Enhancing patient safety in the operating theatre: from the perspective of experienced operating theatre nurses

Ingvarsdottir, Eydis; Halldórsdóttir, Sigríður

doi:10.1111/scs.12532

Cited by 30 publications

(32 citation statements)

References 40 publications

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“…Baillie and Ilott () emphasizes to restore patient dignity and pay attention to colleagues, regardless of status, of their behaviour. Ingvarsdottir and Halldorsdottir () means, it is important to speak up even if such comments were not well‐received. Another study showed how OTNs preserved patient dignity through being present for each other and caring for the patient in perioperative practice (Blomberg, Bisholt, et al., ).…”

Section: Discussionmentioning

confidence: 99%

“…() describe that the OTNs responsibility is to retrieve information from and about the patient, which influence planning prior to surgery and help control the situation and increase preparedness for unforeseen events. Ingvarsdottir and Halldorsdottir () conducted interviews with experienced OTNs that showed how they took responsibility for the patient's vulnerability and safely navigated the patient through the nursing process. Arakelian, Swenne, Lindberg, Rudolfsson, and Vogelsang () study emerged that the patients perceived that they were respected as a person, taken seriously and participated in their care if it was carried out in a person‐centred manner.…”

Section: Introductionmentioning

confidence: 99%

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Responsibility for patient care in perioperative practice

2018

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AimTo obtain an understanding of operating theatre nurses' experiences of responsibility for patient care and safety in perioperative practice.DesignA hermeneutic design were used.MethodData were collected during 2012 from 15 operating theatre nurses who participated in individual interviews. The text was analyzed by hermeneutical text interpretation.FindingsThe texts revealed two main themes: A formal external responsibility and personal ethical value. Responsibility that the patient was not exposed to risks, protecting the patient's body, systematically planning and organizing work in the surgical team. The personal ethical value meant confirming the patient as a person, caring for the patient and preserving the patient's dignity. A new understanding emerged that the operating theatre nurse always have the patient in mind.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Responsibility for patient care in perioperative practice

2018

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“…Communication in the context of health work is important to provide information, exchange experiences, persuade in order to generate behavior changes and discuss the most varied subjects (19) . However, because it is a closed working environment with several professional categories, the occurrence of communication problems and relationship conflicts is common in the operating room, especially among medical and nursing staff, since historically the medical team has a tendency to place itself in a hierarchically superior position to the nursing team (26)(27) . In this context, nurses play an important mediating role to promote integration between professionals and conflict resolution (3,27) .…”

Section: Development Of Continuing Education Actionsmentioning

confidence: 99%

“…Participants also scored in Class 5 on the importance of increasing nurse autonomy in the operating room. The autonomy of the nurse is important for him to apply measures of risk management and prevention of harm to the patient as soon as this is necessary in the operating room (26,33) . In addition, autonomy assists in the satisfactory development of nurses' activities in relation to the management of nursing care and the work of the multiprofessional team (3,26) .…”

Section: Development Of Continuing Education Actionsmentioning

confidence: 99%

Good practices for patient safety in the operating room: nurses' recommendations

et al. 2018

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Objective: To describe nurses' recommendations for good patient safety practices in the operating room. Method: Quantitative, descriptive and exploratory research developed from an online survey of 220 operating room nurses from different regions of Brazil. The data processing for textual analysis was performed by the software IRAMUTEQ. Results: There were eight recommendations: (1) Involvement of the multiprofessional team and the managers of the institution; (2) Establishment of a patient safety culture; (3) Use of the safe surgery checklist; (4) Improvement of interpersonal communication; (5) Expansion of nurses' performance; (6) Adequate availability of physical, material and human resources; (7) Individual search for professional updating; and (8) Development of continuing education actions. Conclusion: These recommendations can be used as care management strategies by nurses for patient safety in the operating room.

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“…For the perioperative nurse (operating room nurse or nurse anaesthetist), managing risks and preventing postoperative complications are fundamental elements in perioperative nursing care (Ingvarsdottir & Halldorsdottir, 2017;Niu, Li, Tang, Gong, & Zhang, 2017). Positioning the patient on the operating bed is one important task for the perioperative nurse with the goal to maintain optimal circulation and protect muscles, nerves and bony prominences from pressure injury (Hortman & Chung, 2015).…”

Section: Preventive Perioperative Nursing Carementioning

confidence: 99%

Patient‐reported extremity symptoms after robot‐assisted laparoscopic cystectomy

Johansson

Vogelsang

2019

Journal of Clinical Nursing

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Aims and objectives To describe patient‐reported extremity symptoms after robot‐assisted laparoscopic cystectomy in patients with bladder cancer. Background Preventive activities for remaining patient safety due to correct positioning play an important part in perioperative nursing care.Extremity injuries are well‐known after prolonged surgery, especially in robot‐assisted urologic surgery in the steep Trendelenburg position. The risk of injury increases due to patient‐related and operative risk factors. Methods A quantitative prospective observational study was conducted. Patients were followed up with the QuickDASH (Disabilities in the Arm, Shoulder and Hand), Lower Extremity Functional Scale (LEFS) and a study‐specific questionnaire 7–10 days and monthly, up to six months after surgery in patients with extremity symptoms. The study adheres to STROBE (strengthening the reporting of observational studies in epidemiology) guidelines, see Supporting information File S1. Results Out of the 94 included participants, 46.8% (n = 44) experienced extremity symptoms 7–10 days after surgery. Pain, numbness and weakness were the most frequent symptoms. There was a discrepancy between the patients reported symptoms and the documentation in the patient records. Only 13.6% (n = 3) of the reported pain was documented, respectively 27.5% (n = 11) of other symptoms. Conclusion A large proportion of the patients report postoperative extremity symptoms after robot‐assisted laparoscopic cystectomy. Prevention of complications in the perioperative setting, are together with follow‐ups, important nursing activities for maintaining patient safety and may both prevent and detect postoperative extremity symptoms and injuries. Relevance to clinical practice This study reveals the need of accurate documentation regarding extremity symptoms in digital patient records, as well as continuous follow‐ups during the hospital stay and after hospital discharge to enable detection of treatable extremity injuries. The result of this study also indicates the importance of nursing activities such as evidence‐based positioning guidelines in the operating theatre for optimal positioning.

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Enhancing patient safety in the operating theatre: from the perspective of experienced operating theatre nurses

Abstract: Constantly managing risk and preventing the OT patient from harm is essential according to the experienced OTNs, who are in a key position to identify threats to patient safety and should be empowered to enhance patient safety as a constant endeavour.

Cited by 30 publications

References 40 publications

Responsibility for patient care in perioperative practice

Responsibility for patient care in perioperative practice

Good practices for patient safety in the operating room: nurses' recommendations

Patient‐reported extremity symptoms after robot‐assisted laparoscopic cystectomy

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