فهرست مطالب somayeh gheysari
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BackgroundHealthcare staff are at the heart of the covid-19 pandemic and play an important role in controlling this disease. Operating room practitioners could be contaminated by a coronavirus, which imposes a high pressure on them, affecting their need for recovery from work. This study aimed to compare the need for recovery in the operating room practitioners with and without covid-19 infection history.MethodsThis cross-sectional study was conducted in the operating room department of a public hospital on 217 operating room practitioners, including Operating room technicians, anaesthesiologists, and service staff. The data collection tools were a demographics questionnaire and the need for recovery scale. Descriptive statistics, independent sample t-test, and oneway ANOVA were used for data analysis.ResultsT he m ean a nd s tandard d eviation o f t he n eed f or recovery score in the studied population were 71.30±21.40. The practitioners with covid-19 infection history had a significantly higher need for recovery (P=0.001) than those without covid-19 history. In addition, the service staff had a higher percentage of covid-19 infection and had more need for recovery than operating room technicians (P=0.014).ConclusionThe operating room practitioners with a history of covid-19 infection had a significantly higher need for recovery than those without a history of infection. Therefore, protecting the operating room practitioners against covid-19 infection is the first step in preventing the excessive need for recovery levels. In addition, increasing the number of operating room staff, reducing the number of working hours, and paying more attention to their work-life quality can help reduce their need for recovery.Keywords: COVID-19 pandemic, hospital, Recovery, Medical staff, Operating rooms}
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Background
Infection is a possible problem in operating rooms. The aseptic technique is one of the circulating nurses’ duties to prevent infections and keep patients safe against microorganisms in the operating room.
ObjectivesThis study aimed to assess the circulating nurses’ aseptic practices in orthopedic and general surgeries.
MethodsThis cross-sectional study was conducted on 296 circulating nurses who worked in public hospitals in Shiraz, Iran, during the 2020 summer. Data collection tools included a demographics questionnaire and the Aseptic Practices among Circulating Nurses Scale. The data were collected after the assessment of the psychometric properties of the tool. The data were analyzed using SPSS software (version 22).
ResultsThe mean score of the aseptic practice scale was 3.50 out of 5. Although the aseptic practice score was higher than the average level, the circulating nurses had low scores in several items. Age and work experience had a weak negative correlation with the “establishment of a sterile field” subscale. The aseptic practice score was significantly different in circulating nurses with different academic educational levels.
ConclusionsThere is a need to improve some aseptic practices. Supplying the hospitals with necessary materials, using appropriate guidelines and educational programs, supervising, and setting appropriate policies can help improve aseptic practices.
Keywords: Aseptic, Circulating Nurse, Surgery, Operating Room, Infection} -
Journal of Advances in Medical and Biomedical Research, Volume:28 Issue: 129, Jul Aug 2020, PP 191 -197Background and Objective
Non-technical skills are critical for patient safety and good surgical outcomes. Thus, surgeons should master these skills. This study aimed to assess non-technical skills among Iranian orthopedic surgeons.
Material and MethodsThis cross-sectional study was conducted in two orthopedic surgery wards in 2019. A total of 22 orthopedic surgeons were observed in this survey. The data were collected using Non-Technical Skills for Surgeons (NOTSS) through observing and recording events during surgeries.
Results“Leadership” was the best non-technical skill with score of 3.14 out of 4, while “communication and teamwork” had the lowest score (3.02 out of 4). There was a significant relationship between work experience and “projecting and anticipating future state” (P=0.009).
ConclusionThe studied orthopedic surgeons showed acceptable non-technical skills. However, poor behaviors were observed in some domains. Educational programs, policymaking interventions, and supervision can improve the surgeons’ non-technical skills.
Keywords: Human factors, Non-technical skills, Orthopedic surgery, Operating room, Surgeon} -
BackgroundSafe performance and patient safety are two important issues in the delivery of healthcare services. Non-technical skills are necessary for safe performance of anesthesiologists in the operating room. This study aimed to assess the anesthetists’ non-technical skills in Iranian hospitals.MethodsThis cross-sectional study was conducted on 38 anesthetists working in orthopedic surgery wards of two hospitals in 2019. The data were collected using the Anesthetist’s Non-Technical Skills (ANTS) system, which included four domains, namely task management, teamwork, situation awareness, and decision-making. The anesthetists were assessed by a trained observer via observing and recording the events during surgeries.ResultsThe mean score of ANTS was 10.12±1.66 out of 16. Among the four skills, the highest and lowest mean scores were related to “task management” (2.94 out of 4) and “decision-making” (2.26 out of 4), respectively. Work experience showed a significant positive relationship with “decision-making” (p=0.008, r=0.974). However, higher education level was not associated with improved anesthesiology skills.ConclusionThe quality of non-technical skills was below the acceptable level in the studied anesthetists. Thus, it is recommended that the anesthetists’ skills should be improved through educational and political interventions.Keywords: Surgery, Operating Room, Anesthetists, Nontechnical skills}
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