Kommunikation och patientsäkerhet i teamarbetet på hybridsal – Operationssjuksköterskans perspektiv

Lindberg, Cecilia; Nykvist, Ida

Communication and patient safety in teamwork at the hybrid room – The scrub nurse’s perception

Sammanfattning

Bakgrund: Hybridingrepp är en kombination mellan endovaskulär teknik och öppen kirurgi och utförs på en hybridsal där avancerad röntgenutrustning kombineras med traditionell operationssal. På hybridsalen arbetar flera olika professioner och operationssjuksköterskan är vanligen en del av teamet. Då flera olika professioner arbetar tillsammans ligger fokus på kommunikation och samarbete för att få ett effektivt team och ge en patientsäker vård. Syfte: Syftet med studien var att undersöka operationssjuksköterskans upplevelser och erfarenheter av kommunikation och patientsäkerhet i det tvärprofessionella teamarbetet på hybridsal. Metod: Studien är av kvantitativ design och utfördes med en enkätundersökning. Enkäten som användes var en version av Safety Attitudes Questionnaire (SAQ) och delades ut icke- slumpmässigt till operationssjuksköterskor som aktivt arbetade på hybridsal på tre operationsavdelningar på Sahlgrenska Universitetssjukhuset, Göteborg. Frågeformuläret bestod av 30 frågor indelade i sex domäner; samarbetsklimat, säkerhetsklimat, arbetstillfredsställelse, stress, uppfattning om ledning och arbetsförhållanden. Nio egenkonstruerade frågor ingick också i frågeformuläret. Resultat: Operationssjuksköterskorna uppgav att de var mest nöjda med arbetstillfredsställelsen medan arbetsförhållanden skattades lägst av studiedeltagarna. I studien framkom också att WHO:s checklista för säker kirurgi användes i större utsträckning än SBAR för säker kommunikation. Slutsats: Instrumentet som användes i denna pilotstudie var väl anpassat till att användas i hybridmiljö. Ytterligare studier behövs för att kunna identifiera eventuella risker och förbättringsområden i arbetet på hybridsal. Resultatet visar att samtliga deltagare upplever att personalen arbetar som ett väl samordnat team på hybridsal där stöd erhålls från medarbetare att vårda patienter och att det är lätt att ställa frågor vid funderingar.

Examinationsnivå

Student essay

Övrig beskrivning

Background: The hybrid procedure is a combination of endovascular technique and open surgery and is performed in a hybrid room where advanced X-ray equipment and a traditional operating room is combined. In the hybrid room, several different professions work together and the scrub nurse is usually a part of the team. As multiple professions work together, communication and collaboration to get an effective team and to provide a safe care of the patient is essential. Aim: The aim of this study was to explore scrub nurses’ perceptions and experiences of communication and patient safety in the interdisciplinary team working in the hybrid room. Method: The study is of quantitative design and was conducted with a questionnaire. The survey used was a version of the Safety Attitudes Questionnaire (SAQ) and was distributed non-randomly to scrub nurses working actively in the hybrid setting in three OR departments at Sahlgrenska University Hospital, Gothenburg. The questionnaire consisted of 30 questions divided into six domains; teamwork climate, safety climate, job satisfaction, stress recognition, perceptions of management and working conditions. Nine self-designed questions were also included in the questionnaire. Results: The scrub nurses experienced that they were most satisfied with job satisfaction while working conditions was lowest rated by the participants. The study also found that the WHO checklist for safe surgery was used in a greater extent than SBAR for safe communication. Conclusion: The instrument used in this pilot study was well adapted for practice in the hybrid setting. Further studies are needed to identify potential risks and improvement areas in the work at the hybrid room. The result shows that all participants experience that the staff work as a well-coordinated team in the hybrid room where support is provided from coworkers to care for patients and it is easy to ask questions.

Datum

2018-07-10

Författare

Lindberg, Cecilia

Nykvist, Ida

Nyckelord

Teamarbete

hybridsal

operationssjuksköterska

patientsäkerhet

kommunikation

crew resource management

Språk

swe

Metadata

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