Operating Room Nurses Research Articles

Healthcare professionals' experiences of the usefulness and ease of using a digital medical translation tool in communicating with minority language-speaking hospitalized heart surgery patients

Abstract Background/Introduction Healthcare professionals are required to deliver high-quality care while adhering to the human right to equity for all patients. Language barriers often result in miscommunication between healthcare professionals and patients, leading to decreased patient satisfaction, compromised patient safety (such as increased adverse events), and diminished healthcare quality. Studies focusing on implementing digital medical translation tools and measuring their usefulness during patients’ hospitalization are highly warranted. Purpose To survey and explore healthcare professionals' experiences of the usefulness and ease of using a digital medical translation tool in communicating with minority language-speaking heart surgery patients during hospitalization. Methods Participants completed an internationally published six-item, study-specific questionnaire on health care professionals' experiences regarding perceived usefulness and ease of use from October 2022 to February 2023. The first three items, namely: (1) 'The digital tool was easy to use,' (2) 'The languages were easy to understand,' and (3) 'The digital tool was useful,' were measured on a 5-point Likert scale ranging from 1 ('totally agree') to 5 ('totally disagree'). The last three items were open-ended: (4) 'What they liked best,' (5) 'What they liked the least,' and (6) 'Suggestions for improvement'. Results Health care professionals (i.e., registered nurses, intensive care nurses, operating room nurses, anaesthesia nurses and physiotherapists) (n=53) aged, mean 35 (SD, min-max 9.7, 25-58). They reported the digital medical translation tool was easy to use ("totally agree/agree" 15/33, 91%), easy to understand ("totally agree/agree" 30/22, 97%), and useful ("totally agree/agree" 24/25, 92%) as illustrated in figure 1. Illustrative citations from the open responses: What health care professionals liked best: "Enabling communication with minority language-speaking patients feels safe in terms of patient safety" and "The opportunity to form a clinical picture of the patient at the beginning of the shift gives me confidence. The possibility to meet the patient's psychosocial needs and the opportunity to more easily clarify situations and pains and discomforts." They liked the least that it "Took some time to find my way around between questions at the beginning of using the tool" and suggestions for improvement were cited as "Split up the phrases in the tool in several categories (icons) e.g., intubation phase" and "Add more phrases specific for our heart surgery patients". Conclusions Healthcare professionals found a digital medical translation tool to be useful and easy to use in meeting the needs of patients and improving patient safety during communication with minority-speaking heart surgery patients.

Clinical implementation of the Validated Intraoperative Bleeding Scale: Perioperative patient management and effective team communication from the nurses' perspective.

Major bleeding represents a critical scenario that can quickly evolve into life threatening, thereby compromising patient safety. A Validated Intraoperative Bleeding Scale called VIBe Scale was introduced and studied as part of a quality improvement initiative. This study evaluated the clinical implementation of the VIBe Scale in perioperative patient management and team communication from the nurses' perspectives. A descriptive study was undertaken, incorporating introductory lecture, simulation of major bleeding event and post-lecture questionnaire with 33 operating room nurses. Despite many participants not previously having experience of the VIBe Scale in practice, over two-thirds reported the scale could improve situational awareness. Furthermore, nearly two-thirds reported they could see the utility of the VIBe Scale as a tool to improve communication. Our study shows that the VIBe Scale is an easily understood concept, has the potential to increase situational awareness and can support team communication around intraoperative bleeding events.

The Value of Refined Nursing Management for Surgical Efficiency, Postoperative Recovery, and Stress Response in Laparoscopic General Surgery.

The study aimed to explore the impact of refined nursing management in the operating room on surgical efficiency, postoperative recovery, and stress responses in patients undergoing laparoscopic general surgery. A retrospective analysis was conducted on 100 patients who underwent laparoscopic surgery at Zhongnan Hospital of Wuhan University between March 2023 and March 2024. The control group comprised 48 cases receiving conventional operating room nursing, while the observation group comprised 52 cases receiving refined nursing management in the operating room in addition to the conventional care. Comparisons were conducted between the two groups regarding surgical efficiency, postoperative recovery, postoperative stress indicators, psychological status before and after nursing, overall treatment comfort, perioperative complications, and nursing satisfaction. The observation group showed statistically significant improvements in surgical efficiency, postoperative recovery, and stress indicators compared to the control group. After the intervention, the Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) scores of both groups significantly decreased compared to pre-nursing levels (p < 0.05), while such decrease was notably higher in the observation group (p < 0.05). Patients in the observation group reported significantly higher post-nursing comfort levels (p < 0.05) and exhibited significantly fewer perioperative complications (p < 0.05) compared to the control group. Furthermore, the nurses indicated significantly higher satisfaction with patient care in the observation group (p < 0.05). Implementing refined nursing in the operating room for laparoscopic general surgery can facilitate the recovery of gastrointestinal function, reduce postoperative recovery time, prevent complications, improve patients' psychological state, and enhance their quality of life.

Training and education of operating room nurses in robot-assisted surgery: a systematic review.

With the introduction of robot-assisted surgery, the role and responsibility of the operating room nurses have been expanded. The surgical team for robotic-assisted surgery depends on the ability of the operating room nurses to operate and handle the robotic system before, during, and after procedures. However, operating room nurses must acquire the necessary competencies for robotic-assisted surgery. We performed a systematic review using the databases MEDLINE and EMBASE to review the evidence on educating and training operating room nurses in robot-assisted surgery. Studies describing operating room nurses' training and team-training with operating room nurses for robot-assisted surgery were included. The Medical Education Research Study Quality Instrument (MERSQI) and the Newcastle-Ottawa Scale-Education (NOS-E) were used to evaluate the quality of the included studies. We identified 3351 potential studies and included 16 in the final synthesis. Nine studies focused on team-training in robot-assisted surgery: four focused solely on training for operating room nurses, and only three on operating room nurses as first assistants in robot-assisted surgery. Most studies examined team-training in RAS, including OR nurses, focused on emergency situations and conversion to an open procedure. Only a few studies addressed other competencies relevant to OR nurses in RAS. No randomized controlled trials were identified. Only a few studies used pre- and post-testing, and only one examined clinical outcomes. The quality assessment of the included studies was moderate to low, with a median MERSQI score of 10.3 and a median NOS-E score of 2. There is sparse research on the education of operating room nurses in robot-assisted surgery, and the literature emphasizes the training of surgeons. More research is needed to develop evidence-based training for operating room nurses in robot-assisted surgery.

Evaluation of radiation protection knowledge and practices among Moroccan operating room nurses

Evaluation of radiation protection knowledge and practices among Moroccan operating room nurses

Investigating the effect of video-based training on adherence of surgical positioning standards: a randomized controlled trial

BackgroundThe operating room is a high-risk environment where proper patient positioning is crucial for minimizing injury and ensuring optimal access to surgical sites. This process requires effective collaboration among surgical team members, particularly operating room nurses who play a vital role in patient safety. Despite advancements in technology, challenges such as pressure injuries persist, with a significant incidence rate. Video-based training (VBT) emerges as a promising educational tool, enhancing knowledge retention and fostering a learner-centered approach. This study aims to evaluate the impact of VBT on adherence to surgical positioning standards, highlighting its potential to improve safety protocols in the operating room.MethodsIn this clinical trial, 62 qualified operating room nurses (50 women, 12 men, average age: 28.90 ± 3.75 years) were randomly divided into control and intervention group (n = 31 in each group). The control group only received positioning recommendations, but in the intervention group, in addition to the recommendations, video-based surgical positioning training was performed for 1 month, at least 3 times a week. The performance of nurses in both groups was evaluated through a researcher-made checklist at baseline and post-intervention.ResultsBased on findings, there was no significant difference between the two groups in compliance with surgical positioning standards at baseline (p = 0.07). However, after the intervention, compliance scores significantly improved in the VBT group compared to the control group (p < 0.001). The VBT group showed a mean improvement of 62.12 points, while the control group improved by 10.77 points (p < 0.001).ConclusionsThis preliminary study demonstrated a notable improvement in compliance with surgical positioning standards among operating room nurses following VBT intervention. Despite the promising results, the small sample size and preliminary nature of the research necessitate further studies to confirm these findings and assess long-term outcomes. These initial insights highlight the potential of innovative training methods in enhancing surgical practices.

Exploring the Nexus Between MBTI Personality Types and the Innovation Capability of Operating Room Nurses: A Cross-Sectional Study

Exploring the Nexus Between MBTI Personality Types and the Innovation Capability of Operating Room Nurses: A Cross-Sectional Study

An Examination of Work-Family Conflict and Influencing Factors Among Operating Room Nurses: A Cross-Sectional Analysis

An Examination of Work-Family Conflict and Influencing Factors Among Operating Room Nurses: A Cross-Sectional Analysis

Effect of preoperative visit combined with comfort nursing in operating room nursing and postoperative hypothermia incidence and its application.

Effect of preoperative visit combined with comfort nursing in operating room nursing and postoperative hypothermia incidence and its application.

Implementation of a Standardized Process of Coude Catheter Insertion Decreases Traumatic Catheterizations

ObjectiveTo address the issue of traumatic foley catheterization we developed and implemented a coude catheter education program for operating room nurses as well as standardize the usage of a coude catheter for male patients. Traumatic catheterization leads to patient morbidity and increased healthcare costs. MethodsA retrospective review was conducted to identify all traumatic catherizations over a 6-month period for several surgical services at our institution. A nursing education program was implemented that included basic urological anatomy, coude urethral catheter insertion techniques, and catheter safety. We conducted our trial over a period of 2-months with all catheterizations tracked. Following the trial, the process and outcomes were reviewed and then implemented for all male patients >18 years old requiring indwelling catheter placement in the operating room. ResultsOn retrospective review there were 18 traumatic foley catheterizations of patients on the three surgical services out of a total 601 catheter placements (3% traumatic placement rate). The total cost of these traumatic catherizations was $27,793 when accounting for additional procedures, supplies, and additional OR time required for each traumatic catheterization. The average cost per patient was $1,544. After full implementation of the process across all operating room services in June 2021 there have been 2038 catheterizations performed using a coude catheter kit with 4 traumatic foley placements through May 2022 (0.2% traumatic catheterization rate). ConclusionImplementation of the nursing education program and utilization of the coude catheter for all male catheterizations reduces costs, decreases iatrogenic urethral injury, and improves patient safety.

Surgical instrument counting: Current practice and staff perspectives on technological support

BackgroundSurgical instrument counting is a manual, attention-intensive task of the operating room (OR) nurse. Many labour-saving technologies have been proposed, but implementation remains challenging. Knowledge of current counting methods and staff preferences could guide future developments towards effective application. ApproachWe observed OR nurses counting materials and instruments in 50 surgical procedures performed by various surgical specialties in a regional teaching hospital in Delft, The Netherlands. Additionally, we surveyed them on their preferences concerning the methods of counting. Key findingsVariations in approaches of surgical counting were observed, with OR nurses using multiple strategies and counting techniques to manage disruptions and limit workload. Interest in using supportive technology is limited to the preoperative and postoperative phase. RelevanceThis research relates observational data to staff preferences. Our findings may guide future developments of labour-saving innovations regarding surgical counting towards developing more effective applications and to ensure successful implementation.

Investigating factors associated with operating room nurses’professional transition in Singapore health system

Background: The nursing workforce in Singapore has been highly depended on foreign nurses to fill its nursing shortfalls. The recent SARS-CoV-2 pandemic has further exacerbated issues of global nursing shortage onto the Singapore nursing workforce. This was reflected by the recent 1,500 healthcare workers, which included nurses, that have left the workforce entirely in the first half of 2021 due to the physical toll such pandemics had on the healthcare workforce. Within the operating room units, similar insights behind the nursing shortfall globally have been discussed in the extant literature. This issues however, lacked exploration in Singapore nursing context. The quintessential question was to understand the associating factors of nursing induction programmes on new nurses transitioning into their operating room unit. Objective: The objective of this study was to investigate factors associated with nursing professional transition in the operating room units in Singapore health system. Design: The research used a cohort study design with a descriptive self-administered quantitative survey administered to obtain data. The researcher developed the self-administered quantitative survey titled the ‘Impacts on Operating Room Nurses with Transitional Support Programmes’survey. Results: At the time of the study, 91 of 96 responses received met the inclusion criteria. Respondents came from across majority of operating room units in Singapore. 75.3% (n = 75) of respondents had worked in their operating room unit for less than two years.13 questions from the self-developed survey were used to identify relationships that existed between variables that affected operating room nurses in Singapore because of the IP they received. The Spearman correlation test reflected 3 majors factors associated with nursing induction programmes on new nurses transitioning in the operating room units. These include lack of adaptation time, facilitators guidance and topic and skills insufficiency leading towards challenges reaching competence. Conclusions: The findings of this quantitative study called for the review of the contents outlined in existing operating room nursing induction programmes in Singapore. While the survey respondents mainly acknowledged that they were satisfied with their orientation programmes, responses in the survey outlined those nurses’ faced challenges with knowledge and skills acquired during their induction programme that affected their initial transition to practice in the operating room.

Toward the Definition of a Repertoire of Technical Professional Specialist Competencies for Operating Room Nurses: An Ethnographic Study.

Registered nurses in the operating room require specialized competencies that surpass basic educational training. Existing national and international documents attempt to outline these competencies but often lack comprehensive details. To address this, a repertoire of technical and professional competencies for operating room nurses, aligned with European and National Qualifications Frameworks, is proposed. Aim: Develop a repertoire of technical and professional competencies for perioperative and perianesthesiological specialist nursing roles. Methods: An at-home ethnography design was employed, utilizing participant observation, interviews to the double, and focus groups. Convenience sampling included 46 participants from a university and a public hospital in northern Italy. Data were collected from September 2021 to June 2023 and analyzed using inductive content analysis and data triangulation. Results: Identified 17 specialized technical professional competencies for perioperative and perianesthesiological nursing, divided into 6 areas of activity. These competencies encompass 19 learning outcomes, 152 tasks, 222 knowledge elements, and 218 skills. Conclusions: This competency repertoire aids in the public recognition of qualifications and serves as a valuable tool for identifying, validating, and certifying competencies. Future research should focus on exploring the competencies of central sterilization nurses and transversal competencies.

A Knowledge Assessment of the Surgical Safety Checklist among Operating Room Nurses in Malaysia

Surgical complications present a significant challenge worldwide. To address this issue, the World Health Organisation (WHO) introduced the Surgical Safety Checklist (SSC) as a means to decrease complications and fatalities during surgery. Nurses play a critical role in ensuring patient safety throughout the operation. A clear understanding of the checklist promotes effective communication within the surgical team, fosters a safety culture, and reduces complications. However, limited research has been conducted in accessing knowledge of operating room (OR) nurses regarding SSC, especially in the context of Malaysian healthcare. Therefore, this study was conducted to evaluate the level of knowledge of SSC among OR nurses in Malaysia. A quantitative approach with a descriptive design was used, involving ninety (90) OR nurses from Sultan Ahmad Shah Medical Centre (SASMEC@IIUM). The nurses completed a self-administered questionnaire and the results revealed good knowledge of the preoperative phase checklist (68.9%), intraoperative phase checklist (73.3%), and postoperative phase checklist (77.8%). However, a minority of nurses (around 20–30% across three different phases) needed improvement. This study suggests that the SSC has been effectively implemented at SASMEC@IIUM. However, it also emphasises the importance of ongoing education to ensure that all nurses have a thorough understanding of the checklist.

The Impact of Work-Related Musculoskeletal Pains on Routine Tasks Among Operating Room Nurses: A Multicenter Cross-Sectional Study

PurposeTo determine work-related musculoskeletal pain (MSP) among 105 operating room nurses (ORNs) and its effect on their routine work. DesignMulticenter cross-sectional design. MethodsThis study was conducted with 105 nurses working in operating rooms of five different hospitals between December 15, 2021, and February 15, 2022. Data were collected using the “Nordic Musculoskeletal Questionnaire.” SPSS 22.0 was used for data analysis, and a significance level of p < .05 was established. ResultsAmong the nurses, 75.2% were female, 78.1% had undergraduate education, and 59% worked >40 hours/week. In the previous 12 months, 69.5% of ORNs experienced lower back pain; 68.6%, neck pain; and 61.9%, back pain. The duration spent working as a scrub nurse increased the possibility of experiencing pain in the hands, wrists, back, shoulders, and lower back region (p < .05), and women had an increased risk of lower back and back pain (p < .05). Neck, lower back, back, wrist, and hand pain increased the risk of being unable to perform daily tasks (p < .05). ConclusionsExtended work hours as a scrub nurse increase the risk of MSP, including lower back region, neck, and back pain among ORNs. Women have a higher risk of lower back and back pain. Addressing musculoskeletal issues in this profession is crucial. Clinical ImplicationsAddressing musculoskeletal discomfort is vital because of its impact on nurses’ job performance and potential patient harm. Providing ergonomic equipment, training nurses on musculoskeletal health, and raising awareness can help. It is also important to encourage regular breaks.

Effect of simulating training of the fundamentals of laparoscopic surgery on the attitude of operating room nurses students: an intervention study

Abstract Objective Clinical education plays a key role in preparing students for patient care. Laparoscopy is one of the most important minimally invasive surgeries (MISs) wherein surgical technologists are responsible for camera navigation and assistant surgeons are responsible for peg transfer. Therefore, it is necessary to improve the attitude of the operating room students toward these skills during their study period. The present study was conducted to determine the effect of simulating training in the fundamentals of laparoscopic surgery (FLS) on the attitude of the operating room students. Methods This interventional study was conducted on 28 operating room students of Iran University of Medical Sciences in 2019. The census sampling method was used. The data-collection tool included the “Intrinsic motivation inventory (IMI) questionnaire.” The educational intervention was carried out in theoretical (booklet design) and practical (simulation) sections. Data analysis was carried out using descriptive and inferential analyses including the paired t-test, Mann–Whitney U test, and independent t-test. The collected data were analyzed using R and SPSS software. P-value &lt;0.05 was considered as the significant level. Results The mean ± SD of the participants’ age was 22.93 ± 2.14 years, and the majority of them were women (67.9%). There was a significant difference in the mean scores of students’ attitudes toward the FLS before and after the educational intervention (P &lt; 0.001) in all dimensions (interest, perceived competence, perceived choice, and tension). There was also a significant correlation between gender and interest dimension (P = 0.005). Conclusions The results of the present study showed that simulating the training FLS curriculum positively affects students’ attitudes. Therefore, the researchers suggest that for creating a positive attitude, increasing students’ interest in laparoscopic surgery, and ensuring a more effective presence in the operating room, this training should be considered in the operating room curriculum.

Perioperative Patient Safety Management: The Perspective of Operating Room Nurses

Perioperative patient safety management is a critical aspect of healthcare, requiring a comprehensive understanding of the roles and responsibilities of operating room nurses in ensuring patient safety. This paper emphasizes the significance of nurses' perspectives in enhancing safety protocols during the perioperative phase. It explores the multifaceted responsibilities of operating room nurses, highlighting their pivotal role in patient safety, from preoperative assessment to postoperative care. The challenges faced by nurses in maintaining safety standards are discussed, along with innovative solutions to mitigate these issues. Drawing on insights from contemporary practices, the paper advocates for a proactive approach to safety management, emphasizing continuous education, effective communication, and the implementation of evidence-based guidelines. The conclusions offer a roadmap for future directions in perioperative safety, underscoring the need for collaborative efforts among healthcare professionals to achieve optimal patient outcomes. By integrating the experiences and insights of operating room nurses, this work contributes to a more nuanced understanding of perioperative safety management, aiming to foster a culture of safety in surgical environments.

Influence of humanistic care-based operating room nursing on safety, recovery, and satisfaction after radical surgery for colorectal carcinoma

BACKGROUND Radical surgery is a preferred treatment for colorectal carcinoma, wherein nursing intervention is essential for postoperative recovery and prevention of complications. Recently, the application of humanistic care in medical care has attracted attention. Humanistic care emphasizes comprehensive care, with importance attached to patients’ physical needs as well as psychological and emotional support to provide more humane and personalized care services. However, no clinical reports have examined the use of humanistic care in patients undergoing radical surgery for colorectal carcinoma. AIM To investigate the influence of humanistic care-based operating room nursing on the safety, postoperative recovery, and nursing satisfaction of patients who have undergone radical surgery for colorectal carcinoma. METHODS In total, 120 patients with rectal cancer who underwent surgery in Zhongnan Hospital of Wuhan University between August 2023 and March 2024 were selected and grouped based on the nursing methods employed. Of these patients, 55 were treated with routine nursing intervention (control group) and 65 were provided humanistic care-based operating room nursing (research group). The patients’ vital signs were recorded, including systolic/diastolic blood pressure (SBP/DBP) and heart beats per minute (BPM), as well as serum stress indices, including norepinephrine (NE), adrenal hormone (AD), and cortisol (Cor). Postoperative recovery and complications were also recorded. Patients’ negative emotions, life hope, and nursing satisfaction were evaluated using the Self-rating Depression/Anxiety Scale (SDS/SAS), Herth Hope Index (HHI), and self-developed nursing satisfaction questionnaire, respectively. RESULTS During emergence from anesthesia, SBP, DBP, and BPM levels were found to be lower in the research group than those in the control group, also serum Cor, AD, and NE levels were lower. In addition, the research group had shorter operative, awakening, anal exhaust, first postoperative ambulation, drainage tube removal, intestinal recovery, and hospital times. The total complication rate and the SDS and SAS scores were lower in the research group than those in the control group. The HHI and nursing satisfaction scores were higher in the research group. CONCLUSION Humanistic care-based operating room nursing can mitigate physiological stress responses, reduce postoperative complications, promote postoperative recovery, relieve adverse psychological emotions, and enhance life hope and nursing satisfaction in patients undergoing radical surgery for colorectal carcinoma, which can be popularized in clinical practice.

Medical device-related pressure injuries in the operating room: A scoping review.

To map the existing literature describing medical device-related pressure injuries in patients during surgery, including investigation of the incidence, types of medical devices, risk factors and strategies for preventing medical device-related pressure injuries. A scoping review. In April 2023, three databases were searched. Studies about adult patients undergoing surgery, from 2014 onwards, in English and Chinese were included. Data were extracted about study characteristics and data related to research questions. The Patterns, Advances, Gaps, Evidence for practice and Research recommendations framework were used to synthesize findings. Two different types of evidence were included in this review; 14 research studies and two quality improvement studies. The incidence of medical device-related pressure injuries in the operating room was 0.56%-24.5% and respiratory devices were the most common medical devices investigated. Length of surgery, age and BMI were risk factors for medical device-related pressure injuries in a few studies. The application of a prophylactic dressing and dressing maintenance was the most common prevention strategy. Ongoing research is needed to confirm the incidence of, and risk factors for, medical device-related pressure injuries in the operating room. Additionally, more high-quality evidence is needed to underpin current prevention strategies. Operating room nurses need to be aware of the risks of medical device-related pressure injuries and assess and plan prevention strategies accordingly. Once more high-quality evidence is available, operating room nurses could implement prevention strategies like prophylactic dressings. Scoping Reviews (PRISMA-ScR) checklist. No patient or public contribution.

The relationship between clinical decision-making levels and self-efficacy levels of operating room nurses

BackgroundClinical decision-making and self-efficacy levels of operating room nurses are critical for patient care quality and safety. ObjectiveThis study aims to examine the relationship between clinical decision-making levels and self-efficacy among operating room nurses and to identify factors influencing these two key components of nursing practice. MethodsA cross-sectional descriptive design was used to survey 94 nurses working in surgical wards at Ankara University Medical Faculty Hospital. Data were collected using the Clinical Decision Making in Nursing Scale (CDMNS), General Self-Efficacy Scale (GSES), and a demographic information form. Data were analyzed using descriptive statistics, correlation analysis, and group comparisons. ResultsA significant positive correlation was found between clinical decision-making ability and self-efficacy (r = 0.355, p < .0001). Nurses with higher education levels demonstrated significantly greater clinical decision-making skills (p < .005). Nurse managers reported significantly higher self-efficacy levels compared to scrub/circulating nurses (p < .05). Age was positively correlated with self-efficacy (r = 0.373, p < .0001) but not with clinical decision-making ability. ConclusionThe research indicated that self-efficacy levels correspond with clinical decision-making capabilities of the operating room nurses. Higher education levels of the practitioners enhanced their clinical decision-making abilities. Nurse managers had higher self-efficacious beliefs than the scrub or circulating nurses. Age was positively associated with self-efficacy, but not with the scores on clinical decision-making abilities. The results of this study nurse leaders have higher GSES and CDMNS scores because they are experienced nurses with higher education degrees.