RESUMO
OBJECTIVE: To conduct focus group interviews with operating room (OR) personnel to determine components of effective teamwork to inform a revision of a teamwork assessment instrument. DESIGN: Qualitative research study targeting OR personnel using semi-structured focus group interviews of interprofessional OR personnel. Responses were digitally recorded and transcribed. Qualitative analysis was undertaken by 2 reviewers who identified major themes related to effective teamwork. Inter-coder agreement was employed to confirm findings and themes. SETTING: Major academic medical center and Level 1 Trauma Center in Southeastern United States. PARTICIPANTS: Fifteen OR staff members including surgeons, an anesthesiologist, nurse anesthetists, circulating nurses, and scrub technicians. RESULTS: Three focus groups involving 15 individuals (2 surgeons, 1 anesthesiologist, 8 nurse anesthetists, 2 circulating nurses, and 2 surgical technologists) were conducted over a 1-month period in 2017. Four major themes related to effective teamwork emerged from analysis: (1) Smooth flow, (2) United effort, (3) Communication, and (4) Positive attitude. CONCLUSIONS: Among the OR team members, agreement regarding effective teamwork centers around the concepts of smooth procedural flow, unified effort, clear communication, and positive attitude of the team. These findings have helped refine a teamwork instrument to increase its utility for formative use in the clinical environment.
Assuntos
Relações Interprofissionais , Salas Cirúrgicas , Atitude do Pessoal de Saúde , Comunicação , Comportamento Cooperativo , Humanos , Equipe de Assistência ao Paciente , Pesquisa QualitativaRESUMO
Perioperative nurses strive to provide a positive surgical environment and, thus, a positive surgical experience for all patients. Blending traditional medicine with complementary therapies is one way to accomplish this task. This article presents a brief review of literature about traditional and complementary interventions used successfully in health care settings, along with a case study illustrating how one facility integrated these therapies into surgical patient care. The facility's goal was to increase patient satisfaction and create a positive surgical experience.
Assuntos
Dor Pós-Operatória/enfermagem , Satisfação do Paciente , Enfermagem Perioperatória/métodos , Procedimentos Cirúrgicos Operatórios/enfermagem , Terapia Combinada , Terapias Complementares/métodos , Terapias Complementares/enfermagem , Feminino , Ambiente de Instituições de Saúde , Enfermagem Holística/métodos , Humanos , Dor Pós-Operatória/tratamento farmacológico , Procedimentos Cirúrgicos Operatórios/psicologia , Aderências Teciduais/enfermagem , Aderências Teciduais/cirurgiaAssuntos
Adaptação Psicológica , Enfermagem Perioperatória , Estresse Psicológico/etiologia , Estresse Psicológico/enfermagem , Procedimentos Cirúrgicos Operatórios/psicologia , Atitude Frente a Saúde , Neoplasias do Colo/enfermagem , Neoplasias do Colo/psicologia , Neoplasias do Colo/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Educação de Pacientes como Assunto , Estresse Psicológico/psicologia , Procedimentos Cirúrgicos Operatórios/enfermagem , Estados UnidosRESUMO
Phacoemulsification procedures with topical anesthesia, performed with small corneal incisions and 4% lidocaine hydrochloride methylparaben-free eye drops, have very high patient satisfaction rates because patients do not experience intraoperative pain, do not require sutures or eye patches, and have immediate improvements in their vision. Phacoemulsification procedures with topical anesthesia are cost-effective for surgery departments because patients have shorter hospitalizations and require fewer chargeable items. The perioperative nursing role is essential to the success of phacoemulsification procedures with topical anesthesia.