수술실 간호사의 수술 중 인수인계 실태
Status of Operating Room Nurses’ Intraoperative Hand-off
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Purpose: Operating room nurses’ hand-off during surgery is inevitable, and it is very important to ensuring continuity of nursing care. This study aimed to identify the status of operating room nurses’ intraoperative hand-off. Methods: This study used a cross-sectional descriptive survey. The data were collected through structured questionnaire from March 12 to April 30, 2018. Participants were 251 operating room nurses from 6 university hospitals. Results: The mean scores of importance and appropriateness of and satisfaction with hand-off were 4.82±0.39, 3.65±0.56, and 3.32±0.50 respectively. During the operation, nurses need to hand-off and assist the surgeon at the same time, which was the important cause of the inappropriate hand-off. The importance of hand-off had a significant positive correlation with appropriateness (r=.17, p=.002) and satisfaction (r=.18, p=.004), and there was significant positive correlation between appropriateness and satisfaction (r=.43, p<.001). In addition, the recipient’s work difficulty had a significant negative correlation with the appropriateness (r=-.14, p=.005) and satisfaction (r=-.35, p<.001). Conclusion: A standardized hand-off method is essential to ensure the continuity of operative nursing and improve the nursing practice. Future research is needed to examine the effectiveness of the intraoperative hand-off protocol.
Abstract
Purpose: Operating room nurses’ hand-off during surgery is inevitable, and it is very important to ensuring continuity of nursing care. This study aimed to identify the status of operating room nurses’ intraoperative hand-off. Methods: This study used a cross-sectional descriptive survey. The data were collected through structured questionnaire from March 12 to April 30, 2018. Participants were 251 operating room nurses from 6 university hospitals. Results: The mean scores of importance and appropriateness of and satisfaction with hand-off were 4.82±0.39, 3.65±0.56, and 3.32±0.50 respectively. During the operation, nurses need to hand-off and assist the surgeon at the same time, which was the important cause of the inappropriate hand-off. The importance of hand-off had a significant positive correlation with appropriateness (r=.17, p=.002) and satisfaction (r=.18, p=.004), and there was significant positive correlation between appropriateness and satisfaction (r=.43, p<.001). In addition, the recipient’s work difficulty had a significant negative correlation with the appropriateness (r=-.14, p=.005) and satisfaction (r=-.35, p<.001). Conclusion: A standardized hand-off method is essential to ensure the continuity of operative nursing and improve the nursing practice. Future research is needed to examine the effectiveness of the intraoperative hand-off protocol.
참고문헌 (18)
- [URL]
- Friesen MA, "Patient safety and quality: An evidence-based handbook for nurses", pp.1~17 (2008)
- "Handoff communication" (2009)[URL]
- Boat AC, "Handoff checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit", Paediatric Anaesthesia, 23(7), pp.647~654 (2013)[DOI]
- Wong DA, "Medical errors in orthopaedics. results of an AAOS member survey", The Journal of Bone and Joint Surgery, 91(3), pp.547~557 (2009)[DOI]
- Steelman VM, "Priority patient safety issues identified by perioperative nurses", Association of Operating Room Nurses Journal, 97(4), pp.402~418 (2013)[DOI]
- Jang HY, "Analysis of core nursing interventions according to the importance and the performance perceived by operating room nurses", pp.2008
- Greenberg CC, "Patterns of communication breakdowns resulting in injury to surgical patients", Journal of the American College of Surgeons, 204(4), pp.533~540 (2007)[DOI]
- Chard R, "Transfer-of-care communication: Nursing best practices", Association of Operating Room Nurses Journal, 102(4), pp.329~339 (2015)[DOI]
- Doll KM, "Intraoperative handoffs and postoperative complications among patients undergoing gynecologic oncology operations", Journal for Healthcare Quality, 39(4), pp.e42~e48 (2017)[DOI]
- [URL]
- Rowe S, "Improve intra-operative nurse-to-nurse communication using a safety checklist", pp.2015
- Agarwala AV, "An electronic checklist improves transfer and retention of critical information at intraoperative handoff of care", Anesthesia and Analgesia, 120(1), pp.96~104 (2015)[DOI]
- Petrovic MA, "The perioperative handoff protocol: Evaluating impacts on handoff defects and provider satisfaction in adult perianesthesia care units", Journal of Clinical Anesthesia, 27(2), pp.111~119 (2015)[DOI]
- Han M, "The status of intraoperative hand-off communication of operating room nurse", pp.2010
- Solan LG, "Multidisciplinary handoffs improve perceptions of communication", Hospital Pediatrics, 4(5), pp.311~315 (2014)[DOI]
- Arora S, "Factors compromising safety in surgery: Stressful events in the operating room", American Journal of Surgery, 199(1), pp.60~65 (2010)[DOI]
- Antoniadis S, "Identification and interference of intraoperative distractions and interruptions in operating rooms", Journal of Surgical Research, 188(1), pp.21~29 (2014)[DOI]