Willassen Elin Thove, Jacobsen Inger Lise Smith, Tveiten Sidsel
Oslo and Akershus University College of Applied Sciences, Oslo, Norway.
Akershus University Hospital, Lørenskog, Norway.
Glob Qual Nurs Res. 2018 Mar 28;5:2333393618764070. doi: 10.1177/2333393618764070. eCollection 2018 Jan-Dec.
The use of World Health Organization's (WHO's) Safe Surgery checklist is an established practice worldwide and contributes toward ensuring patient safety and collaborative teamwork. The aim of this study was to elucidate operating room nurses' and operating room nursing students' experiences and opinions about execution of and compliance with checklists. We chose a qualitative design with semistructured focus group discussions. Qualitative content analysis was conducted. Two main themes were identified; the Safe Surgery checklists have varied influence on teamwork and patient safety, and taking responsibility for executing the checks on the Safe Surgery checklist entails practical and ethical challenges. The experiences and opinions of operating room nurses and their students revealed differences of practices and attitudes toward checklist compliance and the intentions of checklist procedures. These differences are related to cultural and professional distances between team members and their understanding of the Safe Surgery checklists as a tool for patient safety.
使用世界卫生组织（WHO）的安全手术检查表在全球范围内已是既定做法，有助于确保患者安全和团队协作。本研究的目的是阐明手术室护士和手术室护理专业学生对检查表执行情况和遵守情况的体验与看法。我们选择了半结构化焦点小组讨论的定性设计。进行了定性内容分析。确定了两个主要主题；安全手术检查表对团队协作和患者安全有不同影响，负责执行安全手术检查表检查带来实际和伦理挑战。手术室护士及其学生的体验和看法揭示了在检查表遵守情况及检查表程序意图方面的实践和态度差异。这些差异与团队成员之间的文化和专业距离以及他们对作为患者安全工具的安全手术检查表的理解有关。
