responder aos objetivos propostos organizou-se a estrutura deste relatório por três capítulos distintos: Capítulo I – onde consta o enquadramento concetual, considerando a teoria do autocuidado de Dorothea Elizabeth Orem; e enquadramento teórico, acerca do conceito de competência em enfermagem perioperatória. Capítulo II – corresponde ao enquadramento metodológico, onde é fundamentado o método seguido para a construção do projeto, exposto o tipo de estudo conduzido, o trabalho de campo desenvolvido, bem como os processos de colheita e tratamento de dados, considerando sempre as questões éticas do processo de investigação. Capítulo III – é realizada a reflexão sobre o estágio realizado, assim como a aquisição do perfil de competências de mestre em enfermagem perioperatória. A realização deste relatório de estágio permitiu a aquisição de conhecimentos no domínio da enfermagem perioperatória. Com os contributos da investigação elaborada, foi possível a compreensão e aplicação destes saberes para a resolução de problemas, em ambiente clinico multidisciplinar, consciente das implicações científicas, éticas, deontológicas e jurídicas.
This internship report is part of the 1st Master in Perioperative Nursing, taken in Escola Superior de Saúde do Instituto Politécnico de Setúbal. It has been drafted according to project methodology, focusing on the integration of knowledge and skills acquired during the course in the field of perioperative nursing. Its stated objetives are: (1) critical analysis of the activities undertaken in the stage context; (2) project development for scrub nurses non-technical skills; (3) critical assessment on the development master competencies in perioperative nursing. In order to meet the proposed objetives, this report is organized by three chapters: Chapter I – with the conceptual framework, considering the self-care theory of Dorothea Elizabeth Orem; and theoretical framework of competence in perioperative nursing. Chapter II - corresponds to the methodological framework, which is based the method followed for the construction of the project, stated the type of study conducted, the field work and the procedures for collection and processing of data, always considering ethical issues in research process. Chapter III - is held to assess the internship stage, as well as the acquisition of master skills profile in perioperative nursing. The completion of this internship report allowed the acquisition of knowledge in the field of perioperative nursing. With the contributions of elaborate investigation, it was possible the understanding and application of this knowledge to solve problems in a multidisciplinary clinical environment, aware of the scientific, ethical, ethical and legal implications.
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Aldenlöv, Maria, and Rebecca Lundbäck. "Operationssjuksköterskors uppfattningar av operation med vaken patient : En kvantitativ enkätstudie." Thesis, Luleå tekniska universitet, Institutionen för hälsovetenskap, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-64690.
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Att gå från att vara en person till att bli en patient innebär att livet kan förändras. Sårbarhet, utsatthet, förlust av kontroll, rädsla för det okända och stress är vanligt förekommande känslor i samband med operation. Patienter har beskrivit att de upplever operation som att balansera mellan att vara delaktig och osynlig, inte vilja störa men samtidigt bli sedd, samt att känna sig ensam, övergiven och exponerad. Som blivande operationssjuksköterskor är det viktigt att ha kunskap om patientens upplevelse, samt reflektera över det egna arbetet. Flertalet studier har fokuserat på patientens upplevelse och visar att personalens bemötande och kommunikation är avgörande för patientens upplevelse. Studies syfte var att kartlägga operationssjuksköterskors uppfattningar av operation med vaken patient. Studien var en tvärsnittsstudie med kvantitativ ansats, och tillämpade enkätformulär som datainsamlingsmetod med bekvämlighetsurval. Analysen genomfördes med deskriptiv analys, samt hypotesprövning för att stärka resultatet. Resultatet presenterades med tabeller, grafer och text. Den öppna kvalitativa frågan sammanställdes i kategorier och presenterades med citat. Resultatet visade att operationssjuksköterskor uppfattade att vid en operation med vaken patient skedde förändringar av kommunikationen och bemötandet, samt att operationssalen uppfattades lugnare och mer harmonisk när musik spelades. Författarna rekommenderar fortsatta studier för djupare förståelse av operationssjuksköterskors uppfattningar av förändringar av kommunikationen och bemötandet vid operation med vaken patient, samt musikens påverkan. Resultatet från denna studie kan användas som reflektionsstöd dels hos arbetsgivaren och dels hos den enskilda operationspersonalen, samt som stöd vid handledning av studenter och nyutbildade operationssjuksköterskor.
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Johansson, Maja, and My Andersson. "Operationsteamets erfarenheter av samverkan på operationssalen - en systematisk litteraturstudie." Thesis, Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap (HV), 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-103425.
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Bakgrund: Operationssalen är en högteknologisk arbetsmiljö där flertalet yrkesprofessioner arbetar tillsammans. Förutsättningar för att få en välfungerande samverkan är att tillsammans sträva efter att nå ett gemensamt mål. Bristande samverkan kan leda till konsekvenser för individerna i operationsteamet samt till att patientsäkerheten äventyras. Syfte: Syftet var att belysa operationsteamets erfarenheter av samverkan på operationssalen. Metod: En systematisk litteraturstudie som sammanlagt inkluderade 20 vetenskapliga artiklar som analyserats med stöd av Bettany-Saltikov och McSherry (2016) och Stern et al (2020). Resultat: Den föreliggande analysen resulterade i två huvudkategorier samt sju underkategorier. Det som framkom som viktiga aspekte för en god samverkan var att alla har en förståelse för varandras profession, att alla professioner respekterar varandra samt att kommunikationen är tydlig på operationssalen. Något som också framkom var vikten av att trots hierarkisk struktur kunna göra sin röst hörd, känna förtroende för varandra i teamet samt vikten av att känna en tillhörighet med sina kollegor. Slutsats: Att arbeta tillsammans i ett operationsteam innebär ständiga interaktioner mellan olika yrkesprofessioner vilket kräver en välfungerande samverkan på operationssalen. Att dessutom kunna bemöta varandra på ett värdigt sätt, ha förståelse för både sin egen och andras kompetens samt att kunna etablera en god kommunikation är också grundpelarna för en bra samverkan.Background: The operating room is a high-tech work environment where several different professions work together. Prerequisites for a well-functioning collaboration are to strive together a common goal. Lack of collaboration can lead to consequences for the individuals in the surgical team and to the fact that patient safety is endangered. Objective: The purpose was to shed light on the operating team´s experience of collaboration in the operating room. Methods: A systematic literature study with a qualitative approach was chosen that included a total of 20 articles and analyzed in accordance with Bettany-Saltikov and McSherry (2016) and Stern et al (2020). Results: The analysis is presented in two main themes and seven subcategories. What emerges as important aspects for a good collaboration was that everyone has an understanding of eachother´s profession, that all professions respect eachother and that communication is clear in the operating room. Something that also emerged was the importance of being able to make their voice heard, hierarchical structure, feel trust in eachother and the importance of feeling a sense of belonging with their colleagues. Conclusions: Working together in a operating team means constant interactions between different professions, which requires a well-functioning collaboration in the operating room. In addition, being able to treat eachother in dignified manner, having an understanding of both one´s own and other´s competence and being able to establish good communication are also cornerstones of good collaboration.
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Golvani, Jenny, and Linda Roos. "Operationssjuksköterskors upplevelser av att arbeta i begränsat dagsljus : En kvalitativ intervjustudie." Thesis, Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap (HV), 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-93666.
Full textAbstract:
Bakgrund: Operationssjuksköterskan arbetar i en komplex arbetsmiljö med ansvarför bland annat patientens säkerhet, patientens positionering och att upprätthålla enaseptisk miljö. Av hygieniska skäl samt för att reducera infektionsrisk bör onödigtspring i operationssalen undvikas, vilket kan innebära att operationssjuksköterskanarbetar långa pass utan avlösning. Operationsavdelningar ligger oftast avskilda, därdet kan saknas möjligheter till dagsljus på operationssalen. Dagsljus reglerarkroppens cirkadiska rytm och vid bristande exponering för dagsljus har negativaeffekter som humörsvängningar samt sömnrubbningar setts. Goda dagsljusförhållanden har däremot påvisats generera ökat välbefinnande samt förbättradprestationsförmåga. Syfte: Syftet med studien var att belysa operationssjuksköterskors upplevelser avbegränsad tillgång till dagsljus på arbetsplatsen. Metod: Kvalitativ design med semistrukturerade fokusgruppsintervjuer med totalt15 operationssjuksköterskor. En innehållsanalys genomfördes med induktiv ansats. Resultat: Studien genererade två huvudkategorier, skillnad på ljus samt kontaktmed omvärlden. Operationssjuksköterskor upplevde att dagsljus påverkade demannorlunda än ljuset från lampor, varvid dagsljus ansågs vara viktigt för att upplevavälbefinnande. Den begränsade tillgången till dagsljus ledde till en inre stress sompåverkade operationssjuksköterskorna även efter arbetet. Att ha möjligheter att se utvar viktigt för att uppleva kontakt med omvärlden och bilda sig en tidsuppfattning. Slutsats: Se ut genom fönster kan minska känslan av instängdhet i den slutnakontext som operationsverksamheten innebär. Det kan även leda till ökatvälbefinnande och trivsel på arbetsplatsen. Då det råder brist påoperationssjuksköterskor anser vi att dagsljus är en viktig komponent i den fysiskaarbetsmiljön som bör tas i beaktande såväl vid vidare forskning såsom vidnybyggnation av operationsavdelningar.