手术安全核对表：护士视角下的益处、促进因素及障碍
Surgical safety checklist: benefits, facilitators, and barriers in the nurses' perspective.
作者信息
Tostes Maria Fernanda do Prado, Galvão Cristina Maria
机构信息
Universidade Estadual do Paraná (UNESPAR), Campus de Paranavaí, Colegiado de Enfermagem. Paranavaí, Paraná, Brasil.
Universidade de São Paulo (USP), Escola de Enfermagem de Ribeirão Preto, Programa de Pós-Graduação em Enfermagem Fundamental. Ribeirão Preto, São Paulo, Brasil.
出版信息
Rev Gaucha Enferm. 2019 Jan 10;40(spe):e20180180. doi: 10.1590/1983-1447.2019.20180180.
OBJECTIVE
To identify the benefits, facilitators and barriers in the implementation of the surgical safety checklist, according to the reports of nurses working in the hospital surgical center.
METHOD
Cross-sectional study with 91 nurses in 25 hospitals in two municipalities of Paraná. Between the years 2015 and 2016, two structured instruments were used to collect data. For the analysis, Fisher's exact or Chi-Square test was used.
RESULTS
The implementation of the checklist brought benefits to the patient, surgical team and hospitals. Regarding the facilitators, the results presented a statistically significant difference between the groups in the items offering education (p=0.006) and acceptance by surgeons (p=0.029). In the barriers, the lack of administrative (p=0.006) and management (p=0.041) support, absence of the patient safety nucleus (p=0.005), abruptly introduced list (p=0.001) and absence of education (p<0.001).
CONCLUSION
The evidence generated allowed to identify the benefits, facilitators and barriers in the implementation of the checklist in the national context.
目的
根据医院手术中心护士的报告，确定实施手术安全核对表的益处、促进因素和障碍。
方法
对巴拉那州两个市25家医院的91名护士进行横断面研究。在2015年至2016年期间，使用两种结构化工具收集数据。分析时采用Fisher精确检验或卡方检验。
结果
核对表的实施给患者、手术团队和医院带来了益处。关于促进因素，在提供教育（p=0.006）和外科医生接受度（p=0.029）这两项上，各分组之间的结果存在统计学显著差异。在障碍方面，存在缺乏行政支持（p=0.006）和管理支持（p=0.041）、没有患者安全核心小组（p=0.005）、核对表引入过于突然（p=0.001）以及缺乏教育（p<0.001）等问题。
结论
所产生的证据有助于确定在本国背景下实施核对表的益处、促进因素和障碍。
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