• Title/Summary/Keyword: Operating Room

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Analysis of Core Interventions of Operating Room using Nursing Intervention Classification (NIC간호중재분류체계를 이용한 수술실 핵심간호중재분석)

  • Lee, Yoon-Young;Park, Kwang-Ok
    • Journal of Korean Academy of Nursing Administration
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    • v.8 no.3
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    • pp.361-372
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    • 2002
  • Purpose : The purpose of study was to identify to analysis of core nursing interventions performed by Operating Room nurses. Method : The subjects of the study were arbitrarily selected nurses(n=104) working in Operating Room. The period for data collection was 15 days from July, 15, 2002 to July, 30. 2002. The instrument for study was 486 Nursing Interventions Classification developed by McClosky & Bulechek(2000) and was translated into Korean. In 486 nursing interventions, 57 nursing interventions were selected by more than half of 47 professional nurses group of Operating Room. 57 nursing interventions were used as a secondary questionnaire. In the secondary questionnaire, labels and definitions of all 57 interventions were listed. The collected data were self reported by Operating Room nurses. The data were analysed with SPSS program. Result : In 57 nursing interventions, the 'Behavior' domain was the most frequently used. Core interventions of Operating Room were performed several times a day by more than 50% of Operating Room nurses. Core interventions of Operating Room were 16 Core interventions, 7 classes, 5 domains. In the core interventions, the 'Physiological:Complex' domain was the most frequently used. Core interventions of Operating Room were Surgical Preperation, Infection Control:Intraoperative, Surgical Precautions, Fall Prevention, Documentation, Surgical Assistance, Environmental Management:Safety, Skin Surveillance, Physical Restraint, Pressure Ulcer Prevention, Environmental Management:Comfort, Infection Protection, Presence, Emotional Support, Specimen Management, Shift Report. Conclusion : Core interventions of Operating Room have implications for nursing care practice, nursing education, nursing research, and nursing information system in Operating Room.

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The Effects of Self-leadership, Professional Self-concept, and Positive Psychological Capital of Operating Room Nurses on Nursing Performance (수술실 간호사의 셀프리더십, 전문직 자아개념, 긍정심리자본이 간호업무성과에 미치는 영향)

  • Moon, Hyun Sook;Shin, Sung Hee
    • Journal of East-West Nursing Research
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    • v.26 no.2
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    • pp.139-148
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    • 2020
  • Purpose: This study was conducted to determine the effects of self-leadership, professional self-concept, and positive psychological capital on the performance of operating room nurses. Methods: The participants were 148 operating room nurses with more than a year of experience in one of the general hospitals in Seoul, Korea. Data were collected from 18 to 29 November 2019 and were analyzed by descriptive statistic methods, t-test, ANOVA, Pearson's correlation coefficient analysis, and multiple regression analysis using the SPSS/WIN 21.0 program. Results: The self-leadership, professional self-concept, and positive psychological capital of operating room nurses showed a positive correlation with nursing performance. The performance of operating room nurses was the most affected by professional self-concept (β=.32, p=.002), followed by operating room career (β=.22, p=.037) and positive psychological capital (β=.20, p=.039), which together accounted for a nursing performance of up to 42.9% (F=12.06, p<.001). Conclusion: Based on these findings, it is necessary to develop education and intervention programs to enhance the operating room nurses' professional self-concept and positive psychological capital.

Reducing the Disposal of Unused Blood in the Operating Room (수술장에서의 혈액 폐기율 감소)

  • Cho, Moon Su;Lee, Yeoung Sook;Yu, Il Me
    • Quality Improvement in Health Care
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    • v.3 no.2
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    • pp.70-85
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    • 1997
  • Background : 6.1% of red blood cells and whole blood issued to the operating room was not transfused to the patients and discarded in Seoul National University Hospital in 1994. Objectives : We planned to set up an effective management program of blood in the operating room and we investigated whether this program could reduce the disposal rate of blood. Methods : We made a guideline of blood management in the operating room through a workshop. The guideline was revised after a preliminary application. The revised guideline was applied for 5 months from May to September in 1996. The disposal rate was compared before and after the installation of the new program. Results : 5,336 units of blood were issued to the operating room for 5 months. Disposal rate of red blood cells and whole blood was markedly reduced from 6.2% in May to 2.1% in September(p<0.05). The average disposal rate was 3.7% during the five months. Conclusion : We were able to reduce the disposal of unused blood in the operating room through the development and the application of a new blood management program.

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The Impact of Safety Climate and Fatigue on Safety Performance of Operating Room Nurses (수술실 간호사의 안전분위기와 피로 수준이 안전이행에 미치는 영향)

  • Choi, U-Eun;Kim, Hyun-Young
    • Journal of Korean Academy of Nursing Administration
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    • v.22 no.5
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    • pp.471-479
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    • 2016
  • Purpose: This study was conducted to evaluate the level of safety climate, fatigue, and safety performance and to identify the impact of safety climate and fatigue on the safety performance of operating room nurses. Methods: The study design was a descriptive survey. Participants were 174 operating room nurses from two general hospitals and two university hospitals in S and D cities. Three structurally designed questionnaires were used to evaluate their safety climate, fatigue, and safety performance. Collected data were analyzed using descriptive analysis, t-tests, ANOVAs, Pearson correlation coefficient, and stepwise multiple regression. Results: Safety performance of operating room nurses had a mean of 3.26 on a 5-point scale. 'Current department career'(${\beta}=.17$, p=.006) and 'safety climate (work-unit contribution) (${\beta}=.63$, p<.001) accounted for 39% of the variance in operating room nurses' safety performance. Conclusion: Findings indicate that work-unit contribution towards safety climate is an important factor in increasing operating room nurses' safety performance. Therefore, it is essential to find motivational properties consistent with the characteristics of the operating room environment.

A study on the design and construction of operating room (병원 수술실 설계 및 시공에 관한 연구)

  • Jung, Eul-Kyu;Oh, Jung-Keun
    • Journal of the Korea Institute of Building Construction
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    • v.3 no.2
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    • pp.103-110
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    • 2003
  • In the early 1990's the clean room system was a new trend of the operating room. This is the concept using in seminconductor plants. That is what the space around the operating table so clean as it remove contaminations with circulation of interior air. These articles describe the standard of interior construction and drawing details.

Investigation of influence of linear diffuser in the ventilation of operating rooms

  • Keshtkar, Mohammad Mehdi;Nafteh, Maryam
    • Advances in Energy Research
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    • v.4 no.3
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    • pp.239-253
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    • 2016
  • Air quality in hospitals has always concerned hospitals' health officials due to its dangerous particles and gases. Because of the importance of air conditioning in the operating room, a system must be embedded in operating rooms to direct the contaminated air outside, and inject fresh filtered air from outside back into the room. In this study, laminar flow air conditioning system is implemented in the operating room by slot linear diffusers and with the help of air curtain. For this, stimulation Computational Fluid Dynamic (CFD) was used due to its efficiency. The aim of the present study was to find a proper solution to overcome the unfavorable factors, namely, contamination, humidity, and also temperature, velocity and pressure inside the room. These factors were implemented with different values and then stimulated through FLUENT software program. Results showed that the aforementioned factors can be overcome using air curtain and slot linear diffusers.

Identification of Nursing Interventions in the Operating Room using the Perioperative Nursing Data Set(PNDS) (Perioperative Nursing Data Set(PNDS)를 이용한 수술실 간호중재 분석)

  • Kim Gyoung-Hui;Cho Bok-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.10 no.3
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    • pp.361-370
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    • 2003
  • Purpose: This study was done to identify nursing interventions performed by operating room nurses using the Perioperative Nursing Data Set (PNDS). Method: The data were collected from 88 operating room nurses, from August 1 to October 25, 2002 using the PNDS developed by the Association of Operating Room Nurses and translated into Korean. Nurses working in 2 university hospitals in Gwang-ju and 2 general hospitals in Seoul. Data were analyzed using the SPSS program. Result: There were 15 of 127 nursing interventions which the operating room nurses indicated were important and which they performed at least once a day. Conclusion: The operating room nurses consider interventions to prevent physical injury and patient centered care to be very important, but the performance rate for patient centered care was low. It shows that there is a need in education courses for patient centered care to be more strongly emphasized.

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Operating Room Nurses' Experiences of Securing for Patient Safety (수술실 간호사의 환자안전 확보 경험)

  • Park, Kwang-Ok;Kim, Jong Kyung;Kim, Myoung-Sook
    • Journal of Korean Academy of Nursing
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    • v.45 no.5
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    • pp.761-772
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    • 2015
  • Purpose: This study was done to evaluate the experience of securing patient safety in hospital operating rooms. Methods: Experiential data were collected from 15 operating room nurses through in-depth interviews. The main question was "Could you describe your experience with patient safety in the operating room?". Qualitative data from the field and transcribed notes were analyzed using Strauss and Corbin's grounded theory methodology. Results: The core category of experience with patient safety in the operating room was 'trying to maintain principles of patient safety during high-risk surgical procedures'. The participants used two interactional strategies: 'attempt continuous improvement', 'immersion in operation with sharing issues of patient safety'. Conclusion: The results indicate that the important factors for ensuring the safety of patients in the operating room are manpower, education, and a system for patient safety. Successful and safe surgery requires communication, teamwork and recognition of the importance of patient safety by the surgical team.

A Study on the Area Composition of the Operating Unit After Remodeling (수술부 리모델링을 통한 공간구성 변화에 관한 연구)

  • Kim, Khilchae
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.29 no.4
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    • pp.57-67
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    • 2023
  • Purpose: Recently, the operating unit remodeling compititon has been increasing rapidly in Korea, but there are no design infomation for spatial planning of sterile supply storage. Therefore, the propose of this study is to present area composition of the operating unit after remodeling. Methods: For literature review, the 6 studies and guidelines of operating unit(guidelines in the U.S, Australia, UK and Korea and 2 studies in Korea) conducted surveys and analysis. Room and space composition and zone of operating unit are redefined for this study. For obtaining area, to conduct masuring and calcuating of document of operating unit before and after remodeling in 3 cases. There are some patterns of plan in operaing unit by sterile supply storage. This study derived data for attributes of area composition of sterile supply storage. Results: The results of this study are as follows: First, Reviewing previous studies and Guidelines, for this study the suggested model was 5 zones(Operating zone, Support zone, Patient zone, Staff zone, Circulation zone) and redefined each room and space. Second, For infection control, sterile supply storage was provided to directly accessible to the operating room. Third, According to ralation of operting room and sterile supply storage, there are two types : 'double loaded type' and 'single loded type'. Sterile supply storage shall increase area of ciculation zone. Implications: This study can be used as primary data on remodeling of operating unit. In addition, it suggests that for infect control sterile supply storage is functional area.

Job Stress and Fatigue of the Nurses in the Operating Room (수술실 간호사의 업무스트레스와 피로)

  • Chung, Chong-Hee;Kang, Hee-Young
    • The Journal of the Korea Contents Association
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    • v.13 no.12
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    • pp.291-298
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    • 2013
  • This study is a cross-sectional descriptive survey done to identify the relationship between job stress and fatigue in operating room nurses. Data were collected by surveying 124 operating room nurses who were working in operating rooms at two advanced general hospitals and five general hospitals in G city in the province of C, and the survey was conducted by questionnaires. The data were analyzed by descriptive statistics, t-test, ANOVA, and Pearson's correlation coefficient. The level of job stress and fatigue were 3.64(0.45), and 3.46(0.60). In case of job stress in operating room nurses, there was statistically meaningful difference according to hospital type, and their fatigue levels showed statistically meaningful difference according to types of hospital, work motivation, and subjective health condition. There was positive correlation(r=0.47, p=<.001) between operating room nurses' job stress and fatigue. Therefore, this study has significance in the respect that it identified the relationship of job stress and fatigue in operating room nurses, and it will be used as the basis to develop job stress intervention program for operating room nurses.