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Operationsteamets följsamhet till signout: En observationsstudie
University of Skövde, School of Health and Education.
University of Skövde, School of Health and Education.
2019 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
The surgical team´s compliance to signout : An observational study (English)
Abstract [sv]

Bakgrund: År 2008 gav Världshälsoorganisationen (WHO) ut en checklista för säker kirurgi. Syftet med denna checklista var att öka patientsäkerheten. Efter införandet av checklistan har antalet dödsfall och komplikationer efter kirurgi minskat. Flera studier visar att checklista inte följs fullt ut trots det goda resultatet. Det finns dock få studier som har undersökt följsamheten till den sista fasen i checklistan, signout. Syfte: Att beskriva operationsteamets följsamhet till signout. Metod: Studien genomfördes som en icke-deltagande observationsstudie med kvantitativ, deskriptiv ansats. Med hjälp av ett observationsformulär genomfördes totalt 24 observationer på två operationsenheter. Resultat: Följsamheten till signout var medelgod, 42 %. Vissa delmoment kontrollerades mer frekvent än andra och några berördes inte alls. Operatören var den som initierade i mer än hälften av observationerna och anestesisjuksköterskan hade högst frekvens i pausning. Slutsats: Vid initiering, pausning och specifika delmoment var det främst operatören som utmärkte sig. Här sågs ett tydligt samband av operatörens roll i studiens resultat. Det finns skillnad mellan den dokumenterade och den faktiska följsamheten till checklistan. För att öka följsamheten och därmed patientsäkerheten, behövs tydligare riktlinjer kring vem som ska ansvara och när signout ska genomföras.

Abstract [en]

Background: In 2008, the World Health Organization (WHO) released a checklist for safe surgery. The purpose of this checklist was to increase patient safety. Since the introduction of the checklist mortality and complications after surgery has decreased. Several studies show that the checklist is not fully followed despite the good results. However, there are few studies that have examined compliance with the final phase of the checklist, signout. Aim: To describe the surgical team's compliance to signout. Method: The study was conducted as a non-participant observational study with a quantitative, descriptive strategy. Using an observation form, a total of 24 observations were performed on two operating units. Result: The signout compliance was average, 42%. Some sub-parts were checked more frequently than others and some were not confirmed at all. The surgeon was the one who initiated in more than half of the observations and the anesthesia nurse had the highest frequency at pausing. Conclusion: In the initiation, pause and specific sub-parts, it was mainly the surgeon who distinguished himself. Here, a clear connection was seen between the surgeon's role and the result of the study. There is a difference between the documented and the actual compliance to the checklist. To increase compliance and thereby patient safety, clearer guidelines are needed regarding who should be responsible and when to start signout.

Place, publisher, year, edition, pages
2019. , p. 27
Keywords [en]
Communication, patient safety, perioperative nursing, teamwork, WHO´s checklist
Keywords [sv]
Kommunikation, patientsäkerhet, perioperativ omvårdnad, teamarbete, WHO:s Checklista
National Category
Nursing
Identifiers
URN: urn:nbn:se:his:diva-17987OAI: oai:DiVA.org:his-17987DiVA, id: diva2:1376081
Subject / course
Nursing/Nursing Science; Nursing/Nursing Science
Educational program
Specialistsjuksköterskeprogram - Operationssjuksköterska 60 hp; Specialistsjuksköterskeprogram - Anestesisjuksköterska 60 hp
Presentation
(Swedish)
Supervisors
Examiners
Available from: 2019-12-10 Created: 2019-12-07 Last updated: 2019-12-10Bibliographically approved

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