AimThe aim of this exploratory study was to gain further insight into the perceptions and experiences of Certified Registered Nurse Anaesthetists regarding intraoperative handovers of care.BackgroundHandovers of care often result in adverse events in hospitalized patients and this risk is increased in the operating room setting where handovers occur frequently. Handovers between nurse anaesthetists, who provide the majority of anaesthesia in the United States today, is under‐researched.DesignFocus groups with Certified Registered Nurse Anaesthetists.MethodsTwo groups of nurse anaesthetists were recruited to participate in focus groups exploring their perception and experiences with intraoperative handovers of care. Content analysis was used to construe meaning from the context of the interviews. The findings were interpreted and discussed in a framework of Relationship‐Based Care.FindingsThere were four main themes that emerged from the data: (1) characteristics of the setting are a threat to handover quality; (2) individual provider characteristics have an impact on handover quality; (3) The timing of the handover represents a threat to handover quality and (4) individual patient characteristics have an impact on handover quality.ConclusionThe specific threats to safe handover of care between nurse anaesthetists were perceived to fall into four major themes; this provides information needed to strengthen the environment of care and to improve safety in handover of care in the operating suite.
The purpose of this study was to define, develop, and psychometrically evaluate a scale designed to measure Nurse's Perception of the Relationship Based Care Environment. Background: Relationship is a complex multidimensional concept. It is a critical component of professional practice and core to the interaction between nurse and patient. While there are a number of scales available to measure different dimensions of relationships between nurses and other groups there is no one scale that captures multiple dimensions. Methods: Based on a review of the literature and an earlier qualitative study, a theoretical representation was developed. This representation became the framework for development of elements and items for the NPRBCE scale. The content validity of the NPRBCE scale was determined by an expert panel of Registered Nurses. Four hundred and seventy three Registered Nurse participants completed the survey. Analysis: Data were subjected to Principal Components Analysis and Cronbach's alpha was computed to determine reliability of the scale as a whole and each of the components of the scale. Results: The final solution was a five component 56-item scale. The five components include: nurse/ other discipline; nurse/organization; nurse/ nurse; nurse/ patient-knowing the patient; and nurse/patient-respecting the patient. The scale as a whole and each of the resulting components were found to be reliable. The components were parsimonious and interpretable.
The purpose of this study was to define, develop, and psychometrically evaluate a scale designed to measure Nurse's Perception of the Relationship Based Care Environment. Background:Relationship is a complex multidimensional concept. It is a critical component of professional practice and core to the interaction between nurse and patient. While there are a number of scales available to measure different dimensions of relationships between nurses and other groups there is no one scale that captures multiple dimensions. Methods: Based on a review of the literature and an earlier qualitative study, a theoretical representation was developed. This representation became the framework for development of elements and items for the NPRBCE scale. The content validity of the NPRBCE scale was determined by an expert panel of Registered Nurses. Four hundred and seventy three Registered Nurse participants completed the survey.Analysis: Data were subjected to Principal Components Analysis and Cronbach's alpha was computed to determine reliability of the scale as a whole and each of the components of the scale. Results:The final solution was a five component 56-item scale. The five components include: nurse/ other discipline; nurse/organization; nurse/ nurse; nurse/ patient-knowing the patient; and nurse/patient-respecting the patient. The scale as a whole and each of the resulting components were found to be reliable. The components were parsimonious and interpretable.
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