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Swedish Nurse Anesthetists' Experiences of the WHO Surgical Safety Checklist
Umeå Universitet ; Östersunds sjukhus.
Örebro Universitet.
2015 (English)In: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473, Vol. 30, no 6, 468-475 p.Article 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 an effort 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 methods design, involving nurse anesthetists from two different hospitals in Sweden.

Methods

Data were collected using a study-specific questionnaire.

Findings

Forty-seven RNAs answered the questionnaire. There was a statistically significant lower compliance to “Sign-in” compared with 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 the RNA. Forty-three percent had received training about the checklist and its use.

Conclusion

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

Place, publisher, year, edition, pages
2015. Vol. 30, no 6, 468-475 p.
Keyword [en]
WHO checklist; patient safety; registered nurse anesthetist's (RNA); compliance; team; research
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:miun:diva-28644DOI: 10.1016/j.jopan.2014.01.011OAI: oai:DiVA.org:miun-28644DiVA: diva2:956052
Available from: 2016-08-29 Created: 2016-08-29 Last updated: 2016-10-05Bibliographically approved

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Publisher's full texthttp://dx.doi.org/10.1016/j.jopan.2014.01.011

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Rönnberg, Linda
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CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf