Operating room nurses' experiences of skin preparation in connection with orthopaedic surgery: A focus group study

Abstract

Background: Preoperative skin preparation is performed differently by different operating room nurses. Aim: To deepen the understanding of skin preparation within an orthopaedic surgical setting from the operating room nurse perspective and to explore their experiences. Methods: A qualitative exploratory design was used. Four focus group interviews were conducted during 2016-2017, at four hospitals in Sweden, using procedures developed by Krueger and Casey. A total of 19 operating room nurses were recruited through purposive sampling. Results: Statements were categorized into four categories of experiences: (1) Knowing, which related to learning and sources of knowledge; (2) Doing, which related to skin preparation and activities based on tradition and evidence; (3) The Team, which related to the assignment of responsibility and collaboration with patients and other professions; and (4) The Setting, which related to factors around the patient and included feelings of time pressure and access to supplies. Conclusions: Theory and practice differ, and some skin preparation used are based on tradition rather than on evidence or recommendations. Elements both within the team in the operating room and within the organization influence the result. Operating room nurses' duty to perform safe skin preparation must be respected in the team.

[Retracted] Analysis of the Effect of Holistic Nursing in the Operating Room Based on PDCA and Evidence‐Based Nursing in the Otorhinolaryngology Operating Room: Based on a Retrospective Case‐Control Study

“…In addition, congenital ear malformations caused by genetic or environmental factors are the most common [ 2 ]. The common clinical symptoms include otitis media, tympanic membrane perforation, and tympanic membrane repair in ear diseases, nasal diseases including inflammation of nose and paranasal sinuses and nasal polyps, and throat diseases including inflammation of pharynx and larynx, adenoid hypertrophy, tonsillitis, and polyps in vocal cords [ 3 ]. Clinically, because the nose and ear are connected with each other through the eustachian tube, when inflammation occurs in the nose, it will cause edema of the nasal mucosa, in which case the eustachian tube will be blocked.…”

“…In medicine, the parietal wall of the middle ear is called the tympanic cover. After dissection, it can be observed that there is only a thin bone wall between the tympanum and the brain, and it is also very close to the cerebellum [ 3 , 4 ]. Once the disease of the middle ear occurs, such as severe inflammation, the bone will be infected or damaged.…”

Using multi-focus group method as an effective tool for eliciting business system requirements: Verified by a case study

“…Facilitators analyzed each other’s data independently and aimed to improve the study’s reliability [ 20 ]. During focus group sessions, facilitators should encourage contributions from all participants to be clear, which increases the reliability of the results [ 38 ]. They ensured that all discrepancies were covered until a consensus was reached.…”

O Trabalho Da Equipe De Enfermagem Na Sala De Recuperação Pós-Anestésica: Uma Revisão Integrativa

“…No estudo de grupo focal realizado em hospitais na Suécia, Markström et al (2020) destacam bem essa prática, evidenciando que mesmo tendo acesso e conhecimento acerca das diretrizes e protocolos disponíveis, grande parte dos enfermeiros envolvidos nas atividades do CC não consultavam com frequência esses documentos, a fim de desenvolver uma prática segura e pautada em evidências científicas. Os entrevistados afirmam que parte dos saberes obtidos, advém de trocas de conhecimentos com os colegas de trabalho, o que põe em risco a segurança do paciente.…”