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Swedish Nurse Anesthetists’ Experiences of the WHO Surgical Safety Checklist
Department of Nursing, Umeå University, Umeå, Sweden; Department of Anaesthesia, Östersunds Hospital, Östersund, Sweden.
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. (Perioperativ omvårdnad)ORCID iD: 0000-0001-5403-4183
2015 (English)In: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473, Vol. 30, no 6, p. 468-475Article in journal (Refereed) Published
Abstract [en]

Purpose: The World Health Organization (WHO) surgical safety checklist aims to increase communication, build teamwork, and standardize routines in clinical practice in order to reduce complications and improve patient safety. The checklist has been implemented in surgical departments both nationally and internationally. The purpose of this study was to describe the registered nurse anesthetists’ (RNA) experience with the use of the WHO surgical safety checklist.

Design: This was a cross-sectional study with a descriptive mixed method design, involving nurse anesthetists from two different hospitals in Sweden. Data was collected from a study specific questionnaire.

Findings: Forty-seven RNAs answered the questionnaire. There was a statistically significant lower compliance to “Sign-in” compared to the other two parts, “Timeout” and “Sign-out.” The RNAs expressed that the checklist was very important for anesthetic and perioperative care. They also expressed that by confirming their own area of expertise, they achieved an increased sense of being a team member Thirty-four percent believed that the surgeon was responsible for the checklist, yet this was not the reality in clinical practice. Although 23% reported that they initiated use of the checklist, only one RNA believed that it was the responsibility of an RNA. Forty-three percent had received training about the checklist and its use.

Conclusion: The WHO surgical checklist facilitates the nurse anesthetists anesthetic and perioperative care. It allows the nurse anesthetist to better identify each patient’s specific concerns and increased sense of being a team member.

Place, publisher, year, edition, pages
Elsevier, 2015. Vol. 30, no 6, p. 468-475
Keywords [en]
WHO checklist, patient safety, registered nurse anesthetist’s (RNA), compliance, team
National Category
Nursing
Research subject
Caring sciences
Identifiers
URN: urn:nbn:se:oru:diva-40755DOI: 10.1016/j.jopan.2014.01.011ISI: 000365349600004PubMedID: 26596382OAI: oai:DiVA.org:oru-40755DiVA, id: diva2:778613
Available from: 2015-01-11 Created: 2015-01-11 Last updated: 2017-12-05Bibliographically approved

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