Investigation of related factors of operating room nurses' attitudes and awareness towards surgery-related pressure injury prevention in Turkey, Croatia, and Italy.

OBJECTIVE: The aim of this study is to examine related factors of operating room nurses' attitudes and awareness towards surgery-related pressure injury prevention in Turkey, Croatia, and Italy. METHODS: A descriptive and cross-sectional design was used. The study was conducted between March and September 2023. Data were collected with an online questionnaire created on Google Forms, consisting of a Nurse Information Form, a Surgery-related Pressure Injury Awareness Form, and the Attitude towards Pressure Ulcer Prevention Instrument. RESULTS: The sample of the study consisted of 258 operating room nurses working in Turkey, Croatia, and Italy. It was found that the majority of the participants (70.90 %) did not use a risk scale, had not received education on pressure injury prevention and treatment (58.10 %) but wanted to receive it (86 %). Mean attitude scores of operating room nurses by country were at an adequate level in Turkey (42.48 ± 4.30) but not at the desired level in Croatia (37.48 ± 3.44) and Italy (36.20 ± 4.02). While there was a significant positive relationship between the awareness and attitudes of operating room nurses in Turkey (p = 0.002) and Croatia (p < 0.001), no relationship was found between these variables of nurses in Italy (p = 0.109). A statistically significant difference was found between nurses' consideration of themselves sufficient and their attitudes and awareness in all three countries (p < 0.05). It was also determined that reading articles affected nurses' awareness in all countries. CONCLUSIONS: While operating room nurses' attitudes towards preventing pressure injuries were adequate in Turkey, it was determined that those of the nurses in Croatia and Italy were not at the desired level. Nurses should receive regular training on surgical pressure injuries to increase their awareness and to support them in implementing the recommendations of pressure injury guidelines in accordance with institutional policy.

Relationship Between the Problem-Solving Skills and Empathy Skills of Operating Room Nurses.

BACKGROUND: The use of empathy in problem solving and communication is a focus of nursing practice and is of great significance in raising the quality of patient care. PURPOSE: The purposes of this study are to investigate the relationship between problem solving and empathy among operating room nurses and to explore the factors that relate to these two competencies. METHODS: This is a cross-sectional, descriptive study. Study data were gathered using a personal information form, the Interpersonal Problem Solving Inventory, and the Basic Empathy Scale (N = 80). Descriptive and comparative statistics were employed to evaluate the study data. RESULTS: Age, marital status, and career length were not found to affect the subscale scores of cognitive empathy (p > .05). A negative correlation was found between the subscale scores for "diffidence" and "cognitive empathy." Moreover, the emotional empathy scores of the graduate nurses were higher than those of the master's/doctorate degree nurses to a degree that approached significance (p = .078). Furthermore, emotional empathy levels were found to decrease as the scores for insistent/persistent approach, lack of self-confidence, and educational level increased (p < .05). The descriptive characteristics of the participating nurses were found not to affect their problem-solving skills. CONCLUSIONS/IMPLICATIONS FOR PRACTICE: Problem solving is a focus of nursing practice and of great importance for raising the quality of patient care. Constructive problem-solving skills affect cognitive empathy skills. Educational level and career length were found to relate negatively and level of self-confidence was found to relate positively with level of cognitive empathy. Finally, lower empathy scores were associated with difficult working conditions in operating rooms, intense stress, and high levels of potential stress-driven conflicts between workers in work settings.

Lived experiences of international operating room nurses in organ procurement surgery: A phenomenological study.

International operating room nurses come from different regions of the world with diverse social and cultural backgrounds, religions, personal beliefs, and education. They are likely to form unique attitudes toward multi-organ procurement that potentially might affect their opinions and clinical practices. The aim of this phenomenological study was to explore the lived experiences of international operating room nurses participating in deceased organ procurement procedures in Australia. Semistructured interviews were conducted with 18 international operating room nurses. van Manen's phenomenological data analysis method was adopted to uncover and interpret meanings from these nurses' descriptions. Four essential themes emerged and evolved to signify the meanings of participants' experiences in organ procurement procedures: the surreality of death, personal and professional challenges, becoming stronger, and personal beliefs and wishes. The present study highlights the importance of cultural awareness in dealing with death, organ procurement, and interprofessional collaboration in the multi-cultural perioperative context. It is essential to provide clinical education and support around culture and practice transition for international operating room nurses to increase and maintain their professional confidence, career satisfaction, health, and well-being during organ procurement surgery.

The Elephant in the Room: Nurses' Views of Communication Failure and Recommendations for Improvement in Perioperative Care.

Perioperative communication failures endanger patient safety and may reduce efficiency. The objective of our phenomenological research study was to determine the reasons for and consequences of perioperative communication failures and to seek recommendations for improvement. Fourteen perioperative nurses participated in this study. We conducted in-depth interviews with a semi-structured questionnaire following Colaizzi's seven-step methodology to extract themes. We organized the themes into categories: causes, consequences, and recommendations for preventing communication failure. Some themes for causes were inadequate time for preoperative preparation, lack of personnel, and disruptive behaviors of physicians. Consequences of communication failure were decreased staff retention, avoidance of colleagues, threats to patient safety, and intra-team violence. Two recommendations included enforcing institutional regulations and creating team spirit. The study revealed that nurses believe that institutional regulations should not only be present but enforced. Further, nurses believe that strengthening employees' interpersonal skills is essential to preventing communication issues.

Job satisfaction among anesthetic and intensive care nurses - multicenter, observational study.

BACKGROUND: It is known that job satisfaction has an important impact on efficacy or burnout syndrome of medical personnel. Many studies have concerned job satisfaction among critical care nurses. Not as many have focused on anesthesia nurses working in operating theaters. In Poland, anesthesia and intensive care is a combined specialty for nurses. However, nurses work in an intensive care unit (ICU) or in an operating room (OR), and very rarely in both settings. We would like to compare satisfaction between ICU and OR nurses. METHODS: It was a multicenter cross-sectional study. 406 nurses from thirteen hospitals participated in this study. All respondents filled in the questionnaire that contained fifteen Likert-like questions reflecting different aspects of job satisfaction. Demographic data were also collected. RESULTS: We did not find a significant difference between ICU and OR nurses in the overall job satisfaction. Furthermore, the type of hospital did not significantly influence satisfaction of our study participants. The most important factor which differentiated the level of satisfaction among nurses was the region of Poland in which they worked. Interestingly, nurses who worked in ICUs were significantly younger in comparison to their colleagues from ORs. CONCLUSION: The results of our study suggest that the region of the country in which nurses work might play a very important role in their satisfaction.

Self-reported environmental health risks of nurses working in hospital surgical units.

AIM: This study investigated the occupational health risk factors among nurses who work in public hospital surgical units. BACKGROUND: Nursing has a significant place in healthcare systems around the world. Surgical units are environments with certain risks, especially because of the possibility of exposure to various chemical, biologic or physical hazards. METHODS: This study was conducted with 229 nurses who were working in the 11 surgery units of a big university hospital. In this cross-sectional study, a personal information form and an occupational risk factors scale were administered to respondents. We performed factor and reliability analyses for the scale; the overall reliability of the 41 items was α = 0.924, and the factor analysis found the scale was feasible. RESULTS: Biologic and psychological risk factor levels were found to be high. Physical, chemical, ergonomic and radiation risk factor levels were moderate. The general occupational risk factor score was moderate. Nurses working night duty were confronted with physical and psychological risk factors at a higher rate compared with those working in the daytime. CONCLUSION: Reported occupational health problems by nurses were correlated with the descriptive properties of the nurses including age, sex, marital status, education level, working hours, mode of working and status of occupational health and safety training. IMPLICATIONS FOR NURSING: Nurses experience different occupational risks. If these risks are identified, healthier working environments can be provided to the nurses by taking necessary precautions. IMPLICATIONS FOR SOCIAL POLICY: The health care provided by nurses who work in a healthy environment would be more efficient and of better quality, which will result in better economic and social outcomes for individual and communities.

A pilot study of non-routine events in gynecological surgery: Type, impact, and effect.

OBJECTIVE: Quantifying non-routine events (NREs) assists with identify underlying sociotechnical factors that could lead to adverse events. NREs are considered any event that is unusual or atypical during surgical procedures. This study aimed to use prospective observations to characterize the occurrence of non-routine events in gynecological surgeries. METHODS: Observational data were collected prospectively within one surgical gynecology department over a five month period. Researchers captured NREs in real time using a validated tablet PC-based tool according to the NRE type, impact, whom was affected, and duration. Researchers also noted what surgical approach (i.e. open, laparoscopic, robotic) was used. RESULTS: Across 45 surgical cases, 554 non-routine events (M = 12.31 NREs per case, SD = 9.81) were identified. The majority of non-routine events were external interruptions (40.3%), teamwork (26.7%), or equipment (21.3%). The circulating nurse was most frequently affected by NREs (43.2%) followed by the entire surgical team (13.7%). There was no statistically significant difference in non-routine events based on surgical approach. CONCLUSION: Non-routine events are prevalent in the gynecological surgical setting. Identifying the sociotechnical factors that influence non-routine events are important in determining interventions that will combat the associated risks. Interventions focusing on teamwork, managing external interruptions, and coordinating equipment may have the greatest impact to reduce or eliminate NREs in gynecological surgeries.

Sharps and Needlestick Injuries Among Medical Students, Surgical Residents, Faculty, and Operating Room Staff at a Single Academic Institution.

BACKGROUND: The hospital is a place of high risk for sharps and needlestick injuries (SNI) and such injuries are historically underreported. METHODS: This institutional review board approved study compares the incidence of SNI among all surgical personnel at a single academic institution via an anonymous electronic survey distributed to medical students, surgical residents, general surgery attendings, surgical technicians, and operating room nurses. RESULTS: The overall survey response rate was 37% (195/528). Among all respondents, 55% (107/195) had a history of a SNI in the workplace. The overall report rate following an initial SNI was 64%. Surgical staff reported SNIs more frequently, with an incidence rate ratio (IRR) of 1.33 (p = 0.085) when compared with attendings. When compared with surgical attendings, medical students (IRR of 2.86, p = 0.008) and residents (IRR of 2.21, p = 0.04) were more likely to cite fear as a reason for not reporting SNIs. Approximately 65% of respondents did not report their exposure either because of the time consuming process or the patient involved was perceived to be low-risk or both. CONCLUSIONS: The 2 most common reasons for not reporting SNIs at our institution are because of the inability to complete the time consuming reporting process and fear of embarrassment or punitive response because of admitting an injury. Further research is necessary to mitigate these factors.

The effectiveness of sensory stimulation therapy to strengthen the resilience of operating room nurses.

BACKGROUND: Operating room (OR) nurses need to be resilient in order to cope with extreme demands in their workplace. This research focused on the effectiveness of sensory stimulation therapy (SST) to strengthen the resilience of nurses in the OR of a private hospital in the North West Province. PURPOSE: The purpose was to determine the effectiveness of SST as an intervention to strengthen the resilience of OR nurses. DESIGN: A quasi-experimental design was used. METHOD: The population consisted of OR nurses and ICU nurses at private hospitals in the North West Province. All-inclusive sampling was used. Forty-one OR nurses formed the intervention group. A pilot group (8 subjects, OR nurses), as well as a comparison group (23 subjects, ICU nurses), was also sampled. An intervention, namely SST, was implemented with the intervention group. The resilience of the intervention group, pilot group and comparison group was measured before and after the implementation of the SST by means of Wagnild and Young's resilience questionnaire. The intervention group also completed a self-report questionnaire on their needs and suggestions for SST and wrote short narratives on their experience of SST. Data were analysed using descriptive and inferential statistics, and by thematic coding. RESULTS: Results indicated a significant statistical increase in the intervention group's resilience levels. Results from the narratives confirmed that the intervention group's resilience may have been strengthened through SST. CONCLUSION: SST has potential to strengthen the resilience of OR nurses.

Indicadores de asistencia en un clínica quirúrgica / Indicadores de assistência em uma clínica cirúrgica / Indicators of care in a surgical clinic

Se objetivó caracterizar las hospitalizaciones ocurridas en la Clínica Quirúrgica de un hospital universitario del Centro Oeste de Brasil. Estudio descriptivo, retrospectivo, transversal, realizado a través de los registros en un total de 750 admisiones. La colecta fue de enero a mayo de 2011, con instrumento estructurado y validado. Se realizó análisis estadístico descriptivo. Se encontró que la mayoría de los ingresos fue electiva (82,1%), con duración de la estancia hospitalaria entre dos y ocho días para el 82,2% de los ingresos. Al menos una intervención quirúrgica se registró en 85,9% de las hospitalizaciones y los médicos fueron los profesionales con una mayor participación en la evolución del paciente, mientras que la enfermera presentó registro de evaluación en 19,2% de las hospitalizaciones. Destaca la necesidad de los profesionales de repensar sus acciones a través de la atención de la salud y que las instituciones realicen la sistematización del proceso de evaluación de los indicadores clínicos en busca de la calidad y seguridad del paciente en la práctica clínica (AU)

Este objetivou caracterizar as internações ocorridas na Clínica Cirúrgica de um hospital universitário do Centro Oeste do Brasil. Estudo descritivo, retrospectivo, de delineamento transversal, realizado por meio de prontuários em um total de 750 internações. A coleta foi de janeiro a maio do ano de 2011, com instrumento estruturado e validado. Realizada análise estatística descritiva. Constatou-se que a maioria das admissões foi eletiva (82,1%), com tempo de internação entre dois e oito dias para 82,2% das internações. Pelo menos uma intervenção cirúrgica foi registrada em 85,9% das internações e os médicos foram os profissionais com maior participação na evolução do paciente, enquanto que o enfermeiro apresentou registro de avaliação em 19,2% das internações. Evidencia-se a necessidade dos profissionais repensarem suas ações frente ao cuidado em saúde e que as instituições realizem a sistematização do processo de avaliação dos indicadores da assistência, em busca de qualidade e segurança do paciente na prática clínica (AU)

This study aimed to characterize the hospitalizations occurred in the Surgical Clinic of a university hospital in the Midwest of Brazil. Descriptive, retrospective, cross-sectional study, carried out based on medical records for a total of 750 admissions. Collection of data took place from January to May of 2011 with aid of a structured and validated instrument. Descriptive statistical analyses were carried out. It was found that most admissions were elective (82.1%), with length of stay between two and eight days for 82.2% admissions. At least one surgery was recorded in 85.9% of the hospitalizations and doctors were professionals with high participation in the evolution of the patient, while the nurse presented evaluation record in 19.2% of the admissions. This highlights the need for professionals to rethink their actions in the health care and for the institutions to perform the systematization of the process of evaluation of clinical indicators, searching for quality and safety of the patient in the clinical practice (AU)

Determinação dos fatores da suspensão de cirurgia e suas contribuições para assistência de enfermagem / Determinación de los factores de las suspensiones quirúgicas y suscontribuciones a la asistencia de enfermería / Determination of surgery suspension factors and their constributions with nursing assistance

Determine the profile of the patients undergone surgical procedures; identify the main surgeries in a health unit; analyse the determinant factors of surgical suspensions. Methods: quantitative approach, descriptive and exploratory. The data collection happened in an archive of a hospital on the State of Rio deJaneiro. Results: from the 260 researched charts, 55 were suspensions (21,2%). There is a tendency that most of the suspensions were from patients above 40 years old. The most common procedures were herniation scorrections (33,8%), prostatectomies (30%), cholelithiasis (26,8%), varices correction (26,1%) and those related to various tumorgenicity (25%). Conclusion: the most found reasons to justify the suspensions were: lack of anestesia (18,2%) and hyperthensive crisis (12,7%); were also found an high index of non declared reasons on the charts (34,5%)...

Determinar o perfil dos pacientes submetidos a procedimentos cirúrgicos; identificar as principais cirurgias realizadas em uma unidade de saúde; analisar os fatores determinantes de suspensões cirúrgicas. Métodos: abordagem quantitativa, descritiva e exploratória. A coleta dedados foi realizada no arquivo de um hospital situado no Estado do Rio de Janeiro. Resultados: dos 260 prontuários pesquisados, observou-se um total de 55 suspensões (21,2%). Notou-se uma tendência de suspensões ocorrerem mais frequentemente em pacientes acima dos 40 anos de idade. Os procedimentos mais comuns foram correções de herniações (33,8%), prostatectomias (30%), colelitíases (26,8%), correção de varizes (26,1%) e aquelas relacionadas à tumorações variadas (25%). Conclusão: os motivos mais encontrados para a justificativa das suspensões foram: falta de anestesista (18,2%) e crises hipertensivas (12,7%); encontrou-se, também, um elevado índice de motivos não declarados em prontuário (34,5%)...

Determinar el perfil de los pacientes sometidos a procedimientos quirúgicos; identificar las principales cirugías en una unidad de salud; analisar los factores determinantes de las suspensiones quirúgicas. Métodos: abordaje cuantitativa, descriptiva y exploratória. La coleta de los dados ocurrió en el arquivo de um hospital localizado en la estado Río de Janeiro. Resultados: de los 260 prontuários pesquisados, tuve 55 suspensiones (21,2%). Fue visualizada una tendencia en las suspensiones, en su mayoría fueron de pacientes con más de 40 años de edad. La mayoría de los procedimientos fueron correcciones de las herniaciones (33,8%), prostatectomías (30%), colelitiasis (26,8%), corrección de varices (26,1%)y las relacionadas a tumoraciones variadas (25%). Conclusión: las raziones más encontradas para justificar las suspensiones fueron: falta de la anestesia (18,2%) y crises hipertensivas (12,7%); fueron encontradas también un elevado índice de motivos no declarados en los prontuários (34,5%)...

Prevalence and risk factors of needlestick injuries, sharps injuries, and blood and body fluid exposures among operating room nurses in Thailand.

BACKGROUND: Operating room nurses are at high risk for occupational exposure to bloodborne pathogens. This study examined the prevalence of and risk factors for needlestick injuries (NSIs), sharps injuries (SIs), and blood and body fluid exposures (BBFEs) among operating room nurses in Thai hospitals. METHODS: A cross-sectional study was performed in 247 Thai hospitals. Questionnaires eliciting demographic data and information on injury occurrence and risk factors were distributed to 2500 operating room nurses, and 2031 usable questionnaires were returned, for a response rate of 81.2%. Adjusted odds ratios (ORs) and 95% confidence intervals (CIs) were calculated using multiple logistic regression analysis. RESULTS: The prevalence of NSIs, SIs, and BBFEs was 23.7%, 9.8%, and 40.0%, respectively. Risk factors for NSIs were training without practice (OR, 1.67; 95% CI, 1.29-2.17), haste (OR, 4.81; 95% CI, 3.41-6.79), lack of awareness (OR, 1.36; 95% CI, 1.04-1.77), inadequate staffing (OR, 1.60; 95% CI, 1.21-2.11), and outdated guidelines (OR, 1.69; 95% CI, 1.04-2.74). One risk factor was identified for SIs: haste (OR, 2.43; 95% CI, 1.57-3.76). Risk factors for BBFEs were long working hours per week (OR, 2.07; 95% CI, 1.06-4.04), training without practice (OR, 1.55; 95% CI, 1.25-1.91), haste (OR, 1.66; 95% CI, 1.30-2.13), lack of awareness (OR, 1.54; 95% CI, 1.22-1.95), not wearing protective equipment (OR, 1.61; 95% CI, 1.26-2.06), and inadequate staffing (OR, 1.63; 95% CI, 1.26-2.11). CONCLUSION: This study highlights the high prevalence of NSIs, SIs, and BBFEs among Thai operating room nurses. Preventable risk factors were identified. Appropriate guidelines, adequate staffing, proper training, and self-awareness may reduce these occurrences.

Produção científica da enfermagem de centro cirúrgico de 2003 a 2013 / Scientific Production in Perioperative Nursing from 2003 to 2013

Identificar a produção da enfermagem de Centro Cirúrgico em português. Método: Revisão integrativa da literatura dos estudos primários indexados na base de dados Lilacs, no idioma português, utilizando o descritor ?enfermagem em Centro Cirúrgico?, publicados entre 2003 a2013, utilizando um instrumento disponível na literatura, avaliação crítica dos estudos primários incluídos, análise e síntese descritiva dos resultados da revisão. Resultados: A amostra foi constituída de 47 artigos, divididos nas categorias: assistência e segurança ao paciente (n=14), educação (n=10), gestão e administração (n=10), saúde do trabalhador (n=5), campos de atuação para o enfermeiro (n=4), comunicação e ética (n=3) e assistência aos familiares (n=1). Conclusão: As principais temáticas estudadas foram a assistência e segurança do paciente adulto, o papel de gerência e assistência do enfermeiro, o ensino da disciplina cirúrgica na graduação e os fatores que afetam a saúde da equipe de Centro Cirúrgico...

Accidentes biológicos de enfermería en quirófano con material inciso-punzante / No disponible

Los accidentes de trabajo por exposición a agentes biológicos son los más frecuentes en el ámbito sanitario. El objetivo del presente trabajo es estudiar la incidencia de los accidentes biológicos con material inciso-punzante en enfermería en el Servicio de Quirófano del Hospital Universitario Miguel Servet (HUMS). Para ello se han utilizado los datos proporcionados por el hospital procedentes de la aplicación del protocolo EPINETAC. Se ha realizado un estudio descriptivo longitudinal retrospectivo de los accidentes notificados entre 2011-2012 en el HUMS, incluyendo información sobre la categoría profesional, lugar de ocurrencia, tipo de accidente y material implicado, y se ha comparado con los datos reportados en diversos estudios españoles y estadounidenses. La tasa anual de accidentes en enfermeras en el HUMS es de 4,9 accidentes por cada 100 enfermeras, mientras que para el personal médico es de 5,1 accidentes por cada 100 empleados, siendo las tasas del 3% y del 0,5% respectivamente para auxiliares de enfermería y celadores. Las enfermeras ocupan el primer lugar en número de accidentes con un 41,3% en el HUMS, y el segundo lugar de ocurrencia más frecuente es el quirófano con un 32,1%, siendo el primer lugar la planta con un 34,9%. Con respecto al material implicado en el servicio de quirófano son las agujas de sutura las que ocupan el primer lugar con un 34,5%, seguidas de los bisturíes con un 27,6% y las agujas intravenosas en tercer lugar con un 6,9%. Mientras que en el conjunto del hospital son las agujas intravenosas con un 26,4% las que ocupan el primer lugar, seguidas de las agujas de sutura, 20,8%, las segundas más frecuentes. Tras todo lo expuesto anteriormente se constata que la exposición accidental más frecuente en el servicio de quirófano es la que se produce en enfermeras, por vía percutánea y con agujas de sutura

Work accidents by exposure to biological agents are the most common in healthcare. The aim of this work is to study the incidence of biological accidents with neddlestick clause in nursing, in the Operating Room of the Miguel Servet Hospital. To do this we used the data provided by the Hospital from the application of EPINETAC protocol. We performed a retrospective longitudinal study of reported between 2011-2012 in the HUMS accidents, including information of the professional level, place of the accident, type of accident and material involved and compared with data reported in varius Spanish and American studies. The annual accident rate in nurses in the HUMS is 4.9 accidents per 100 nurses, whereas for medical staff is 5.1 accidents per 100 employers, with rates of 3% and 0.5% respectively for nursing assistants and orderlies. Nurses hold first rank in number of accidents with 41.3% in the HUMS and the second most frequent case is surgery 32.1% and the first one hospitalization with 34.9%. Regarding the material involved in the operating room service are suture needles which ranked first place with 34.5%, followed by scalpels with 27.6% and a third place intravenous needles with 6.9%. While in the whole hospital intravenous needles are 26.4% which ranks first place followed by suture needles 20.8%, the second most frequent. After all, it is found that the most common accidental exposure in the operating room service is produced in nurses, by percutaneus way and suture needles

Nursing shortages in the OR: solutions for new models of education.

The professional literature predicts worldwide perioperative nursing shortages. Compounding this is the absence of perioperative curricula in most nursing programs, which reduces new graduate interest in and awareness of employment opportunities in the OR environment. Educators at a university and a large hospital system formed an innovative partnership to create a pilot undergraduate nursing course to better prepare nurses for the surgical setting. The course was offered in a condensed-semester format and included online activities, simulation experiences, classroom discussions, and clinical experiences in a small group setting. Two of the four nursing students in the course were hired directly into the perioperative setting after graduation, decreasing hospital costs related to recruitment and orientation. The success of the course led to its integration into the undergraduate curriculum, thus providing a valuable elective option for junior and senior nursing students, as well as achieving a new model for perioperative nursing education.

Personalidade resistente nas equipes médica e de enfermagem em centro cirúrgico / Hardy personality in medical and nursing staffs in the operating room

Objetivo: Identificar a presença da personalidade resistente ao estresse em profissionais da saúde que atuam em centro cirúrgico. Método: Estudo descritivo, transversal, com abordagem quantitativa, realizado com 58 profissionais, entre janeiro a fevereiro de 2013, empregando um questionário fechado para caracterização biossocial e a Hardiness Scale. Resultados: A maioria (88%) dos participantes obteve altas médias nas dimensões compromisso e controle e destes, sete (12%) apresentaram a personalidade resistente com altas pontuações nas três dimensões. Em sua maioria, eram mulheres (71,4%), técnicas de enfermagem (57,1%), casadas (83,3%), com 11 a 15 anos de profissão (42,9%) e circulantes de sala (57,1%), além de possuírem múltiplo vínculo empregatício (57,1%). Conclusão: verificou-se o pequeno percentual de profissionais que possuem características de personalidade resistente, porém constatou-se que a maioria está com baixas pontuações na dimensão controle, portanto há uma necessidade de empoderamento destes profissionais em suas respectivas áreas de atuação...

[Time for cleaning and room preparation: connection between surgery size and professional perspectives]. / Tempo de limpeza e preparo de sala: relação com o porte cirúrgico e perspectivas profissionais.

The objective was to verify the association between time needed for room cleaning (TLPS) and the surgery size, and related advantages and difficulties faced by the circulator of the room asszgned to this task. A mixed method, with a transverse quantitative, retrospective approach, using a sample of 3095 surgeries performed,from January to June 2011, and a qualitative approach using a Thematic Content Analysis of statements from 11 circulators, was used. The average TLPS was smaller in size 1 surgeries, increasing in sizes 2, 3 and 4, with a significant difference. Advantages reported included organization and size of staff and difficulties reported related to sharp, bladed materials mixed with surgical instruments and a reduced number of cleaning professionals. The larger the size, the higher the TLPS. Surgical teams operating in the Surgical Center interfere directly in the process, facilitating or hindering the achievement of institutional goals related to quality and productivity.

Time for cleaning and room preparation: connection between surgery size and professional perspectives / Tiempo de limpieza y preparación de quirófano: relación con el porte quirúrgico, facilidades y dificultades / Tempo de limpeza e preparo de sala: relação com o porte cirúrgico e perspectivas profissionais

The objective was to verify the association between time needed for room cleaning (TLPS) and the surgery size, and related advantages and difficulties faced by the circulator of the room assigned to this task. A mixed method, with a transverse quantitative, retrospective approach, using a sample of 3095 surgeries performed, from January to June 2011, and a qualitative approach using a Thematic Content Analysis of statements from 11 circulators, was used. The average TLPS was smaller in size 1 surgeries, increasing in sizes 2, 3 and 4, with a significant difference. Advantages reported included organization and size of staff, and difficulties reported related to sharp, bladed materials mixed with surgical instruments and a reduced number of cleaning professionals. The larger the size, the higher the TLPS. Surgical teams operating in the Surgical Center interfere directly in the process, facilitating or hindering the achievement of institutional goals related to quality and productivity.

El objetivo de comprobar la asociación entre el tiempo de limpieza y preparación de la sala quirúrgica (TLPS) con el porte quirúrgico y relacionar con las ventajas y dificultades asignadas a esta tarea por los circulantes de la sala. Método mezclado con enfoque cuantitativo transversal, retrospectivo, con muestra de 3095 cirugías realizadas de enero a junio de 2011 y; enfoque cualitativo de Análisis de Contenido Temático sobre el discurso de 11 circulantes. El promedio del TLPS fue menor en las cirugías de porte 1 aumentando en portes de 2, 3 y 4, con diferencia significativa. Las facilidades divulgadas fueron sobre organización y dimensionamiento de personal, y las dificultades en materiales afilados mezclados con instrumentos quirúrgicos y número reducido de profesionales de la limpieza. Cuanto mayor sea el porte más grande el TLPS. Los equipos quirúrgicos que operan en el Centro de Cirugía interfieren directamente en el proceso, facilitando o dificultando el logro de objetivos institucionales de calidad y productividad.

Objetivou-se verificar a associação entre tempo de limpeza e preparo de sala cirúrgica (TLPS) com o porte cirúrgico, bem como relacionar facilidades e dificuldades atribuídas a essa tarefa pelos circulantes de sala. Método misto com abordagem quantitativa transversal, retrospectiva, com amostra de 3095 cirurgias realizadas de janeiro a junho de 2011, e abordagem qualitativa pela Análise de Conteúdo Temática acerca do discurso de 11 circulantes. A média do TLPS foi menor nas cirurgias de porte 1, aumentando nos portes 2, 3 e 4 com diferença significativa. As facilidades relatadas foram sobre organização e dimensionamento de pessoal, e as dificuldades, sobre materiais perfurocortantes misturados ao instrumental cirúrgico e número reduzido de profissionais da limpeza. Quanto maior o porte cirúrgico, maior o TLPS. As equipes atuantes no Centro Cirúrgico interferem diretamente no processo, facilitando ou dificultando o alcance das metas institucionais de qualidade e produtividade.

Are operating room nurses at higher risk of severe persistent asthma? The Nurses' Health Study.

OBJECTIVE: To assess the associations between operating room (OR) nursing, a category of health care workers at high risk of exposure to various inhaled agents, and asthma severity/control among women with asthma. METHODS: The level of severity/control in nurses with prevalent doctor-diagnosed asthma in 1998/2000 was compared, using nominal logistic regression, in OR nursing (n = 69) and administrative nursing (n = 546) from the US Nurses' Health Study for whom detailed information on asthma and nursing employment status was available. RESULTS: We observed a significant association between OR nursing, compared with administrative nursing, and severe persistent asthma (adjusted odds ratio, 2.48; 95% confidence interval, 1.06 to 5.77). CONCLUSIONS: Our findings suggest that nurses working in the OR are at a higher risk of severe persistent asthma. Further studies with detailed estimates of occupational exposures, especially to disinfectant/cleaning agents, are warranted.

Cancelamento de cirurgias em um hospital universitário: causas e tempo de espera para novo procedimento / Surgery cancellations at a university hospital: causes and waiting time for a new procedure

O objetivo deste estudo foi identificar a ocorrência de cancelamentos de cirurgias no Centro Cirúrgico (CC) de um hospital universitário, identificando as especialidade cirúrgicas, os responsáveis, as causas, a faixa etária dos pacientes, bem como o período decorrido entre o cancelamento e a realização do novo procedimento cirúrgico...