Patient and staff safety differences between open and laparoscopic surgical procedures: A qualitative study of operating room nurses' perspectives

IF 1 Q2 Nursing

Perioperative Care and Operating Room Management Pub Date : 2025-09-17 DOI:10.1016/j.pcorm.2025.100555

Neslihan Ilkaz , Dercan Gencbas

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引用次数: 0

Abstract

Background

Operating room nurses play a critical role in maintaining safety for both patients and staff during the perioperative period. Given the distinct nature of open and laparoscopic surgical procedures, they must identify and address procedure-specific safety risks through preventive strategies.

Aim

This study aimed to investigate the factors that threaten patient and staff safety in open and laparoscopic surgeries.

Methods

Data were collected through semi-structured interviews with 18 operating room nurses from various surgical units selected via purposive sampling. Interviews were audio-recorded, transcribed verbatim, and thematically analyzed.

Results

Analysis yielded three main themes: Operating room environment, Staff responsibility,and Risk specific for surgical procedure. Sub-themes included environmental and psychological factors, team harmony, risk in surgical preparation, and risk during intraoperative. The findings showed that open and laparoscopic surgical procedures posed different risks to patient and staff safety.

Conclusions

Recognizing the safety challenges of different surgical methods is essential for improving outcomes. Operating room nurses and surgical teams should implement proactive, procedure-specific strategies to mitigate risks across all phases of surgery.

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开放和腹腔镜手术的患者和工作人员安全差异：手术室护士观点的定性研究

背景手术室护士在围手术期维护患者和工作人员的安全方面发挥着至关重要的作用。鉴于开放和腹腔镜手术的不同性质，他们必须通过预防策略识别和解决手术特定的安全风险。目的探讨腹腔镜和开放手术中威胁患者和工作人员安全的因素。方法采用半结构化访谈法对18名不同科室的手术室护士进行有目的抽样调查。采访录音，逐字抄录，并按主题进行分析。结果分析得出三个主要主题：手术室环境、工作人员责任和外科手术的特定风险。分主题包括环境和心理因素、团队和谐、手术准备中的风险和术中风险。研究结果表明，开放和腹腔镜手术对患者和工作人员的安全构成不同的风险。结论认识到不同手术方法的安全性挑战对改善预后至关重要。手术室护士和外科团队应该实施积极主动的、具体的手术策略，以减轻手术所有阶段的风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Perioperative Care and Operating Room Management Nursing-Medical and Surgical Nursing

CiteScore

1.30

自引率

0.00%

发文量

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.