手术室中非技术技能中的沟通：一项定性研究。
Communication as a non-technical skill in the operating room: A qualitative study.
机构信息
Akershus university hospital, Lorenskog, Norway.
Lovisenberg Diaconal University College, Oslo, Norway.
出版信息
Nurs Open. 2021 Jul;8(4):1822-1828. doi: 10.1002/nop2.830. Epub 2021 Feb 25.
AIM
The aim of this study was to explore how operating room nurses (ORNs) experience operating room (OR) team communication concerning non-technical skills.
DESIGN
Based on the Scrub Practitioners List of Intraoperative Non-Technical Skill (SPLINTS), qualitative individual in-depth semi-structured interviews were conducted with 11 ORNs in a Norwegian university hospital. Braun and Clarke's six analytic phases for thematic data analysis were used.
RESULTS
Surgeons being unprepared or demanding different instruments than the preoperative information indicates, cause stress and frustration. So does noise and brusquely or poor communication. Ensuring good information flow within the entire team is important. When silence is required, the ORNs communicate with gestures, looks and nods. Creating a positive and secure team culture facilitates discussions, questions and information sharing.
CONCLUSION
Inappropriate dynamics, inaccurate and/or disrespectful communication and noise may reduce patient safety. Interdisciplinary team training may bring attention to the value of communication as a non-technical skill.
目的
本研究旨在探讨手术室护士（ORNs）如何体验与非技术技能相关的手术室（OR）团队沟通。
设计
基于手术室护理人员术中非技术技能清单（SPLINTS），对挪威一所大学医院的 11 名 ORNs 进行了基于 Scrub Practitioners List of Intraoperative Non-Technical Skill（SPLINTS）的定性个体深入半结构化访谈。采用 Braun 和 Clarke 的主题数据分析的六个分析阶段。
结果
外科医生准备不充分或要求与术前信息不同的器械会导致压力和挫折感。噪音、生硬或沟通不良也是如此。确保整个团队的信息流畅非常重要。当需要保持安静时，手术室护士会通过手势、眼神和点头进行交流。营造积极、安全的团队文化有助于促进讨论、提问和信息共享。
结论
不适当的动态、不准确和/或不尊重的沟通以及噪音可能会降低患者安全性。跨学科团队培训可能会使人们更加关注沟通作为一种非技术技能的价值。
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