The aim of this study is to examine related factors of operating room nurses' attitudes and awareness towards surgery-related pressure injury prevention in Turkey, Croatia, and Italy.
A descriptive ...and cross-sectional design was used. The study was conducted between March and September 2023. Data were collected with an online questionnaire created on Google Forms, consisting of a Nurse Information Form, a Surgery-related Pressure Injury Awareness Form, and the Attitude towards Pressure Ulcer Prevention Instrument.
The sample of the study consisted of 258 operating room nurses working in Turkey, Croatia, and Italy. It was found that the majority of the participants (70.90 %) did not use a risk scale, had not received education on pressure injury prevention and treatment (58.10 %) but wanted to receive it (86 %). Mean attitude scores of operating room nurses by country were at an adequate level in Turkey (42.48 ± 4.30) but not at the desired level in Croatia (37.48 ± 3.44) and Italy (36.20 ± 4.02). While there was a significant positive relationship between the awareness and attitudes of operating room nurses in Turkey (p = 0.002) and Croatia (p < 0.001), no relationship was found between these variables of nurses in Italy (p = 0.109). A statistically significant difference was found between nurses' consideration of themselves sufficient and their attitudes and awareness in all three countries (p < 0.05). It was also determined that reading articles affected nurses’ awareness in all countries.
While operating room nurses’ attitudes towards preventing pressure injuries were adequate in Turkey, it was determined that those of the nurses in Croatia and Italy were not at the desired level. Nurses should receive regular training on surgical pressure injuries to increase their awareness and to support them in implementing the recommendations of pressure injury guidelines in accordance with institutional policy.
•PI attitudes and awareness among ORNs vary significantly across countries.•There was a significant positive relationship between the awareness and attitudes of ORNs in Turkey and Croatia.•The awareness of ORNs can be enhanced by evidence-based training on preventing surgery-related PI.•ORNs should be motivated and encouraged to participate in surgery related PI scientific events.
•Fatigue may lead to making serious mistakes in nurses.•Operating room nurses experience moderate fatigue.•AAffecting factors for fatigue are having chronic disease, sedentary lifestyle, high BMI, ...longer weekly working hours. older age, being always on the daytime shift, working in the operating rooms for a long time.
Operating rooms have stressful and complex working environments. Working in a stressful environment and exposure to various risk factors could affect human health both physiologically and psychologically and causes fatigue. The purpose of this study was to examine fatigue levels and factors affecting fatigue in operating room nurses.
This research was a descriptive, cross-sectional study. The study sample comprised 99 nurses working in operating rooms of hospitals in a city in Aegean Region of Turkey. Data were gathered with a descriptive characteristics form and the Checklist Individual Strength between December 2019 and February 2020. Data analysis was performed by using numbers, percentages, mean, standard deviation, Student's t-test, one-way ANOVA, Kruskal-Wallis, Mann-Whitney-U and Pearson correlation tests. The STrengthening the Reporting of OBservational studies in Epidemiology (STROBE) checklist for cross-sectional studies was used for reporting study data.
The mean age of the nurses was 30.68±8.78 years, the mean duration of operating room experience was 5.37±4.78 years and the mean working time was 48.65±5.93 h/week. The lowest and the highest fatigue scores of the nurses were 34 and 128 respectively with a mean of 77.53±18.76. A significant difference was found between fatigue levels according to presence of a chronic disease, type of hospital, activity levels, job titles and types of work schedules (p<.05).
The level of general fatigue of the operating room nurses was not high. However, nurses having a chronic disease and a sedentary lifestyle and being always on the daytime shift had higher fatigue levels. Body mass index, weekly working hours, age and duration of operating room experience had a correlation with fatigue levels.
Abstract Objective According to the World Federation of Medical Education, critical thinking should be part of the training of medical and paramedical students. Professionals can improve the quality ...of care of patients after surgery by having or acquiring this skill in health care. Also, Emotional intelligence is introduced as an important and effective factor on the professional performance and mental health of healthcare professionals. Thus, the present study was designed and implemented to determine the relationship between emotional intelligence and critical thinking among operating room nursing students of medical sciences universities in Iran. Methods This cross-sectional study was done on 420 operating room students in 10 top medical sciences universities of Iran in 2022. The sampling method in this research was multistage sampling. The data collection instruments included demographic characteristics, Rickett’s critical thinking, and Bradberry-Greaves’ emotional intelligence questionnaires. After receiving the ethics code, data collection was done for 2 months. For data analysis, descriptive and inferential analyses including independent t-tests , analysis of variance, and Pearson correlation were used. The collected data were analyzed by SPSS 18 (IBM Corporation, Armonk, New York, United States). P -value <0.05 was considered significant. Results The mean age of the students participating in this study was 23.02 ± 3.70 years, with women constituting 67.4% of them. The results of data analysis indicated that the mean total score of critical thinking and emotional intelligence was 124.10 ± 37.52 and 114.12 ± 43.63, respectively. A direct significant correlation between critical thinking and emotional intelligence ( r = 0.459, P -value <0.001) and a significant relationship between gender and emotional intelligence ( P -value = 0.028) were found. Conclusions Based on the present study results, educational managers in the Ministry of Health are suggested to consider suitable educational programs for improving critical thinking and emotional intelligence to enhance the quality of care provided by students in operating rooms.
Background: Operating room nurses are exposed to disruptive behaviors in different situations in operating room that affect them and their performance.Aim: The present study was performed with aim to ...explore the experiences of Iranian operating room nurses regarding disruptive behaviors in operating room settings.Method: This descriptive qualitative study was conducted in different university hospitals of Tehran. The data were collected by deep semi-structured interviews with 17 operating room nurses who were purposefully selected. Finally, the data were analyzed by the conventional content analysis approach.Results: In this study, four categories were extracted, including "activity in a poisonous atmosphere", "role negligence", "escape to a safety margin for adaptation", and "Indirect confrontation". The theme was "struggle in a limbo atmosphere caused by disruptive behaviors".Implications for Practice: Considering to the effect of disruptive behavior, it seems necessary to take training measures for improving "team-working" in operation room settings. Nursing managers can use the results of this research to determine patient care policies in the operating room in order to promote patient safety and improve the quality of care. It also seems necessary to design and implement a training program to evaluate its effect on changing disruptive behaviors.
Abstract The aim of this study is to examine the opinions and experiences of operating room nurses about ethical sensitivity phemenologically. This phenomenological study, which is in the qualitative ...research design, was conducted with 14 operating room nurses. Prior to the study, a pilot study was conducted with three nurse families. The interviews were conducted using a face-to-face in-depth semi-structured interview form and the data were analyzed with Colaizzi’s phenomenological method. Interview data were collected between 15 June 2022 and 15 October 2022 in the country. Three categories, seven main themes, and twenty-three sub-themes emerged as a result of the interviews. In the theme of ethical dilemmas experienced by operating room nurses, there are sub-themes of professional ethics, teamwork, and patient dignity and benefit. There are physical and psychological sub-themes in the theme of ethical sensitivity perception and practices of operating room nurses, and among the subthemes, ensuring patient privacy, providing professional competence, providing psychological support to the patient, being friendly and communicating effectively, and respecting the patient’s autonomy come to the fore. Views of operating room nurses on the importance of ethical principles were discussed under the headings of profession and patient. Our results are valuable in that they shed light on the perspectives and experiences of the operating room nurses while maintaining ethical sensitivity. The high ethical sensitivity perceptions of operating room nurses are associated with an increase in the quality of care. It is thought that the high perception of ethical sensitivity of operating room nurses is an important factor that increases the satisfaction of individuals receiving care and the job satisfaction and quality of care of nurses.
Operating room nurses (ORNs) face various occupational hazards. The assessment of the hazards in the operating room (OR) is considered as essential due to the costs imposed by nurses' illness and ...disability on the society, and their importance and specialized skill.
This qualitative analytic phenomenological study was conducted during 18 months. In this regard, a total of 10 ORNs who worked in the teaching hospitals affiliated to Hamadan University of Medical Sciences were selected by utilizing purposive sampling method. The data were collected through in-depth semi-structured interviews and analyzed by using Van Manen six-step method.
The three main themes of reduced psycho-organizational resilience, chemical and biological hazards, and physical-environmental stressors were identified, the first of which included the sub-themes of burnout, inefficient management practice, and poor teamwork. Additionally, the second theme consisted of exposure to infectious agents and toxic fumes from chemicals, while the third was composed of neglecting the principles of ergonomics, as well as an unsafe working environment, patient care attitude, and poor attitude to safety.
The rate of OR hazards was high among ORNs in Hamadan. The results of the present study can improve the understanding of ORNs and managers by clarifying the concept of hazards in the OR. Finally, they provided some evidence-based suggestions to nursing manager so that hospital productivity can enhance by clever policymaking through creating a safe and desirable environment for surgical team.
Background and Objective: One’s work ability depends on individual and occupational factors. Improving the work ability increases the person’s efficiency and job satisfaction. The present study aimed ...to evaluate the work ability and determine the relationship between neurotoxic symptoms and individual factors with the work ability of operating room nurses. Materials and Methods: The present cross-sectional study was conducted on 121 operating room nurses at a teaching hospital in Tehran in 2021. Data were collected using the demographic characteristics form, work ability index (WAI) questionnaire, and Euroquest questionnaire and analyzed using SPSS software (version 23). Results: Based on the results, the mean±SD WAI was obtained at 31.52±4.8 for the nurses. It was found that work ability had a statistically significant negative correlation with neurotoxic symptoms (r=-0.75; P<0.01), age (r=-0.67; P<0.01), and work experience (r =-0.71; P<0.01). Moreover, the results of regression analysis indicated that neurotoxic symptoms (β=-0.56, P=0.000), work experience (β=-0.35, P=0.04), and age (β=-0. 21, P=0.05) were the main predictors of work ability. Conclusion: The results of the present study showed that the work ability of operating room nurses was moderate. Therefore, to improve the work ability, intervention programs should be performed with the aim to reduce factors that cause neurotoxic symptoms among operating room nurses.
Aim
To compare and evaluate operating room nurses’ opinions about robotic surgery with their individual innovativeness metric scores. The aim was also to identify the experiences, adaptation ...processes and influencing factors of operating room nurses working in robotic surgery rooms in Turkey.
Design
This was a comparative descriptive study.
Methods
The sample included 114 operating room nurses working in 12 institutions that performed robotic surgery in Turkey. Data were collected between January 2018 and September 2019 using the Demographic Characteristics of Nurses and Robotic Surgery Evaluation Form and the Individual Innovativeness Scale, and were analysed using a quantitative statistical approach (independent samples t‐test, one‐way analysis of variance and Kruskal–Wallis H test). The data obtained from the Robotic Surgery Evaluation section, which consisted of open‐ended and closed‐ended questions, were analysed with appropriate steps. In particular, answers to open‐ended questions were grouped and coded according to their content.
Results
Operating room nurses held positive opinions about robotic surgery. Only 35.8% of the nurses had received training before joining the robotic team, while 55.2% had individually searched for information. Operating room nurses with robotic surgery experience had significantly higher (p < .001) individual innovativeness scores. Over 85% of nurses who received training adapted to robotic surgery in 3 months or less, while nurses with higher individual innovativeness scores adapted in a statistically significantly (p < .05) shorter period. Training, teamwork, and practical experience were mentioned as facilitating factors; inadequate training and technical problems were reported as obstructing factors.
Conclusion
Operating room nurses hold positive opinions about robotic surgery; nurses with robotic surgery experience have higher levels of individual innovativeness; and nurses who have received training are significantly better adapted.
Impact
What problem did the study address? This study addresses the need for a better understanding of operating room nurses’ opinions and experiences about robotic surgery and the influencing factors of adapting to it. This study also offers an evaluation and comparison of the nurses’ individual innovativeness characteristics and the correlation with their adaptation processes to the new role.
What were the main findings? The main findings show a correlation between specific education/training and nurses’ adaptation to the new role of robotic surgery, the individual innovativeness characteristics metric of nurses with or without robotic surgery experience and the time frame of their adaptation.
Where and on whom will the research have an impact? This research traces the profile of current operating room nurses working in the robotic surgery field and the factors influencing their experience. These findings and conclusions have a much broader impact than in Turkey alone. The findings raise awareness of the importance of educating and preparing operating room nurses before introducing them to the new roles and responsibilities inherent to robotic surgery.
