scholarly journals Safe Surgery Checklist, Patient Safety, Teamwork, and Responsibility—Coequal Demands? A Focus Group Study

2018 ◽  
Vol 5 ◽  
pp. 233339361876407 ◽  
Author(s):  
Elin Thove Willassen ◽  
Inger Lise Smith Jacobsen ◽  
Sidsel Tveiten
Keyword(s):  
Patient Safety ◽  
Focus Group ◽  
Operating Room ◽  
Qualitative Content Analysis ◽  
World Health ◽  
Ethical Challenges ◽  
Focus Group Study ◽  
Safe Surgery ◽  
Operating Room Nurses ◽  
Room Nursing

The use of World Health Organization’s (WHO’s) Safe Surgery checklist is an established practice worldwide and contributes toward ensuring patient safety and collaborative teamwork. The aim of this study was to elucidate operating room nurses’ and operating room nursing students’ experiences and opinions about execution of and compliance with checklists. We chose a qualitative design with semistructured focus group discussions. Qualitative content analysis was conducted. Two main themes were identified; the Safe Surgery checklists have varied influence on teamwork and patient safety, and taking responsibility for executing the checks on the Safe Surgery checklist entails practical and ethical challenges. The experiences and opinions of operating room nurses and their students revealed differences of practices and attitudes toward checklist compliance and the intentions of checklist procedures. These differences are related to cultural and professional distances between team members and their understanding of the Safe Surgery checklists as a tool for patient safety.

scholarly journals Patient safety during joint replacement surgery: experiences of operating room nurses

2021 ◽  
Vol 10 (4) ◽  
pp. e001604
Author(s):  
Anette Nyberg ◽  
Birgitta Olofsson ◽  
Volker Otten ◽  
Michael Haney ◽  
Ann-Mari Fagerdahl
Keyword(s):  
Patient Safety ◽  
Operating Room ◽  
Joint Replacement ◽  
Qualitative Content Analysis ◽  
Improve Patient Safety ◽  
Individual Level ◽  
Joint Replacement Surgery ◽  
Replacement Surgery ◽  
Complication Risk ◽  
Operating Room Nurses

BackgroundAvoidable complications for surgical patients still occur despite efforts to improve patient safety processes in operating rooms. Analysis of experiences of operating room nurses can contribute to better understanding of perioperative processes and flow, and why avoidable complications still occur.AimTo explore aspects of patient safety practice during joint replacement surgery through assessment of operating room nurse experiences.MethodA qualitative design using semistructured interviews with 21 operating room nurses currently involved in joint replacement surgery in Sweden. Inductive qualitative content analysis was used.ResultsThe operating room nurses described experiences with patient safety hazards on an organisational, team and individual level. Uncertainties concerning a reliable plan for the procedure and functional reporting, as well as documentation practices, were identified as important. Teamwork and collaboration were described as crucial at the team level, including being respected as valuable, having shared goals and common expectations. On the individual level, professional knowledge, skills and experience were needed to make corrective steps.ConclusionThe conditions to support patient safety, or limit complication risk, during joint replacement surgery continue to be at times inconsistent, and require steady performance attention. Operating room nurses make adjustments to help solve problems as they arise, where there are obvious risks for patient complications. The organisational patient safety management process still seems to allow deviation from established practice standards at times, and relies on individual-based corrective measures at the ‘bedside’ at times for good results.

scholarly journals Operating room nurses' experiences of skin preparation in connection with orthopaedic surgery: A focus group study

2020 ◽  
Vol 26 (5) ◽  
Author(s):  
Ida Markström ◽  
Kristofer Bjerså ◽  
Margareta Bachrach‐Lindström ◽  
Karin Falk‐Brynhildsen ◽  
Gunilla Hollman Frisman
Keyword(s):  
Focus Group ◽  
Operating Room ◽  
Orthopaedic Surgery ◽  
Focus Group Study ◽  
Skin Preparation ◽  
Operating Room Nurses

Non-technical skills in operating room nursing: Ethical aspects

2020 ◽  
Vol 27 (5) ◽  
pp. 1364-1372
Author(s):  
Ingrid Hanssen ◽  
Inger Lise Smith Jacobsen ◽  
Sisilie Havnås Skråmm
Keyword(s):  
Patient Safety ◽  
Operating Room ◽  
Ethical Issues ◽  
Technical Skills ◽  
University Hospital ◽  
Science Data ◽  
Good Communication ◽  
Operating Room Nurses ◽  
Operating Room Team ◽  
Room Nursing

Background Non-technical skills are cognitive and interpersonal skills underpinning technical proficiency. Ethical values and respect for human dignity make operating room nurses responsible for nursing decisions that are clinically and technically sound and morally appropriate. Aim To learn what ethical issues operating room nurses perceive as important regarding non-technical skills. Research design Qualitative individual in-depth interviews were conducted. The interviews were analysed using Braun and Clarke’s six phases for thematic analysis. Participants and research context Eleven experienced perioperative/operating room nurses working in an operating unit at a Norwegian university hospital. Ethical considerations Approval was given by The Norwegian Social Science Data Service in care of the hospital’s Data Protection Officer. Findings Three main themes were found: respect and care for the patient, making the patient feel safe, and respect within the perioperative team. These features or themes, which incorporate collaboration and communication, are closely connected to patient safety. Discussion Defending the patient’s dignity is part of caring for and respecting the patient. The manner in which the operating room team collaborates is important for the patient to feel safe and secure. Poor teamwork may have dire consequences. Reciprocal respect within the team includes respect for each other’s tasks and responsibilities and to talk to one another in a friendly manner. Conclusion Being respectful and contributing to a caring atmosphere are central ethical skills in the operating room. To patients, harmonious teamwork translates into a feeling of safety and being cared for. The nurses see respect and patient safety, and respect and reciprocal politeness among the members of the perioperative team as central ethical non-technical skills. Lack of respect influences the team negatively and is detrimental for patient safety. Good communication is an important safety measure during surgery and creates a feeling of good ‘flow’ within the operating room team.

scholarly journals Attitudes and compliance with the WHO surgical safety checklist: a survey among surgeons and operating room staff in 138 hospitals in China

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Jie Tan ◽  
James Reeves Mbori Ngwayi ◽  
Zhaohan Ding ◽  
Yufa Zhou ◽  
Ming Li ◽  
...  
Keyword(s):  
Patient Safety ◽  
Adverse Events ◽  
Operating Room ◽  
World Health ◽  
Surgical Patient ◽  
Local Data ◽  
Cross Sectional ◽  
Surgical Safety Checklist ◽  
Surgical Safety ◽  
Operating Room Staff

Abstract Background Ten years after the introduction of the Chinese Ministry of Health (MoH) version of Surgical Safety Checklist (SSC) we wished to assess the ongoing influence of the World Health Organisation (WHO) SSC by observing all three checklist components during elective surgical procedures in China, as well as survey operating room staff and surgeons more widely about the WHO SSC. Methods A questionnaire was designed to gain authentic views on the WHO SSC. We also conducted a prospective cross-sectional study at five level 3 hospitals. Local data collectors were trained to document specific item performance. Adverse events which delayed the operation were recorded as well as the individuals leading or participating in the three SSC components. Results A total of 846 operating room staff and surgeons from 138 hospitals representing every mainland province responded to the survey. There was widespread acceptance of the checklist and its value in improving patient safety. 860 operations were observed for SSC compliance. Overall compliance was 79.8%. Compliance in surgeon-dependent items of the ‘time-out’ component reduced when it was nurse-led (p < 0.0001). WHO SSC interventions which are omitted from the MoH SSC continued to be discussed over half the time. Overall adverse events rate was 2.7%. One site had near 100% compliance in association with a circulating inspection team which had power of sanction. Conclusion The WHO SSC remains a powerful tool for surgical patient safety in China. Cultural changes in nursing assertiveness and surgeon-led teamwork and checklist ownership are the key elements for improving compliance. Standardised audits are required to monitor and ensure checklist compliance.

scholarly journals Patient safety and job-related stress: A focus group study

2008 ◽  
Vol 24 (2) ◽  
pp. 90-97 ◽  
Author(s):  
Astrid Berland ◽  
Gerd Karin Natvig ◽  
Doris Gundersen
Keyword(s):  
Patient Safety ◽  
Focus Group ◽  
Focus Group Study ◽  
Related Stress ◽  
Job Related Stress

scholarly journals Ethical challenges in primary care: a focus group study with general practitioners, nurses and informal caregivers

2018 ◽  
Vol 36 (2) ◽  
pp. 225-230
Author(s):  
Ildikó Gágyor ◽  
Arndt Heßling ◽  
Susanne Heim ◽  
Andreas Frewer ◽  
Friedemann Nauck ◽  
...  
Keyword(s):  
Primary Care ◽  
Focus Group ◽  
General Practitioners ◽  
Informal Caregivers ◽  
Ethical Challenges ◽  
Focus Group Study

scholarly journals Attitudes Towards and Compliance with the WHO Surgical Safety Checklist in China: A Multicentre Cross-Sectional Study

2020 ◽  
Author(s):  
Jie Tan ◽  
James Reeves Mbori Ngwayi ◽  
Zhaohan Ding ◽  
Yufa Zhou ◽  
Ming Li ◽  
...  
Keyword(s):  
Patient Safety ◽  
Adverse Events ◽  
Operating Room ◽  
Cross Sectional Study ◽  
World Health ◽  
Sectional Study ◽  
Local Data ◽  
Cross Sectional ◽  
Surgical Safety Checklist ◽  
Surgical Safety

Abstract Background: Ten years after the introduction of Chinese Ministry of Health (MoH) version of Surgical Safety Checklist (SSC) we wished to assess the ongoing influence of the World Health Organisation (WHO) SSC by observing all three sections during elective surgical procedures in China, as well as to survey operating room staff more widely about the WHO SSC.Methods: A questionnaire was designed to gain authentic views on the WHO SSC. We also conducted a prospective cross-sectional study at five level 3 hospitals. Local data collectors were trained to document specific item performance. Adverse events which delayed the operation were recorded as well as the professionals leading or participating in the three SSC phases.Results: A total of 846 operating room professionals from 138 hospitals representing every mainland province responded to the survey. There was widespread acceptance of the checklist and its value in improving patient safety. 860 operations were observed for SSC compliance. Overall compliance was 79.8%. The ‘time-out’ phase compliance in surgeon-dependent items reduced when it was nurse-led (p<0.0001). WHO SSC interventions which are omitted from the MoH SSC continued to be discussed over half the time. Overall adverse events rate was 2.7%. One site had near 100% compliance in association with a circulating inspection team which had power of sanction.Conclusion: The WHO SSC remains a powerful tool for patient safety in China. Changes in behaviour for nurses (assertiveness) and surgeons (teamwork) could improve compliance. Random checks of compliance may have merit.

scholarly journals Safety culture in the context of operating room: Nurses' perception regarding notification of errors/adverse events

2018 ◽  
Vol 9 (3) ◽  
pp. 40
Author(s):  
Teresa Vinagre ◽  
Rita Marques
Keyword(s):  
Patient Safety ◽  
Pilot Study ◽  
Adverse Events ◽  
Operating Room ◽  
Safety Culture ◽  
Continuous Training ◽  
Operating Room Nurses ◽  
Quantitative Descriptive ◽  
Probabilistic Sample

The notification of errors/adverse events is one of the central aspects for the quality of care and patient safety. The purpose of this pilot study is to analyse the safety culture of the operating room in relation to the errors/adverse events and their notification, in the nurses’ perception. It is a quantitative, descriptive-exploratory pilot study. A survey “Nurses’ Perception regarding Notification of Errors/Adverse Events” was applied, consisting of 8 closed questions to an intentional non-probabilistic sample consisting of 43 nurses working in the operating room of a private hospital in Lisbon. The results showed that only 51.2% of the adverse events that caused damage to patients were always notified by the nurses. Of the various adverse events occurred, 60.5% were not reported, justified by “lack of time”. There was also a negative correlation between professional experience and the frequency of error notification (p < .05). The factors referred as those that contributed most to the occurrence of errors were, pressure to work quickly (100.0%), lack of human resources (86.0%), demotivation (86.0%), professional inexperience and hourly overload (83.7%), lack of knowledge (74.4%) and communication failures (65.1%). The perception of Patient Safety was assessed by the majority of participants as “acceptable”. In conclusion, it was evident the reduced notification of adverse events in the operation room so it becomes crucial to focus on the continuous training of health professionals, as well as work on the error, to increase a safety culture with quality.

scholarly journals Group or individual Lifestyle-integrated Functional Exercise (LiFE)? A qualitative analysis of acceptability

2020 ◽  
Author(s):  
Leah Reicherzer ◽  
Franziska Kramer-Gmeiner ◽  
Sarah Labudek ◽  
Carl-Philipp Jansen ◽  
Corinna Nerz ◽  
...  
Keyword(s):  
Focus Group ◽  
Large Scale ◽  
Qualitative Content Analysis ◽  
Peer Group ◽  
Subjective Effects ◽  
Successful Implementation ◽  
Focus Group Study ◽  
Content Structure ◽  
Functional Exercise ◽  
Category Formation

Abstract Background: The Lifestyle-integrated Functional Exercise (LiFE) program is an effective but resource-intensive fall prevention program delivered one-to-one in participants’ homes. A recently developed group-based LiFE (gLiFE) could enhance large-scale implementability and decrease resource intensity. The aim of this qualitative focus group study is to compare participants’ experiences regarding acceptability of gLiFE vs LiFE.Methods: Programs were delivered in seven group sessions (gLiFE) or seven individual home visits (LiFE) within a multi-center, randomized non-inferiority trial. Four structured focus group discussions (90 – 100 minutes duration; one per format and study site) on content, structure, and subjective effects of gLiFE and LiFE were conducted. Qualitative content analysis using the method of inductive category formation by Mayring was applied for data analysis. Coding was managed using NVivo.Results: In both formats, participants (N=30, 22 women, ngLiFE=15, nLiFE=15, mean age 78.5±6.6 years) were positive about content, structure, and support received by trainers. Participants reflected on advantages of both formats: the social aspects of learning the program in a peer group (gLiFE), and benefits of learning the program at home (LiFE). In gLiFE, some difficulties with the implementation of activities were reported. In both formats, the majority of participants reported positive outcomes and successful implementation of new movement habits.Conclusion: This is the first study to examine participants’ views on and experiences with gLiFE and LiFE, revealing strengths and limitations of both formats that can be used for program refinement. Both formats were highly acceptable to participants, suggesting that gLiFE may have similar potential to be adopted by adults aged 70 years and older compared to LiFE.

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