Creating an environment for patient safety and teamwork training in the operating theatre: A quasi-experimental study

Wallin, Carl‐Johan; Kalman, Sigridur; Sandelin, Annika; Färnert, May-Lena; Dahlstrand, Ursula; Jylli, Leena

doi:10.3109/0142159x.2014.947927

Cited by 13 publications

(28 citation statements)

References 55 publications

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“…The “on the job” training method was stressful for nurses and did not guarantee efficient surgeries. Furthermore, new models of healthcare education recommend interprofessional education, team‐based learning and skill development to achieve high levels of clinical competency and best patient outcomes (Chard & Tovin, ; Nowak, Klimke‐Jung, Schäfer, & Reif, ; Wallin et al, ). The findings of this study also support the impact that technology may have on traditional roles.…”

Section: Discussionmentioning

confidence: 99%

Perceptions and experiences of perioperative nurses and nurse anaesthetists in robotic‐assisted surgery

Schuessler

Stiles

Mancuso

2019

Journal of Clinical Nursing

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Aims and objectives To explore the perceptions and experiences of perioperative nurses and Certified Registered Nurse Anaesthetists (CRNAs) in robotic‐assisted laparoscopic surgery (RALS). The objective was to identify the factors that affect nursing care of patients who undergo robotic‐assisted laparoscopic surgery (RALS). Background The rapid introduction of technological innovations into the healthcare system has created new challenges for perioperative nurses. RALS affects the physical and interpersonal context of the surgical team's work and subsequent patient outcomes. Despite significant changes to the workflow for perioperative nurses and CRNAs, there is little research focusing on the nurses’ experience and their challenges with RALS. Design A qualitative descriptive study. Method Semi‐structured interview questions guided data collection. A total of seventeen participants including six preoperative and postoperative nurses, seven intraoperative nurses, and four CRNAs in the United States were interviewed. The interviews were conducted between 26 April–24 June 2018. Data were analysed using thematic analysis, and the COREQ checklist was used to report data collection, analysis and the results. Results Three major themes and two categories within each theme were identified: (a) surgical innovation: nurse perception and workflow; (b) interprofessional practice: teamwork and standards; and (c) outcome: patient outcomes and system outcomes. Conclusions The findings indicate that RALS has the potential to improve patient outcomes when performed in a timely fashion by skilled surgeons, and efficient, well‐trained surgical teams. For patients to experience full benefits of RALS, patient characteristics, the underlying reason for surgery, and cost must be considered. Relevance to clinical practice The results of this study highlight the necessity of promoting factors that improve the surgical team training and practice for RALS and will ultimately impact patient outcomes.

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Section: Discussionmentioning

confidence: 99%

Perceptions and experiences of perioperative nurses and nurse anaesthetists in robotic‐assisted surgery

Schuessler

Stiles

Mancuso

2019

Journal of Clinical Nursing

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“…38 This may lead to unorganized teamwork in the surgical team, as the anaesthesia staff and the surgical staff have their own sub-teams' perspectives on care delivery instead of being united for a common goal. 45 Therefore, teamtraining including teamwork in OTs for achieved mutual understanding of the goal should be a part in educational programmes for nurses and physicians, as described by Wallin et al 46 The OTNs in this study assessed the competence of unfamiliar team members, and such knowledge was necessary for the ethical judgement about their professional skills to ensure the patient's right to safe care. For example, the OTNs called for a more experienced surgeon to assist or to take over the procedure if the surgeons' skills were assessed as untrustworthy, something also stressed by Kelvered et al 7 The participants expressed feelings of guilt and shame towards the patient when they had been unable to prevent a surgeon from performing poor surgery.…”

Section: Counteractive Teamwork and Managementmentioning

confidence: 99%

Operating theatre nurses’ experiences of teamwork for safe surgery

Sandelin

Gustafsson

2015

Nordic Journal of Nursing Research

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The aim of this study was to describe operating theatre nurses' experiences of teamwork within the surgical team in regard to achieving patient safety. Safe surgery for patients is based on teamwork in a safe modus between the members in the surgical team. Operating theatre nurses contribute to safe surgery by professional perioperative nursing activities and by participation in teamwork in the surgical team. A qualitative descriptive design using narrative interviews with 16 operating theatre nurses in Sweden was chosen for increased understanding of their experiences of teamwork in regard to achieving patient safety. The findings are presented in three themes, illustrating teamwork in regard to achieving patient safety between the operating theatre nurses' and other professionals in everyday situations. From the operating theatre nurses' narrated experiences of teamwork, person-centred nursing care, interdependent collaboration and familiarity of the professionals' skills contributed to safe surgery. A brief meeting, unfamiliarity of professionals' skills, uncontrolled tantrums and experiences of exclusion were experienced as counteractive to patient safety. The operating theatre nurses managed demanding situations by diverse strategies to restore patient safety.

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“…Nineteen studies (40.43%) were from the USA, nine studies (19.15%) were from the UK, seven (40.43%) from China, two (4.26%) from Denmark, Sweden, and Norway, respectively, and one study (2.13%) from Netherlands, Canada, Japan, Italy, and Switzerland, respectively. There were also one multinational study and the investigated population was from US, Canada, India, Jordan, New Zealand, Philippines, Tanzania, and UK …”

Section: Resultsmentioning

confidence: 99%

“…Of the 47 studies, the most commonly used scale was the Safety Attitudes Questionnaire (SAQ), which was used in 25 (53.19%) studies . The Operating Room Management Attitude Questionnaire (ORMAQ) was also common as it was used in eight (17.02%) studies .…”

Section: Resultsmentioning

confidence: 99%

“…The initial version of SAQ was developed in 2002 by Bryan Sexton, Eric Thomas, and Bob Helm Reich with funding from the Robert Wood Johnson Foundation and Agency for Healthcare Research and Quality of the USA, the psychometric properties was reported in 2006 . There were 16 studies that reported the survey period, among which three surveys were performed before 2006, ranging from 2002 to 2006. Other surveys were conducted between 2006 and 2013.…”

Section: Resultsmentioning

confidence: 99%

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Use of patient safety culture instruments in operating rooms: A systematic literature review

Zhao

et al. 2017

J Evidence Based Medicine

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Creating an environment for patient safety and teamwork training in the operating theatre: A quasi-experimental study

Abstract: The Co-Op module improved 'safety climate' and 'teamwork climate' in the operating theatre, which suggests that a deliberate and designed educational intervention can shape a learning environment as a model for the establishment of a safety culture.

Cited by 13 publications

References 55 publications

Perceptions and experiences of perioperative nurses and nurse anaesthetists in robotic‐assisted surgery

Perceptions and experiences of perioperative nurses and nurse anaesthetists in robotic‐assisted surgery

Operating theatre nurses’ experiences of teamwork for safe surgery

Use of patient safety culture instruments in operating rooms: A systematic literature review

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