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Communication as a non-technical skill in the operating room: A qualitative study.
Sisilie Havnås Skråmm1, Inger Lise Smith Jacobsen1, Ingrid Hanssen2
1Akershus university hospital, Lorenskog, Norway.
Nursing Open
|February 25, 2021
Summary
Operating room nurses (ORNs) experience challenges with team communication, including stress from unprepared surgeons and disruptive noise. Improving communication and fostering a positive team culture are vital for patient safety.
Area of Science:
- Nursing
- Healthcare Communication
- Patient Safety
Background:
- Effective communication is crucial in the operating room (OR) environment.
- Non-technical skills, including communication, significantly impact team performance and patient outcomes.
- Understanding operating room nurses' (ORNs) perspectives on communication is essential for improving OR dynamics.
Purpose of the Study:
- To explore operating room nurses' (ORNs) experiences with operating room (OR) team communication.
- To identify factors influencing communication effectiveness and non-technical skills within the OR team.
Main Methods:
- Qualitative study employing individual, in-depth, semi-structured interviews with 11 ORNs at a Norwegian university hospital.
- Data analysis followed Braun and Clarke's six analytic phases for thematic analysis.
- Utilized the Scrub Practitioners List of Intraoperative Non-Technical Skill (SPLINTS) framework.
Main Results:
- ORNs experience stress and frustration due to surgeon unpreparedness, instrument discrepancies, noise, and poor communication.
- Effective information flow is critical; ORNs use non-verbal cues like gestures and looks when silence is necessary.
- A positive and secure team culture promotes open discussions, questions, and information sharing.
Conclusions:
- Inappropriate team dynamics, disrespectful communication, and noise can compromise patient safety.
- Interdisciplinary team training can highlight the importance of communication as a key non-technical skill.
- Enhancing OR communication strategies is vital for improving patient safety and team collaboration.
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