Safety Route in Care: Theoretical Model of Patient Care Process in Operating Room.

Background: Care in the operating room is challenging. The dimensions of this type of care are unknown. Aim: The present study was conducted with aim to explain the process of patient care in Iranian operating rooms in order to deeply understand the concept of care, determine the dimensions of care,...

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Publicado en:Journal of Evidence-based Care Vol. 15; no. 3; pp. 72 - 86
Autores principales: Mirzaei, Sahar, Pazokian, Marzieh, Atashzadeh-Shoorideh, Foroozan, Pishgooie, Seyed Amir Hosein, Javaheri Tehrani, Fereshte
Formato: research tables/charts Journal Article
Publicado: Mashhad University of Medical Science Oct2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2025
      vid: 15
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      pub: Mashhad University of Medical Science
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        atl: Safety Route in Care: Theoretical Model of Patient Care Process in Operating Room.
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        au:
          Mirzaei, Sahar
          Pazokian, Marzieh
          Atashzadeh-Shoorideh, Foroozan
          Pishgooie, Seyed Amir Hosein
          Javaheri Tehrani, Fereshte
        affil: PhD candidate. Student Research Committee, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
      sug:
        subj:
          Operating Rooms Iran
          Patient Safety
          Critical Path
          Models, Theoretical
          Patient Care
          Perioperative Nursing
          Patient Centered Care
          Risk Management
          Grounded Theory Methods
          Organizational Culture
          Iran
          Human
          Male
          Female
          Adult
          Descriptive Statistics
          Semi-Structured Interview
          Purposive Sample
          Qualitative Studies
          Data Analysis Software
          Peer Review
          Theoretical Sample
          Workload
          Stress, Occupational
          Teamwork
          Interprofessional Relations
          Communication
          Professional Competence
          Patient Advocacy
          Incident Reports
          Supervisors and Supervision
          Equipment and Supplies
          Equipment Failure
          Accidents
          Accidental Falls
          Burns
          Monitoring, Physiologic
          Anxiety
          Privacy and Confidentiality
          Adult: 19-44 years
          Male
          Female
      ab: Background: Care in the operating room is challenging. The dimensions of this type of care are unknown. Aim: The present study was conducted with aim to explain the process of patient care in Iranian operating rooms in order to deeply understand the concept of care, determine the dimensions of care, facilitators and obstacles based on the obtained data . Method: This grounded theory study was conducted in 2020-2023. Data gathering was conducted through unstructured interview with 37 participants. Data were analyzed using Corbin and Strauss, 2015 in three levels of concept, context and process. Results: The safety route in care has three themes titled "Slippery passage of care with 3 categories including: 1- Threatening and risky conditions of care, 2- In the straits of stress and pressure, and 3- Lack of understanding of the sensitive surgical situation" and a total of 7 subcategories. The second theme" Trying to maintain balance and safe care" with 3 categories includes: 1- Relying on values, 2- Deciding to improve performance and 3- Seeking support and 14 subcategories; and finally, the outcome of these efforts was "safe care" and 4 sub-categories of the outcome included: "maintaining vigilance", "assertiveness and authority", "continued patient safety", and "patient reassurance and peace" with 12 subcategories. Implications for Practice: The nurses try to maintain the patient's safety in the slippery passage of care with relying on values, deciding to improve performance, reviewing and seeking support.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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