"誰 が 手術 室 の 蘇生 を 行なっ て いる か" 外科手術中の心肺蘇生に関する手術室の看護師と麻酔技師の経験: 質的研究
Ozlem Sahin Akboga1, Esra Ozbudak Arıca1, Rukıye Hobek Akarsu1
1Department of Nursing, Faculty of Health Sciences, University of Yozgat Bozok, Yozgat, Turkey.
まとめ
手術室 (OR) の看護師は,手術中の心肺蘇生 (IO-CPR) の管理に関する知識と関与が不十分であると報告したが,麻酔技師はより積極的であった. 推奨事項は,IO-CPR中により良い患者のアウトカムのために,ORチームのトレーニングと協力を改善することに焦点を当てています.
科学分野:
- 医療科学
- 外科 介護
- 麻酔科
背景:
- 術内心肺蘇生 (IO-CPR) は手術中の重要な出来事です.
- 手術室の看護師や麻酔技師の視点を理解することは,IO-CPRの管理を最適化するために不可欠です.
- 現在の文献では,IO-CPRの際にORスタッフが直面する具体的な役割と課題について詳細な洞察が欠けている.
研究 の 目的:
- IO-CPR管理に関する手術室の看護師と麻酔技師の意見,経験,勧告を調査する.
- 手術室でのIO-CPRプロセスの重要な課題と改善すべき分野を特定する.
主な方法:
- 詳細なインタビューを用いた定性的な研究設計
- 参加者の中には,トルコの高等病院の8人の手術看護師と7人の麻酔技師が含まれていました.
- データ分析は,再発的なテーマを特定するために,誘導的なテーマアプローチを採用しました.
主要な成果:
- 情報不足,IO-CPR管理における役割,改善のための勧告
- ORの看護師は,患者の状態を主に観察して,知識が不足し,関与が限られていると報告しました.
- 麻酔技師は積極的に参加し,しばしばIO-CPRの調整を主導し,役割の格差を強調しました.
結論:
- IO-CPRの管理におけるOR看護師の役割は,包括的な見直しと潜在的な改定を必要とする.
- 麻酔技師はIO-CPRのイベントでより積極的で調整的な役割を果たしました.
- チームパフォーマンスと患者の成果を向上させるためには,OR看護師のIO-CPRへの関与の構造と手順の修正が必要です.
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