Faculty of Education & Health Science, Department of Nursing & Midwifery, University of Limerick, Limerick, Ireland.
School of Nursing and Midwifery, Brookfield Health Science Complex University Collect Cork, Cork, Ireland.
J Nurs Manag. 2019 Oct;27(7):1454-1461. doi: 10.1111/jonm.12829. Epub 2019 Jul 15.
To develop and expand how nurses promote safety in perioperative settings.
This article presents orchestrating a sub-core category from the theory of anticipatory vigilance in promoting safety within preoperative settings (Journal of Clinical Nursing, 27, 2018, 247). Orchestrating explains this and involves effective planning, delegating, co-ordinating and communication.
A classic grounded theory methodology was used. Ethical approval was granted. Data comprised of 37 interviews and 33 hr of non-participant observation. Data analysis followed the principals of classic grounded theory.
Orchestrating is fundamental in promoting safety and minimizing risk of errors and adverse events in the perioperative setting. Nurses achieve this through four categories: macro orchestrating, locational orchestrating, situational orchestrating and being in the know.
CONCLUSION(S): Nurses minimize risk by fostering a culture of safety, risk awareness, effective management and leadership.
Effective management structures and support systems are essential in promoting a culture of safety in perioperative setting.
探讨并扩展护士在围手术期环境中促进安全的方法。
本文呈现了在术前环境中促进安全的预期警戒理论的一个亚核心范畴（《临床护理杂志》，27，2018，247）。协调解释了这一点，包括有效的计划、授权、协调和沟通。
采用经典扎根理论方法。获得了伦理批准。数据包括 37 次访谈和 33 小时的非参与观察。数据分析遵循经典扎根理论的原则。
协调在围手术期环境中促进安全和最小化错误和不良事件的风险方面是至关重要的。护士通过以下四个范畴实现这一点：宏观协调、位置协调、情境协调和知情。
护士通过培养安全文化、风险意识、有效的管理和领导力来降低风险。
有效的管理结构和支持系统对于在围手术期环境中促进安全文化至关重要。
