<p>Perspective and Experience of Hospital Operating Room Nurses with the Concept of Excellence: A Qualitative Study</p>

Abstract

Introduction: The provision of care according to the code of ethics is of the highest priority in operating rooms (OR). However, the exposure of the surgical team to a high level of stress may result in unethical behavior and undermine their pursuit of excellence. Since the concept of excellence is complex and there are limited published studies in the nursing literature, there was a need for in-depth research. Objective: The present study aimed at evaluating the perspective and experience of OR nurses with the concept of excellence. Study Design: The conventional qualitative content analysis method was employed to explore the concept of excellence among OR nurses. Participants and Research Environment: The current study was conducted on 20 OR nurses in the elective and emergency operating rooms of hospitals affiliated to Isfahan University of Medical Sciences, Isfahan, Iran. The data were collected through in-depth semi-structured face-to-face interviews and field notes from April 2017 to June 2018. Findings: The four categories extracted from the interview data were "enhanced personality traits", "growth and development", "knowledge enhancement", and "effective teamwork". In addition, a total of 10 sub-categories were extracted. Discussion: The findings of the present study indicated that OR nurses can achieve personal, professional, organizational, and social excellence through enhancing personality traits, peer learning, teaching ethics to the surgical team members, and educating and training patients and family caregivers through effective teamwork. A close collaboration between OR nurses and nursing managers would develop a culture of pursuit for excellence. Conclusion: The findings of the present study provided a better understanding of the perception of OR nurses with the concept of excellence; based on which, optimal ethical care and an environment for the pursuit of excellence can be developed. The findings also provided evidencebased recommendations to nursing managers on how to gain the trust of patients and family caregivers, and promote the pursuit of personal, professional, organizational, and social excellence.

The Relationship between Moral Sensitivity, Ethical Climate, and Job Strain with Patient Privacy from Viewpoint of Operating Room Staffs

“…[ 29 ] Bakhtiari et al . stated in their research that the uniqueness of working in operating room and job strain of staff in this ward can lead to unethical behaviors[ 30 ]; that as observed in this research it can negatively affect patients privacy. Thus, to reduce the job strain in operating rooms and so to improve patients' privacy, the following suggestions are provided: compensating lack of manpower, considering additional staffs for emergency and major surgeries, strengthening the spirit of cooperation and team communications (e.g., when nurses are exposed to job strain, each nurse does her/his duties and patients' privacy is neglected; In such cases, the presence of an additional nurse who does not have surgery in her/his room can be helpful), considering additional payment facilities, avoiding to allocate heavy and burst shifts for staff and considering equipped restrooms.…”

“I Felt Alienated in the Operating Room”: A Phenomenological Qualitative Study

“…The introductory information form consisted of 6 items questioning age, gender, income, social security, future career goals, and whether the profession was chosen willingly. The semistructured interview form was developed based on the literature 14,15,23,24 and submitted to the opinions of two academics who are experts in qualitative research. Subsequently, a pilot study was conducted with two students to evaluate the comprehensibility of the questions.…”

Enhancing Interprofessional Collaboration in Perioperative Setting from the Qualitative Perspectives of Physicians and Nurses

“…Data were collected via faceto-face in-depth interviews. The participants were interviewed using a semi-structured guide that we developed in the context of the relevant literature of IPC and contained the questions listed in Table 1 [18,19].…”