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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.
Full textAbstract:
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.
2
Prince, Jacqueline Yvonne. "Operating room nursing science learning programmes in South Africa." Thesis, Nelson Mandela Metropolitan University, 2007. http://hdl.handle.net/10948/594.
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Operating room nurses form the corner-stone of the operating room because perioperative care of the patient rests mainly in the hands of the nursing personnel. Unique challenges face nurses functioning in the stressful surgical environment where anticipation to prevent or cope with life-threatening situations is the order of the day. The operating room nurse must be knowledgeable, skilled and alert, as he/she is held accountable for all acts of commission and omission. To ensure that nurses are appropriately educated and trained and able to keep trend with the changing technology in the operating room, it is essential that learning programmes meet the minimum standards for registration as prescribed by the South African Nursing Council. Reviewing and evaluating learning programmes on a regular basis by specialist nursing educationists, are therefore essential to ensure that the standards of education and training are maintained and upgraded if required. The aim of this study is to explore and describe the various Operating Room Nursing Science Learning Programmes offered at accredited Higher Education Institutions, utilized for the education and training of the operating room nursing students in South Africa. The proposed research is based on a qualitative paradigm and the theoretical grounding is found in Bergman’s model for professional accountability (Bergman, 1982:8). A document analysis of five approved comprehensive Operating Room Nursing Science Learning Programmes from higher education institutions in South Africa (nursing colleges and universities) was carried out, together with a sixth programme, the Operating Theatre Learning Programme, as suggested by the Standard Generating Body. Requests for permission were forwarded to the management of the selected colleges or universities for inclusion of the respective programmes in the study. The researcher formulated and utilized thirty-four essential criteria derived from three documents, the first being a document entitled “Proposed Standards for Nursing and Midwifery Qualifications” submitted to the SANC and SAQA by the SGB for Nursing and Midwifery (2001-2004). The second document entitled the Public and Private Higher Education Institutions format template for criteria for the Generation and Evaluation of Qualifications and Standards within the National Qualifications Framework was also utilized (SAQA, 1430/00) and thirdly the researcher included the most relevant criteria from the list of criteria for curriculum development as indicated by the South African Nursing Council. Various tables were compiled, to reflect the findings of the document analysis according to the thirty-three criteria indicated above, to provide a clear and broad overview of the specific data in the respective six Operating Room Nursing Science Learning Programmes utilized in the study. In conclusion recommendations for a broad macro-curriculum were made to facilitate formulation of programmes in Operating Room Nursing Science relevant to the South African context.
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Levesque, Marie-Julie. "Interprofessional Collaboration in the Operating Room: A Nursing Perspective." Thesis, Université d'Ottawa / University of Ottawa, 2021. http://hdl.handle.net/10393/42751.
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The aim of this thesis was to examine the contribution of nurses to interprofessional collaboration (IPC) in the operating room (OR) guided by the Interprofessional Education Collaborative Patient Care Practice (IECPCP) framework. First, a secondary analysis of interviews with 19 registered nurses was conducted. Twenty emergent themes were identified. The most prevalent of the four dimensions (internalization; shared goals and vision; governance; and formalization) consisted of the internalization dimension relating to human interaction and sense of belonging within the interprofessional team. A scoping review then identified 20 studies evaluating four interventions (briefings, checklists, team training, and debriefings) used to improve IPC in the OR. Despite weak study designs, these interventions showed improvements in communication, teamwork, and safety outcomes. OR nurses contribute mainly through interactional processes and they require organizational support to foster their efforts in IPC. Nurse are involved in all IPC interventions and their contribution is important to support IPC in the OR.
4
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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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.
6
Gillespie, Brigid Mary. "The Predictors of Resilience in Operating Room Nurses." Thesis, Griffith University, 2007. http://hdl.handle.net/10072/365391.
Full textAbstract:
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.Thesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School of Nursing and Midwifery
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Siegel, Hugh Andrew. "Subjectivity Of Estimating Blood Loss Among Health Care Providers In The Operating Room." VCU Scholars Compass, 1993. https://scholarscompass.vcu.edu/etd/5263.
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This research utilized a descriptive study to establish a relationship between educational background and accuracy of estimating blood loss. The null hypothesis, that the educational background of health care providers in the operating room has no effect on the accuracy of estimating blood loss , was tested. Ten nurse anesthesia students, 8 certified registered nurse anesthetists, 16 operating room registered nurses, 12 anesthesiologists, and 9 surgeons were included in the sample population. A number of different protocols were utilized to assess the relative accuracy of blood volumes estimates. The study was separated into four stations. Station 1 consisted of three tables, each with different sizes and types of sponges with varying amounts of blood placed on them. Four estimates were required at each table, for a total of 12 estimates. Stations 2-3-4 contained different aggregates of blood-soaked materials, requiring a single estimate at each station. Repeated measures analysis of variance (ANOVA) revealed that the means across all groups in Station 1 reached statistical significance beyond p = .05 (< .001), and the hypothesis is rejected for equal group means. However, the results for Stations 2-3-4 for equal group means did not reach statistical significance ( p = .136), therefore, do not reject the null hypothesis of equal group means.
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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.
Full textAbstract:
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.
9
Opadotun, Olukemi. "Infection control practices for the prevention of surgical site infections in the operating room." Thesis, Nelson Mandela Metropolitan University, 2014. http://hdl.handle.net/10948/d1017195.
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Infections are a major cause of morbidity and mortality during the post-operative phase of patients’ recovery. Wound infections are the second most commonly encountered type of nosocomial infection. Because wound infections can be introduced by not applying infection control measures and sterile technique principles in the operating room, the implementation of infection control principles is an imperative. The aim of this study was to explore and describe infection control practices related to the prevention of Surgical site infections in the operating rooms in a public health care sector in the Nelson Mandela Bay Municipality. The findings were compared with practices, as indicated in an evidence-based guideline. The research design was quantitative, explorative, descriptive, comparative-descriptive and contextual in nature. The research sample consisted of all the professional nurses, in the operating room. The data were collected by means of a self-administered questionnaire. Descriptive statistics was used to present the data in the form of tables and graphs. Based on the analysis of the data, some recommendations were made for the implementation of infection control practices, in order to prevent Surgical site infections in the operating room.
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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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Meyer, Rhoda. "Students perceptions of the operating room as a clinical learning environment." Thesis, Stellenbosch : Stellenbosch University, 2014. http://hdl.handle.net/10019.1/95860.
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Thesis (MPhil)--Stellenbosch University, 2014.ENGLISH ABSTRACT: Students undertake their clinical placement in various clinical settings for the exposure to and acquisition of skills related to that particular context. The operating room, for example, is a context that offers the opportunity to develop critical skills related to the perioperative care of the patient. Despite the numerous studies that have been undertaken in this field, few studies that have investigated the operating room as a clinical learning environment in the South African healthcare system have been published. The aim of this study was to determine students’ perceptions of the operating room as a clinical learning environment in a private hospital context. An exploratory, interpretive and descriptive design generating qualitative data was utilized. Data was collected from nursing students undertaking their training at a private nursing education institution. Ten nursing students participated in an open-ended questionnaire (N=10), and twelve students participated in the focus group discussion (N=12). From the results, four themes emerged, namely, ‘interpersonal factors’, ‘educational factors’, ‘private operating room context’, and ‘recommendations’. This study has highlighted some of the challenges experienced by students in the private sector operating room context. Despite the potential learning opportunities, the key findings reveal negative perceptions of students regarding learning experiences. However, the opinion that the operating room offers an opportunity to gain skills unique to this context, as well as facilitates the integration of theory and practice, was also expressed. Some students reported that the emphasis on profitability and cost to patient, and the lack of a mentoring process in this context posed a constraint to learning. Exploration into the specific preparatory needs of students specific to learning outcomes before operating room placement should be considered. It would also be necessary to improve collaboration between lecturers, mentors and theatre managers so that a structured teaching programme may be developed for students entering the perioperative environment.
AFRIKAANSE OPSOMMING: Studente onderneem hul kliniese plasing in verskeie kliniese omgewings vir die blootstelling aan en aanleer van vaardighede wat verband hou met daardie spesifieke konteks. Die operasiesaal, byvoorbeeld, is ’n kliniese omgewing wat die geleentheid bied om kritiese vaardighede te ontwikkel wat verband hou met die perioperatiewe versorging van die pasiënt. Ten spyte van die talle studies wat in die operasiesaal onderneem was, het slegs ’n paar studies uit ’n Suid-Afrikaanse gesondheidsorg oogpunt, die operasiesaal as ’n kliniese opleidings omgewing ondersoek. Die doel van hierdie studie was om studente se persepsies van die operasiesaal as ’n kliniese omgewing in ’n privaat hospitaal konteks te bepaal. ’n Ondersoekende, verklarende en beskrywende ontwerp wat kwalitatiewe data genereer, is gebruik. Data is ingesamel van verpleegstudente wat hul opleiding by ’n privaat verpleegonderrig instelling ontvang. Tien verpleegstudente (N=10) was genooi om ’n onbepaalde vraelys te voltooi en twaalf student (N=12) het aan die fokusgroep bespreking deelgeneem. Vier temas het na vore gekom, naamlik ‘interpersoonlike faktore’, ‘opvoedkundige faktore’, ‘privaat-operasiesaal konteks’, en ‘aanbevelings’. Hierdie studie het ’n paar van die uitdagings uitgelig wat die studente in ’n privaat sektor operasiesaal ondervind. Ten spyte van die potensiële leergeleenthede teenwoordig in die privaat sektor operasiesaal, toon die belangrikste bevindings egter die negatiewe persepsies van studente jeens hierdie kliniese omgewing. Die opinie is egter ook uitgespreek dat hierdie omgewing ook ’n geleentheid aanbied om unieke vaardighede aan te leer. Dit bied ook ’n geleentheid om teorie en praktiese kundigheid te integreer. Sommige studente rapporteer dat die klem op winsgewendheid en koste vir die pasiënt, asoók die gebrek aan mentorskap in hierdie kliniese omgewing ’n beperking plaas op die leerproses. Die spesifieke voorbereidings behoeftes van studente insake leeruitkomste voordat plasing in die operasiesaal omgewing geskied, moet eers deeglik ondersoek word. Dit is ook nodig om die nodige samewerking tussen dosente, mentors en operasiesaal bestuurders te verbeter sodat ’n gestruktureerde onderrig program ontwikkel kan word vir studente wat die perioperatiewe omgewing betree.
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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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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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Diaz, Diaz Natalia Carmen, and Hjelm Linda Persson-. "Operationssjuksköterskors erfarenheter av optimerad arbetsmodell i förhållande till vanlig elektiv arbetsmodell." Thesis, Röda Korsets Högskola, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-114.
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Bakgrund Inom hälso- och sjukvården eftersträvar verksamheterna att öka effektivitet och produktion. Studier visar att en av de verksamheter med störst möjlighet att öka sjukhusets produktion är operationsavdelningen. Utmaningen för operationsavdelningarna är att utföra fler ingrepp med befintliga resurser utan att personalen upplever ökad arbetsbelastning och stress. Med detta ändamål har de på det valda sjukhuset utarbetat en arbetsmodell. Syftet med denna studie är att undersöka operationssjuksköterskors erfarenheter av optimerad arbetsmodell i förhållande till vanlig elektiv arbetsmodell. Metod En kvalitativ studie genomfördes, ett bekvämlighetsurval användes och 18 operationssjuksköterskor från ett medelstort sjukhus i Mellansverige deltog i studien. Semistrukturerade intervjuer utfördes med hjälp av en intervjuguide, en kvalitativ manifest innehållsanalys utfördes. Resultatet Tre kategorier och sju subkategorier kom fram. Operationssjuksköterskorna ansåg att den optimerade arbetsmodellen gav många fördelar och få nackdelar för personalen, patienterna och verksamheten. Den ökade bemanningen samt standardiseringen av ingrepp, patienter, arbetsuppgifter, operationssalar och material var de faktorer som ledde till fördelarna i den optimerade arbetsmodellen. Hälften av operationssjuksköterskorna föredrog inte den ena arbetsmodellen framför den andra, antalet operationssjuksköterskor som hade en preferens var jämt fördelat mellan arbetsmodellerna. Slutsats En majoritet av operationssjuksköterskorna ansåg att den optimerade arbetsmodellen ledde till mindre stress och ökad patientsäkerhet samtidigt som ett fåtal upplevde ökad stress och sämre patientsäkerhet.Background Healthcare organizations strive to increase their efficiency. Studies show that the operating room is one of the departments with the greatest possibility to increase a hospital's efficiency. Their challenge is to perform more surgeries using the existing resources without increasing personnel workload or causing stress. In order to achieve this a new work model has been established by the selected hospital. The aim of this study was to investigate the operation room nurses' experiences of this new work model in relation to a conventional work model. Method A qualitative study was performed, a convenience sample was used and 18 operation room nurses from a hospital in central Sweden took part in a survey. Semi-structured interviews were conducted with an interview guide, a manifest qualitative content analysis was performed. Results Three categories and seven subcategories emerged. The operating room nurses believed that the new work model lead to many advantages and few disadvantages for the staff, patients and the department as a whole. The operating room nurses believed that the increase in staffing combined with a standardization of operation procedures, patients, tasks, operation rooms and material were the main reasons to the advantages with the new work model. Half of the operating room nurses did not prefer one work model over the other, the amount of operating room nurses that did was equal between the two work models. Conclusion A majority of the operation room nurses believed that the new work model lead to a decline in stress and to higher patient safety, but a minority experienced more stress and lower patient safety.
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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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Hilton, George Leslie. "SENSORY REGRESSION TIME FROM SUBARACHNOID BLOCK WITH HYPERBARIC 0.75% BUPIVACAINE IN THE OBESE PATIENT." VCU Scholars Compass, 1989. http://scholarscompass.vcu.edu/etd/5067.
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The purpose of this study was to determine if obese patients have a different sensory regression time from subarachnoid block than non-obese patients using hyperbaric 0.75% bupivacaine. A quasi-experimental design was used. Twenty patients were separated into two groups; one group was classified as obese, and the other group was classified as non-obese. The data consisting of age, height, weight, sex, and surgical procedure were recorded preoperatively. All the patients received hyperbaric 0.75% bupivacaine via subarachnoid puncture. The levels of spinal anesthesia were recorded at the highest level achieved. The injection time was also recorded. When the surgery was completed, the patient was transferred to the recovery room and levels of sensory blockade were checked by pin-prick with an 18-gauge needle every 10 minutes until complete recovery from the spinal anesthesia had been achieved.
The hypothesis, there will be no difference in sensory regression time from SAB with hyperbaric 0.75% bupivacaine between obese and non-obese patients, failed to be rejected. No statistically significant difference, using linear regression analysis, was found in mean regression time between groups (obese versus non-obese).
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Hudalla, Christa Choate. "The Effect of Tourniquet Application On Systemic Coagulation." VCU Scholars Compass, 1992. http://scholarscompass.vcu.edu/etd/5073.
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Seven orthopedic surgery patients requiring the use of a tourniquet were studied. The hypothesis stated that tourniquet application does not affect coagulation. A total of 5 blood samples were drawn perioperatively (preoperative, 5 minutes after induction of anesthesia, 30 minutes after tourniquet inflation, 2 - 5 minutes after tourniquet deflation, and 30 minutes after tourniquet deflation. For each sample, TEG parameters (R, R + k, MA and α) were measured.
The value for each TEG parameter was compared by analysis of variance (ANOVA), then the samples were contrasted and examined by repeated measures ANOVA. None of the TEG parameters showed a statistically significant difference in the blood samples before, during or after tourniquet application. The hypothesis could not be rejected at the α = .05 level of significance. A t test was used to examine the effect of anesthesia on coagulation. The TEG parameters indicated a significant relationship between the TEG values R and R + k, and a near significant relationship between TEG values MA and a and the administration of anesthesia.
It was concluded that tourniquet use does not effect coagulation when applied 2 hours or less. However, anesthesia had a significant effect on TEG parameters R and R + k. The clinical significance of this effect was questionable since the type of anesthesia varied in some patients, and none of the patients in the study demonstrated symptoms of coagulopathy.
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Chellan, Jamila. "A survey of patient safety culture in an operating room setting in Abu Dhabi." Thesis, Stellenbosch : University of Stellenbosch, 2010. http://hdl.handle.net/10019.1/5365.
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Thesis (MCur (Interdisciplinary Health Sciences. Nursing Science))--University of Stellenbosch, 2010.ENGLISH ABSTRACT: Patient safety remains one of the biggest challenges to healthcare organizations. With the escalation in health care costs due to medical errors, many organizations are adopting a number of strategies like the keeping of electronic medical records, the use of medication bar coding, instituting protocol for common procedures and checklists. Although each of these interventions has had a positive impact, problems of preventable medical errors still persist in many health care organizations throughout the world. In order to combat this, a small but increasing number of organizations are trying out basic technology as a low cost solution for patient safety in order to adopt this culture. Approval was given to the researcher to conduct an assessment of the safety culture in a specialized obstetric and gynecology operating room setting in Abu Dhabi. The aim of the study was to explore the patient safety culture and the contributing factors influencing patient safety in the operating room, as part of the preparations for accreditation by the Joint Commission International. A quantitative descriptive survey as research design was implemented for this purpose. In May 2010 the researcher surveyed the entire population of operating room staff, i.e. 250 participants, following a pilot study consisting of 10% of the total sample. The popular hospital wide survey questionnaire of the Agency for Healthcare Research and Quality (AHRQ) was adjusted and used to assess the safety culture among the operating room staff. The survey measured four common dimensions of patient safety, namely an overall perception and grade of patient safety, and the frequency and number of events reported. Further sub-dimensions were also measured in terms of leadership support, team work, and communication. A total of 118 completed questionnaires were received, which represents a 52% response rate. All of the participants had direct interaction or contact with patients. The composite overall score for the perception of safety was 48%. Although findings of the survey indicate that the operating room has patient safety problems, the findings also show much positive strength in the operating room and the organization as a whole. The positive composite scores are reflected in the findings of 74% for hospital management support for patient safety, 70% for teamwork within the units, and 61% for teamwork across hospital units, and 60% for feedback and communication regarding medical errors. The implications of the survey findings were taken into consideration in order for the organization to comply with the requirements for the Joint Commission International’s recertification with the focus on staff education and improving safety standards.
AFRIKAANSE OPSOMMING:Pasiëntbeveiliging bly een van de grootste uitdagings vir gesondheidsorganisasies. Met die toename in onkoste vir gesondheidsorg vanweë mediese misstappe, pas baie organisasies ’n aantal strategieë toe, soos die byhou van elektroniese mediese rekords, die aanbring van strepieskodes op medisyne, die daarstelling van protokolle vir algemene prosedures en kontrolelyste. Alhoewel elkeen van hierdie intervensies ’n positiewe impak gehad het, bestaan probleme vanweë mediese misstappe nog steeds in vele gesondheidsorg organisasies dwarsoor die wêreld. Om dit te voorkom, probeer ’n klein, maar toenemende aantal organisasies om ‚n kultuur van basiese tegnologie as ’n lae-koste oplossing vir pasiëntbeveiliging te kweek. Toestemming is aan die navorser gegee om ’n assessering te doen van die veiligheidskultuur in ’n gespesialiseerde verloskundige en ginekologiese operasiesaal in Abu Dhabi. Die doel van hierdie studie is om die pasiëntveiligheidskultuur te ondersoek, asook die bydraende faktore wat pasiëntbeveiliging in die operasiesaal beïnvloed as deel van die voorbereiding vir akkreditasie deur die Gesamentlike Kommissie Internasionaal (GKI). ’n Kwantitatiewe, beskrywende opname as navorsingsontwerp is toegepas vir hierdie doel. Gedurende Mei 2010 het die navorser ’n opname van die totale populasie van die operasiesaalpersoneel gedoen, naamlik 250 deelnemers, na ’n loodsondersoek wat 10% van die totale steekproef uitgemaak het. Die bekende Agentskap vir Gesondheidsnavorsing en Kwaliteit (AGNK) se hospitaalwye opnamevraelys is aangepas en gebruik om die veiligheidskultuur in die operasiesaal te assesseer. Die opname het vier algemene dimensies van pasiëntveiligheid gemeet, naamlik ’n algemene persepsie en gradering van pasiëntveiligheid, as ook die frekwensie en die aantal ongunstige gebeure wat plaasvind. ’n Totaal van 118 voltooide vraelyste is ontvang wat ’n 52% responskoers verteenwoordig. Al die deelnemers het direkte interaksie of kontak met pasiënte. Die samegestelde algehele telling van persepsie van veiligheid is 48%. Alhoewel bevindinge van die opname aandui dat die operasiesaal pasiëntveiligheidsprobleme het, wys bevindinge ook baie positiewe aspekte in die operasiesaal en die organisasie as ’n geheel uit. Die positiewe samegestelde telling word gereflekteer in die bevindinge van 74% vir ondersteuning vanaf die hospitaalbestuur vir pasiëntbeveiliging, 70% vir spanwerk binne die eenhede, 61% vir spanwerk dwarsoor die hospitaaleenhede en 60% vir terugvoering en kommunikasie ten opsigte van mediese misstappe. Die implikasies van die opname se bevindinge is in ag geneem ten einde die organisasie in staat te stel om te voldoen aan die Gesamentlike Kommissie Internasionaal se hersertifisering met die fokus op personeelopleiding en verbetering van veiligheidstandaarde.
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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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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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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.
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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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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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Stenman, Åsa, and Ingrid Jörstad. "Preoperativ handdesinfektion inom operationssjukvård." Thesis, Karlstad University, Faculty of Social and Life Sciences, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-2905.
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Inom operationssjukvård förebyggs postoperativa infektioner genom att operationspersonalen utför preoperativ handdesinfektion. Det finns två handdesinfektionsmetoder som rekommenderas att använda, Metod 1 för alkoholbaserad handdesinfektion (Sterillium) och Metod 2 för antiseptisk handdesinfektion (Hibiscrub). Syftet med studien var att studera och jämföra olika preoperativa handdesinfektionsmetoder inom operationssjukvård. Metoden var en litteraturstudie som baserades på 11 vetenskapliga studier. Systematiska sökningar gjordes i databaserna CINAHL och Medline samt via manuella sökningar. Sökorden användes enskilt och i kombination. Jämförelse gjordes av de två rekommenderade handdesinfektionsmetoderna utifrån evidens samt framkomna kategorier: effekter, hudens tolerans och tid. Den preoperativa alkoholbaserade handdesinfektionsmetoden med Sterillium (Metod 1) var betydligt mer effektiv än den preoperativa antiseptiska handdesinfektionsmetoden med Hibiscrub (Metod 2). Den visade även bättre resultat gällande hudens tolerans, operationstidens längd samt att den var mer tidssparande och smidigare att utföra. Det visade sig också ha betydelse på effekten hur den preoperativa alkoholbaserade handdesinfektionen utfördes. I studiens resultat framkom inget som styrkte Metod 2.
Uppsatsseminarium utfördes 2008-05-16
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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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Paterson, Robyn A. "Preoperative predictors of postoperative pain." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1993. https://ro.ecu.edu.au/theses/1142.
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The purpose of this study was to investigate five factors, which have been identified in the literature as having influence on the experience of postoperative pain. (1) Patient satisfaction with preoperative information, (2) Anticipated postoperative pain, (3) General self-efficacy, (4) Age, (5) Gender. These variables were examined to determine their relationship, if any with postoperative pain. Any relationship between these variables was also examined. Review of the literature revealed considerable research on pain, and that much of that research has been directed at the treatment of, rather than prediction of postoperative pain. Also, these studies have focused on patients who are receiving analgesia via traditional methods. No work has been reported on preoperative estimation of postoperative pain on those patients using Patient Controlled Analgesia as a single method of pain control. For this reason the study group consisted of patients who have undergone abdominal surgery, and have used the Patient Controlled Method of postoperative pain control. One Independent variable, self-efficacy, was shown to be significantly correlated to postoperative pain scores and to contribute to the preoperative prediction of how much postoperative pain an Individual may experience. Weak but significant correlations were also noted between satisfaction with preoperative Information, age and expectation of postoperative pain. The results also demonstrated a significant lack of specific preoperative information of pain and pain control methods amongst the subjects. There were large inconsistencies noted between how much pain subjects experienced and how much pain they had expected to experience. The results are of particular importance to nurses as they affect the nature of preoperative teaching, patient assessment and the provision of effective postoperative pain control, all of which are significant nursing responsibilities.
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Sicotte, Doreen A. "Implementation of a Staff Education Project for a Robotics Education Program in the Operating Room." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7337.
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Nurses who provide care in robotic surgery must have sufficient special training in the operation of the da Vinci robot to perform their roles with knowledge and confidence that can yield optimal patient outcomes. The local nursing practice problem in the project facility, and the focus of this doctoral project, was the lack of an evidenced-based robotics education program for registered nurses who participate in robotic surgery. The gap in practice was nurses' lack of knowledge, which interfered with the care provided to the robotic surgical population. The purpose of this project was to develop a staff robotics education program in order to answer the question if the implementation of an evidence-based robotics education program would improve nurses' knowledge in the practice of robotic surgery. The education program was developed using Knowles adult learning theory and information obtained from a comprehensive literature search. A planning team, consisting of local clinicians with expertise in robotic surgery, provided feedback and assisted with the development of the education program and accompanying competency checklist. Ten nurses received the education, and 90-100% of the nurses reported increased knowledge and confidence regarding practice in the specialty of robotic surgery following the education. Leadership at the project site have decided to require surgical nurses receive the robotic education upon their employment and annually thereafter. The social change resulting from the use of this evidence-based robotics education program could include increased nursing performance and therefore, decreased complications for patients undergoing robotic surgery.
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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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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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Berry, Judith. "Pressure ulcer prevention in the perioperative environment." Title page, table of contents and overview only, 2004. http://hdl.handle.net/2440/37709.
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There are many terms used to describe pressure ulcers: pressure sores, decubitus ulcers, bedsores, and pressure necrosis or ischaemic ulcers. Essentially they all describe damage to the patient's skin and underlying tissue. The nursing literature abounds with information about the risk, grading, prevention and treatment of pressure ulcers. These ulcers are a problem in hospital and long term care facilities, and are a major cause of morbidity. In the hospital setting they contribute to an extended length of stay and by doing so 'block' the bed for use by another patient. The ulcers are difficult to treat, are an ongoing cause for pain and discomfort for the patient and can be a strain on hospital finances. Pressure ulcers are not unique to modern times, as they have been discovered on the remains of an Egyptian mummified body (Armstrong & Bortz 2001). This would suggest that the problem dates back to the Pharoahs, and has continued to be a challenging problem throughout the centuries (Bridel 1992). The escalating costs of treating these ulcers today, has brought about an emphasis on the risk factors, prevention and the appropriate interventions, rather than an acceptance of these ulcers as a tolerable ondition (Bridel 1992). In the operating room, nurses are faced with unique challenges when caring for their patients. This is due to difficulty in caring for patients under the influence of the anaesthesia required for surgery, long periods of forced immobility and the inability of the patient to perceive pain and discomfort from the pressure of the hard surface of the operating room table. These problems are increased by nurses' inability to gain access to the patient because of the sterile drapes required to cover the patient for surgery. Armstrong and Bortz (2001) present information from one study in which it is stated that surgical patients have 90% greater chance of developing pressure ulcers than medical patients. One reason for this may be due to the limited information available in regard to the most effective support surface to place on top of the operating room table. This gap in information is problematic for operating room nurses as it limits their ability to select the most effective item of equipment, and determine if the chosen equipment reduces pressure on tissue intra- operatively. The most effective operating room table mattress used and the skills and knowledge of the operating room nurse about the aetiology and prevention of pressure ulcer prevention, are important aspects of nursing care and can influence patient outcomes. The potential for complications to occur may be dependent on single or combined factors such as the patient's age, disease processes, nutritional status and mobility. Preparatory and supportive nursing interventions for surgical procedures based on best available evidence, nursing experience and patient preference, can reduce the incidence of pressure ulcer development in the perioperative environment. This doctoral portfolio contains four separate sections related and linked together by a common theme - pressure ulcer prevention in the perioperative environment. This first section of the portfolio situates the topic and provides a brief overview of the portfolio. The second section is a critical review of the literature pertaining to the most commonly used operating room table mattresses, and the effectiveness of these mattresses in the prevention of pressure ulcer development. This review highlighted a lack of quality research in this area, and while many evaluations have been undertaken to determine the effectiveness of perating room table mattresses, the results are contradictory concerning the patients, exposures and interventions. Because of issues related to the methodological quality of published research in this area a systematic review using meta- analysis was not possible rather a critical review of the research literature is used. The third section of the portfolio reports on a hermeneutic ethnography of the perceived skills and knowledge of nurses in the prevention of pressure ulcer development in the perioperative environment. This study was designed to determine if pressure ulcer prevention forms an aspect of the everyday practice of perioperative nurses. This review has highlighted the need for operating room nurses to review practices when caring for patients in the perioperative environment particularly in respect of pressure ulcer prevention. The fourth and final section of the portfolio summarises the research and provides recommendations for nursing practice and further research in the area of pressure ulcer prevention in the perioperative environment.Thesis (D.Nurs.)--Department of Clinical Nursing, 2004.
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Batista, Ana Patrícia Antunes. "A integração de novos enfermeiros no bloco operatório para garantir a qualidade dos cuidados: contributos para a elaboração de um guião." Master's thesis, Instituto Politécnico de Setúbal. Escola Superior de Saúde, 2019. http://hdl.handle.net/10400.26/28731.
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Relatório de Projeto/Estágio do Mestrado em Enfermagem PerioperatóriaNo âmbito da unidade curricular Projeto/Estágio I e II, integrado no Curso Mestrado em Enfermagem Perioperatória, foi-me proposto o desenvolvimento de um projeto de estágio, utilizando a Metodologia de Trabalho de Projeto. A temática escolhida foi a integração de enfermeiros em contexto perioperatório: contributos para a elaboração de um guião, após estabelecido um diagnóstico de situação (reunião com enfermeiro chefe, análise swot e 2 questionários fechados à equipa de enfermagem – caracterização socioprofissional e pertinência da temática), identificando a existência desta necessidade em contexto de estágio. O objetivo principal deste projeto é contribuir para o processo de integração de novos enfermeiros no bloco operatório para a melhoria da qualidade dos cuidados, sendo que para que este objetivo fosse atingido foram desenvolvidas atividades, tais como: uma revisão da literatura, aplicação de questionários, elaboração de um guião de integração de acordo com as suas especificidades, planeamento de uma acção de formação para divulgação do guia de integração, ajustar o guia de integração às carências manifestadas pelos enfermeiros após apresentação do mesmo. Consegui alcançar não só os objetivos propostos relativos ao desenvolvimento do projeto de estágio, como ao desenvolvimento de competências de mestre em enfermagem perioperatória adquiridos ao longo de três semestres. Conclui-se que o processo de integração é fundamental para otimizar as competências do indivíduo que não só o próprio beneficiará, mas também a organização e o cliente cirúrgico, através de uma integração estruturada, planeada e individualizada.
Within the curricular unit Project/internship I and II, integrated into Perioperative Nursing Master's Course, I proposed the development of a training course, using as a working methodology, the Project Methodology. The theme chosen was the integration of nurses in perioperative context: contributions to the creation of a script, after a diagnosis of situation (meeting with charge nurse, swot analysis and 2 questionnaires closed nursing team -characterization and socio-occupational relevance of subject), identifying the existence of this need in the context of stage. The main objective of this project is to contribute to the process of integration of new nurses in the operating room to improve the quality of care, and pointed out that this goal was reached were developed activities such as: a review of literature, questionnaires, preparation of a script of integration according to their specific needs, planning a training course for publicizing the integration guide, adjust the integration guide to the needs expressed by nurses after presentation. I was able to achieve not only the objectives proposed for the project development stage, as the development of perioperative nursing master skills acquired over three semesters. It is concluded that the process of integration is critical to enhance the skills of the individual who not only their own benefit, but also the organization and the customer, through a structured, planned and individual integration.
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Rådstam, Catalina. "Den vårdande relationen : En litteraturstudie om den perioperativa processen ur en operationssjuksköterskas perspektiv." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-281698.
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Bakgrund: I dagens läge finns det kunskapsluckor om hur den perioperativa omvårdnadsprocessen uppfattas ur operationssjuksköterskans synvinkel. För att operationssjuksköterskan ska kunna ge god vård till patienten utifrån dennes önskningar och behov är det viktigt att operationssjuksköterskan får en bra kontakt med patienten. Får operationssjuksköterskan dela patientens värld d.v.s. om patienten både vill och är förmögen till att dela med sig av sina tankar och önskemål, då blir det lättare att ge en personcentrerad vård. Syfte: Syftet med föreliggande litteraturstudien är att undersöka hur operationssjuksköterskan uppfattar den vårdande relationen ur ett perioperativt synsätt. Metod: Det är en litteraturstudie med elva artiklar som har en kvalitativ ansats och en artikel som har en kvantitativ ansats. Föreliggande studien har en kvalitativ ansats då fokus är att beskriva och tolka operationssjuksköterskans upplevelser av omvårdnadsprocessen. Resultat: Generellt sett hade operationssjuksköterskorna en positiv inställning till den perioperativa processen. Operationssjuksköterskorna upplevde att den perioperativa processen bidrog till ökad kontinuitet och ökad trygghet hos patienterna men framförallt också hos dem själva. Operationssjuksköterskorna utvecklades i sin yrkesroll men också som individer. De kände att deras arbete var meningsfullt och att det fanns en vårdande relation mellan patienten och operationssjuksköterskan. Slutsats: Föreliggande studie lyfter fram att arbetet för operationssjuksköterskor skulle bli effektivare, säkrare vård, få mer kontinuitet och gynna både sjuksköterskorna och patienterna om den perioperativa processen användes i större utsträckning. Det skulle bli lättare att uppnå välmående och god omvårdnad i slutändan.Background: At present, there are gaps in the knowledge of how the perioperative process is seen from the point of view of the operating room nurse. When it comes to the operating theater nurse to provide quality care to the patient, it is important that the operating theater nurse gets a good contact with the patient. The operating room nurse has to share the patients’ world. Then, it will be easier to give a patient-centered care. Aim: The purpose of this study is to investigate how the operating theater nurse experienced the perioperative process from her/his point of view. Method: This study is a literature review of eleven articles that have a qualitative approach and one article which has a quantitative approach. This study has a more qualitative approach. Its focus is describing and interpreting the surgery nurses’ experience of the perioperative process. Result: The surgical nurses had, to a large extent, a favorable attitude to the perioperative process. Surgical nurses felt that the perioperative process contributed to increased continuity and increased safety for patients, but above all for themselves. Surgical nurses developed professionally, but also as individuals, they felt that their work was meaningful and that there was a caring relationship between the patient and the surgical nurse. Conclusion: This paper emphasizes that if the perioperative process would be used on a larger scale, the work for operative nurses would be more efficient, provide a more secure care, give more continuity and be very favourable to nurses as well as patients. The result for the patients would be a good care and well-being.
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Leon, Maria Denise. "Ansiedade e medo no pré-operatório de cirurgia cardíaca: intervenção de enfermagem na abordagem psicossocial." Universidade de São Paulo, 2007. http://www.teses.usp.br/teses/disponiveis/7/7139/tde-17052007-113555/.
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O investimento dessa pesquisa foi colocar em evidência os sentimentos de ansiedade e medo, encontrados em pessoas que se submeteriam à cirurgia de revascularização do miocárdio, por meio da aplicação de uma estratégia de intervenção grupal, na abordagem psicossocial. Os objetivos foram: identificar os níveis de ansiedade e medo nas pessoas que iriam se submeter à cirurgia de revascularização do miocárdio (RM); implementar uma estratégia de orientação grupal na visita pré-operatória, na abordagem psicossocial, para as pessoas que apresentaram medo e ansiedade no pré-operatório de cirurgia de RM; comparar os níveis de ansiedade e medo entre as pessoas que receberam as orientações tradicionais da instituição e aquelas que participaram da estratégia de orientação grupal na visita pré-operatória; apreender o significado das orientações pré-operatórias segundo a percepção das pessoas participantes dos grupos de intervenção. A pesquisa, de natureza quantitativa e qualitativa, foi realizada em um hospital especializado em cardiologia, no município de São Paulo no período de abril a agosto de 2006. Das pessoas abordadas para avaliação (109), 60 participaram efetivamente do estudo, sendo 30 no grupo de intervenção e 30 no grupo controle. Foi realizado um ensaio clínico controlado randomizado. Os dados foram analisados por meio de análise estatística e de análise de conteúdo, segundo Bardin. No grupo de intervenção foram utilizadas dinâmicas grupais para promover um ambiente relaxante e possibilitar aberturas para livre expressão das pessoas participantes. A maioria dos participantes era do sexo masculino, com Ensino Fundamental Incompleto, com nível sócio-econômico médio, com idade média de 62,02 anos. Verificou-se que as pessoas que participaram do grupo de intervenção tiveram redução nos níveis de ansiedade e o medo de forma clínica e estatisticamente significantes. As dinâmicas proporcionaram um momento lúdico e expressivo, além do significado cognitivo/afetivo e relacional, sendo alcançada. a segurança e a tranqüilidade que levaram à redução da ansiedade e do medo. Os resultados indicam que as orientações pré-operatórias realizadas de forma grupal, na abordagem psicossocial, produzem resultados efetivos e, portanto, recomenda-se que essa estratégia seja implementada nas instituições hospitalaresThis research is aimed at highlighting the importance of feelings such as anxiety and fear in those who are to undergo myocardial revascularization surgery (RM), and the adoption of a psychosocial approach by which a strategy of group intervention is used. Aiming at identifying the levels of anxiety and fear in those patients, a strategy of group guidance during the pre-surgery round was adopted, using a psychosocial approach, comparing the levels of anxiety and fear in those who received traditional institutional guidance, and those who took part in the group guidance pre-surgical session, and also at comprehending the meaning of the pre-surgical guidance in the perception of the intervention group participants. This research is of a quantitative and qualitative nature, and was conducted in a specialized cardio hospital, in the city of Sao Paulo, in the period between April and August 2006. Out of the 109 people approached for assessment, 60 took an effective participation in the study, of which 30 were in the intervention group and 30 in the control group. A controlled, random clinical rehearsal was performed. The data was analyzed statistically and content wise, in accordance to Bardin. With the intervention group, group dynamics were applied so as to promote a relaxing, friendly environment, and allow for the participants free expression. Most of the subjects in this group were male, with incomplete lower education, average socio-economic class, and 62,02 years old on average. It was noted that this group subjects had their levels of anxiety and fear lowered, in a statistically significant manner. The dynamics provided them with more than only a playful, expressive moment; they had a cognitive/affectionate, relational significance, through which security and tranquility were achieved, and, as a result, levels of anxiety and fear were reduced. Results indicate that group pre-surgical guidance in a psychosocial approach produces effective results, and is thus recommended for undertaking in hospital
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Doyle, Donna J. "Succession Planning and the Identification of Future Perioperative Leaders: A Mixed Methods Study." Otterbein University / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=otbn149209761975162.
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Sälik, Charlotta, and Serah Engström. "Kirurgiska säkerhetschecklistor i praktiken : Operationsteamets attityder och uppfattningar." Thesis, Uppsala universitet, Sjuksköterskeutbildningar, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-412551.
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Bakgrund: Operationsteamet består av ett komplext samspel mellan olika professioner som tillsammans ska arbeta kring patienten vid kirurgiska ingrepp. Kirurgisk säkerhetschecklista [KSC] är ett redskap som ska bistå med hjälp för samarbetet och kommunikationen inom operationsteamet. Det finns en stor mängd forskning som bevisar hur KSC förbättrar mortalitet, morbiditet och patientsäkerheten, trots detta har operationsteamet bristande följsamhet gentemot KSC. Syfte: Syftet med denna litteraturöversikt var att beskriva operationsteamets uppfattningar av att använda KSC. Metod: Litteraturöversikten baserades på 14 vetenskapliga artiklar av kvalitativ, kvantitativ och mixad ansats. Artiklarna kvalitetsgranskades, analyserades, sönderdelades, tematiserades och sammanfogades till denna översikts resultat. Resultat: KSC kunde bidra till förbättrat teamarbete, kommunikation, och arbetsmiljö på operationssalen, samtidigt uppmärksammades olika hinder med samarbetet kring KSC. Personliga attityder, ställningstaganden och övertygelser hos de olika professionerna var faktorer som påverkade teamarbetet. Hur operationsteamet var lett påverkade även samarbetet kring KSC. Upplevelsen av tidsbrist och svårigheter med timing försvårade genomgången av KSC. Slutsats: Det är essentiellt att förstå den komplicerade arbetsmiljön på operationssalarna och hur KSC kan underlätta arbetet i operationssalen men även vilka faktorer som försvårar för operationsteamet att arbeta säkert. För att bilda en djupare uppfattning om operationsteamets komplexitet och arbete med KSC krävs vidare forskning. Resultatet av denna litteraturöversikt skulle kunna bistå med hjälp för klinikerna i sitt arbete kring säkerheten och samarbetet på operationssalarna.Background: The surgical team consists of a complex interaction between different professionals who work together around the patient during surgical procedures. Surgical Safety Checklist [SSC] is a tool that should assist the interaction and communication within the surgical team. There is a great deal of research that proves how SSC improves mortality, morbidity and patient safety. The surgical team has despite that a lack of compliance with SSC. Aim: The aim of this litterateur review was to describe the surgical team’s perceptions of using the SSC. Method: The literature review was based on 14 scientific articles of qualitative, quantitative and mixed approaches. The articles were quality checked, analysed, broken down, thematized and merged into the result of this overview. Result: SSC was able to contribute to improved teamwork, communication, and work environment in the operating room, while at the same time various obstacles were highlighted with the collaboration around SSC. Personal attitudes, standpoints and beliefs within the various professions were factors that influenced teamwork. How the surgical team was led also affected the collaboration around SSC. The experience of lack of time and difficulties with timing made the performance of SSC more difficult. Conclusion: It is essential to understand the complicated work environment in the operating rooms and how SSC can facilitate the work in the operating room, also what factors hinder the operating team to work safely. In order to form a deeper understanding of the complexity of the operation team and their work with SSC, further research is needed. The result of this literature review could be of assistance to clinics in their work to improve safety and collaboration in the operating rooms.
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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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Binns-Turner, Pamela Gail. "Perioperative music and its effects on anxiety, hemodynamics, and pain in women undergoing mastectomy." Thesis, Birmingham, Ala. : University of Alabama at Birmingham, 2008. https://www.mhsl.uab.edu/dt/2008d/binns-turner.pdf.
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Mattia, Ana Lucia De. "Dimensionamento de pessoal de enfermagem em centro cirúrgico." Universidade de São Paulo, 1999. http://www.teses.usp.br/teses/disponiveis/7/7135/tde-03102008-112459/.
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O estudo do dimensionamento de pessoal de enfermagem em Centro Cirúrgico (CC), foi realizado segundo o movimento anual de cirurgias, com os objetivos de: calcular a capacidade anual de horas de enfermagem no C.C.; identificar as horas de assistência de enfermagem em C.C. por categoria profissional e associar a capacidade de horas de enfermagem anual e por categoria profissional com o tempo de utilização de C.C. Foi desenvolvido em um Hospital Universitário, geral, voltado para assistência secundária, no minicípio de São Paulo. O C.C. desenvolve a Sistemática da Assistência de Enfermagem Perioperatória (SAEP), para o cuidado sistematizado e individualizado ao paciente cirúrgico, com visita pré-operatória prestada ao paciente pelo enfermeiro e auxiliar de enfermagem; assistência no pós-operatório imediato na RA e transporte do paciente até a sua unidade de destino. A assistência indireta ao paciente também é realizada, como os cuidados com o ambiente, administração de recursos materiais e humanos. Os dados foram obtidos por meio de entrevista com a enfermeira-chefe do C.C., levantamento dos registros do movimento cirúrgico, escalas de pessoal e fichas com dados das ausências previstas e não previstas do pessoal de enfermagem. A análise foi desenvolvida em quatro etapas: identificação da capacidade cirúrgica segundo o movimento anual das cirurgias; identificação da capacidade cirúrgica segundo o movimento anual das cirurgias; identificação da capacidade anual de horas de enfermagem no C.C.; associação das horas de assistência de enfermagem por categoria profissional e capacidade cirúrgica. Os resultados possibilitaram as seguintes identificações: a capacidade cirúrgica, é caracterizada pela capacidade estrutural de 87.600 horas, capacidade operacional de 33.627,22 horas e capacidade de utilização de 12.246,95 horas; a capacidade anual das horas de enfermagem é 35.749,03 horas; as horas de assistência de enfermagem na categoria enfermeiro 1,69 horas por paciente e na categoria de auxiliar de enfermagem com 6,95 horas por paciente. O percentual de ausências foi de 39,72%, para um movimento cirúrgico em dias úteis de 2.711 cirurgias, obteve-se uma média de 10.839,53 horas de utilização de C.C., com 18.814,45 horas de assistência de enfermagem para categoria auxiliar de enfermagem. Este estudo tem por finalidade contribuir para a composição do quadro de pessoal de enfermagem, mais próximo à realidade, evitando sobrecargas dos trabalhadores ou períodos de ociosidadeThe proposal of this study is to verify the need of nursing staff in Operating Romm Department, to identify the utilization time of Operating Rooms (OR) through annual surgeries number; to calculate annual number of nursing staff in OR; to identify number of hours of nursing care in OR done by each professional categories and to associate number of hours of nursing by each professional category with OR utilization time. This research was done in University Hospital which is general and provide secondary assistence in São Paulo City. The OR used Perioperative Nursing System to systematize and individualized nursing care to surgical patient. The system components are: pre and post operative visits realized by OR registered nurse; intraoperative nursing care by Registered nurse and ancillary nurse; immediate post-operative nursing care and transport of patient to specific unit. Other activities that are realized by nursing staff are: preparatio and cleaness of OR, management of material and human resources in order to improve the nursing interview with OR head-nurse and analysing records of surgeries, nursing staff schedute and absenteism. The data was analysed in four fases: identification of surgical capacity in relation of annual number of surgeries; identification of number of nursing care hour per each professional category and association of surgical capacity with number of surgeries that would be done. The results showed these conclusions: number of surgeries was 87.000 hours in structural capacity; 33,627.22 hours in operational capacity and 12,246.22 in utilization capacity. The annual nursing capacity is 35,749.03 hours; the number of hours by Registered nurse is 1.69 hours each patient; to the ancillary nurse is 6.95 hours each patient. The absenteism rate was 39.72%. Analysing the number of surgeries realized in week days is 2,711 surgeries with 10,893.53 hours in average of OR utilization; 4,518.59 hours of Registered nurse care and 18,893.53 hours in average of ancillary nurse care. The goal of this study is to analyse the number of nursing staff in OR through comparation of surgical capacity and nursing care hours
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Ellis, Anna K., and L. Lee Glenn. "Challenges in Staging of Transient Pressure Ulcers Following Urologic Surgery." Digital Commons @ East Tennessee State University, 2011. https://dc.etsu.edu/etsu-works/7514.
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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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Austin, Erin, and L. Lee Glenn. "Online and Face-To-Face Orthopaedic Surgery Education Methods." Digital Commons @ East Tennessee State University, 2012. https://dc.etsu.edu/etsu-works/7497.
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Patterson, Michele M. Tervo. "Adolescent Experience with Trauma and Orthopedic External Fixation: A Dissertation." eScholarship@UMMS, 2007. https://escholarship.umassmed.edu/gsn_diss/7.
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Over 13 million adolescents sustain traumatic injuries yearly, resulting in functional disability, disfigurement, psychosocial problems and fractures. These fractures are increasingly being treated with orthopedic external fixation devices (EFDs). The purpose of this study was to describe the experience of traumatically injured adolescents treated with EFDs. The 4 aims of the study focused on the circumstances leading to the traumatic event, experiences following the traumatic event, the impact of EFD treatment, and adolescents’ role in pin-care self-management, which is crucial to preventing infection.
This longitudinal, qualitative descriptive study used purposive sampling to recruit 5 male and 4 female adolescents, 13-20 years old, from a New England level-1 trauma center. Participants were injured in motor vehicle crashes (including an all-terrain vehicle), falls, by gunshot, trampoline and football trauma. Interview questions were framed by two themes from a study of adult recovery from physical injury, i.e., the event and fallout. Participants were interviewed within days of the injury, 2 weeks after returning home, and within one month of EFD removal. Data were coded from verbatim transcripts using NVIVO and organized into themes guided by the principles of qualitative analysis.
An overarching theme of “old self no more; forever changed” emerged from 26 interviews. The participants’ experience affected all tasks of adolescence: independence from parents, accepting body image, peer relations, and forming an identity. Major themes included “what risk?”, regarding circumstances leading to the traumatic event, mastering the environment, was 2 part first, processing the event, where determining fault and realizing everything has changed, they were ambivalently lucky, and not invincible. Secondly “suck it up and deal with it”, where strategies to deal with traumatic injury emerged (i.e. medication, channeling outlets, and slow caution). EFD experience revealed “Space age robot” and “they’ll do it themselves” as emergent themes. EFDs were described as painless, robotic, no big deal and necessary. One draining pin-site was noted. Findings related to use of self-administered analgesics, information technology, recall of detail, and gender differences in coping may lead to future interventions. These findings lay the groundwork for future studies that may improve care of adolescents during acute recovery from traumatic injury.
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Pavão, Sandra Patrícia Benevides Fragoso. "Ferramenta de gestão na promoção da melhoria contínua da qualidade e segurança do utente a ser submetido a cirurgia eletiva: checklist DIIVA." Master's thesis, Instituto Politécnico de Setúbal. Escola Superior de Saúde, 2019. http://hdl.handle.net/10400.26/28468.
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Relatório de Estágio do Mestrado em Enfermagem PerioperatóriaO presente relatório surge no âmbito do 2º Mestrado em Enfermagem Perioperatória da Escola Superior de Saúde do Instituto Politécnico de Setúbal, sendo o Relatório de Estágio o trabalho final de Mestrado. Ao longo do mesmo é realizada a análise e reflexão do percurso percorrido com vista à aquisição de conhecimentos e competências de enfermeiro Mestre em Enfermagem Perioperatória. Este relatório pretende apresentar o trabalho desenvolvido em estágio em ambiente clínico perioperatório, centrado na identificação de um problema real, apoiado pela metodologia de projeto. Sendo a cultura de segurança no meio hospitalar um assunto emergente da atualidade, esta surge também na identificação de áreas problemáticas no local de trabalho. Deteta-se o adiamento ou cancelamento de cirurgias por falta de material, resultante da ausência de ferramentas da gestão do mesmo. A lista de verificação da segurança cirúrgica da OMS, apesar da sua extrema importância e utilidade, não prevê atempadamente a preparação de todos os dispositivos, instrumentos e implantes que possam ser necessários à cirurgia. Foi utilizado como referencial teórico, a Teoria das Transições de Afaf Meleis, uma Teoria de Médio Alcance que, a nosso ver, está estreitamente relacionada com os utentes a serem submetidos a cirurgia, e a sua relação com os enfermeiros perioperatórios. De forma a fundamentar as temáticas abordadas ao longo do relatório, efetuou-se uma revisão integrativa da literatura, realizando uma pesquisa alargada do fenómeno em estudo. A recolha de dados foi efetuada em junho de 2018, com recurso a um questionário aplicado aos profissionais de saúde de um bloco operatório. Participaram 36 profissionais e a maioria identificou como intercorrências no bloco operatório do último ano: cancelamento de cirurgias por falta de material, falta de comunicação da equipa multidisciplinar, material fora do prazo de validade, falta de instrumental cirúrgico e falha nos equipamentos. Dada a identificação da problemática por parte dos profissionais, foi criada uma ferramenta de apoio à gestão do material cirúrgico - Checklist DIIVA - que permite verificar a disponibilidade dos dispositivos, implantes e instrumentos e respetivos prazos validade, atempadamente, procurando dar resposta ao problema identificado e assegurar a melhoria contínua dos cuidados de enfermagem perioperatórios.
This report is presented within the scope of the 2nd Masters in Perioperative Nursing taken in Escola Superior de Saúde do Instituto Politécnico de Setúbal. The Internship Report is the final master’s work. Throughout the same is carried out the analysis and reflection of the course viewing the acquisition of knowledge and skills of Master nurse in Perioperative Nursing. This report intends to present the work developed in a perioperative clinical stage, centered on the identification of a real problem, supported by the project methodology. Since safety culture in the hospital environment is an emerging issue, it also arises in the identification of problem areas in the workplace. Deferral is the postponement or cancellation of surgeries due to lack of material, resulting from the absence of management tools. The surgical safety checklist, despite its extreme importance and usefulness, does not provide timely preparation of all devices, instruments and implants that may be necessary for surgery. The Afaf Meleis Theory of Transitions was used as a theoretical reference. It´s a Medium Sized Theory that, in our opinion, is closely related to the patients to be submitted to surgery, and its relationship with the perioperative nurses. To substantiate the themes addressed throughout the report, an integrative review of the literature was carried out, executing a broad survey of the phenomenon under study. Data collection was performed in June 2018, using a questionnaire applied to health professionals from an operating room. 36 professionals participated and most identified as complications in the last year's operating room: surgery cancellation due to lack of material, lack of communication of the multidisciplinary team, material with expired date, lack of surgical instruments and equipment failure. Given the identification of the problem by the professionals, a tool was created to support the management of the surgical material - DIIVA checklist - which allows checking the availability of devices, implants and instruments and their validity, in a timely manner, to respond to the identified problem and continuous improvement of perioperative nursing care.
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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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Gad, Johan. "Ett värdigt slut : Operations- och intensivvårdssjuksköterskors upplevelser i samband med vård av avlidna donatorer, Litteraturstudie." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-261179.
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Bakgrund: Organdonation från avlidna är idag vanligt förekommande för att ge liv och hälsa åt svårt sjuka patienter. Operations- och intensivvårdssjuksköterskor är två av de yrkeskategorier som arbetar mest intimt med donatorvård, ett arbete som befunnits kunna ge såväl etiska som psykologiska efterverkningar. Syfte: Att sammanställa kunskap kring hur dessa yrkesgrupper upplever och hanterar arbetet med att vårda avlidna donatorer, med fokus på de strategier som används för att patienten ska behandlas med respekt och värdighet. Metod: Litteraturstudie med kvalitativ ansats. En litteratursökning i databaserna PubMed och CINAHL resulterande i 15 artiklar som inkluderades i resultatet. Resultat: Analysen genererade tre teman; ”Att vårda de döda” samlar utsagor och företeelser förknippade med denna vård. Här framkom synen på arbetet som stressigt och mentalt mycket tungt. Bristande förmåga att ta till sig hjärndödhetsbegreppet var vanligt och gjorde arbetet än svårare och mer etiskt utmanande. ”Att möjliggöra ett värdigt slut” beskriver en värdig behandling och strävan mot ett värdigt slut för donatorerna som de mest centrala förhållningssätten i vården av avlidna donatorer. I ”Att själv finna mening” beskrivs hur respondenterna, framför allt, genom att stötta varandra och genom vetskapen om det goda som kom ut av organdonation, både för de anhöriga och för organmottagarna. Ändå fann arbetet meningsfullt och givande. Slutsats: Denna studies resultat visar upp en bred problematik på en rad områden gällande vård av avlidna donatorer. Samtidigt som värdighet och respekt för de avlidna ansågs både viktigt och tillfredsställande. Att se sig själv och det goda som uppnåddes med arbetet, i ett större perspektiv gjorde arbetet positivt och tillfredsställande, trots de negativa aspekterna.Background: Organ donation from deceased donors has become a common procedure that enables health and prolonged life for critically ill patients. Two of the professions most intimately involved with the care of the donors are operating room and intensive care nurses. This care has been found to cause adverse effects, ethical and psychological. Aim: To gather knowledge regarding how these two professions perceive, and cope with, the care of deceased donors. Focusing on strategies used to preserve and maintain respect and dignity for the donors. Method: Literature review with a qualitative approach. Results: Three themes emerged; ”Caring for the dead” collects statements and phenomena associated with the care. This was perceived as mentally exhausting and very stressful. Lack of understanding for the concept of brain death was common, which made the work harder and more ethically challenging. ”Facilitating a dignified end” established that very concept as the main purpose of the actions during donor care. ”To find a purpose” describes how the respondents, mainly, through support for each other and through the knowledge of the positive outcomes of organ donation, both for the donors’ families and for the organ recipients, still found meaningfulness and satisfaction in their work. Conclusion: This study displays a broad spectrum of adversities associated with donor care, in several areas. Dignity and respect for the deceased was deemed both highly important and personally satisfying. To see oneself and the good things achieved through ones labor, in a larger perspective, made donor care both positive and satisfying.
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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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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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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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Forren, Jan Odom. "POST DISCHARGE NAUSEA AND VOMITING IN AMBULATORY SURGICAL PATIENTS: INCIDENCE AND MANAGEMENT STRATEGIES." Lexington, Ky. : [University of Kentucky Libraries], 2009. http://hdl.handle.net/10225/1141.
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Thesis (Ph. D.)--University of Kentucky, 2009.Title from document title page (viewed on May 12, 2010). Document formatted into pages; contains: vii, 166 p. : ill. Includes abstract and vita. Includes bibliographical references (p. 141-157).
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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.
Full textAbstract:
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.