2.50
Hdl Handle:
http://hdl.handle.net/2336/16532
Title:
Nursing and patient safety in the operating room
Authors:
Alfredsdottir, Herdis; Bjornsdottir, Kristin
Citation:
J Adv Nurs. 2008, 61(1):29-37
Issue Date:
1-Jan-2008
Abstract:
AIM: This paper is a report of a study to identify what operating room nurses believe influences patient safety and how they see their role in enhancing patient safety. BACKGROUND: Research in health care shows that work experience, communication and the organization of work are key factors in patient safety. This study draws on Reason's definitions of active and latent errors to conceptualize the complex issues that affect patient safety in the operating room. METHOD: The study reported here is part of an action research project at a university hospital in Iceland. Semi-structured interviews were conducted in 2004 with eight nurses, followed by two focus groups of four nurses each in 2005. Data were analysed using interpretive content analysis. FINDINGS: Securing patient safety and preventing mistakes were described as key elements in operating room nursing by all survey participants. In the interviews, the nurses identified the existing culture of prevention and protection that characterizes operating room nursing as crucial in enhancing safety. The organization of work into specialty teams was considered essential. Increased speed of work in an environment where enhanced productivity is imperative, as well as imbalance in staffing, was identified as the main threats to safety. CONCLUSION: Operating room nurses have a common understanding of the core of their work, which is to ensure patient safety during operations. The work environment is increasingly characterized by latent error, i.e. system-based threats to patient safety that can materialize at any time. Interventions to enhance patient safety in operating room nursing are needed.
Description:
To access publisher full text version of this article. Please click on the hyperlink in Additional Links field
Additional Links:
http://www.blackwell-synergy.com/doi/abs/10.1111/j.1365-2648.2007.04462.x

Full metadata record

DC FieldValue Language
dc.contributor.authorAlfredsdottir, Herdis-
dc.contributor.authorBjornsdottir, Kristin-
dc.date.accessioned2008-01-21T10:28:23Z-
dc.date.available2008-01-21T10:28:23Z-
dc.date.issued2008-01-01-
dc.date.submitted2008-01-21-
dc.identifier.citationJ Adv Nurs. 2008, 61(1):29-37en
dc.identifier.issn0309-2402-
dc.identifier.pmid18173734-
dc.identifier.doi10.1111/j.1365-2648.2007.04462.x-
dc.identifier.urihttp://hdl.handle.net/2336/16532-
dc.descriptionTo access publisher full text version of this article. Please click on the hyperlink in Additional Links fielden
dc.description.abstractAIM: This paper is a report of a study to identify what operating room nurses believe influences patient safety and how they see their role in enhancing patient safety. BACKGROUND: Research in health care shows that work experience, communication and the organization of work are key factors in patient safety. This study draws on Reason's definitions of active and latent errors to conceptualize the complex issues that affect patient safety in the operating room. METHOD: The study reported here is part of an action research project at a university hospital in Iceland. Semi-structured interviews were conducted in 2004 with eight nurses, followed by two focus groups of four nurses each in 2005. Data were analysed using interpretive content analysis. FINDINGS: Securing patient safety and preventing mistakes were described as key elements in operating room nursing by all survey participants. In the interviews, the nurses identified the existing culture of prevention and protection that characterizes operating room nursing as crucial in enhancing safety. The organization of work into specialty teams was considered essential. Increased speed of work in an environment where enhanced productivity is imperative, as well as imbalance in staffing, was identified as the main threats to safety. CONCLUSION: Operating room nurses have a common understanding of the core of their work, which is to ensure patient safety during operations. The work environment is increasingly characterized by latent error, i.e. system-based threats to patient safety that can materialize at any time. Interventions to enhance patient safety in operating room nursing are needed.en
dc.language.isoenen
dc.publisherBlackwell Scientific Publicationsen
dc.relation.urlhttp://www.blackwell-synergy.com/doi/abs/10.1111/j.1365-2648.2007.04462.xen
dc.subject.meshOperating Room Nursingen
dc.subject.meshMedical Errorsen
dc.subject.meshNursing Staff, Hospitalen
dc.titleNursing and patient safety in the operating roomen
dc.typeArticleen
dc.identifier.journalJournal of advanced nursingen

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