scholarly journals A description of Surgical counting safety practices among operating room nurses and midwives in Rwanda

2019 ◽  
Author(s):  
Joselyne Mukantwari ◽  
Lilian Omondi ◽  
Christian Ntakirutimana ◽  
Emerthe Nyirasafari

Abstract Background : The retained surgical item is a critical double burden to the patients and their families. One way of minimizing the risks of this critical burden is the surgical counting process which is costless, effective and preventive method. The present study aimed to determine the knowledge and practice towards surgical counting among operating room nurses and midwives at referral teaching hospitals in Rwanda. Methods: A descriptive cross-sectional study was conducted at four referral teaching hospitals on 160 randomly selected nurses and midwives working in the operating rooms. Nurses and midwives working in OR reported their knowledge and practices in surgical counting exercise using a self-administered questionnaire. A checklist was used by the researchers to observe the compliance with surgical count policy in the OR. Data were entered in Statistical Package for Social Sciences (SPSS version 21.0) for analysis. A correlation between knowledge and practices and association between demographic characteristics with knowledge and practices were tested in this study. The ethical principles were valued. Results: Out of 156 participants who responded to this study, the majority were females (62.8%), Married (70.5%), 30-39years old (53.8%), advanced diploma (82.1%) and with clinical experience below 6 years (52.5%). The majority (78.2%) had good knowledge of surgical count but the majority reported the poor practices (57.8%, n=89). Compared to self reported practices, the observation reports of 35 cases revealed very poor performance. Being female and 1-3 years experience in OR are factors for performing surgical counting practices (OR:3.030562;p≤0.027); and (OR; 9.215279;p ≤0.002) respectively). Conclusion : The surgical count practices were self-reported and observed at low level. The experience and female gender was associated with the practices towards surgical count safety. Others barriers that may hinder the practices were not explored in this study and recommended for further research. Increasing a number of specialized perioperative nurses in OR and in service training and policy implementation follow up may improve Surgical count safety practices. Key words: Surgical count, Operating room, Practice and Referral hospital

Healthcare ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. 136
Author(s):  
Ji Hye Jung ◽  
Hye Jin Kim ◽  
Ji-Su Kim

In order to provide appropriate practical training for quality nursing care, it is necessary to evaluate nursing performance competencies in terms of clinical careers. Using convenience sampling, this cross-sectional study aimed to identify the nursing performance competencies and practical education needs of operating room nurses by evaluating nurses’ clinical careers. The participants in this study were 182 nurses working in the operating rooms of four general hospitals in Seoul, Korea. Data came from self-report questionnaires regarding nursing performance competencies and practical education needs. The results showed that participants’ nursing performance competencies and practical education needs differed significantly across clinical career groups. Further, participants’ nursing performance competencies were negatively correlated with practical education needs in terms of clinical career. In order to develop an effective and continuous practical education program for operating nurses, various education programs that reflect nursing performance competencies and practical education needs for particular stages of clinical careers are necessary.


2016 ◽  
Vol 57 ◽  
pp. 39-47 ◽  
Author(s):  
Nongyao Kasatpibal ◽  
JoAnne D. Whitney ◽  
Sadubporn Katechanok ◽  
Sukanya Ngamsakulrat ◽  
Benjawan Malairungsakul ◽  
...  

1970 ◽  
Vol 9 (1) ◽  
pp. 31-34
Author(s):  
M Poudel ◽  
R Bhandari ◽  
R Giri ◽  
A Ghimire ◽  
S Uprety

Introduction: Abdominal pain is a frequent presentation in any general clinic setting. Acid peptic disease, cholelithiasis, parasitic infestations, renal colic, urinary infection, hepatitis, infective diarrhoea, dysmenorrhoea, pelvic pain, gastrointestinal malignancy problems are just a few of the frequently encountered causes of these presentations.Objectives: 1.To describe the pattern of clinical presentations of abdominal pain in a general clinic,2.To identify socio-demography profile of the patient presenting with abdominal pain. Methods: This was a cross-sectional study conducted in the general outpatient department (GOPD) of (BPKIHS) a teaching hospital for a period of three months. The record of all abdominal pain cases presenting to GOPD together with the diagnosis recorded by various doctors of GOPD. Results: The greater prevalence of pain abdomen in female (55%) were 20-39 years group and in male (35%) were in 40-59 years group. When compared to all cases of abdominal pain in which females (58%) were predominant more in this study, the most common site for pain was central abdomen. Conclusion: The study showed that the female gender were predominant in the case of abdominal pain compare to male group and according to the occupation house were predominant. Keywords: abdominal pain; BPKIHS; pain. DOI: 10.3126/hren.v9i1.4359Health Renaissance, 2011: Vol.9 No.1:31-34


2019 ◽  
Vol 35 (3) ◽  
Author(s):  
Oznur Gurlek Kisacik ◽  
Yeliz Cigerci

Objective: To determine the opinions of operating room nurses towards the Surgical Safety ChecklistTR (SSCTR) and to determine applications for using SSCTR in operating rooms. Methods: This descriptive and cross-sectional study was conducted with 102 nurses working in the operating rooms of a state hospital and a university hospital in the Afyonkarahisar province. Descriptive statistics method were used for data analysis. Results: It was found that all operating room nurses knew the SSCTR and that they had a positive opinion regarding the necessity of the SSCTR. However, most of the participants stated that the SSCTR was not applied effectively in the operating room. Conclusion: The results obtained from the study show that changes focusing on the development of a culture of patient safety (PS) and team collaboration in operating rooms must be made in order to apply SSCTR consistently and properly. doi: https://doi.org/10.12669/pjms.35.3.29 How to cite this:Kisacik OG, Cigerci Y. Use of the surgical safety checklist in the operating room: Operating room nurses’ perspectives. Pak J Med Sci. 2019;35(3):---------. doi: https://doi.org/10.12669/pjms.35.3.29 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


2019 ◽  
Vol 48 (4) ◽  
pp. 030006051988450
Author(s):  
Eunok Kwon ◽  
Young Woo Kim ◽  
Seo Won Kim ◽  
Sujeong Jeon ◽  
Eunsook Lee ◽  
...  

Objective To investigate and compare the attitudes of operating room nurses and doctors regarding patient safety, performance of surgical time-out and recognition of count error. Methods This cross-sectional study recruited operating room nurses, surgeons and anaesthesiologists between 1 August 2015 and 5 February 2016. A Safety Attitude Questionnaire was used to analyse the three elements in both groups of operating room staff (nurses and doctors). Results The study analysed the questionnaires from 171 participants; 95 nurses (55.6%) and 76 doctors (44.4%). Differences exist between doctors and nurses regarding teamwork climate, working conditions, perception of management and the recognition of stress. On the performance of surgical time-out, nurses showed higher scores on way of counting, while doctors showed higher scores on the time-out procedure itself. Also, doctors believed they actively cooperated with the nurses, while nurses believed they did not receive cooperation. Scores for the recognition of count error were higher in nurses than in doctors. More experienced operating room staff showed higher scores than younger less experienced staff. Conclusions Perceptual differences among doctors and nurses need to be minimized for the safety of the patient in the operating room.


2021 ◽  
Vol 73 (3) ◽  
pp. 183-190
Author(s):  
Rahimi Mohadeseh ◽  
Mohsenpour Mohaddeseh ◽  
Moslemi Azam ◽  
Khosravani Mahboobeh

Objective: Moral courage distinguishes real moralists from hypocrites and indicates the commitment of nurses to their patients. Organizational commitment can also influence this commitment. Therefore, the present study aimed to investigate the correlation between moral courage and organizational commitment of operating room nurses working in the teaching hospitals of Arak University of Medical Sciences.Methods: This cross-sectional correlational study was conducted on 136 operating room nurses who were selected using the convenience sampling method. The required data were collected through demographic information form, the organizational commitment questionnaire of Allen and Myer, and the professional moral courage scale by Sekerka and colleagues. The collected data were analyzed using SPSS software (version 21) for descriptive and correlational analyses.Results: The mean scores of moral courage and organizational commitment of operating room nurses were 62.5±6.5 and 101.86±13.7, respectively. Moreover, moral courage did not have a statistically significant relationship with organizational commitment (P>0.05). The moral courage and organizational commitment of the participants differed significantly in terms of their type of employment (P<0.05) and age (P<0.05), respectively.Conclusion: Given the high mean score of moral courage and organizational commitment in operating room nurses, it can be said that nurses tend to show moral behaviors. On the other hand, the low score of the endurance of threat indicates that operating room nurses do not receive the necessary support from the organization for their courageous behavior. Therefore, the support of senior managers is essential for the occurrence of such behaviors.


2018 ◽  
Vol 3 (3) ◽  
pp. 440
Author(s):  
Sri Handayani ◽  
Puteri Fannya ◽  
Putri Nazofah

<p><em>Based on data from the Indonesia Ministry of Health in 2015, In Indonesia, new professional nurses were just 2% of the total nurses. This figure was much lower than the Philippines which has reached 40% with bachelor and master level as their education. The purpose of this study was to determine the relationship between age, and leadership with the performance of health personnel</em><em>. </em><em>The design of this research was analytical research with Cross Sectional Study. The population in this study was all nurses and doctors who served in the internal room, children, surgery and midwifery</em><em>. </em><em>Sampling using total sampling</em><em> </em><em>by questionnaires. The data was processed by univariate and bivariate analysis using Chi-square test</em><em>. </em><em>The result showed that 57,8% nurses had poor performance, 56,3% doctors had poor performance, 64,4% nurses had average age 26-35 years, 56,2% doctors had average age  36-45 years, 64.4% nurses have poor leadership, </em><em>and </em><em>50.0% of doctors have less good leadership</em><em>.</em><em> There is a relationship between age</em><em> and </em><em>leadership with the performance of health personnel.</em><em></em></p><p><strong><em> </em></strong></p><p>Berdasarkan data kemenkes RI tahun 2015 jumlah tenaga kesehatan terbanyak yaitu perawat sebanyak 147.264 orang (45,65%). Di Indonesia, perawat profesional baru mencapai 2% dari total perawat yang ada. Angka ini jauh lebih rendah dibandingkan dengan Filipina yang sudah mencapai 40% dengan pendidikan strata satu dan dua. Tujuan penelitian ini untuk mengetahui hubungan antara umur, kepemimpinan dengan kinerja tenaga kesehatan. Jenis penelitian yang digunakan adalah desain penelitian analitik dengan Cross Sectional Study. Populasi pada penelitian ini adalah semua perawat dan dokter. Pengambilan sampel dengan menggunakan Total Sampling. Pengambilan data menggunakan kuesioner. Data diolah dengan analisis univariat menggunakan statistik deskriptif dan analisis bivariat menggunakan uji Chi-square. Hasil penelitian didapatkan 57,8% perawat memiliki kinerja kurang baik, 56,3% dokter memiliki kinerja kurang baik, 64,4% perawat memiliki umur rata-rata 26-35 tahun 64,4%, 56,2% dokter memiliki umur rata-rata 36-45 tahun, 64,4% perawat memiliki kepemimpinan kurang baik, 50,0% dokter memiliki kepemimpinan kurang baik. Terdapat hubungan antara umur dan kepemimpinan dengan kinerja tenaga kesehatan.</p>


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