Identifying the nontechnical skills required of nurses in general surgical wards
| Autor: | Dianne Marshall, Mary Finlayson |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Occupational group Health Knowledge Attitudes Practice Operating Rooms Surgical nursing Perioperative nursing media_common.quotation_subject Decision Making Coding (therapy) Patient advocacy 03 medical and health sciences Patient safety 0302 clinical medicine Nursing Perioperative Nursing Medicine Humans 030212 general & internal medicine General Nursing media_common Quality of Health Care Teamwork 030504 nursing business.industry Communication General Medicine Middle Aged Leadership Practice Guidelines as Topic Observational study Female Clinical Competence Patient Safety 0305 other medical science business New Zealand |
| Zdroj: | Journal of clinical nursing. 27(7-8) |
| ISSN: | 1365-2702 |
| Popis: | Aims and objectives To identify the nontechnical skills (NTS) required of nurses in general surgical wards for safe and effective care. Background As the largest occupational group, nurses are in an ideal position to block the vulnerabilities of patient adverse events in a surgical ward. Previous studies in the surgical environment have identified the NTS required of nurses for safe care in operating rooms; however, these skills have not been identified for nurses in general surgical wards. Design A nonparticipant observational descriptive design was used. Method A purposive sample of 15 registered nurses was recruited from four surgical wards and observed for a full shift on a morning, afternoon or night shift. Nonparticipant observations were conducted using field notes to collect data. A coding frame was developed, and an inductive process was used to analyse the data. Results A taxonomy comprising seven NTS required of nurses in their roles in surgical ward teams emerged from the data analysis. They are communication, leadership and management, planning, decision-making, situation awareness, teamwork and patient advocacy. Conclusion Patient care provided by general surgical nurses involved the seven identified key NTS. These particular NTS are an important component of safe nursing practice as they underpin the provision of safe and effective care for general surgical patients. Nurses block the trajectory of error by using NTS to address the vulnerabilities in the system that can lead to adverse patient events. Relevance to clinical practice Identifying general surgical nurses' NTS enables the development of teaching strategies that target the learning of those skills to achieve successful work outcomes and improve patient safety. |
| Databáze: | OpenAIRE |
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