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Priorizar la atención en el quirófano: un estudio cualitativo

Brigid M Gillespie, Eva Bavin, Emma Harbeck

|August 29, 2025

Resumen

Las enfermeras perioperatorias priorizan la atención al paciente en función de las necesidades del paciente, la colaboración y la planificación. Las diferentes prioridades de los cirujanos pueden afectar la seguridad del paciente al obstaculizar las tareas esenciales de enfermería, como el recuento quirúrgico.

Área de la Ciencia:

Enfermería
Seguridad del paciente
Gestión de la asistencia sanitaria

Sus antecedentes:

Los ambientes de la sala de operaciones (OR) son de alto riesgo y están bajo presión de tiempo.
Los factores que influyen en la priorización de la atención de las enfermeras en el quirófano no se comprenden bien.

Objetivo del estudio:

Describir los factores contextuales que influyen en las prioridades de atención de las enfermeras perioperatorias.

Principales métodos:

Estudio cualitativo descriptivo.
Doce entrevistas semiestructuradas con enfermeras perioperatorias realizadas en línea.
Análisis temático de los datos de las entrevistas.

Principales resultados:

Surgieron tres temas clave: mejorar la atención al paciente, la colaboración eficiente y la preparación estratégica y la toma de decisiones.
Las prioridades de los cirujanos y las enfermeras pueden ser diferentes.
Las prioridades de los cirujanos pueden impedir que las enfermeras realicen tareas críticas de seguridad, como el recuento quirúrgico, lo que podría conducir a la falta de atención de enfermería.

Conclusiones:

Comprender los factores de prioridad de las enfermeras es crucial para la seguridad del paciente.
La mejora de la comunicación y la cultura de la seguridad son vitales.
Abordar los conflictos de prioridad puede mitigar los riesgos y evitar la falta de atención de enfermería.

Palabras clave:

toma de decisiones clínicas cuidados olvidados prioridades de atención al paciente seguridad del paciente Enfoque del análisis temático

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