• Title/Summary/Keyword: Operating Room

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An Analysis of Nursing Work of Operating Room Nurses (수술실 간호사의 간호업무 분석)

  • Kwon, Sung-Bok;Park, Young-Sook;Kim, Dong-Oak;Yi, Yeo-Jin;Lee, Eun-Hee;Cho, Kyung-Sook
    • Journal of Korean Academy of Nursing Administration
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    • v.14 no.1
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    • pp.72-84
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    • 2008
  • Purpose: The purpose of this study was to identify nurses' duties and tasks for job analysis of the nurses in the operating room. Methods: This study was descriptive investigation research using the 3-point likert scale questionnaires and the level of importance, difficulty and the frequency of each duty and task were analyzed. Data were collected by 422 OR nurses from 57 hospitals. Results: Job of OR nurses included 13 duties and 105 tasks. The 13 duties were 'management of operative patient' 'assistive work for operation' 'supportive work for operation' 'infection control in OR' 'management of equipments and instruments for operation' 'administrating medicine for operation' 'supplies management for operation' 'safety management for operation' 'environmental management for operating room' 'administrative work for operation' 'education for operating room personnel' 'development of operation procedure books' and 'elf development of OR personnel' Conclusion: This study identified duties and tasks performed by OR nurses. Based on these results, the importance, frequency, and difficulty in this study will provide research evidence for developing training programs for OR nurses.

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Competency of Nursing Performance and Job Satisfaction of Operating Room Nurse by Type of Nurse Staffing (간호인력배치유형에 따른 수술실 간호사의 업무수행능력 및 직무만족)

  • Ahn, Young-Mi;Park, Chai-Soon
    • Women's Health Nursing
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    • v.11 no.2
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    • pp.169-175
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    • 2005
  • Purpose: This study was designed to investigate the relationships of the types of nurse staffing, the competency of nursing performance and job satisfaction by analyzing the types of nurse staffing in operating room. Method: The subjects were 472 nurses who work in operating room. The instruments used in this study were three tools: competency of nursing performance, job satisfaction and type of nurse staffing. Result: Type 4 was most in the type of nurse staffing of the subjects. According to the type of nurse staffing, the competency of nursing performance was significantly different. There was significant difference in the competency of nursing performance according to age, marital status, bachelor, employ, position, and career, and job satisfaction according to age, position, and career. In opinion about the ideal type of nurse staffing, type 2 was most regardless of career. Conclusion: Type 4 which has lower competency of nursing performance was adopted in many hospitals now but, type 2 which has highest competency of nursing performance was selected by many nurses as the best one. So, it should be considered the type of nurse staffing of in operating room and change it.

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Analysis of Nursing Intensity Related to Nursing Activities in Operating Room using the Relative Value Scale For Nursing Cost (간호수가 산정을 위한 상대가치를 이용한 수술실 간호행위 간호강도 분석)

  • Ha, Ru Mee;Kwon, Kyoung Ja;Woo, Jin Ha;Kim, Jung A
    • Journal of Korean Clinical Nursing Research
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    • v.20 no.2
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    • pp.162-176
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    • 2014
  • Purpose: The purpose of this study was to perform an operating room nursing activities analysis and estimate nursing intensity of each nursing activity based on the Relative Value Scale (RVS). Methods: The methodology for this study of RVS was based on the work of Hsiao et al. The first stage was to identify nursing activities and the second to measure intensity of nursing activities including technical skill, mental effort, and stress. Results: Calculation of the RVS for 99 nursing practices showed a score range from 300.00 to 1337.78. CS operation assistant, OS operation assistant, and obtaining certification had high nursing intensity. Surgical hand washing, putting on surgical gowns, surgical gloves and surgical caps and mask had low nursing intensity. Conclusion: The activities of operating room are not compensated separately but reimbursement is usually included in physician fees. In the future, an estimation of nursing cost should show the nursing contribution rate to total operation revenue.

Stochastic Programming Approach to Scheduling Elective Surgeries and the Effects of Newsvendor Ratio on Operating Room Utilization (추계적 계획법을 이용한 수술실 예약 모델과 Newsvendor 비율의 자원 효율성에 대한 영향 분석)

  • Min, Dai-Ki
    • Korean Management Science Review
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    • v.28 no.2
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    • pp.17-29
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    • 2011
  • The purpose of this paper is to schedule elective surgery patients using a stochastic programming approach and to illustrate how operating room utilization behaves when a decision-maker varies costs associated with utilization. Because of the uncertainty in surgery durations, the underage and overage costs that a decision-maker considers plays an important role in allocating surgery cases into available operating room capacity. We formulate the problem as a stochastic mixed integer programming and propose a sampling-based approximation method for a computational purpose. Newsvendor model is employed to explain the results from numerical experiments that are conducted with the actual data from a hospital. The results show that the operating room utilization is more sensitive when the unit overtime cost is relatively larger than the unit cost for underutilized time.

The Effect of Operating Room Nursing and Medical Staff Teamwork and Perception of Patient Safety Culture on the Performance of Surgical Patient Safety Protocol (수술실 의료진의 팀워크와 환자안전문화에 대한 인식이 수술환자안전 프로토콜 수행에 미치는 영향)

  • Ahn, Shin-Ae;Lee, Nam-Ju
    • Journal of Korean Critical Care Nursing
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    • v.9 no.1
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    • pp.27-39
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    • 2016
  • Purpose: The purpose of this study lies in investigating nursing and medical staff perceptions on the importance of surgical patient safety protocol, teamwork, and patient safety culture, and how their grasp of the factors affects the degree of their performance of the protocol. Methods: A survey was conducted on 249 nurses and medical staff participating in the operating rooms of one higher general hospital in Seoul, using a 5-point scale self-reported questionnaire. Logistic regression analyses were used. Results: Operating room nurses yielded the highest scores on both the importance of the patient safety protocol and its performance. In patient safety culture, the operating medical staff yielded significantly higher scores than those of operating room nurses. Perception of the importance of the patient safety protocol and teamwork had a significant effect on the nurses' complete performance of the protocol. Conclusion: It is important to create a safety culture, where all the staff can actively and freely communicate with one another through team-based training programs. By enhancing teamwork and patient safety culture, it will be possible to establish the surgical patient safety protocol and to improve the performance of the protocol by health professionals.

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Health Promoting Behavior and Factors in Operating Room nurses (수술실 간호사의 건강증진행위와 관련 요인)

  • Choi, JiYun;Choi-Kwon, Smi
    • Journal of Korean Biological Nursing Science
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    • v.21 no.4
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    • pp.308-317
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    • 2019
  • Purpose: This study aimed to investigate the level and related factors related to health-promoting lifestyle in operating room nurses in Korea. Method: A cross-sectional descriptive survey design was employed. The data were collected using questionnaire for three weeks in December 2018 from 110 operating room nurses working for more than six months in a general hospital located in Seoul. The Health Promoting Lifestyle Profile-II, The Korean Version of the Practice Environment Scale of Nursing Work Index, and Operating nurse's Job stress Factor Scale were used. Results: Significant relationships were observed between health promoting lifestyle and educational level(p= .025), perceived economic status (p= .001) wearing a lead apron for protection from radiation during the operation(p< .001), work satisfaction(p= .016), and fatigue related to work(p= .006). Also significant correlations were identified between nursing work environment and health promoting lifestyle. However, the health promoting lifestyle was not statistically different based on occupational stress(p= .365). In multiple linear regression analyses, the level of health promoting lifestyle found to be higher in subjects who did not wear a lead apron for protection from radiation(p= .017), and who had more positive perception of the nursing work environment(p= .034). Conclusion: In order to increase health promoting lifestyle of operating nurses, the strategies to improve the nursing work environment are essential.

Application of 5678SMRT Real-time Monitoring system (도시철도 실시간 모니터링 시스템 적용 사례)

  • Yoon, Jae-Kwan;Park, Jong-Hun;Kim, Ki-Chun
    • Proceedings of the KSR Conference
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    • 2011.10a
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    • pp.737-747
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    • 2011
  • 5678SMRT has installed various sensor for operating conditions(field of electric, facilities, signal, communication equipment and track) and environment of Every Function Room for remotely detecting and monitoring. Installed sound sensor for analyzed after remotely heard the noise of every equipment at Every Function Room and temperature sensor for check the temperature condition of Every Function Room. Additional installed voltage sensor in signal equipment room for monitoring RF track-circuit's voltage condition. Installed displacement sensor at The Chungdam bridge's railway for measuring and monitoring track displacement caused by temperature change and Pan/Tilt camera at sub-station and drainage for remotely field monitoring. Installed sensor for each equipment's operating condition and failure at Every Function Room then periodic check of workforce turned to around-the-clock surveillance by sensor therefore improvement of operating equipment. SMRT is lots of prevent a failure by Immediately detect of precondition of equipment failure by analyzed the sensor data. If the occurrence of an failure, become detected Immediately so possibility correct diagnosis and order by remotely field check by installed camera and sound sensor at field.

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Factors Influencing for the Compliance of Preventing Bloodborne Infection for Operating Room Nurses (수술실 간호사의 혈행성 감염 예방지침 수행 영향요인)

  • Choi, Ok-Hee;Lee, Ga Eon
    • Korean Journal of Occupational Health Nursing
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    • v.15 no.1
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    • pp.30-39
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    • 2006
  • Purpose: The purpose of this study was to examine factors influencing for the compliance of guidelines of preventing bloodborne infection for operating room nurses. Method: Data was collected through questionnaires from March 16 to April 12, 2005. The subjects of this study were consisted of 208 operating room nurses, who had been working at 4 university hospitals and 10 general hospitals in Busan. The Instrument for the compliance of guidelines for preventing bloodborne infection was 24-item questionnaire. It was revised based on the Standard Precaution of CDC and Bloodborne Pathogen Standards of OSHA. In addition, to find out the knowledge level of AIDS, hepatitis B and hepatitis C, 15-item questionnaire was used, which had been made by researcher based on Kim(1999) et, al. Results: The affecting factors of compliance for preventing bloodborne infection were work skill(${\beta}=.27$), operating room education on infection prevention(${\beta}=.25$), knowledge on infection(${\beta}=.19$), readiness of using personal protective equipment(${\beta}=.18$), and posting a notice of infected surgery patients(${\beta}=.16$). Theses 5 factors account for 28.5% on the compliance of guidelines for preventing bloodborne infection for operating room nurses. Conclusion: According to the results, to increase the compliance level of operating room nurses, personal efforts should be made to improve work skills and infection knowledge. In addition to organizational efforts on practical education and management of environment were required.

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Factors Affecting on the Level of Practice on Nosocomial Infection Management among Operating Room Nurses (수술실 간호사의 병원감염관리 실천정도에 영향을 미치는 요인)

  • Her, Sun;Kim, In-Sook;Kim, Kye-Ha
    • Korean Journal of Adult Nursing
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    • v.20 no.3
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    • pp.375-385
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    • 2008
  • Purpose: This study is to identify factors affecting on the level of practice on nosocomial infection management of operating room nurses. Methods: The subjects of this study were 155 nurses who worked in operating rooms of six medical centers in located Gwangju and Chonanam area. Data were collected during October, 2006 by the questionnaire including a total of 124 questions. Data collected were analysed with use of SPSS 12.0 program. Results: There was a significant difference of the level of practice by marital status(t=3.957, p=.048), education level(F=3.691, p=.027), position(F=6.588, p=.002), type of hospital(t=4.857, p=.029), number of nurse(F=4.243, p=.007), education about nosocomial infection management(F=3.069, p=.030), management council(t=6.397, p=.012) and management manual(t=6.961, p=.009). There were significant correlations between knowledge and practice (r=.389, p=.000), and between awareness and practice(r=.389, p=.000). Knowledge on nosocomial infection management, awareness of hands washing and positions were affecting factors on the level of practice. Conclusion: This study suggests that knowledge and awareness on nosocomial infection prevention and management of operating room nurses should be improved through consistent education. and support of administrator's of hospitals is needed.

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A Study on the Location and Area Composition of the Operation Department in Regional Public Hospitals - Focused on Net Floor Area (지방의료원 수술부 배치 및 규모에 관한 연구 - 순면적을 중심으로)

  • Yun, Woo Yong;Chai, Choul Gyun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.25 no.4
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    • pp.93-104
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    • 2019
  • Purpose: To establish the building guidelines and to analyze the function of Regional Public Hospitals, the survey was conducted primarily on the current status focusing on the location and relationship of the department, area composition ratio, area per bed, and area per operating room. Methods: The research methods of this paper are as follows. 1) A literature survey on the function of the operating and related departments, 2) A drawing analysis for spatial composition and net area calculation. Results: The area of the Operation Department in the Regional Public Hospitals with 200 to 300 beds are as follows. Area ratio: 3.35%, area per Bed: 2.53㎡/bed, the number of beds per operating room: 64.37bed, area per operating room: 146.46㎡/n, area per operating room by plan type: integration corridor 133.84㎡/n, separation corridor 184.82㎡/n. Implications: This paper analyzed data on the current state of Operation Departments for setting up the function and role for the Regional Public Hospital. In the future, it is also required to provide size that takes into account user behavior and the user's psychological aspect in order to suggest appropriate area.