Surgical Safety Practices among Operating Room Nurses
DOI:
https://doi.org/10.5281/zenodo.15274078Keywords:
Compliance Surgical Safety Practices, Surgical Safety ChecklistAbstract
This study determined the level of compliance with surgical safety practices among operating room nurses from provincial-run hospitals in Negros Occidental. Seventy-seven respondents were surveyed using a questionnaire adapted from the WHO Surgical Safety Checklist (SSC). Quantitative data were gathered with certain demographic variables for profiling using a descriptive design. Using descriptive statistics, the OR nurses "always" complied with the SSC overall (mean=4.77, SD=.293), "before the induction of anesthesia (mean=4.82, SD=.349)," "before skin incision (mean=4.70, SD=.357)," and "before the patient leaves the OR (mean=4.79, SD=.260)." Using Pearson's correlation and Spearman's rho, at alpha set to .05, it was found that there was no significant relationship between nurses' level of compliance to the SSC the demographic variables -sex (rpb = -.263, n = 77, p = .127), age (rs (77) = -.015, p = .898), work experience (rs (77) = -.078, p = .499), and highest educational attainment (rpb = -.292, n = 77, p = .089). Based on the study's findings, it was concluded that the nurses' compliance with the SSC is favorable and that their level of compliance is not related or associated with sex, age, work experience, and highest educational attainment. Moreover, it is recommended that interventions/strategies such as regular assessment/re-assessment of performance, relevant training, higher educational pursuits and research, and benchmarking be implemented to improve and maintain the nurses' level of compliance.
References
ACSQHC. (2019). Australian Commission on safety and quality in healthcare: Infection prevention and control systems. Retrieved from https://www.safetyandquality. gov.au/standards/nsqhs-standards/preventing-and-controlling-healthcare-associated-infection-standard/infection-prevention-and-control-systems
Ardhana, P., & Haryanto (2024) Factors Relating to Nurses' Compliance in
Implementing the Surgical Safety Checklist: A Scoping Review. Nurse and Health: Jurnal
Keperawatan, 13 (1), 135-147. https://doi.org/10.36720/nhjk.v13i1.623
Bayuningsih, R., Rahmawati, R., Aminah, S., Devia Agustina, S. (2019). Factors Influencing Nurses' Compliance in The Implementation Of The Surgical Patient Safety Sign-Out Phase In The Central Surgical Room Of Karawang Rud
Benze, C., Spruce L., Groah L. (2021). Perioperative Nursing: Scope and Standards of Practice. Association of perioperative registered Nurses (AORN)
Broussard, I. M., & Kahwaji, C. I. (2020). Universal Precautions. Treasure Island, FL: StatPearls Publishing.
Brown, P., Wilson, H., & Thompson, S. (2015). Barriers and facilitators to nurses' compliance with surgical safety protocols: A qualitative study. Journal of Perioperative Practice, 25(9), 192-200. DOI: 10.1177/175045891502500904
Cherney, K. (2018). “Aseptic Technique.” healthline. Retrieved: https://www.healthline.com/health/aseptic-technique
Creswell, J. W., & Creswell, J. D. (2018). Research design (5th ed.). SAGE Publications.
Davis, E., Jackson, M., & White, L. (2016). Assessing the effectiveness of education and training programs on nurses' compliance with surgical safety protocols. Journal of Continuing Education in Nursing, 47(8), 364-372. DOI: 10.3928/00220124-20160714-10
Gall M.D., Gall J.P., Borg W.R. (2007), Educational research: An introduction (8th ed.). Boston: Pearson.
Gilbert, H. A. (2020). Florence Nightingale's Environmental Theory and its influence on contemporary infection control. Collegian, Volume 27, Issue 6, December 2020, Pages 626-633. https://doi.org/10.1016/j.colegn.2020.09.006
Gonzalo, A. (2023, July 7). Florence Nightingale: Environmental Theory. Retrieved from https://nurseslabs.com/florence-nightingales-environmental-theory/
Johnson, M., Smith, A., Brown, R., & Davis, S. (2019). Assessing compliance with surgical safety protocols among operating room nurses: A systematic review. Journal of Perioperative Nursing, 27(3), 65-76. DOI: 10.1177/1750458919854789
Leavy, P. (2017). Research Design, Quantitative, Qualitative, Mixed Methods, Arts-Based and Community-Based Particularly Research Approved. The Guilford Press.
McDonald, L. (2010). Florence Nightingale at first hand. United Kingdom: Continuum Books., www.continuumbooks.com.
McEwen M, Willis EM. Theoretical Basis for Nursing. 5 ed. Alphen aan den Rijn (NL): Wolters Kluwer; 2018. 624 p
Mersh, A. T., Melesse, D. Y., & Chekol, W. B. (2021). A clinical perspective study on the compliance of surgical safety checklist in all surgical procedures done in operation theatres, in a teaching hospital, Ethiopia, 2021: A clinical perspective study. Annals of medicine and surgery (2012), 69, 102702. https://doi.org/10.1016/j.amsu.2021.102702
Nightingale F. Notes on nursing: what it is, and what it is not. Philadelphia (PA): J. B. Lippincott, 1859/1992.
Pavlová, P., Holá, J., & Škaroupková, L. Compliance with the principles of the perioperative safety process in the context of the work of perioperative nurses. Central European Journal of Nursing and Midwifery. 2019;10(4), 1125–1133.
Riegel, F., Crossetti, M. D. G. O., Martini, J. G., & Nes, A. A. G. (2021). Florence Nightingale's theory and her contributions to holistic critical thinking in nursing. Revista brasileira de enfermagem, 74(2), e20200139. https://doi.org/10.1590/0034-7167-2020-0139
Sinambela, I. J. R. J. & Simanullang, R. H. (2023). Compliance Level Of Nurses In The Implementation Of Surgical Safety Checklist Time Out At The Operating Theater Of Murni Teguh Hospital Medan
Smith, L., Thompson, R., & Harris, J. (2017). Compliance with surgical safety practices among perioperative nurses: A cross-sectional study. AORN Journal, 105(6), 655-666. DOI: 10.1002/aorn.12144
STERIS. (2017, June 29). Operating Room Equipment: A Complete Guide. STERIS Healthcare. https://www.steris.com/healthcare/knowledge-center/surgical-equipment/operating-room-equipment-a-complete-guide
Whitlock, J. (2023, August 13). An Overview of Surgery. verywellhealth. https://www.verywellhealth.com/surgery-4014639
WHO. (2007). Standard precautions in healthcare. Aide-memoire. WHO Infection control. https://www.who.int/docs/default-source/documents/ health-topics/standard-precautions-in-health-care.pdf?sfvrsn=7c453df0 2
WHO. (2014, August 14). Patient safety: Safe surgery saves lives. https://www.who.int/news-room/questions-and-answers/item/safe-surgery-saves-lives-frequently-asked-questions
Wilson, K., Jones, C. D., & Anderson, L. (2018). Factors influencing nurses' compliance with surgical safety checklist: A qualitative study. Journal of Advanced Nursing, 74(7), 1603-1613. DOI: 10.1111/jan.13580
Yuliati, E., Malini, H., Yasman, Y. (2019). Analysis of Factors Associated with the Implementation of the Surgical Safety Checklist in the Batam City Hospital Operating Room
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