DOI QR코드

DOI QR Code

Operating Room Nurses' Experiences of Securing for Patient Safety

수술실 간호사의 환자안전 확보 경험

  • Park, Kwang-Ok (College of Life Science and Natural Resources Department of Nursing, Sunchon National University) ;
  • Kim, Jong Kyung (Department of Nursing, Dankook University) ;
  • Kim, Myoung-Sook (Department of Nursing, Asan Medical Center)
  • Received : 2014.11.13
  • Accepted : 2015.07.07
  • Published : 2015.10.31

Abstract

Purpose: This study was done to evaluate the experience of securing patient safety in hospital operating rooms. Methods: Experiential data were collected from 15 operating room nurses through in-depth interviews. The main question was "Could you describe your experience with patient safety in the operating room?". Qualitative data from the field and transcribed notes were analyzed using Strauss and Corbin's grounded theory methodology. Results: The core category of experience with patient safety in the operating room was 'trying to maintain principles of patient safety during high-risk surgical procedures'. The participants used two interactional strategies: 'attempt continuous improvement', 'immersion in operation with sharing issues of patient safety'. Conclusion: The results indicate that the important factors for ensuring the safety of patients in the operating room are manpower, education, and a system for patient safety. Successful and safe surgery requires communication, teamwork and recognition of the importance of patient safety by the surgical team.

Keywords

References

  1. Korea Institute for Healthcare Accreditation. Accreditation program for healthcare organizations[Internet]. 2013[cited 2014 November 5]. Available from:https://www.koiha.or.kr/english/index.act?page=AP.
  2. National Patient Safety Agency. Patient safety report[internet]. 2003[cited 2015 March 20]. Available from: http://www.nrls.npsa.nhs.uk/report-a-patient-safety-incident/
  3. Kirk S, Parker D, Claridge T, Esmail A, Marshall M. Patient safety culture in primary care: developing a theoretical framework for practical use. Quality and Safety in Health Care. 2007;16(4):313-320. http://dx.doi.org/10.1136/qshc.2006.018366
  4. Kizer KW. The new VA: a national laboratory for health care quality management. American Journal of Medical Quality. 1999; 14(1):3-20. http://dx.doi.org/10.1177/106286069901400103
  5. Poore SO, Sillah NM, Mahajan AY, Gutowski KA. Patient safety in the operating room: I. Preoperative. Plastic and Reconstructive Surgery. 2012;130(5):1038-1047. http://dx.doi.org/10.1097/PRS.0b013e31826945d6
  6. Steelman VM, Graling PR, Perkhounkova Y. Priority patient safety issues identified by perioperative nurses. AORN Journal. 2013;97(4):402-418. http://dx.doi.org/10.1016/j.aorn.2012.06.016
  7. Gurses AP, Kim G, Martinez EA, Marsteller J, Bauer L, Lubomski LH et al. Identifying and categorising patient safety hazards in cardiovascular operating rooms using an interdisciplinary approach: a multisite study. BMJ Quality & Safety. 2012;21(10):810-818. http://dx.doi.org/10.1136/bmjqs-2011-000625
  8. Kwon SB, Cho KS, Park YS, Kim DO, Yi YJ, Lee EH. An analysis of nursing work of operating room nurses, Journal of Academy of Nursing Administration. 2008;14(1):72-84.
  9. Gibbs VC. Patient safety practices in the operating room: correctsite surgery and nothing left behind. Surgical Clinics of North America. 2005;85(6):1307-1319. http://dx.doi.org/10.1016/j.suc.2005.09.007
  10. Jang HY. Analysis of core nursing interventions according to the importance and the performance perceived by operating room nurses[master's thesis]. Seoul: Seoul National University; 2007. p.1-63.
  11. Kim GH, Cho BJ. Identification of nursing interventions in the operating room using the Perioperative Nursing Data Set (PNDS). Journal of Academy of Fundamental Nursing. 2003;10(3):361-370.
  12. Kim SK. Lee HJ, Oh EG. Perceived level and associated factors of patient safety culture among health care providers in an operating room. Journal of Korean Clinical Nursing Research. 2010;16(2):57-67.
  13. Lee YA. Study on worker's perception of patient safety culture in a general hospital[master's thesis]. Seoul:Yonsei University; 2009. p.1-83.
  14. Strauss A, Corbin JM. Basics of qualitative research: grounded theory procedures and techniques. Thousand Oaks, CA:Sage Publications; 1990.
  15. Patton MQ. Qualitative evaluation and research methods. 2nd. ed. Thousand Oaks, CA:SAGE Publications; 1990.
  16. Guba EG, Lincoln. YS. Effective evaluation: improving the usefulness of evaluation results through responsive and naturalistic approaches. San Francisco, CA:Jossey-Bass; 1981.
  17. Sandelowski M. The problem of rigor in qualitative research. Advances in Nursing Science.1986;8(3):27-37. http://dx.doi.org/10.1097/00012272-198604000-00005
  18. Kim MR. Concept analysis of patient safety. Journal of Korean Academy of Nursing. 2011;41(1):1-8. http://dx.doi.org/10.4040/jkan.2011.41.1.1
  19. Lee KH, Lee YS, Park HK, Rhu JO, Byun IS. The influences of the awareness of patient safety culture on safety care activities among operating room nurses. Journal of Korean Clinical Nursing Research. 2011;17(2):204-214.
  20. Kim SJ. Relationship between operation nurses' perception on the patient safety culture and their safety care activities[master's thesis]. Pusan:Inje University; 2012. p.1-46.
  21. Alfredsdottir H, Bjornsdottir K. Nursing and patient safety in the operating room. Journal of Advanced Nursing. 2008;61(1):29-37. http://dx.doi.org/10.1111/j.1365-2648.2007.04462.x
  22. Lingard L, Espin S, Whyte S, Regehr G, Baker GR, Reznick R, et al. Communication failures in the operating room: an observational classification of recurrent types and effects. Quality and Safety in Health Care. 2004;13(5):330-334. http://dx.doi.org/10.1136/qshc.2003.008425
  23. Manser T. Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. Acta Anaesthesiologica Scandinavica. 2009;53(2):143-151. http://dx.doi.org/10.1111/j.1399-6576.2008.01717.x
  24. Makary MA, Sexton JB, Freischlag JA, Holzmueller CG, Millman EA, Rowen L, et al. Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder. Journal of the American College of Surgeons.2006;202(5):746-752. http://dx.doi.org/10.1016/j.jamcollsurg.2006.01.017
  25. Kaafarani HM, Itani KM, Rosen AK, Zhao S, Hartmann CW, Gaba DM. How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest of the hospital? The American Journal of Surgery. 2009;198(1):70-75. http://dx.doi.org/10.1016/j.amjsurg.2008.09.017
  26. Davenport DL, Henderson WG, Mosca CL, Khuri SF, Mentzer RM. Risk-adjusted morbidity in teaching hospitals correlates with reported levels of communication and collaboration on surgical teams but not with scale measures of teamwork climate, safety climate, or working conditions. Journal of the American College of Surgeons. 2007;205(6):778-784. http://dx.doi.org/10.1016/j.jamcollsurg.2007.07.039
  27. Catchpole K, Mishra A, Handa A, McCulloch P. Teamwork and error in the operating room: analysis of skills and roles. Annals of Surgery. 2008;247(4):699-706. http://dx.doi.org/10.1097/SLA.0b013e3181642ec8
  28. Colla JB, Bracken AC, Kinney LM, Weeks WB. Measuring patient safety climate: a review of surveys. Quality and Safety in Health Care. 2005;14(5):364-366. http://dx.doi.org/10.1136/qshc.2005.014217
  29. OECD/Korea Policy Center. Health-care reform in Korea.[Internet]. 2010[cited 2014 November 5]. Available from: http://www.oecd.org/economy/growth/46034907.pdf
  30. Hwang JI, Ahn JH. Teamwork and clinical error reporting among nurses in Korean hospitals. Asian Nursing Research. 2015;9(1):14-20. http://dx.doi.org/10.1016/j.anr.2014.09.002

Cited by

  1. 수술실 간호오류 예방을 위한 사례중심 멀티미디어 학습콘텐츠 개발 vol.16, pp.10, 2015, https://doi.org/10.5392/jkca.2016.16.10.522
  2. 수술실 간호사의 안전분위기와 피로 수준이 안전이행에 미치는 영향 vol.22, pp.5, 2016, https://doi.org/10.11111/jkana.2016.22.5.471
  3. Effect of Nurses' Perception of Patient Safety Culture on Reporting of Patient Safety Events vol.24, pp.4, 2018, https://doi.org/10.11111/jkana.2018.24.4.319
  4. 간호사의 사건보고와 안전분위기 인지에 대한 융합연구 vol.9, pp.4, 2015, https://doi.org/10.15207/jkcs.2018.9.4.443
  5. 수술실 간호사의 환자안전역량과 팀워크 인식이 환자안전관리활동에 미치는 영향 vol.16, pp.6, 2018, https://doi.org/10.14400/jdc.2018.16.6.271
  6. Experience of Communication for Patient Safety by Perioperative Nurses vol.25, pp.4, 2019, https://doi.org/10.11111/jkana.2019.25.4.329
  7. 수술실 간호사의 간호과오경험 후 대처가 업무 스트레스에 미치는 영향 vol.29, pp.1, 2015, https://doi.org/10.5807/kjohn.2020.29.1.78
  8. 수술실간호사와 병동간호사의 감염관련특성과 환자안전문화가 혈행성 감염예방 인식에 미치는 영향 vol.23, pp.1, 2015, https://doi.org/10.7586/jkbns.2021.23.1.43