scholarly journals Turnover intention among operating room nurses during the COVID-19 outbreak and its association with perceived safety climate

2021 ◽  
pp. 100233
Author(s):  
Mojgan Lotfi ◽  
Omid Zadi Akhuleh ◽  
Aysan Judi ◽  
Mohammadtaghi Khodayari
Keyword(s):  
Operating Room ◽  
Turnover Intention ◽  
Safety Climate ◽  
Perceived Safety ◽  
Operating Room Nurses

scholarly journals Teamwork and Safety Attitudes in Complex Aortic Surgery at a Dutch Hospital: Cross-Sectional Survey Study (Preprint)

2019 ◽  
Author(s):  
Alexander D Hilt ◽  
Ad A Kaptein ◽  
Martin J Schalij ◽  
Jan van Schaik
Keyword(s):  
Job Satisfaction ◽  
Operating Room ◽  
Working Conditions ◽  
Safety Climate ◽  
Assessment Tool ◽  
Aortic Surgery ◽  
Survey Study ◽  
Treatment Team ◽  
Perceived Safety ◽  
Safety Attitudes

BACKGROUND Improving teamwork in surgery is a complex goal and difficult to achieve. Human factors questionnaires, such as the Safety Attitudes Questionnaire (SAQ), can help us understand medical teamwork and may assist in achieving this goal. OBJECTIVE This paper aimed to assess local team and safety culture in a cardiovascular surgery setting to understand how purposeful teamwork improvements can be reached. METHODS Two cardiovascular surgical teams performing complex aortic treatments were assessed: an endovascular-treatment team (ETT) and an open-treatment team (OTT). Both teams answered an online version of the SAQ Dutch Edition (SAQ-NL) consisting of 30 questions related to six different domains of safety: teamwork climate, safety climate, job satisfaction, stress recognition, perceptions of management, and working conditions. In addition, one open-ended question was posed to gain more insight into the completed questionnaires. RESULTS The SAQ-NL was completed by all 23 ETT members and all 13 OTT members. Team composition was comparable for both teams: 57% and 62% males, respectively, and 48% and 54% physicians, respectively. All participants worked for 10 years or more in health care. SAQ-NL mean scores were comparable between both teams, with important differences found between the physicians and nonphysicians of the ETT. Nonphysicians were less positive about the safety climate, job satisfaction, and working climate domains than were the physicians (<i>P</i>&lt;.05). Additional education on performed procedures, more conjoined team training, as well as a hybrid operating room were suggested by participants as important areas of improvement. CONCLUSIONS Nonphysicians of a local team performing complex endovascular aortic aneurysm surgery perceived safety climate, job satisfaction, and working conditions less positively than did physicians from the same team. Open-ended questions suggested that this is related to a lack of adequate conjoined training, lack of adequate education, and lack of an adequate operating room. With added open-ended questions, the SAQ-NL appears to be an assessment tool that allows for developing strategies that are instrumental in improving quality of care.

scholarly journals Teamwork and Safety Attitudes in Complex Aortic Surgery at a Dutch Hospital: Cross-Sectional Survey Study

10.2196/17131 ◽  
2020 ◽  
Vol 7 (2) ◽  
pp. e17131
Author(s):  
Alexander D Hilt ◽  
Ad A Kaptein ◽  
Martin J Schalij ◽  
Jan van Schaik
Keyword(s):  
Job Satisfaction ◽  
Operating Room ◽  
Working Conditions ◽  
Safety Climate ◽  
Assessment Tool ◽  
Aortic Surgery ◽  
Survey Study ◽  
Treatment Team ◽  
Perceived Safety ◽  
Safety Attitudes

Background Improving teamwork in surgery is a complex goal and difficult to achieve. Human factors questionnaires, such as the Safety Attitudes Questionnaire (SAQ), can help us understand medical teamwork and may assist in achieving this goal. Objective This paper aimed to assess local team and safety culture in a cardiovascular surgery setting to understand how purposeful teamwork improvements can be reached. Methods Two cardiovascular surgical teams performing complex aortic treatments were assessed: an endovascular-treatment team (ETT) and an open-treatment team (OTT). Both teams answered an online version of the SAQ Dutch Edition (SAQ-NL) consisting of 30 questions related to six different domains of safety: teamwork climate, safety climate, job satisfaction, stress recognition, perceptions of management, and working conditions. In addition, one open-ended question was posed to gain more insight into the completed questionnaires. Results The SAQ-NL was completed by all 23 ETT members and all 13 OTT members. Team composition was comparable for both teams: 57% and 62% males, respectively, and 48% and 54% physicians, respectively. All participants worked for 10 years or more in health care. SAQ-NL mean scores were comparable between both teams, with important differences found between the physicians and nonphysicians of the ETT. Nonphysicians were less positive about the safety climate, job satisfaction, and working climate domains than were the physicians (P<.05). Additional education on performed procedures, more conjoined team training, as well as a hybrid operating room were suggested by participants as important areas of improvement. Conclusions Nonphysicians of a local team performing complex endovascular aortic aneurysm surgery perceived safety climate, job satisfaction, and working conditions less positively than did physicians from the same team. Open-ended questions suggested that this is related to a lack of adequate conjoined training, lack of adequate education, and lack of an adequate operating room. With added open-ended questions, the SAQ-NL appears to be an assessment tool that allows for developing strategies that are instrumental in improving quality of care.

scholarly journals Safety Climate Assessment in Operating Room Nurses Through Safety Attitudes Questionnaire (SAQ)

2018 ◽  
Vol 2 (1) ◽  
pp. 1
Author(s):  
Rubén Jesús Tejera Quintana ◽  
Pilar Marqués-Sánchez ◽  
C. Patricia Arencibia-Sánchez ◽  
Elba Mauriz
Keyword(s):  
Operating Room ◽  
Safety Climate ◽  
Study Data ◽  
Health Concern ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Safety Attitudes ◽  
Surgical Safety ◽  
Safety Attitudes Questionnaire ◽  
Operating Room Nurses

Introduction: Surgical safety is a public health concern worldwide. The attitudes and perceptions of the surgical team regarding to the safety of the patient are associated to the safety climate and the prevalence of adverse events. Objective: To evaluate the safety climate perceived by operating room nurses from several Hospitals. Method: This works presents a multicentre cross-sectional study. Data collection was obtained by means of The Safety Attitudes Questionnaire (SAQ), a self-completed questionnaire translated to the Spanish. A convenience sample with voluntary participation was selected. The safety climate was determined through six factors: Teamwork climate, Safety climate, Job satisfaction, Perception of the Unit and Hospital Management, Working conditions and Stress recognition. Results: safety climate perceived by surgical nurses shows mixed values in relation to patient safety. Perception of the management (p = 0.001)and Working condition domain (p = 0.003) are the domains worst valued. The size of the hospitals and Years of professional experience showed statistical differences in several domains. Conclusions: The variation of the safety climate perceived by nurses suggests that there are needs and opportunities for improvement in all its dimensions.

Evaluation of Patient Safety Culture: A Survey of Clinicians in a Cardiovascular Operating Room

2012 ◽  
Vol 7 (5) ◽  
pp. 328-337 ◽  
Author(s):  
Linda Henry ◽  
Sharon L. Hunt ◽  
Mary Kroetch ◽  
Y. Tony Yang
Keyword(s):  
Patient Safety ◽  
Operating Room ◽  
Safety Culture ◽  
Safety Climate ◽  
Patient Safety Culture ◽  
Ventricular Assist ◽  
Perceived Safety ◽  
Safety Attitudes ◽  
Emergency Situations ◽  
Device Placement

Objective The aim of this study was to understand the perceived safety culture and attitudes of caregivers in a large cardiovascular operating room (CVOR) in a mid-Atlantic state where more than 1500 procedures are performed annually to include ventricular assist device placement and heart and lung transplantations. Methods We analyzed deidentified data obtained from a safety survey completed anonymously by frontline caregivers in the CVOR via the Safety Attitudes Questionnaire developed by Pasquel Metrics. Results The responses from the CVOR clinicians were overall positive for their perceptions of the CVOR safety climate, with the majority saying they would feel safe being treated as a patient, liked their job, and were aware of the proper channels regarding patient safety. However, many made claims of experiencing fatigue and stress due to an excessive workload and participation in emergency situations. Furthermore, the support/clinical perfusion teams were found to have experienced the greatest amount of stress and discomfort, whereas it seems the surgeons were impacted the least. Conclusions This study suggests that reactions to different situations in the operating room are dependent on the role of the caregiver. Therefore, interventions to improve communication among the caregivers must be geared on an individual group basis.

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