Checklist of assignments of the nursing team in robotic surgeries

Authors

DOI:

https://doi.org/10.5327/Z1414-4425202328933

Keywords:

Checklist, Robotic surgical procedures, Nursing, team

Abstract

Objective: To develop and validate a checklist of activities relevant to the nursing team working in the surgical center in robotic procedures. Method: This is a methodological study of validation, carried out in two phases: development of an assignment checklist and validation by a group of judges composed of seven expert nurses, members of the Robotics Committee of the Brazilian Association of  Nurses of the Surgical Center, Anesthetic Recovery and Sterilization Processing Department (SOBECC).  A Likert scale was used to analyze each of the items on the checklist by the judges, and the level of agreement above 80% was considered adequate.  The study was conducted according to the ethical-legal precepts of Resolution 466/2012 and it was approved by the Research Ethics Committee. Results: The final checklist consisted of three steps (Sign in, Time out, and Sign out), according to the Surgical Safety Checklist proposed by the World Health Organization, although specific for robot-assisted surgeries. The level of agreement among the experts was above 80% in all checklist items, having been evaluated content, structure, presentation, and relevance. There was no need for a second round among them. The judges proposed adjustments, which were accepted, such as including the item of robotic platform specification and the side of the operating table in which the robot will be placed. Conclusion: The checklist of assignments of the nursing team in robotic surgeries was developed by the authors and validated by the expert judges, which enabled its application in hospitals that offer robotic surgery.

Author Biography

Rachel de Carvalho, Faculdade Israelita de Ciências da Saúde Albert Einstein – São Paulo (SP), Brasil.

Graduada em Enfermagem pela Escola de Enfermagem de Ribeirão Preto da USP (1989), Capacitação Pedagógica para Instrutor/Supervisor pela Escola de Enfermagem de Ribeirão Preto da USP (1989), Residência em Cardiologia pelo Hospital UNICÓR/Unidade Cardiológica (1990), Especialização em Enfermagem em Centro Cirúrgico pela Escola de Enfermagem da USP (1991), Mestrado em Fundamentos de Enfermagem pela Escola de Enfermagem da USP (1997) e Doutorado pela Escola de Enfermagem da USP (2002). Professora Titular da Universidade Paulista - UNIP (1999-2007). Professora Responsável da Faculdade Israelita de Ciências da Saúde Albert Einstein - FICSAE (desde 1992), Coordenadora e Docente do Curso de Pós-Graduação Lato Sensu de Enfermagem em Centro Cirúrgico, Recuperação Anestésica e Centro de Material e Esterilização da FICSAE (desde 2005). Docente do Curso de Mestrado Profissional em Enfermagem da FICSAE. Experiência na área de Enfermagem, com ênfase em Centro Cirúrgico, Clínica e Cirúrgica e Metodologia da Pesquisa, atuando principalmente com os temas: Enfermagem Perioperatória, processo ensino-aprendizagem, instrumentação cirúrgica, tecnologia e humanização da assistência, metodologia científica e trabalho de conclusão de curso. Organizadora, autora e colaboradora em livros e capítulos de livros relacionados à área da saúde e à Enfermagem Perioperatória. Membro da Diretoria da SOBECC Nacional.

References

Neves U. O aumento das cirurgias robóticas no Brasil e os seus benefícios para os pacientes [Internet]. 2019 [cited on Nov. 23, 2022]. Available at: https://pebmed.com.br/o-aumento-das-cirurgias-roboticas-no-brasil-e-os-seus-beneficios-para-os-pacientes/#top

Silva MN, Scherer AB, Makiyama ACO, Sary DLZ, Miranda FMDA, Kalinke LP. Recomendações de enfermagem para o cuidado em cirurgias oncológicas robóticas: revisão de escopo. Rev SOBECC 2021;26(4):253-61. https://doi.org/10.5327/z1414-4425202100040009 DOI: https://doi.org/10.5327/Z1414-4425202100040009

Barbash GI, Glied SA. New technology and health care costs--the case of robot-assisted surgery. N Engl J Med. 2010;363;(8):701-4. https://doi.org/10.1056/NEJMp1006602 DOI: https://doi.org/10.1056/NEJMp1006602

Szold A, Bergamaschi R, Broeders I, Dankelman J, Forgione A, Langø T, et al. European Association of Endoscopic Surgeons (EAES) consensus statement on the use of robotics in general surgery. Surg Endosc. 2015;29(2):253-88. https://doi.org/10.1007/s00464-014-3916-9 DOI: https://doi.org/10.1007/s00464-014-3916-9

Almeida ES, Carvalho R. Tecnologia robótica no centro cirúrgico: atribuições da equipe de enfermagem. São Paulo: Cartago Editorial; 2020.

Martins RC, Trevilato DD, Jost MT, Caregnato RCA. Nursing performance in robotic surgeries: integrative review. Rev Bras Enferm. 2019;72(3):795-800. https://doi.org/10.1590/0034-7167-2018-0426 DOI: https://doi.org/10.1590/0034-7167-2018-0426

Pinto EV, Lunardi LS, Treviso P, Botene DZA. Atuação do enfermeiro na cirurgia robótica: desafios e perspectivas. Rev SOBECC 2018;23(1):43-51. https://doi.org/10.5327/z1414-4425201800010008 DOI: https://doi.org/10.5327/Z1414-4425201800010008

Melo WS, Oliveira PJF, Monteiro FPM, Santos FCA, Silva MJN, Calderon CJ, et al. Guide of attributes of the nurse's political competence: a methodological study. Rev Bras Enferm. 2017;70(3):526-34. https://doi.org/10.1590/0034-7167-2016-0483 DOI: https://doi.org/10.1590/0034-7167-2016-0483

Organização Mundial da Saúde. Manual de implementação da lista de verificação de segurança cirúrgica da OMS. Cirurgia segura salva vidas (Safy surgery saves lives) [Internet]. 2010 [cited on Apr. 15, 2023]. Available at: https://apps.who.int/iris/bitstream/handle/10665/44186/9789241598590_por.pdf

Dalmoro M, Vieira KM. Dilemas na construção de escalas tipo Likert: o número de itens e a disposição influenciam nos resultados? RGO Revista Gestão Organizacional. 2013;6(ed especial):161-74. DOI: https://doi.org/10.22277/rgo.v6i3.1386

Brasil. Ministério da Saúde. Conselho Nacional de Saúde. Resolução no 466, de 12 de dezembro de 2012 [Internet]. Brasília: Diário Oficial da República Federativa do Brasil; 2013 [cited on Apr. 15, 2023]. Available at: https://bvsms.saude.gov.br/bvs/saudelegis/cns/2013/res0466_12_12_2012.html

Goh EZ, Ali T. Robotic surgery: an evolution in practice. J Surg Protoc Res Methodol. 2022;1:snac003. https://doi.org/10.1093/jsprm/snac003 DOI: https://doi.org/10.1093/jsprm/snac003

Morrel ALG, Morrel-Júnior AC, Morrel AG, Mendes JMS, Tustumi F, De-Oliveira-E-Silva LG al. The history of robotic surgery and its evolution: when illusion becomes reality. Rev Col Bras Cir. 2021;48:e20202798. https://doi.org/10.1590/0100-6991e-20202798 DOI: https://doi.org/10.1590/0100-6991e-20202798

Alkatout I, Salehiniya H, Allahqoli L. Assessment of the versius robotic surgical system in minimal access surgery: a systematic review. J Clin Med. 2022;11(13):3754. https://doi.org/10.3390/jcm11133754 DOI: https://doi.org/10.3390/jcm11133754

Alletti SG, Chiantera V, Arcuri G, Gioè A, Oliva R, Monterossi G, et al. Introducing the New Surgical Robot HUGO™ RAS: system description and docking settings for gynecological surgery. Front Oncol. 2022;12:898060. https://doi.org/10.3389/fonc.2022.898060 DOI: https://doi.org/10.3389/fonc.2022.898060

Uslu Y, Altinbaş Y, Özercan T, van Giersbergen MY. The process of nurse adaptation to robotic surgery: a qualitative study. Int J Med Robot. 2019;15(4):e1996. https://doi.org/10.1002/rcs.1996 DOI: https://doi.org/10.1002/rcs.1996

Porto CST, Catal E. A comparative study of the opinions, experiences and individual innovativeness characteristics of operating room nurses on robotic surgery. J Adv Nurs. 2021;77(12):4755-67. https://doi.org/10.1111/jan.15020 DOI: https://doi.org/10.1111/jan.15020

Alpendre FT, Cruz EDA, Dyniewicz AM, Montovani MF, Silva AEBC, Santos GS. Cirurgia segura: validação de checklist pré e pós-operatório. Rev Latinoam Enferm. 2017;25:e2907. https://doi.org/10.1590/1518-8345.1854.2907 DOI: https://doi.org/10.1590/1518-8345.1854.2907

Haynes AB, Weiser TG, Berry WR, Lipsitz SR, Breizat AH, Dellinger EP, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med. 2009;360(5):491-9. https://doi.org/10.1056/NEJMsa0810119 DOI: https://doi.org/10.1056/NEJMsa0810119

Published

2024-03-05

How to Cite

Bergonzini, F., Almeida, E., & Carvalho, R. de. (2024). Checklist of assignments of the nursing team in robotic surgeries. Revista SOBECC, 29. https://doi.org/10.5327/Z1414-4425202328933

Issue

Section

ORIGINAL ARTICLES