Nursing Department, University School of Nursing and Occupational Therapy of Terrassa (EUIT), Autonomous University of Barcelona (UAB), Terrassa, Spain.
Nursing Department, Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, Sant Cugat, Spain.
Nurs Inq. 2021 Apr;28(2):e12390. doi: 10.1111/nin.12390. Epub 2020 Nov 5.
Surgical patient safety remains a concern worldwide as, despite World Health Organization recommendations and implementation of its Surgical Safety Checklist, adverse events continue to occur. The aim of this qualitative study was to explore the views and experiences of perioperative nurses regarding the factors that impact surgical patient safety. Data were collected through five focus groups involving a total of 50 perioperative nurses recruited from four public hospitals in Spain. Content analysis of the focus groups yielded four main themes: personal qualities of the perioperative nurse, the surgical environment, safety culture, and perioperative nursing care plans. One of the main findings concerned barriers to the exercise of leadership by nurses, especially regarding completion of the Surgical Safety Checklist. Some of the key factors that impacted the ability of perioperative nurses to fulfil their duties and ensure patient safety were the stress associated with working in the operating room, time pressures, and ineffective communication in the multidisciplinary team. Targeting these aspects through training initiatives could contribute to the professional development of perioperative nurses and reduce the incidence of adverse events by enhancing the surgical safety culture.
手术患者安全仍然是一个全球性的关注点，尽管世界卫生组织提出了建议并实施了手术安全检查表，但不良事件仍在继续发生。本定性研究旨在探讨围手术期护士对影响手术患者安全的因素的看法和经验。通过在西班牙四家公立医院招募的五名围手术期护士参与的五个焦点小组收集数据。对焦点小组的内容分析得出了四个主要主题：围手术期护士的个人素质、手术环境、安全文化和围手术期护理计划。其中一个主要发现涉及到护士行使领导权的障碍，特别是在完成手术安全检查表方面。一些影响围手术期护士履行职责和确保患者安全的关键因素包括手术室工作相关的压力、时间压力以及多学科团队中无效的沟通。通过培训计划针对这些方面进行干预，可以促进围手术期护士的专业发展，并通过增强手术安全文化来降低不良事件的发生率。
