Understanding Stress In The Operating Room: A Step Toward Improving The Work Environment

Job-related stress is an important factor predicting staff satisfaction and position turnover among nursing staff, particularly in the operating room. The purpose of this study was to examine the perceived amount of stress elicited by events in the perioperative environment, the frequency of those events, and the impact of those events on the perceived stress of operating room nurses (ORNs) and operating room technologists (ORTs). The Survey on Stress in the OR instrument, which was used to query the subjects, exhibited high internal consistency of all items. The findings indicated that the ORNs and the ORTs exhibited remarkable similarities between stressful events perceived as high and low impact. The two groups agreed that the highest impact stressful event was pressure to work more quickly. Using the results of this study, OR administrators may be able to redesign the OR environment to minimize the impact of stressful events and thereby improve job satisfaction and minimize nursing staff turnover

Nurses\u27 Alumnae Association Bulletin, June 1967

President\u27s Message Officers and Committee Chairman Financial Report Report to Alumnae Association Nursing Service Report Operating Room Report School of Practical Nursing Report School of Nursing Report President Herbert\u27s Address (abstracted) Report from Africa Student Activities Nursing Service Staff Association Resume of Alumnae Meetings Way and Means Report Social Committee Building Fund Report Class News Notice

Patient safety in the operating room: Work environment and operating room nursing

Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/OpenMarkmið rannsóknarinnar var að afla þekkingar á því hvernig stuðlað er að öryggi sjúklinga sem fara í skurðaðgerðir og hvað hjúkrunarfræðingar á skurðstofum álíta að ógni öryggi. Rannsóknin var eigindleg og gagna var aflað með viðtölum við skurðhjúkrunarfræðinga og með umræðum í rýnihópum. Þátttakendur voru hjúkrunarfræðingar á tveimur skurðstofum Landspítala – háskólasjúkrahúss. Gögn voru greind með túlkandi innihaldsgreiningu. Niðurstöður lýsa þáttum sem styrkja öryggi sjúklinga, svo sem áherslu á fyrirbyggingu í skurðhjúkrun, skipulagi starfa skurðhjúkrunarfræðinga í sérhæfð teymi og áhrifum góðs samstarfs á skurðstofum. Þáttum, sem geta ógnað öryggi sjúklinga, var einnig lýst. Það eru fyrst og fremst þættir sem lúta að skipulagi og vinnuumhverfi, svo sem miklum hraða, auknum kröfum um afköst, vinnuálagi, ójafnvægi í mönnun og því að hafa ekki stjórn á aðstæðum. Atvik, sem upp hafa komið, voru rædd í rýnihópunum. Gildi rannsóknarinnar felst í því að þáttum í starfsemi skurðstofa, sem hjúkrunarfræðingar telja að styrki öryggi sjúklinga og ástæða er til að hlúa að, er lýst sem og þáttum sem ógna öryggi.The aim of this study was to gain knowledge of what enhances the safety of patients undergoing operations and what OR nurses perceive as threats to their safety. This was a qualitative study based on interviews with OR nurses and focus group discussions among them. Participants were nurses on two of the OR units at Landspitali University Hospital. Data were analysed using an interpretive content analysis. They reflect factors in OR nursing that enhance patient safety such as the emphasis placed on prevention of mistakes, the organization of the work into specialized teams and good collaboration in the teams. Factors that threaten patient safety were mainly related to the organization of the work and the conditions under which the work took place. The speed at which the work is performed, demands increased efficiency and output, instability in staffing and lack of control over the conditions of work were all mentioned. Insidents that have occured were discussed in the focus groups. This study has added to current knowledge and understanding by outlining factors in the OR work environment that OR nurses consider strengthening for patient safety and should therefore be enhanced as well as describing factors that threaten patient safety

Integral resource capacity planning for inpatient care services based on hourly bed census predictions

The design and operations of inpatient care facilities are typically largely historically shaped. A better match with the changing environment is often possible, and even inevitable due to the pressure on hospital budgets. Effectively organizing inpatient care requires simultaneous consideration of several interrelated planning issues. Also, coordination with upstream departments like the operating theater and the emergency department is much-needed. We present a generic analytical approach to predict bed census on nursing wards by hour, as a function of the Master Surgical Schedule (MSS) and arrival patterns of emergency patients. Along these predictions, insight is gained on the impact of strategic (i.e., case mix, care unit size, care unit partitioning), tactical (i.e., allocation of operating room time, misplacement rules), and operational decisions (i.e., time of admission/discharge). The method is used in the Academic Medical Center Amsterdam as a decision support tool in a complete redesign of the inpatient care operations

A Qualitative Study: Why Prolonged Stay in the Recovery Room?

There are a number of factors that prolong patients’ stay in the recovery room (RR), which are related to system or clinical issues. However, less has been discovered from the RR nurses about reasons for prolonged patient stay and recommendations to solve this issue. Prolonged patient stay of more than 2 hours in the RR interferes with the primary role of the RR nurse, which is to provide care to immediate postanaesthesia patients. Consequently, this could affect the operating room schedule, normal flow of patients to the RR and discharge to the nursing units

Mary Greenwood Schaal

Dr. Schaal graduated from Jefferson’s Nursing Diploma Program in 1963 and received her BSN from Jefferson in 1981. Though she started her career as an operating room nurse she soon discovered an interest in public health. After coming back to Jefferson for her Bachelor’s degree and then going on to the University of Pennsylvania for her Master’s degree and Rutgers for her Doctorate, she began teaching Community Health to nursing students at Rutgers in Camden. Dr. Schaal then went on to teach in MCP Hahnemann’s graduate program, which is now Drexel, before coming back to Thomas Jefferson University and ending her career there as the Dean of the Nursing School. In addition to many other accomplishments as Dean she oversaw the expansion of enrollment, the inception of the first online courses offered at TJU, and the transition of Nursing as a department within the University to its own independent School of Nursing.https://jdc.jefferson.edu/nursing_oral_histories/1006/thumbnail.jp

Nurses\u27 Alumnae Association Bulletin - Volume 6 Number 9

Remember the Relief Fund Welcome! Miss Childs Financial Report Calendar of Coming Events Lest You Forget! Attention Review of the Alumnae Association Meetings Institutional Staff Nurses\u27 Section Report of Staff Activities - 1947-1948 Private Duty Section The White Haven Division Barton Memorial Division Remember the Relief Fund Student Nurses\u27 Activities Jefferson Scores Again The Clara Melville Scholarship Fund Interesting Activities of the Nurses\u27 Home Committee of the Women\u27s Board Exclusive for Nurses Changes in the Maternity Division Gray Lady Musical Therapy Service Memorial Service Honoring Mrs. Bessie Dobson Altemus The Blood Donor Center The Hospital Pharmacy Medical College News Remember the Relief Fund Administrative Staff and Faculty of the School of Nursing Streptomycin Changes in the Staff at Jefferson Hospital Care of the Thoracic Surgical Patient Miscellaneous Items Marriages New Arrivals Deaths The Bulletin Committee Attention, Alumnae New Addresse

Barnes Hospital Bulletin

https://digitalcommons.wustl.edu/bjc_barnes_bulletin/1011/thumbnail.jp

Barnes Hospital Bulletin

https://digitalcommons.wustl.edu/bjc_barnes_bulletin/1028/thumbnail.jp

Nurses\u27 Alumnae Association Bulletin - Volume 17 Number 1

Alumnae Notes Committee Reports Digest of Alumnae Association Meetings Greetings from Miss Childs Greetings from the Educational Director Greetings from the President Graduation Awards - 1951 Jefferson\u27s New Hospital Addition Marriages Necrology Neurosurgery Department New Arrivals New Drugs Notes on the Cause of Leukemia Nursing Staff Saul Among the Prophets Staff Activities, 1951-1952 Students\u27 Corner The Hospital Pharmacy The Student Nurse Association of Pennsylvania White Haven and Barton Memorial Division