An investigation of differing levels of experience and indices of task management in relation to scrub nurses' performance in the operating theatre: Analysis of video-taped caesarean section surgeries.
Background: Literature has identified failures in task management as direct determinants leading to accidents in the operating theatre. However, very few studies have investigated the factors underlying task management that directly influence the performance of the scrub nurses. The traditional beli...
| Publicado en: | International Journal of Nursing Studies Vol. 51; no. 9; pp. 1230 - 1241 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Elsevier B.V.
2014
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103983023&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 103983023 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00207489 JHV jtl: International Journal of Nursing Studies issn: 00207489 maglogo: N pubinfo: dt: 2014 vid: 51 iid: 9 pid: 82545 pub: Elsevier B.V. place: Philadelphia, Pennsylvania artinfo: ui: 103983023 97327023 10.1016/j.ijnurstu.2014.01.005 NLM24588991 103983023 ppf: 1230 ppct: 11 formats: fmt: @attributes: type: P tig: atl: An investigation of differing levels of experience and indices of task management in relation to scrub nurses' performance in the operating theatre: Analysis of video-taped caesarean section surgeries. aug: au: Koh, Ranieri Y. I. Park, Taezoon Wickens, Christopher D. affil: School of Mechanical & Aerospace Engineering, Nanyang Technological University, Singapore; Institute of Infocomm Research, Singapore sug: subj: Perioperative Nursing Task Performance and Analysis Job Experience Nursing Skills Expert Nurses Novice Nurses Nursing Practice Cesarean Section Nursing Intraoperative Care Scrub Nurses Human Funding Source Comparative Studies Random Sample Academic Medical Centers Obstetric Service Singapore Registered Nurses Diploma Nurses Baccalaureate Nurses Interviews Eye Movements Videorecording One-Way Analysis of Variance kappa Statistic P-Value Chi Square Test Surgeons Nursing Role Interrater Reliability Empirical Research ab: Background: Literature has identified failures in task management as direct determinants leading to accidents in the operating theatre. However, very few studies have investigated the factors underlying task management that directly influence the performance of the scrub nurses. The traditional belief that expertise is a general indicator of performance has been empirically investigated with varying results, but none has attempted to identify the task management determinants affecting performance, as influenced by the level of expertise. Objectives: (1) To examine any difference on task management behaviours between differing levels of experience during surgeries. (2) To correlate indices of task management with levels of performance evaluated by subject matter experts. Design and setting: 10 experienced and 10 novice scrub nurses were randomly selected from the Obstetrics and Gynaecology Department of a teaching hospital in Singapore. All nurses partook in a caesarean section surgery each, and their work processes were recorded via a scene camera donned by themselves. Participants: 20 scrub nurses. Methods: Two human factors experts independently mapped the task management processes onto a task management timeline, where individual tasks were coded, tallied and compared between levels of expertise. Main outcome measures: Reactive task management (task interruptions, task prioritizations), pro-active task management (anticipation, failures in anticipation), SPLINT scores (performance). Results: Novice nurses showed lower resistance to interruptions during their tasks (58% more interruptions), especially to interruptions which were not triggered by the surgeon during their surgical counts (90% more interruptions). The novice nurses also displayed poorer/less ability to anticipate the surgeons’ needs, taking longer time to handover instruments (39% longer) and making more mistakes (371% more errors). Subject matter experts rated the experienced nurses significantly higher in their cognitive non-technical skills performance than the novice nurses (32% higher). pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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