Department of Clinical Sciences, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.
Research, Development and Educational Unit, Perioperative Medicine and Intensive Care, Karolinska University Hospital, Stockholm, Sweden.
J Clin Nurs. 2019 Jul;28(13-14):2635-2643. doi: 10.1111/jocn.14850. Epub 2019 Mar 29.
To describe operating theatre nurses' experience of preconditions for safe intraoperative nursing care and teamwork.
Surgical interventions are often needed for patients' well-being and survival from health problems. Adequate information to professionals responsible within the surgical organisation is of importance for patient safety in connection to the surgery. The members in the surgical team need correct information about the patients' health and planned care. The information is mainly transferred by computerised systems that do not necessarily provide all information needed.
A qualitative descriptive design was chosen. Narrative interviews were carried out with 16 experienced operating theatre nurses in four different hospitals in rural and urban areas in Sweden. The data were analysed using qualitative content analysis. The study complied with criteria to Consolidated Criteria for Reporting Qualitative Research (COREQ).
Operating theatre nurses strived to get adequate information about the patients' care, the surgical intervention and the equipment to be well prepared for intraoperative nursing care. The information from the computerised systems was described as fragmented and obliged the operating theatre nurses to demand a preoperative dialogue between the members of the surgical team. Professional collegial teamwork and committed leadership were considered to enhance patient safety.
From the operating theatre nurses' perspective, prerequisites for intraoperative safe nursing care and teamwork depend upon a preoperative dialogue between the members in the surgical team for collegial teamwork, obtaining a reliable preoperative overall picture based on adequate information transfer, and the support of a committed first-line manager.
The operating theatre nurses need a reliable preoperative overall picture in advance, to be able to be well prepared for the patients' surgery. The overall picture should be based on adequate data about the patients' health status and needs, details about the surgical intervention and prescriptions.
描述手术室护士对安全手术护理和团队合作的先决条件的体验。
为了患者的健康和生存，经常需要进行外科干预。为了与手术相关的患者安全，向负责外科组织内的专业人员提供足够的信息非常重要。手术团队的成员需要有关患者健康和计划护理的正确信息。这些信息主要通过计算机系统传输，但并不一定提供所需的所有信息。
选择了定性描述性设计。在瑞典农村和城市地区的四家不同医院，对 16 名经验丰富的手术室护士进行了叙事性访谈。使用定性内容分析对数据进行了分析。该研究符合定性研究报告的统一标准（COREQ）标准。
手术室护士努力获得有关患者护理、手术干预和设备的足够信息，以便为手术中的护理做好充分准备。来自计算机系统的信息被描述为碎片化，迫使手术室护士要求手术团队成员之间进行术前对话。专业的同事合作和有承诺的领导力被认为可以提高患者安全性。
从手术室护士的角度来看，术中安全护理和团队合作的先决条件取决于手术团队成员之间的术前对话，以进行同事合作，基于充分的信息传递获得可靠的术前整体情况，并得到有承诺的一线经理的支持。
手术室护士需要提前获得可靠的术前整体情况，以便为患者的手术做好充分准备。该整体情况应基于有关患者健康状况和需求的充分数据、有关手术干预和处方的详细信息。
