Operating room nurses’ experience about patient cares for laparotomy surgeries: A phenomenological study

Abstract

Introduction: The primary purpose of the present study was to explain the lived experiences of operating room nurses in the field of patient care undergoing laparotomy surgeries. Methods: The analytical phenomenological method was used. Ten operating room nurses employed in the operating rooms were selected using purposeful sampling. In-depth and semi-structured interviews were used for data collection. Data analysis was also applied using van Manen’s six-step test. Results: In this study, 749 initial codes were extracted, classified into three main themes and six sub-themes following the elimination of similar codes. The main themes included a positive view of patient care, preservation of the physical safety of patients, and consideration of patient vulnerability in the operating room. Moreover, responsibility, holistic care, readiness standards of the surgical environment, physical care provision, medical team malpractice, and lack of care context were considered as sub-themes. Conclusion: The operating room nurses’ experiences of patient care in operating rooms included a positive view of patient care, preservation of the patient’s physical safety, and consideration of patient vulnerability in the operating room.

Prerequisites for infection prevention interventions during the intraoperative phase from the perspective of operating room nurses, An integrative review

“…The assessments resulted in eight high qualitative studies, (41)(42)(43)(44)(45)(46)(47)(48) and one high quality quantitative study (40). We found two low quality qualitative studies, (49,50) and one low quality quantitative study, (39), four qualitative studies of moderate quality, (51)(52)(53)(54) and one quantitative study of moderate quality (55). All authors discussed the assessment, and no studies were excluded because they all could contribute to the overall results and were published in academic peer-reviewed journals.…”

“…They actively worked to maintain control of the aseptic environment by implementing infection prevention interventions, including the replacement of non-sterile equipment, glove changes, proper dressing application, and ensuring the secure placement of the drape (39,40,50).…”

“…The aspiration was to have control over the equipment, ensuring its proper setup and coverage before the patient's arrival (40). Skin disinfection was considered the most important intraoperative infection preventive intervention, and draping was essential (40,50). Incision drapes to protect the surgical site and plastic drapes to cover open wounds were also considered important (40).…”

“…In several studies operating room nurses were of the opinion that most infection prevention interventions recommended in guidelines were implemented and followed during the daily work (39,44,55). On the other hand, there were several examples where guidelines were not followed by other team members or by the operating room nurses themselves (42,44,(48)(49)(50)(51)54). Adherence to guidelines varied between professionals in the team and between different operating room nurses (44,50).…”

“…On the other hand, there were several examples where guidelines were not followed by other team members or by the operating room nurses themselves (42,44,(48)(49)(50)(51)54). Adherence to guidelines varied between professionals in the team and between different operating room nurses (44,50). Not all infection preventive interventions had scienti c evidence backing them up, and interventions with limited scienti c evidence were, practised in various ways to a greater extent (39).…”