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Enhancing patient safety in the operating theatre: from the perspective of experienced operating theatre nurses

机译:提高操作剧院的患者安全:从经验丰富的操作剧院护士的角度来看

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The study's rationale Surgical care is an extensive component of modern health care, but patient safety issues and complications of surgery have been identified as a major cause of death and disability. Objective The aim of this study was to identify, from the perspective of experienced operating theatre nurses ( OTN s), how patient safety in the operating theatre ( OT ) can be enhanced. Research methodology and methods In this phenomenological study, 14 individual interviews were conducted with a purposive sample of 11 participants: ten women and one man. Work experience as an OTN spanned 10–40?years. Mean experience was 16?years. Results The enhancement of patient safety in the OT from the perspective of the experienced OTN s is a constant endeavour of managing risks and preventing patient harm it involves respecting the vulnerability of the patient in the OT by being attentive to the patient at each moment, making contact with the patient and recognising how the patient loses all control by being anaesthetised or sedated and is, therefore totally dependent on OT staff. It also involves the OTN navigating the patient as safely as possible through the perioperative process by careful preparation, the use of protocols and checklists and taking measures to prevent complications and harm. Moreover, it involves contributing to a culture of safety by improving work conditions in the OT . Certain competencies of the OTN are essential for the enhancement of patient safety in the OT . These involve both nontechnical and technical competencies. Conclusions Constantly managing risk and preventing the OT patient from harm is essential according to the experienced OTN s, who are in a key position to identify threats to patient safety and should be empowered to enhance patient safety as a constant endeavour.
机译:该研究的理由外科护理是现代医疗保健的广泛成分,但患者安全问题和手术并发症已被确定为死亡和残疾的主要原因。客观本研究的目的是从经验丰富的操作剧院护士(OTN S)的角度来识别,可以提高操作剧院(OT)中的耐心安全性。在这种现象学研究中的研究方法和方法,通过11名参与者的目的样本进行了14项个别访谈:十名妇女和一个人。作为OTN的工作经验跨越10-40?年。平均经验是16?年。结果从经验丰富的OTN S的角度提高了患者安全性的患者安全是管理风险的不断努力,并防止患者伤害它涉及通过在每一刻注意到患者的患者尊重患者的脆弱性与患者接触并识别患者如何通过麻醉或镇静而丢失所有控制,因此完全依赖于OT人员。它还涉及通过仔细制备,使用协议和清单以及采取措施来防止并发症和伤害,尽可能通过围手术期地在围手术过程中尽可能安全地在围手术过程中安全地导航患者。此外,它涉及通过改善OT中的工作条件来促进安全文化。 OTN的某些能力对于在OT中提高患者安全性至关重要。这些涉及非技术和技术能力。结论根据经验丰富的OTN S,不断管理危险和预防患者的危险是必不可少的,他们处于关键位置,以确定对患者安全的威胁,并应赋予患者安全作为不断的努力。

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