Brooker Kathrine Johnsen, Vikan Magnhild, Thyli Bente
AORN J. 2020 Feb;111(2):211-220. doi: 10.1002/aorn.12930.
The purpose of patient positioning is to provide optimal surgical site exposure for surgical team members and prevent negative patient outcomes. This study explores perioperative nurses' experiences when positioning patients for surgery. We collected data using focus group interviews of 17 OR nurses in Norway and used qualitative content analysis to analyze the data. The study findings showed that perioperative nurses emphasized their most important priorities as concepts that can be categorized into three themes: leading and coordinating patient positioning, ensuring patient safety, and promoting efficient use of OR nurses' expertise. The study findings also identify a need to define formal responsibilities in patient positioning and processes for determining positioning outcomes. Perioperative leaders should verify OR nurse competence for patient positioning to help ensure continuity and safety in complex patient pathways.
患者体位摆放的目的是为手术团队成员提供最佳的手术部位暴露，并防止对患者产生不良后果。本研究探讨了围手术期护士在为患者进行手术体位摆放时的经历。我们通过对挪威17名手术室护士进行焦点小组访谈收集数据，并使用定性内容分析法对数据进行分析。研究结果表明，围手术期护士强调其最重要的优先事项可归纳为三个主题的概念：引领和协调患者体位摆放、确保患者安全以及促进手术室护士专业知识的有效利用。研究结果还表明需要明确患者体位摆放的正式职责以及确定体位摆放结果的流程。围手术期领导者应核实手术室护士进行患者体位摆放的能力，以帮助确保复杂患者路径中的连续性和安全性。
