Understanding the forms of care of nurses in the operating room - a construction based on the grounded theory method

Abstract

The aim of this study was to identify forms of care of nurses in the operating room, and describe how context influences the implementation of this care. This is qualitative study, for which data were obtained by means of five interviews with nurses working in the operating room of a public hospital in the municipality of Duque de Caxias, in the Brazilian state of Rio de Janeiro, conducted between August and September of 2010, using a semistructured script. The methodology followed the Grounded Theory method. The results show that the nurses perform care motivated by professional commitment and satisfaction, with patient health being their primary focus. Professional context influences ways of working, since the relationship of care exists in the interdependence between the beings involved and working conditions. In conclusion, operating room nurses integrate several factors, acting sometimes as agents of indirect care, despite the difficulties of a complex and specific context.

The effects of an empathy role-playing program for operating room nursing students in Iran

“…In a patient care program released by the Association of Perioperative Registered Nurses, the creation of a caring atmosphere by showing empathy to patients was introduced as a useful factor for reducing the anxiety levels of patients in the operating room prior to surgery [9]. Santos et al [10] also suggested that healthcare providers in the operating room should cultivate empathy as part of providing care for patients. Therefore, showing empathy to patients in the operating room seems to have an effect on healthcare provider-patient communications, and teaching this concept to operating room nursing students as would-be personnel in this domain is of the utmost importance.…”

Workflow and decision making of operating room nurses: integrative review

“…Article (8) England 2018 the operating room (25) ; and use of instruments to systematize and document nursing practice (4) . The category "factors with negative implications" included: emergency surgery (8,20,22); lack, poor quality or unavailability of equipment (8,16,19,23); problems related to the workflow of inpatient units (8) ; delay and cancellation of surgeries (8,25); excessive movement of the circulating nurse (10) ; lack of human (4,13,16,(19)(20)22) , material (8,13,16,(19)(20)23) and structural (8,13,16,20,22) resources; client's clinical conditions (13,20,22) ; lack of adequate time to carry out activities (16) ; lack of planning (6,16,19) and organization (16,19) ; lack of preoperative evaluation (19) ; technical failures of professionals (19) ; poor quality devices and equipment (19) ; failure to communicate with the management (6) ; work overload (23...…”

“…In this regard, communication between the surgeon, the anesthesiologist and the nursing team is important (27) . As for communication failures in other areas, (such as management, for example) they make it difficult to carry out work activities (6), which can be reflected in late and/or unilateral decisions that can be harmful in a dynamic context like the operating room.…”

“…Perioperative nursing care goes beyond the physical space of the operating room, as it occurs in outpatient and inpatient surgical units, hemodynamics and endoscopy services, in order to provide high quality care to surgical clients (4) . For this purpose, nurses must coordinate care practice and management activities (5), which requires strategies to overcome difficulties related to the health institution, the staff and the clients (6) . It is expected that these professionals have a dynamic profile, technical, scientific and technological knowledge (4) , as well as leadership skills, decision making ability, adaptability, flexibility and teamwork (7) .…”

Nursing performance in robotic surgeries: integrative review

“…Perioperative is understood as the three stages experienced by the patient in relation to the surgical procedure, that is, preoperative (24 prior to the surgery), transoperative/intraoperative and immediate postoperative (24 hours after the surgery) (3) . This professional must ensure a safe practice, so that technological advances do no stay ahead of their essential characteristic, care (4) .…”