Psychosocial elements of professionally-relevant behaviour in scrub nurses
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Abstract
The significance of professionally-relevant behaviour of scrub nurses for teamwork in the operating room is increasing, as proven by the studies carried out over the last decades worldwide. Non-technical skills include both social and cognitive elements. Specific behaviour evaluation system can be used to identify, assess and improve non-technical skills of scrub nurses. Improvement of non-technical skills helps reduce staff errors in the intraoperative period.
The objective of the research is to find out whether there are statistically significant differences between scrub nurses’ self-assessment of their non-technical skills, their implementation and surgeons' expectations.
Demographic questionnaire, interview and Scrub Practitioners List of Intraoperative Non-technical Skills (SPLINT) were used in this study.
Scrub nurses tend to engage in minimal communication and only a half of surgeons show expectations for exchange of thoughts and ideas from scrub nurses. This shows that the exchange of information between physicians and scrub nurses is generally insufficient. Surgical team members pay more attention to signals given by the surgical team and surgical process and rarely report on perception of signals given by medical equipment and a patient. Such data may be indicative of insufficient attention to a patient’s safety during the surgery.
Key words. Non-technical skills, scrub nurse, scrub nurse’s skills
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References
Correll, S.J., & Ridgeway, C.L.(2003) Expectation states theory. In DeLamater, J. (Ed.), Handbook of Social Psychology. New York: Kluwer-Plenum, 29-51.
Endsley, M.R. (1988). Design and evaluation for Situation Awareness enhancement. Proceedings of the Human Factors Society 32nd Annual Meeting (Volume 1, pp. 97 – 101). Santa Monica, CA: Human Factors Society.
Flin, R & Maran, N. (2004). Identifying and training non-technical skills for teams in acute medicine. Quality & Safety in Health Care, 13 (suppl II), 180-184.
Gaffney F. Andrew, Harden S., Seddon R. (2005) The Flight Plan for Lasting Change in Patient Safety: HCPro, Inc.
Helmreich R. (2000). On error management: lessons from aviation. BMJ, 320, 18 (3).
Helms, J.E., Henze, K.T., Sass, T.L. & Mifsud, V.A. (2006). Treating Cronbach’s alpha reliability coefficients as data in counseling research. The Counseling Psychologist, 34(5), 630-660.
Jefferies H. & Chan K. K. (2004) Multidisciplinary team working: is it both holistic and effective? Int J Gynecol Cancer 2004, 14, 210—211.
Krogstad U., Hofoss D. And Hjortdahl P. (2004). Doctor and nurse perception of inter-professional co-operation in hospitals. International Journal for Quality in Health Care. 16(6), 491–497.
Lane, A. & Ziviani, J. (2003). Assessing children’s competence in computer interactions: Preliminary reliability and validity of the test of mouse proficiency. OTJR: Occupation, Participation and Health, 23(1), 18-26.
Makary MA, Sexton JB, Freischlag JA, Holzmueller CG, Millman EA, Rowen L, Pronovost PJ. (2006). Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder. J Am Coll Surg 2006; 202:746-52. 3.
Manser T. (2009). Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. Acta Anaesthesiol Scand. 2009 Feb;53(2):143-51.
Mills P, Neily J, Dunn E. (2008).Teamwork and communication in surgical teams: implications for patient safety. Journal of the American College of Surgeons, 206:107-12.
Mitchell L, Flin R., Yule S, Mitchell J, Coutts K., Youngson G (2012). Evaluation of the Scrub Practitioners’ List of Intraoperative Non-Technical Skills (SPLINTS) system International Journal of Nursing Studies, 49.
Mitchell, L. & Flin, R. (2008). Non-technical skills of the operating theatre nurse: Literature review. Journal of Advanced Nursing, 63, 15-24.
Mitchell L., Rhona R., Yule S., Mitchell J., Coutts K.,Youngson G., (2011). Thinking ahead of the surgeon. An interview study to identify scrub nurses’ non-technical skills International Journal of Nursing Studies, 48, 818–828.
Mitchell, L. & Flin, R. (2009). Analysing Behaviour in the Operating Theatre Scrub Practitioners’ List of Intra-Operative Non-Technical Skills: SPLINTS, Farnham: Ashgate.
Scrub Practitioners’ List of Intraoperative Non-Technical Skills (SPLINTS), 2010. University Aberdeen, Scotland.
Timmons S. and Tanner J. (2004). A disputed occupational boundary: operating theatre nurses and Operating Department Practitioners//Sociology of Health & Illness, 26 (5), 645–666.
Ribakova A., (2010). Personāla inficēšanas riska mazinošo stratēģiju pielietojums operāciju zālēs Latvijā (Bachelor's thesis), RSU, Latvia
Undre S., Sevdalis N, Healey AN, Darzi S, Vincent CA. (2012). Teamwork in the operating theatre: cohesion or confusion?; Journal of Evaluation in Clinical Practice, 2, 182–189.