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机器人辅助手术在公共部门实施前的手术室工作人员的知识和态度。

Knowledge and attitudes of theatre staff prior to the implementation of robotic-assisted surgery in the public sector.

机构信息

RPA Institute of Academic Surgery (IAS), Royal Prince Alfred Hospital and University of Sydney, Sydney, New South Wales, Australia.

Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.

出版信息

PLoS One. 2019 Mar 14;14(3):e0213840. doi: 10.1371/journal.pone.0213840. eCollection 2019.

Abstract

BACKGROUND

The use of robotic-assisted surgery (RAS) is becoming increasingly prevalent across a range of surgical specialties within public hospitals around Australia. As a result, it is critical that organisations consider workplace factors such as staff knowledge, attitudes and behaviours prior to the implementation of such new technology. This study aimed to describe the knowledge and attitudes of operating theatre staff from a large public tertiary referral hospital prior to the commencement of an RAS program.

METHODS

A cross-sectional survey of nursing, medical and support staff working in the operating theatre complex of a large public tertiary referral hospital was completed over a one-week period in June 2016. A 23-item questionnaire was utilised for data collection.

RESULTS

164 (66%) theatre staff returned the surveys and were included in this study. The majority of medical staff reported being knowledgeable about RAS, whilst the majority of nursing and support staff did not. Overall the theatre staff were neutral about the potential benefits of RAS to patients. The majority of medical staff believed the implementation of RAS will increase the value of staff roles and job satisfaction, while nursing and support staff were uncertain about these benefits. All three staff groups were concerned about the impact of an RAS program on Workplace Health and Safety, and care and handling.

CONCLUSION

Operating theatre staff presented different knowledge and attitudes prior to the introduction of RAS. Whilst theatre staff were more favourable towards RAS than negative, they largely reserved their judgement about the new system prior to their own experiences. Collectively, these findings should be taken into consideration for training and support strategies prior to the implementation of a RAS program.

摘要

背景

在澳大利亚的公立医院中,机器人辅助手术(RAS)在多个外科专业中得到了越来越广泛的应用。因此,在引入新技术之前,组织必须考虑工作场所的因素,例如员工的知识、态度和行为。本研究旨在描述一家大型公立医院手术室工作人员在实施 RAS 计划之前的知识和态度。

方法

2016 年 6 月,对在一家大型公立医院手术室工作的护理、医疗和支持人员进行了为期一周的横断面调查。使用了 23 项问卷调查数据收集。

结果

164 名(66%)手术室工作人员返回了调查并被纳入本研究。大多数医务人员报告说对 RAS 有一定的了解,而大多数护理和支持人员则不然。总的来说,手术室工作人员对 RAS 对患者的潜在益处持中立态度。大多数医务人员认为 RAS 的实施将增加员工角色和工作满意度的价值,而护理和支持人员对这些好处持不确定态度。所有三个员工群体都对 RAS 计划对工作场所健康和安全、护理和处理的影响表示关注。

结论

在引入 RAS 之前,手术室工作人员的知识和态度存在差异。尽管手术室工作人员对 RAS 的态度比负面态度更有利,但在他们自己的经验之前,他们对新系统的判断基本持保留态度。总的来说,这些发现应在实施 RAS 计划之前,纳入培训和支持策略中。

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