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手术室中的数字化——对挪威手术室护士和麻醉护士经历的访谈研究

Digitalization in the operating theatre- an interview study of operating room nurses' and nurse anesthetists' experiences in Norway.

作者信息

Leonardsen Ann-Chatrin Linqvist, Nystrøm Vivian, Trollnes Anne Kristin Hole, Slang Renate, Olsen Eilen

机构信息

Østfold University College/Østfold Hospital Trust, Postal box code 700, Halden, 1757, Norway.

University of Southeastern Norway, Postal box code 235, Kongsberg, 3603, Norway.

出版信息

BMC Nurs. 2024 Dec 18;23(1):899. doi: 10.1186/s12912-024-02574-9.

Abstract

BACKGROUND

Digitalization in the health sector requires adaptive change in human attitudes and skills. The operating theatres have been introduced to digital innovations through centuries. The aim of this study was to explore operating room (OR) nurses' and Nurse Anesthetists' (NAs) experiences with digitalization in the operating theatre.

METHODS

The study had a qualitative design, using individual interviews with OR nurses and NAs at a Norwegian hospital. Data were analyzed using reflexive thematic analysis in-line with recommendations from Braun & Clarke.

RESULTS

Two themes were identified, namely (1) Impacting the work processes, and (2) Implications for patient safety. The OR nurses and NAs experienced that digitalization impacted on their work processes positively through making these smoother, but also negatively making the work processes vulnerable for disruptions, leading to a need for parallel actions. Digitalization was experienced to positively impact patient safety for example through making information more accessible. However, digital tools reduced focus on the patient, and then represented a risk to patient safety.

CONCLUSION

OR nurses and NAs perceive that digitalization on one side may facilitate work processes and information flow. However, on the other side digitalization may steel focus on the patient. These aspects should be taken into consideration in quality improvement initiatives and when introducing new digital tools.

摘要

背景

卫生部门的数字化需要人类态度和技能的适应性改变。几个世纪以来,手术室已经引入了数字创新。本研究的目的是探讨手术室护士和麻醉护士在手术室数字化方面的经验。

方法

本研究采用定性设计,对挪威一家医院的手术室护士和麻醉护士进行个人访谈。数据采用反思性主题分析法进行分析,符合布劳恩和克拉克的建议。

结果

确定了两个主题,即(1)对工作流程的影响,以及(2)对患者安全的影响。手术室护士和麻醉护士体验到数字化对他们的工作流程有积极影响,使其更加顺畅,但也有负面影响,使工作流程容易受到干扰,导致需要采取并行行动。例如,数字化被认为对患者安全有积极影响,因为它使信息更容易获取。然而,数字工具减少了对患者的关注,从而对患者安全构成风险。

结论

手术室护士和麻醉护士认为,数字化一方面可能促进工作流程和信息流。然而,另一方面,数字化可能会分散对患者的关注。在质量改进计划和引入新数字工具时,应考虑这些方面。

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