Enhanced Time Out: An Improved Communication Process

Nelson, Patricia E.

doi:10.1016/j.aorn.2017.03.014

Cited by 10 publications

(7 citation statements)

References 9 publications

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“…Using short breaks to collect one’s thoughts at or before the various critical elements in the procedure provided an opportunity for safer patient care. It was recently reported that a new approach to time‐outs can contribute to more effective communication and, hence, improved patient safety 26. As reported in 2010, the World Health Organization’s recommended surgical time‐out before surgery was an opportunity to identify and resolve potential problems 27.…”

Section: Discussionmentioning

confidence: 99%

Newly trained operating room nurses’ experiences of nursing care in the operating room

Eriksson

Lindahl

2020

Scandinavian Caring Sciences

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Newly trained operating room nurses' experiences of nursing care in the operating room There is limited research on nurses' experiences of nursing care in the operating room. The operating room nurses' responsibility is to ensure good nursing care before, during and after surgery. In an increasingly technological health care environment, there is always a risk of turning the focus away from nursing care towards technology and medicine. Integration of past experiences into the role as an operating room nurse becomes a challenge for those who recently worked as general nurses. The present study aimed to explore newly trained operating room nurses' experiences of nursing care in an operating room. Semistructured interviews were performed with ten operating room nurses with a maximum three years' work experience from an operating room. The interviews were subjected to qualitative content analysis. The findings revealed three themes describing operating room nurses' searching for their new role. They experienced a gap between theory and practice, felt alone and insignificant and had to find their own place. The operating room nurses' experienced threats to safe nursing when they lacked time for the patients as well as for their own recovery, and they lacked feedback in order to improve care. They ensured security for patients by establishing one-to-one contact, protecting patients' well-being and working in teams for the patients' best interest, participants also focused on the task at hand instead of the patient as a person. New ways of organising work in operating units, and well-functioning teams can be a key to a successful integration of experiences from ward nurse to an operating room nurse, and provide support so that they feel more visible, at ease and safe in their new profession.

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Section: Discussionmentioning

confidence: 99%

Newly trained operating room nurses’ experiences of nursing care in the operating room

Eriksson

Lindahl

2020

Scandinavian Caring Sciences

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“…The most frequent errors are related to surgical procedures, the location of surgery, laterality, or patient errors [ 6 , 7 , 8 ]. The etiology of the errors is diverse, but the most important ones are: not following the safety guidelines, communication problems within the multidisciplinary team, and a lack of leadership [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Development and Validation of a Questionnaire of the Perioperative Nursing Competencies in Patient Safety

Peñataro-Pintado

Rodríguez-Higueras

Llauradó-Serra

et al. 2022

IJERPH

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(1) Background: This research presents the CUCEQS© (Spanish acronym for Questionnaire of Perioperative Nursing Safety Competencies), which evaluates the perception of perioperative nurses about their competencies related to surgical patient safety. The aim of the present study was to design, validate, and analyze the psychometric properties of the CUCEQS©. (2) Methods: We devised an instrumental, quantitative, and descriptive study divided into two phases: in the first, the questionnaire was designed through a Delphi method developed by perioperative nurses and experts in patient safety. In the second, the reliability, validity, and internal structure of the tool were evaluated. (3) Results: In the first phase, the items kept were those that obtained a mean equal to or higher than four out of five in the expert consensus, and a Content Validity Index higher than 0.78. In the second phase, at the global level, a Stratified Cronbach’s Alpha of 0.992 was obtained, and for each competency, Cronbach’s Alpha values between 0.81 and 0.97 were found. A first-order confirmatory factor analysis of the 17 subscales (RMSEA 0.028, (IC 90% = 0.026–0.029) and its observed measures was performed for the 164 items, as well as a second-order analysis of the four competencies (RMSEA = 0.034, (IC90% = 0.033–0.035). (4) Conclusions: The questionnaire is a valid tool for measuring the perceived level of competency by the perioperative nurses in surgical patient safety. This is the first questionnaire developed for this purpose, and the results obtained will facilitate the identification of areas to be improved by health professionals in patient safety

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“…It is important to remember that the incidence of adverse events is particularly relevant in the context of surgery, due to the complexity of—and risks associated with—the perioperative process (Collins et al., 2014; Van Delft et al., 2018). However, although inadequate safety procedures in surgical care may result in severe or irreparable harm, or even death, research suggests that 48% of all surgical complications are preventable (Haynes et al., 2009; Nelson, 2017; Van Delft et al., 2018; World Health Organization, 2009b). Furthermore, the number of adverse events reported is low in comparison with the number of surgical procedures that are carried out (Thiels et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

“…According to The Joint Commission (2017), there were 1,215 reported sentinel events in the USA between 2004 and 2015. The most widely reported events are errors related to unintended retention of a foreign body, procedure, surgical site, or patient identity (McDowell & McComb, 2016; Nelson, 2017; Twigg & Attree, 2014).…”

Section: Introductionmentioning

confidence: 99%

Perioperative nurses’ experiences in relation to surgical patient safety: A qualitative study

et al. 2020

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Surgical patient safety remains a concern worldwide as, despite World Health Organization recommendations and implementation of its Surgical Safety Checklist, adverse events continue to occur. The aim of this qualitative study was to explore the views and experiences of perioperative nurses regarding the factors that impact surgical patient safety. Data were collected through five focus groups involving a total of 50 perioperative nurses recruited from four public hospitals in Spain. Content analysis of the focus groups yielded four main themes: personal qualities of the perioperative nurse, the surgical environment, safety culture, and perioperative nursing care plans. One of the main findings concerned barriers to the exercise of leadership by nurses, especially regarding completion of the Surgical Safety Checklist. Some of the key factors that impacted the ability of perioperative nurses to fulfil their duties and ensure patient safety were the stress associated with working in the operating room, time pressures, and ineffective communication in the multidisciplinary team.Targeting these aspects through training initiatives could contribute to the professional development of perioperative nurses and reduce the incidence of adverse events by enhancing the surgical safety culture.

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Enhanced Time Out: An Improved Communication Process

Cited by 10 publications

References 9 publications

Newly trained operating room nurses’ experiences of nursing care in the operating room

Newly trained operating room nurses’ experiences of nursing care in the operating room

Development and Validation of a Questionnaire of the Perioperative Nursing Competencies in Patient Safety

Perioperative nurses’ experiences in relation to surgical patient safety: A qualitative study

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