Operating room team's perception of procedure shift to cemented hemiarthroplasty
Marlene Dyrløv Madsen1, Doris Østergaard1,2, Ann-Vibeke Bækgaard Christensen3
1Copenhagen Academy for Medical Education and Simulation, Capital Region of Denmark.
Danish Medical Journal
|November 22, 2024
Summary
Healthcare teams need specific training and a supportive culture for transitioning to cemented hemiarthroplasty. Addressing fears and ensuring continuous education are key for patient safety during this procedural change.
Area of Science:
- Implementation science in healthcare procedures.
- Surgical education and patient safety.
Background:
- National guidelines mandated a shift from uncemented to cemented hemiarthroplasty for femoral neck fractures.
- Understanding healthcare team perceptions is crucial for successful procedural implementation.
Purpose of the Study:
- To explore surgeons', nurses', and anaesthesiologists' views on barriers and facilitators for introducing cemented hemiarthroplasty.
- To identify educational needs for a safe transition to the new procedure.
Main Methods:
- Four semi-structured group interviews were conducted with 15 multidisciplinary team members.
- Systematic text condensation was used to analyze transcribed interview data.
Main Results:
- Identified barriers included fear of cement handling and time constraints.
- Patient, individual, and organizational factors influenced the transition.
- A 'cement-time-out' and continuous training were suggested for safe cementation and skill maintenance.
Conclusions:
- The study highlights specific educational needs for implementing cemented hemiarthroplasty.
- A training package with simulation is proposed to ensure a safe learning environment and patient safety.
- Maintaining team competence and fostering a safe learning culture are vital for procedural change.
