Abstract
Background: The huge multiplicity of scrub and circulator nurses'activities affects the quality performance of perioperative nursing roles. Therefore, the pursuit of perfect practice of perioperative nursing roles should focus on assessing the performance gaps in these roles and use of lean management strategies for effective patient care delivery. Aim: The study aimed to assess the effect of lean management strategies on the quality of perioperative nursing roles. Design and Setting: A quasi experimental design was used to implement the study in the operating room at new Dar Al Fouad Hospital, Cairo, Egypt. Tool of Data Collection: Observational checklist tool aimed to assess the perioperative nursing roles of scrub and circulator nurses, the tool consisted of two main parts; first part is the performance observation of scrub nurse role, and the second part is the performance observation of circulator nurse role. Results: The results of the present study illustrated that the perioperative nursing roles for scrub nurses of met standards performance were improved from above half normal to above three quarter, and the met standards performance of the circulator nurses roles were also improved from less than one fifth to near three fifth with statistical significance difference at p < 0.005for both roles post implementation of the lean management strategies. Conclusion: The perioperative nursing roles of scrub and circulator nurses were improved post implementation of lean management strategies which induced positive effect in the elimination of un-value added activities and volume based activities through designing new supportive roles included anesthesia nurse, post anesthesia care unit nurse, surgical technologist, instrumentation technician, nurse aids, store keeper in addition to other relevant roles such as lean team. Recommendation: Focused training program is recommended for all OR personnel with periodic evaluations of the perioperative nursing roles and the new supportive perioperative roles. Further research is recommended to disseminate the developed lean management strategies and investigate its effect on the perioperative nursing in different settings.
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