Abstract

AimTo obtain an understanding of operating theatre nurses' experiences of responsibility for patient care and safety in perioperative practice.DesignA hermeneutic design were used.MethodData were collected during 2012 from 15 operating theatre nurses who participated in individual interviews. The text was analyzed by hermeneutical text interpretation.FindingsThe texts revealed two main themes: A formal external responsibility and personal ethical value. Responsibility that the patient was not exposed to risks, protecting the patient's body, systematically planning and organizing work in the surgical team. The personal ethical value meant confirming the patient as a person, caring for the patient and preserving the patient's dignity. A new understanding emerged that the operating theatre nurse always have the patient in mind.

Highlights

  • In this study, we want to obtain an understanding of the operating theatre nurses’ (OTNs’) responsibility for patient safety and care in perioperative practice

  • Perioperative nursing was introduced in the US by Association Of perioperative Registered Nurses (AORN) (1978) as nursing activities performed during the pre-­, intra-­and postoperative phase of a patient’s surgery

  • Lindwall and von Post (2008) described perioperative nursing in relation to Swedish conditions and the text was revised by Lindwall and Blomberg (2018) as: “Perioperative nursing is a nurse anaesthetists” and operating theatre nurses’ pre-­, intra-­and postoperative care for a patient who is undergoing surgery

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Summary

Introduction

We want to obtain an understanding of the operating theatre nurses’ (OTNs’) responsibility for patient safety and care in perioperative practice. Lindwall and von Post (2008) described perioperative nursing in relation to Swedish conditions and the text was revised by Lindwall and Blomberg (2018) as: “Perioperative nursing is a nurse anaesthetists” and operating theatre nurses’ pre-­, intra-­and postoperative care for a patient who is undergoing surgery. Perioperative dialogues are nurse anaesthetists’ and operating theatre nurse’s pre-­, intra-­and postoperative dialogues with the patient, with the purpose to plan, implement and evaluate perioperative nursing and create continuity in patient care’. Internal responsibility requires a personal attitude and courage to meet and create a relationship with the other and become concerned as a human being. It includes taking care of yourself and your personal development, to be responsible for the other. OTNs are faced with different personal positions regarding how to perform patient care in a dignified way

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