Investigation of the perceptions of operating theatre nurses and central sterile supply department technicians regarding the barriers and facilitators of surgical instrument counts and tray management in the operating theatre

Q2 Nursing
Rogelio Silverio , Hussam Al Nusair , Priya Latha , Mariezl Fonbuena , Norodom Oidem , Aravela Buenagua , Sangeetha Sreenadh
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引用次数: 0

Abstract

Background

Proper surgical equipment management is essential for ensuring patient safety in the operating theater (OT). Despite existing protocols, errors persist, leading to severe complications and emotional distress. This study aimed to investigate the perceptions of OT nurses and Central Sterile Supply Department (CSSD) technicians regarding barriers and facilitators of instrument counts and tray management.

Methods

A multicenter cross-sectional, descriptive study was carried out using a SurveyMonkey conducted with a purposive sample of 52 participants of OT Nurses and CSSD technician from three hospitals in Saudi Arabia and the United Arab Emirates (UAE). The data were analyzed using frequencies and percentages, and to explore the relationship between the demographic variables and participants' overall perception scores, a chi-square test was employed.

Results

Data analysis revealed that participant perceptions varied by years in the profession (p = 0.31) and gender (p = 0.003). About 52 % agreed that current policies are clear, while 36.5 % were uncertain. The majority (40.4 %) believed the current tray couldn't reduce OT costs. Participants disagreed with the lack of training (42.3 %) and communication issues during handover (38.5 %). Confidence in the current protocol was low (40.4 %), and 46.2 % agreed that a new protocol would impact OT operations. Alarmingly, 84.6 % of participants had a negative overall perception, indicating widespread concerns.

Conclusion

These findings lay the groundwork for implementing a revised protocol for surgical tray management. Understanding healthcare professionals' perspectives will aid in identifying strategies to overcome barriers, enhancing instrument management practices, improving patient safety, and optimizing OT efficiency.

调查手术室护士和中央消毒供应部技术人员对手术室手术器械清点和托盘管理的障碍和促进因素的看法
背景正确的手术设备管理对于确保手术室(OT)内的患者安全至关重要。尽管已有相关规定,但错误依然存在,导致了严重的并发症和精神痛苦。本研究旨在调查手术室护士和中央消毒供应部(CSSD)技术人员对器械清点和托盘管理的障碍和促进因素的看法。方法采用 SurveyMonkey 进行了一项多中心横断面描述性研究,研究对象为来自沙特阿拉伯和阿拉伯联合酋长国(UAE)三家医院的 52 名手术室护士和中央消毒供应部技术人员。数据采用频率和百分比进行分析,为探讨人口统计学变量与参与者总体认知得分之间的关系,采用了卡方检验。结果数据分析显示,参与者的认知因从业年限(p = 0.31)和性别(p = 0.003)而异。约 52% 的人认为现行政策是明确的,36.5% 的人不确定。大多数人(40.4%)认为目前的托盘无法降低加班成本。与会者不同意缺乏培训(42.3%)和交接班时的沟通问题(38.5%)。对现行方案的信心不足(40.4%),46.2% 的人认为新方案会影响加护病房的运作。令人震惊的是,84.6% 的参与者对新规程的总体看法是负面的,这表明人们普遍存在担忧。了解医护人员的观点将有助于确定克服障碍的策略、加强器械管理实践、改善患者安全并优化 OT 效率。
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来源期刊
Perioperative Care and Operating Room Management
Perioperative Care and Operating Room Management Nursing-Medical and Surgical Nursing
CiteScore
1.30
自引率
0.00%
发文量
52
审稿时长
56 days
期刊介绍: The objective of this new online journal is to serve as a multidisciplinary, peer-reviewed source of information related to the administrative, economic, operational, safety, and quality aspects of the ambulatory and in-patient operating room and interventional procedural processes. The journal will provide high-quality information and research findings on operational and system-based approaches to ensure safe, coordinated, and high-value periprocedural care. With the current focus on value in health care it is essential that there is a venue for researchers to publish articles on quality improvement process initiatives, process flow modeling, information management, efficient design, cost improvement, use of novel technologies, and management.
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