J Korean Acad Nurs Adm.  2019 Sep;25(4):329-339. 10.11111/jkana.2019.25.4.329.

Experience of Communication for Patient Safety by Perioperative Nurses

Affiliations
  • 1The Research Institute of Nursing Science, Seoul National University, Korea.
  • 2College of Nursing · The Research Institute of Nursing Science, Seoul National University, Korea. njlee@snu.ac.kr

Abstract

PURPOSE
The purpose of this study was to explore perioperative nurses' communication experience within the surgical team with regard to patient safety.
METHODS
Data were collected from December 2015 to September 2016, through in-depth individual interviews with 14 perioperative nurses. Individual interviews, once or twice, lasted from 40 minutes to one hour for each session. The main interview question was "How do you describe your communication experience with surgical team members as a perioperative nurse?" Collected data were analyzed using a conventional content analysis.
RESULTS
Two categories of the perioperative nurses' experience of communication were identified: communication contributing to patient safety, communication hindering patient safety. Communication in the surgical team reflected on the unique features of the operating room, such as urgency and a hierarchical organizational culture. However, the nurses recognized ineffective communication could impact on patient safety, and endeavored to overcome communication failures.
CONCLUSION
The results indicate that sharing responsibility, open communication, assertiveness on safety issues, and interprofessional collaboration in the operating room are necessary to ensure effective communication. Thus, respectful culture and an open communication climate based on interprofessional understanding are required to improve communication. Training programs to enhance communication skills should be implemented.

Keyword

Communication; Nurses; Operating rooms; Patient safety; Qualitative research

MeSH Terms

Assertiveness
Climate
Cooperative Behavior
Education
Humans
Operating Rooms
Organizational Culture
Patient Safety*
Qualitative Research

Reference

1. World Health Organization. Patient safety curriculum guide: multi-professional edition. Geneva: World Health Organization;2011.
2. The Joint Commission. Sentinel event data: Root causes by event type 2004-2015 [Internet]. Oakbrook Terrace, IL: The Joint Commission;2016. [cited 2018 September 1]. Available from:. http://hcupdate.files.wordpress.com/2016/02/2016-02-seroot-causes-by-event-type-2004-2015.pdf.
3. Kim BN, Hwang JI, Lee SK, Hwang JH, Choi YK. Patient safety practice guide. 2nd ed.Seoul: Hyunmoonsa;2016.
4. Ahn SA. Development and evaluation of perioperative nurses' teamwork improvement program for surgical patient safety [dissertation]. Seoul: Seoul National University;2017. p. 1–131.
5. Hempel S, Maggard-Gibbons M, Nguyen DK, Dawes AJ, Miake-Lye I, Beroes JM, et al. Wrong-site surgery, retained surgical items, and surgical fires: A systematic review of surgical never events. JAMA Surgery. 2015; 150(8):796–805. https://doi.org/10.1001/jamasurg.2015.0301.
6. The Joint Commission. Sentinel event alert: preventing unintended retained foreign objects [Internet]. [updated October 17. 2013. cited 2018 September 1]. Available from:. http://www.jointcommission.org/assets/1/6/SEA_51_URFOs_10_17_13_FINAL.pdf.
7. Ahn SA, Lee NJ. The effect of operating room nursing and medical staff teamwork and perception of patient safety culture on the performance of surgical patient safety protocol. Journal of Korean Critical Care Nursing. 2016; 9(1):27–39.
8. Gawande AA, Zinner MJ, Studdert DM, Brennan TA. Analysis of errors reported by surgeons at three teaching hospitals. Surgery. 2003; 133(6):614–621. https://doi.org/10.1067/msy.2003.169.
Article
9. Lingard L, Espin S, Whyte S, Regehr G, Baker GR, Reznick R, et al. Communication failures in the operating room: an observational classification of recurrent types and effects. Quality & Safety in Health Care. 2004; 13(5):330–334. https://doi.org/10.1136/qshc.2003.008425.
Article
10. Lingard L, Reznick R, Espin S, Regehr G, DeVito I. Team communications in the operating room: talk patterns, sites of tension, and implications for novices. Academic Medicine. 2002; 77(3):232–237.
11. Gardezi F, Lingard L, Espin S, Whyte S, Orser B, Baker GR. Silence, power and communication in the operating room. Journal of Advanced Nursing. 2009; 65(7):1390–1399. https://doi.org/10.1111/j.1365-2648.2009.04994.x.
Article
12. Halverson AL, Casey JT, Andersson J, Anderson K, Park C, Rademaker AW, et al. Communication failure in the operating room. Surgery. 2011; 149(3):305–310. https://doi.org/10.1016/j.surg.2010.07.051.
Article
13. Kim KJ, Han JS, Seo MS, Jang BH, Park MM, Ham HM, et al. Relationship between intra-organizational communication satisfaction and safety attitude of nurses. Journal of Korean Academy of Nursing Administration. 2012; 18(2):213–221. https://doi.org/10.11111/jkana.2012.18.2.213.
Article
14. Kang KH, Han YH, Kang SJ. Relationship between organizational communication satisfaction and organizational commitment among hospital nurses. Journal of Korean Academy of Nursing Administration. 2012; 18(1):13–22. https://doi.org/10.11111/jkana.2012.18.1.13.
Article
15. Park KO. Nurses' experience of health communication with doctors in the clinical fields. Journal of Korean Academy of Nursing Administration. 2015; 21(1):53–63. https://doi.org/10.11111/jkana.2015.21.1.53.
Article
16. Won YH, Kang JY. Intensive care unit nurse's communication experience. Korean Journal of Adult Nursing. 2014; 26(3):352–361. https://doi.org/10.7475/kjan.2014.26.3.352.
Article
17. Lee JW, Bak YI, Baek SJ, Lee JU, Lee HY, Jeoung YO. How hospital nurses communicate with physician? Journal of Humanities. 2014; 71(1):345–385. https://doi.org/10.17326/jhsnu.71.1.201402.345.
18. Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qualitative Health Research. 2005; 15(9):1277–1288. https://doi.org/10.1177/1049732305276687.
Article
19. Patton MQ. Qualitative evaluation and research methods. 2nd ed.Newbury Park, Calif: Sage;1990.
20. Park KO, Kim JK. A study on experience of transition from new clinical nurse to competent step. Journal of Korean Academic Society of Nursing Education. 2013; 19(4):594–605. https://doi.org/10.5977/jkasne.2013.19.4.594.
Article
21. World Health Organization. WHO Patient Safety. WHO guidelines for safe surgery 2009: safe surgery saves lives. Geneva: World Health Organization;2009.
22. Guba EG, Lincoln YS. Effective evaluation: improving the usefulness of evaluation results through responsive and naturalistic approaches. San Francisco: Jossey-Bass Publishers;1981.
23. Sandelowski M. The problem of rigor in qualitative research. Advances in Nursing Science. 1986; 8(3):27–37. https://doi.org/10.1097/00012272-198604000-00005.
Article
24. Park KO, Kim JK, Kim M-S. Operating room nurses' experiences of securing for patient safety. Journal of Korean Academy of Nursing. 2015; 45(5):761–772. https://doi.org/10.4040/jkan.2015.45.5.761.
Article
25. Alfredsdottir H, Bjornsdottir K. Nursing and patient safety in the operating room. Journal of Advanced Nursing. 2008; 61(1):29–37. https://doi.org/10.1111/j.1365-2648.2007.04462.x.
Article
26. Lim EJ, Yi YJ. Comparison of operating room nurses and general ward nurses on communicative competence and interpersonal relationship ability within the medical team. Journal of Korean Academy of Nursing Administration. 2014; 20(3):313–321. https://doi.org/10.11111/jkana.2014.20.3.313.
Article
27. Riley RG, Manias E. Governance in operating room nursing: nurses' knowledge of individual surgeons. Social Science & Medicine. 2006; 62(6):1541–1551. https://doi.org/10.1016/j.socscimed.2005.08.007.
28. Riley R, Manias E. Rethinking theatre in modern operating rooms. Nursing Inquiry. 2005; 12(1):2–9. https://doi.org/10.1111/j.1440-1800.2005.00246.x.
Article
29. Lingard L, Whyte S, Espin S, Baker GR, Orser B, Doran D. Towards safer interprofessional communication: constructing a model of "utility" from preoperative team briefings. Journal of Interprofessional Care. 2006; 20(5):471–483. https://doi.org/10.1080/13561820600921865.
Article
30. Garon M. Speaking up, being heard: registered nurses' perceptions of workplace communication. Journal of Nursing Management. 2012; 20(3):361–371. https://doi.org/10.1111/j.1365-2834.2011.01296.x.
Article
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