Nurses’ perception of intraoperative evolution: a qualitative study

Authors

DOI:

https://doi.org/10.5327/Z1414-4425202227823

Abstract

Objective: To know the perception of surgical center nurses about the evolution of nursing in the intraoperative period. Method: Exploratory study with a qualitative approach, carried out through online interviews with nurses working in a surgical center, between June and July 2021. Intentional, non-probabilistic sample consisting of 12 nurses. Data evaluated by Bardin’s content analysis and MAXQDA 2020® software. Results: The most frequent nouns were identified in the corpus of the interviews: patient, room, time, surgery, and surgeries. Three thematic categories emerged: work overload and time availability of surgical center nurses; nurses’ assistance in the intraoperative period; effects of the COVID-19 pandemic. Conclusion: Nurses perceive the development of intraoperative nursing as a tool that brings nurses closer to care work and qualifies perioperative practice. However, organizational weaknesses impact the dedication of these professionals in direct patient care.

References

Lourenção DCA, Tronchin DMR. Patient safety in the surgical environment: translation and cross-cultural adaptation of validated instrument. Acta Paul Enferm. 2016;29(1):1-8. http://dx.doi.org/10.1590/1982-0194201600002

Ribeiro E, Ferraz KMC, Duran ECM. Actions of surgery center nurses before the systematization of perioperative nursing care. Rev SOBECC. 2017;22(4):201-7. https://doi.org/10.5327/Z1414-4425201700040005

Meneses RO, Melo DSO, Fassarella CS, Risi LR, Handem PCH, Figueiredo NMA. Stitching objectivities of scientific productions on nursing management in the operating room: an integrative review. Braz J Dev. 2022;8(1):857-75. https://doi.org/10.34117/bjdv8n1-056

Freitas MAS, Silva WQ, Mozoni LPR, Almeida FS, Polido CG, Soi EA. The importance of systematization of nursing care to the surgical patient. Braz J Dev. 2021;7(7):65654-68. https://doi.org/10.34117/bjdv7n7-033

Luciano FRS, Rosa LM, Alvarez AG, Kuze EB. Validation of an instrument to register the systematization of perioperative nursing care. Rev SOBECC. 2019;24(4): 200-10. https://doi.org/10.5327/Z1414-4425201900040005

Associação Brasileira de Enfermeiros de Centro Cirúrgico, Recuperação Anestésica e Centro de Material e Esterilização. Diretrizes de práticas em enfermagem cirúrgica e processamento de produtos para a saúde. 7a ed. São Paulo: SOBECC; 2017.

Conselho Federal de Enfermagem. Resolução COFEN no 358, de 15 de outubro de 2009. Dispõe sobre a Sistematização da Assistência de Enfermagem e a implementação do Processo de Enfermagem em ambientes, públicos ou privados, em que ocorre o cuidado profissional de Enfermagem, e dá outras providências. Diário Oficial da União 23 out 2009. [Internet] 2009. [acessado em 25 ago. 2022]. Disponível em: http://www.cofen.gov.br/resoluo-cofen-3582009_4384.html

Martins FZ, Dall’Agnol CM. Surgical center: challenges and strategies for nurses in managerial activities. Rev Gaucha Enferm. 2016;37(4):e56945. https://doi.org/10.1590/1983-1447.2016.04.56945

Fengler FC, Medeiros CRG. Nursing care systematization in the perioperative period: analysis of records. Rev SOBECC. 2020;25(1):50-7. https://doi.org/10.5327/Z1414-4425202000010008

Joint Commission International. International Patient Safety Goals (IPSGs) [Internet]. Oakbrook Terrace: JCI; 2017 [acessado em 6 jan. 2022]. Disponível em: https://www.jointcommissioninternational.org/-/media/jci/jci-documents/offerings/other-resources/jci_2017_ipsg_infographic_062017.pdf

Bardin L. Análise de conteúdo. São Paulo: Edições 70; 2016.

Flick U. Introdução à pesquisa qualitativa. Porto Alegre: Artmed; 2009.

Tsiami V, Kolovos P. Registered nurse perceptions towards the implementation of nursing diagnoses in perioperative care: a qualitative study. Perioperative Care and Operating Room Management. 2021;24(100181). https://doi.org/10.1016/j.pcorm.2021.100181

Araujo RL, Glanzner CH. Work at the surgical center: risks of the pathogenic suffering of the nursing team. Rev Bras Enferm. 2021;74(2):e20190803. https://doi.org/10.1590/0034-7167-2019-0803

von Vogelsang AC, Swenne CL, Gustafsson BA, Brynhildsen KF. Operating theatre nurse specialist competence to ensure patient safety in the operating theatre: a discursive paper. Nursing Open. 2020;7(2):495-502. https://doi.org/10.1002/nop2.424

Martins KN, Bueno AA, Mazoni SR, Machado VB, Evangelista RA, Bolina AF. Processo gerencial em centro cirúrgico sob a ótica de enfermeiros. Acta Paul Enferm. 2021;34:eAPE00753. https://doi.org/10.37689/acta-ape/2021AO00753

Marsh V, Kalisch B, McLaughlin M, Nguyen L. Nurses’ perceptions of the extent and type of missed perioperative nursing care. AORN J. 2020;112(3):237-47. https://doi.org/10.1002/aorn.13146

Conselho Federal de Enfermagem. Resolução COFEN no 543, de 18 de abril de 2017. Atualiza e estabelece parâmetros para o dimensionamento do quadro de profissionais de enfermagem nos serviços/locais em que são realizadas atividades de enfermagem. Diário Oficial da União, 8 mai 2017. [Internet] 2017. [acessado em 25 ago. 2022]. Disponível em: http://www.cofen.gov.br/resolucao-cofen-5432017_51440.html

Gemelli R, Aguiar DCM, Moser GAS, Maier SRO, Sudré GA, Carrijo MVN. Roles of nurses in the operating room: perceptions of themselves in the intraoperative setting. Res Soc Dev. 2021;10(11):e105101119331. https://doi.org/10.33448/rsd-v10i11.19331

Søndergaard SF, Frederiksen K, Sørensen EE, Lorentzen V. A realistic evaluation of danish perioperative nurses’ documentation practices. AORN J. 2019;110(5):500-9. https://doi.org/10.1002/aorn.12840

Tostes MFP, Silva AQ, Garçon TL, Maran E, Teston EF. Duality between fulfilment and suffering in the work of the nursing staff in operating rooms. Rev SOBECC. 2017;22(1):3-9. https://doi.org/10.5327/Z1414-4425201700010002

Jost MT, Viegas K, Caregnato RCA. Systematization of perioperatory nursing assistance in patient safety: an integrative review. Rev SOBECC. 2018;23(4):218-25. https://doi.org/10.5327/Z1414-4425201800040009

Batista AM, Silva JO, Mourão ISS, Chaves RGR, Menezes HF, Santos WN. Systematization of nursing care at the surgical center: perception of the nursing team. R Pesq Cuid Fundam online. 2021;13:1007-12. https://doi.org/10.9789/2175-5361.rpcfo.v13.9775

Wang S, Chen YH. Analysis of the effect of clinical application of detailed nursing measures in ensuring the safety of nursing in operating room. Indian J Pharm Sci. 2021;83(3):174-79.

Saraswasta WG, Hariyati TS, Yetti K, Nuraini T. Implementation of effective nurse communication in hospital through electronic nursing documentation. Indian J Public Health Res Dev. 2021;12(1):294-9. https://doi.org/10.37506/ijphrd.v12i1.13864

Ferrari D, Costa AEK, Pissaia LF, Moreschi C. A visão da equipe de enfermagem sobre a sistematização da assistência de enfermagem em um hospital de médio porte. Cad Pedagóg. 2016;13(3)109-16. https://doi.org/10.22410/issn.1983-0882.v13i3a2016.1160

Espírito Santo DMN, Galvan C, Matzenbacher LPS, Paczek RS, Tanaka AKSR, D’Avila DO, et al. Desafios do enfermeiro do Centro Cirúrgico frente à pandemia da COVID-19 e transição de uma sala cirúrgica em unidade de terapia semi-intensiva. REAS. 2021;13(6):e7760. https://doi.org/10.25248/reas.e7760.2021

Published

2022-09-27

How to Cite

Rodrigues Araujo, B., Trevisan Jost, M., Dalpiaz Camargo, C., Merlo Somensi, R., & Catalina Aquino Caregnato, R. (2022). Nurses’ perception of intraoperative evolution: a qualitative study. Revista SOBECC, 27. https://doi.org/10.5327/Z1414-4425202227823

Issue

Section

ORIGINAL ARTICLES