Operationssjuksköterskans aseptiska förhållningssätt vid tumörkirurgi i samband med öppen bukkirurgi

Johansson, Ksenia; Gadré, Nikita

The operation room nurse ́s aseptic approach to tumor surgery in conjunction with open abdominal surgery

Sammanfattning

Bakgrund: Den tredje vanligaste cancergruppen i Sverige är tjock- och ändtarmscancer. Operation är fortfarande en vanlig behandlingsmetod och förstahandsvalet vid cancersjukdom. Operationssjuksköterskan som arbetar inom tarmtumörkirurgi och utför perioperativ omvårdnad bör ha kunskap om cancer och vara medveten om cancerspridningsförmågan. Denna kunskap hjälper operationssjuksköterskan att planera, utföra och utvärdera perioperativ omvårdnad utifrån patientens individuella behov, för att främja säker vård i samband med operationen och förebygga hälsorisker. Syfte: Att undersöka operationssjuksköterskans aseptiska förhållningssätt vid tumörkirurgi i samband med öppen bukkirurgi. Metod: En enkätstudie med en kvantitativ design som omfattade totalt 25 operationssjuksköterskor från två operationsavdelningar. Datainsamlingen genomfördes med enkät som bestod av tio frågor. Resultaten presenterades med deskriptiv dataanalys i fortlöpande text, tabell samt figur för att ge lättförståelig beskrivande bild. Resultat: Resultatet presenterar operationssjuksköterskornas svar som speglar deras olika aseptiska förhållningssätt vid tumörkirurgi. Endast hälften av alla deltagarna, oavsett erfarenhet, använder inte längre sterila operationsinstrument om de varit i kontakt med tumörvävnad. Majoriteten av deltagarna använder steril sug, som varit i kontakt med tumörvävnad, under resten av operationen. Sterila dukar kasseras vid kontaminering av 78% av alla deltagarna. Byte av sterila handskar sker direkt efter resektion av tumörvävnad i hälften av fallen. 67% av operationssjuksköterskor med erfarenhet <5 år använder samma handskar under resten av operationen. Sterila rockar bytes inte i 100% av fallen under hela operationen. I de flesta fall läggs tumörvävnad efter resektion direkt i preparatburk med lock och tumörvävnadsgranskning av operatören sker antingen direkt i preparatburk eller på ett separat sterilt bord. Slutsats: Operationssjuksköterskor är i behov av enhetlig evidensbaserad information, utbildning och klara framtagna rutiner vid hantering av material som kontaminerats under operation vid tumörkirurgi i samband med öppen buk.

Examinationsnivå

Student essay

Övrig beskrivning

Background: The third most common cancer group in Sweden is colon cancer. Operation is still a common treatment and first choice in cancer disease. The operating room nurse working in intestinal tumor surgery and performing perioperative nursing should have knowledge of cancer and be aware of the cancer spread ability. This knowledge helps the operating room nurse to plan, perform and evaluate perioperative nursing based on the patient's individual needs, to promote safe care associated with the operation and preventing health risks. Purpose: To investigate the operating room nurse's aseptic approach to tumor surgery in conjunction with open abdominal surgery. Method: A questionnaire study with a quantitative design that included a total of 25 operating room nurses from two operation departments. The data collection was conducted by a survey consisting of ten questions. The results were presented with descriptive data analysis in continuous text, table and figure to provide an easy-to-understand descriptive picture. Results: The result presents the operating room nurses responses which reflect their different aseptic approach to tumor surgery. When in contact with tumor tissue, only half of all participants, regardless of experience, no longer use sterile operating instruments if they have been in contact with tumor tissue. Sterile suction, that has been in contact with tumor tissue during the rest of the operation, is used by the majority of the participants. 78% of all participants discard sterile cloths when contaminated. In half of cases, replacement of sterile gloves occurs immediately after tumor tissue resection. 67% of operating room nurses with experience <5 years use the same gloves for the rest of the operation. Sterile surgical gowns are not changed in 100% of the cases throughout the operation. The tumor tissue examination is added directly into the jar after resection. In most cases, tumor tissue examination by the surgeon is done either directly in the preparation jar or on a separate sterile table. Conclusion: The operating room nurses are in need of consistent evidence-based information, training and well-established routines when handling contaminated materials during open abdominal tumor surgery. Neoplasm seeding, cancer, equipment contamination, nurse's aseptic approach, perioperative care, operating room nursing, surgical instrument, asepsis

Datum

2018-07-10

Författare

Johansson, Ksenia

Gadré, Nikita

Nyckelord

Tumörutsådd

cancer

utrustningsförorening

sjuksköterskans aseptiska förhållningssätt

perioperativ omvårdnad

omvårdnad vid operation

kirurgiska instrument

aseptik

Språk

swe

Metadata

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