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Perioperative nursing: maintaining momentum and staying safe
Jon R McGarry1, Catherine Pope2, Sue M Green3
1Charge Nurse, Hampshire Hospitals NHS Foundation Trust, Basingstoke and North Hampshire Hospital, UK.
Journal of Research in Nursing : JRN
|August 16, 2021
Summary
Perioperative nurses balance maintaining patient flow and ensuring safety during surgery. Their role involves managing the inherent tension between these critical aspects of operating room care.
Area of Science:
- Nursing
- Healthcare Management
- Surgical Care
Background:
- Perioperative nursing is crucial but often underrecognized in healthcare.
- Understanding perioperative nurses' roles is vital for articulating their contributions.
- Limited research exists on the daily practices and self-perceptions of these nurses.
Purpose of the Study:
- To observe the practice of perioperative nurses.
- To explore how perioperative nurses describe their roles and responsibilities.
- To identify key themes in perioperative nursing practice.
Main Methods:
- Ethnographic observation (85 hours) of 11 perioperative nurses.
- Semi-structured interviews with 8 perioperative nurses.
- Thematic analysis of observational and interview data.
Main Results:
- Two primary themes emerged: 'maintaining momentum' and 'accounting for safety'.
- 'Maintaining momentum' involves efficient patient and equipment flow.
- 'Accounting for safety' focuses on patient protection during the perioperative period.
- A significant tension exists between these two themes.
Conclusions:
- Perioperative nurses manage the patient's journey through the operating theatre by balancing momentum and safety.
- A core aspect of their work is managing the tension between efficiency and patient safety.
- This study provides insight into perioperative nurses' understanding of their complex practice.
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