Operāciju māsu preventīvās darbības nevelamo ķirurgisko svešķermeņu novēršanai operāciju brūcē
No Thumbnail Available
Date
2020
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Pacientu drošība ir viens no būtiskiem jautājumiem veselības aprūpes politikā un sabiedriskajās debatēs.Dati liecina, ka no 50% līdz 80% medicīnas negadījumu ir novēršami, ja tiek veikta gadījuma analīze un atrasti kļūdu pirmcēloņi. SPKC statistikas dati liecina, ka Latvijā 2017. gadā ķirurģiskie svešķermeņi tika konstatēti ~3 gadījumos. (Slimību profilakses un kontroles centrs,2018)Savukārt ASV šī problēma skar ~1500 gadījumus gadā. (World Health Organization,2009)Tas norāda, ka šī problēma joprojām pastāv nepilnīgas darba kvalitātes un pacientu drošības prasību ievērošanas dēļ.
Bakalaura darba “Operāciju māsu preventīvās darbības nevēlamu ķirurģisko svešķermeņu novēršanai operāciju brūcē” mērķis ir noskaidrot operāciju māsu preventīvās darbības nevēlamu ķirurģisko svešķermeņu novēršanai operāciju brūcē. Pētījums tika veikts vairākās Latvijas ārstniecības iestādēs un kā respondenti ir izvēlētas operāciju māsas. Izvirzītais pētījuma jautājums ir: kādas ir operāciju māsu preventīvās darbības nevēlamu ķirurģisko svešķermeņu novēršanai operāciju brūcē? Pētījums tika veikts, izmantojot kvalitatīvu pētījuma metodi. Pētījuma instruments ir novērošanas protokols un intervija.
Pētījums ļauj noskaidrot, kā operāciju māsas ievēro rekomendējamās darbības, kuras ir saistītas ar svešķermeņu atstāšanas risku, kā arī māsu viedokli par standartizēto procesu un komandas komunikācijas nozīmību.
Tika noskaidrots, ka operāciju māsas ievēro lielu daļu no rekomendācijām pēc kurām vadās Eiropas valstu operāciju māsas. Savukārt, ir sastopamas arī nepilnības, kuras ir nepieciešams labot, lai celt valsts veselības aprūpes līmeni augstākā līmenī. Operāciju māsu preventīvās darbības svešķermeņu novēršanā daļēji atbilst tam, ko māsas norādīja intervijas laikā. Pētījums apliecināja, ka joprojām darba vidē pastāv sarežģītības ķirurģijas komandas sadarbībā un attieksmē vienam pret otru. Lai novērstu komunikācijas problēmas darba vidē, ir nepieciešams topošos mediķus apmācīt ne tikai par tehniski profesionālām lietām, bet arī par komandas darba saliedētību, mobinga pārvarēšanu un citām saskarsmes lietām.
Patient safety is a key issue in healthcare policy and public debate. Data show that between 50% and 80% of medical accidents can be prevented if a case study is performed and the root causes of the errors are identified. SPKC statistical data show that in 2017, surgical foreign bodies were detected in ~ 3 cases in Latvia. (Center for Disease Prevention and Control, 2018) In the United States, the problem affects ~ 1,500 cases a year. (World Health Organization, 2009) This indicates that this problem persists due to poor quality of work and compliance with patient safety requirements. The aim of the bachelor's “Scrub nurses' actions in preventing the unintentional retention of surgical objects in a surgical wound” is to find out the preventive activities of nurses for the prevention of retained foreign bodies in surgical wounds. The study was conducted in several Latvian medical institutions and surgical nurses were selected as respondents. The research question is: what are the preventive actions of surgical nurses to prevent retained foreign bodies in an surgical wound? The study was conducted using a qualitative research method. The research tool is an observation protocol and an interview. The study allows to find out how the operation nurses follow the recommended actions, which are related to the risk of leaving foreign bodies, as well as the nurses' opinion about the standardized process and the importance of team communication. It was found that operating nurses follow a large part of the recommendations followed by European nurses. On the other hand, there are also shortcomings that need to be corrected in order to raise the level of public health care to a higher level. The preventive actions of the operation nurses in the prevention of foreign bodies partly correspond to what the nurses indicated during the interview. The study confirmed that there are still complexities in the work environment in the cooperation and attitude of the surgical team. In order to prevent communication problems in the work environment, it is necessary to train future physicians not only in the technical professional field, but also in team work cohesion, mobbing and other communication issues.
Patient safety is a key issue in healthcare policy and public debate. Data show that between 50% and 80% of medical accidents can be prevented if a case study is performed and the root causes of the errors are identified. SPKC statistical data show that in 2017, surgical foreign bodies were detected in ~ 3 cases in Latvia. (Center for Disease Prevention and Control, 2018) In the United States, the problem affects ~ 1,500 cases a year. (World Health Organization, 2009) This indicates that this problem persists due to poor quality of work and compliance with patient safety requirements. The aim of the bachelor's “Scrub nurses' actions in preventing the unintentional retention of surgical objects in a surgical wound” is to find out the preventive activities of nurses for the prevention of retained foreign bodies in surgical wounds. The study was conducted in several Latvian medical institutions and surgical nurses were selected as respondents. The research question is: what are the preventive actions of surgical nurses to prevent retained foreign bodies in an surgical wound? The study was conducted using a qualitative research method. The research tool is an observation protocol and an interview. The study allows to find out how the operation nurses follow the recommended actions, which are related to the risk of leaving foreign bodies, as well as the nurses' opinion about the standardized process and the importance of team communication. It was found that operating nurses follow a large part of the recommendations followed by European nurses. On the other hand, there are also shortcomings that need to be corrected in order to raise the level of public health care to a higher level. The preventive actions of the operation nurses in the prevention of foreign bodies partly correspond to what the nurses indicated during the interview. The study confirmed that there are still complexities in the work environment in the cooperation and attitude of the surgical team. In order to prevent communication problems in the work environment, it is necessary to train future physicians not only in the technical professional field, but also in team work cohesion, mobbing and other communication issues.
Description
Māszinības (ar specializāciju Operāciju māsa)
Nursing Studies
Veselības aprūpe
Health Care
Nursing Studies
Veselības aprūpe
Health Care
Keywords
svešķermenis, operāciju māsa, operāciju zāle, preventīvās darbības, pacienta drošība., foreign body, operating room nurse, operating room, preventive actions, patient safety.