Enhancing Interprofessional Collaboration in Perioperative Setting from the Qualitative Perspectives of Physicians and Nurses

Communication failures were a leading cause of sentinel events in the operation room due to frequently the communication breakdown occurs between physicians and nurses. This study explored the perspectives of surgical teams (nurses, physicians, and anaesthesiologists) on interprofessional collaboration and improvement strategies. A surgical team comprising eight perioperative nurses, four surgeons, and four anaesthesiologists from a university-affiliated hospital participated in this qualitative and phenomenological research from December 2018 to April 2019. Data were collected in in-depth interviews and were used in a thematic analysis according to Colaizzi to extract themes and categorised codes with the ATLAS.ti software. The result is presented in three generic categories: Barrier-like disruptive behaviours and lack of coordination of care; consequences by safety threats to the patient; overcoming barriers by shared decision making among professionals, flattened hierarchies, and teamwork/communication training. The conclusion is that different teams’ perspectives can facilitate genuine reflection, discussion, and implementation of targeted interventions to improve operating room interprofessional collaboration and overcome barriers and their consequences. Currently, there is a need to change towards interprofessional collaboration for optimal patient outcomes and to ensure all professionals’ expectations are met.

Implementation of an Electric Motor for Light River Transportation Units

The fluvial transport is the way that allows the development of the communities in post of improve the communication, but its use with combustion engines causes an environmental impact and damage to the ecosystem by emitions, noise pollution or oil spill. In fact, to finding other alternatives to improve operating conditions and reduce environmental impact, the application of electric motors being a new alternative for river transport. In this design, two direct current motors will applied, such as the propulsion of an environmentally friendly light boat coupled with a set of energy accumulators that supply the propulsion system. The applied motors and the type of battery used indicate in the design characteristics. This analysis shows the results obtained in the simulations and designs of the boat in relation to the resistance generated by the displacement in the water and the aerodynamic flow conditions. Keywords: river propulsion, electric. Resumen El transporte en lugares fluviales es un medio importante que permite el desarrollo de las poblaciones impulsando la comunicación entre comunidades, pero su uso con motores de combustión interna provoca un impacto ambiental y daños al ecosistema por emisiones, contaminación acústica o derrame de derivados del petróleo. Esto conlleva a encontrar otras alternativas para mejorar las condiciones de operación y reducir el impacto ambiental siendo la aplicación de motores eléctricos una nueva alternativa para el transporte fluvial. En este diseño aplica dos motores de corriente continua como propulsión de una embarcación ligera amigable con el medio ambiente acoplado con un conjunto de acumuladores de energía que abastecen al sistema de propulsión. Se indica además en las características de diseño los motores aplicados y del tipo de batería usada. En este análisis se muestran los resultados obtenidos en las simulaciones y diseños de la embarcación en relación a la resistencia generada por el desplazamiento en el agua y además las condiciones del flujo aerodinámico. Palabras clave: propulsión fluvial, motor eléctrico, embarcación.