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Perioperative nursing: Maintaining momentum and staying safe

Perioperative nursing: Maintaining momentum and staying safe
Perioperative nursing: Maintaining momentum and staying safe
Background: Perioperative practice underpins one of the key activities of many healthcare services, but the work of perioperative nurses is little known. A better understanding of their work is important to enable articulation of their contribution to clinical practice.

Aim: This study observed the practice of perioperative nurses and explored how they described their role.

Methods: Using ethnographic observation and interview, 85 hours’ observation of 11 nurses were undertaken, and 8 nurses were interviewed.

Results: Thematic analysis was undertaken enabling themes to emerge with two being identified. The first, ‘maintaining momentum’, described the need to keep people and equipment moving. The second, ‘accounting for safety’, referred to the need to keep the patient safe during this dangerous period. Tension between these two phenomena was apparent.

Conclusions: Perioperative nurses describe one of their key roles as maintaining the momentum of the patient’s journey through the operating theatre, but having to balance this with the need to ensure the patient’s safety. A core component of the perioperative nurse’s work is thus management of the tension between these two elements. This study illuminated how these nurses understand their practice.
1744-9871
727-739
McGarry, Jon R.
d0c6faaf-142e-468e-b2a1-9ef1b788a4c2
Pope, Catherine
21ae1290-0838-4245-adcf-6f901a0d4607
Green, Sue M.
1075a760-2a75-443c-96c7-194d0d90ede8
McGarry, Jon R.
d0c6faaf-142e-468e-b2a1-9ef1b788a4c2
Pope, Catherine
21ae1290-0838-4245-adcf-6f901a0d4607
Green, Sue M.
1075a760-2a75-443c-96c7-194d0d90ede8

McGarry, Jon R., Pope, Catherine and Green, Sue M. (2018) Perioperative nursing: Maintaining momentum and staying safe. Journal of Research in Nursing, 23 (8), 727-739. (doi:10.1177/1744987118808835).

Record type: Article

Abstract

Background: Perioperative practice underpins one of the key activities of many healthcare services, but the work of perioperative nurses is little known. A better understanding of their work is important to enable articulation of their contribution to clinical practice.

Aim: This study observed the practice of perioperative nurses and explored how they described their role.

Methods: Using ethnographic observation and interview, 85 hours’ observation of 11 nurses were undertaken, and 8 nurses were interviewed.

Results: Thematic analysis was undertaken enabling themes to emerge with two being identified. The first, ‘maintaining momentum’, described the need to keep people and equipment moving. The second, ‘accounting for safety’, referred to the need to keep the patient safe during this dangerous period. Tension between these two phenomena was apparent.

Conclusions: Perioperative nurses describe one of their key roles as maintaining the momentum of the patient’s journey through the operating theatre, but having to balance this with the need to ensure the patient’s safety. A core component of the perioperative nurse’s work is thus management of the tension between these two elements. This study illuminated how these nurses understand their practice.

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Accepted/In Press date: 1 July 2018
e-pub ahead of print date: 7 December 2018
Published date: December 2018

Identifiers

Local EPrints ID: 422875
URI: http://eprints.soton.ac.uk/id/eprint/422875
ISSN: 1744-9871
PURE UUID: bd6ff88b-f518-4698-a6d7-3925e20f59c8
ORCID for Catherine Pope: ORCID iD orcid.org/0000-0002-8935-6702
ORCID for Sue M. Green: ORCID iD orcid.org/0000-0003-1760-3679

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Date deposited: 07 Aug 2018 16:30
Last modified: 16 Mar 2024 06:57

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Contributors

Author: Jon R. McGarry
Author: Catherine Pope ORCID iD
Author: Sue M. Green ORCID iD

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