Background: Infection is a possible problem in operating rooms. The aseptic technique is one of the circulating nurses’ duties to prevent infections and keep patients safe against microorganisms in the operating room. Objectives: This study aimed to assess the circulating nurses’ aseptic practices in orthopedic and general surgeries. Methods: This cross-sectional study was conducted on 296 circulating nurses who worked in public hospitals in Shiraz, Iran, during the 2020 summer. Data collection tools included a demographics questionnaire and the Aseptic Practices among Circulating Nurses Scale. The data were collected after the assessment of the psychometric properties of the tool. The data were analyzed using SPSS software (version 22). Results: The mean score of the aseptic practice scale was 3.50 out of 5. Although the aseptic practice score was higher than the average level, the circulating nurses had low scores in several items. Age and work experience had a weak negative correlation with the “establishment of a sterile field” subscale. The aseptic practice score was significantly different in circulating nurses with different academic educational levels. Conclusions: There is a need to improve some aseptic practices. Supplying the hospitals with necessary materials, using appropriate guidelines and educational programs, supervising, and setting appropriate policies can help improve aseptic practices.
Background. Operating rooms are among the most complex clinical environments in hospitals where teamwork and professional communication play a very important part. Professional commitment is an influential factor in the personnel’s professional communication and can affect the outcomes of healthcare services. Objective. The present study aims to investigate the relationship between professional communication and professional commitment in the operating room nurses in teaching hospitals. Study Design. The present study used a descriptive-correlational design. Participants were selected via census sampling from hospitals in Shiraz over a period of three months. The participants were 350 operating room nurses who met the inclusion criteria. Data were collected using professional communication and a professional commitment questionnaire. The collected data were analyzed using the descriptive and inferential statistics in SPSS v v. 22. Findings. The operating room nurses’ mean scores for professional communication (136.81 ± 13.77) and professional commitment (71.42 ± 11.62) were found to be high. The results of the Pearson correlation coefficient test showed that there was a statistically significant linear relationship between professional communication and professional commitment ( p < 0.001 , r = 0.235). The results also showed that there was a significant relationship between professional commitment on the one hand and gender ( p = 0.042 ), marital status ( p = 0.047 ), and interest in work ( p = 0 / 000 ) on the other hand. There was also a significant relationship between professional communication and interest in work ( p = 0 / 000 ). Conclusion. Given the significance of professional communication and professional commitment in the operating rooms, it is recommended that healthcare administrators and policymakers take steps to improve these areas. It is suggested that measures should be taken to increase the personnel’s awareness of the principles of professional communication and the significance of professional commitment through regular workshops.
Background: The operating room is a high-risk environment in which practitioners with different educational backgrounds work together to provide safe care for surgical patients. The surgical team needs to use teamwork skills for safe performance and error prevention. Pediatric surgery is a very sensitive surgery type that needs special psychological skills. Objectives: This study aimed to assess surgical teams’ teamwork skills in pediatric surgery. Methods: This cross-sectional study was conducted on 154 surgical teams working in the pediatric operating rooms of two public hospitals in Shiraz, Iran, during the summer of 2021 using convenience sampling. The data were collected by the Mayo High-Performance Teamwork Scale. An operating room technologist collected the data by observing surgeries. Descriptive statistics were used for the analysis of the data. The data were analyzed using SPSS software (version 22). Results: The mean value of the teamwork score was 1.57 ± 0.20 (out of 2). The total teamwork score was 25.20 ± 3.31 (out of 32). The majority of items had a score of more than average. The team members had the highest score in recognizing a leader. The studied surgical teams had low scores in verbalizing their activities and repeating back the instructions. Conclusions: The overall teamwork score in the studied teams in the pediatric operating rooms was at an acceptable level. However, the studied teams did not do well in team communication behaviors. Interventions, such as educating, standardizing communications, and implementing a pediatric surgical safety checklist, can improve team communication skills.
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