Abstract
To assess the actions performed by the operating room nurse during anesthesia and their behavior for patient safety regarding the reporting on adverse events, and to analyze their knowledge about anesthetic practices. This is a cross-sectional study carried out using an electronic questionnaire consisting of socio-demographic, professional practice, knowledge in anesthesia, patient safety, and professional practice questions, conducted from January to March 2019 with operating room nurses. One hundred nurses participated, 89 (89%) being women, with a mean age of 41.09 years (SD = 9.36), time of undergraduate completion of 14.33 years (SD = 8.34). The average attendance was 4.69 operating rooms (SD = 2.07) per nurse, with an emphasis on action before induction (49; 49%). Professionals reported performance of simultaneous activities (72; 72%) and insufficient number of employees (57; 57%) as difficulties of their daily practice. Among the participants, 77 (77%) correctly cited the periods of general anesthesia and 80.4% always reported the occurrence of an adverse event. Nurses identified their role in anesthesia, with limitations for assistance from multiple activities and lack of professionals.
Highlights
IntroductionThe first clinical nursing specialty in the United States of America (USA) was nurse anesthesia, especially related to the actions carried out by the anesthetist nurse Alice Magaw, who developed several works with the use of ether in anesthesia, the elaboration of the anesthetic plan, and published articles on nursing practice in anesthesia in the 19th century[1]
The first clinical nursing specialty in the United States of America (USA) was nurse anesthesia, especially related to the actions carried out by the anesthetist nurse Alice Magaw, who developed several works with the use of ether in anesthesia, the elaboration of the anesthetic plan, and published articles on nursing practice in anesthesia in the 19th century[1].Currently, the validation of the work of the anesthetist nurse in the United States is ensured through the Certified Registered Nurse Anesthetists (CRNA), issued by the American Association of Nurse Anesthetists (AANA), which defines the standards of action during the anesthetic procedure, such as autonomy to define the anesthesia plan and installation of invasive devices[2]
The validation of the work of the anesthetist nurse in the United States is ensured through the Certified Registered Nurse Anesthetists (CRNA), issued by the American Association of Nurse Anesthetists (AANA), which defines the standards of action during the anesthetic procedure, such as autonomy to define the anesthesia plan and installation of invasive devices[2]
Summary
The first clinical nursing specialty in the United States of America (USA) was nurse anesthesia, especially related to the actions carried out by the anesthetist nurse Alice Magaw, who developed several works with the use of ether in anesthesia, the elaboration of the anesthetic plan, and published articles on nursing practice in anesthesia in the 19th century[1]. The validation of the work of the anesthetist nurse in the United States is ensured through the Certified Registered Nurse Anesthetists (CRNA), issued by the American Association of Nurse Anesthetists (AANA), which defines the standards of action during the anesthetic procedure, such as autonomy to define the anesthesia plan and installation of invasive devices[2]. Even in countries like the United States, which have legal recognition of the specialty, nurses face limitations in the exercise of their activities due to regional laws restricting professional practice and conflicts between medical societies for the supervision of nursing work[4]
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