Using a systems approach to evaluate a circulating nurse's work patterns and workflow disruptions.
Flow disruptions
Nurse tasks
Operating room
Operating room layout
Spatial zones
Journal
Applied ergonomics
ISSN: 1872-9126
Titre abrégé: Appl Ergon
Pays: England
ID NLM: 0261412
Informations de publication
Date de publication:
Jul 2019
Jul 2019
Historique:
received:
30
05
2017
revised:
28
02
2018
accepted:
26
03
2018
pubmed:
4
4
2018
medline:
18
12
2019
entrez:
4
4
2018
Statut:
ppublish
Résumé
The physical environment affects how work is done in operating rooms (OR). The circulating nurse (CN), in particular, requires access to and interacts with materials, equipment, and technology more than other OR team members. Naturalistic study of CN behavior is therefore valuable in assessing how OR space and physical configuration influences work patterns and disruptions. This study evaluated the CNs' work patterns and flow disruptions (FD) by analyzing 25 surgeries across three different ORs. The OR layouts were divided into transitional and functional zones, and the work of CNs was categorized into patient, equipment, material, and information tasks. The results reveal that information tasks involve less movement than other types of work, while across all ORs, CNs were more likely to be involved in layout and environmental hazard FDs when involved in patient, material, or equipment-related tasks compared to information tasks. Different CN work patterns and flow disruptions between ORs suggest a link between OR layout and a CN's work. Future studies should examine how specific layout elements influence outcomes.
Identifiants
pubmed: 29609835
pii: S0003-6870(18)30078-4
doi: 10.1016/j.apergo.2018.03.017
pmc: PMC6165699
mid: NIHMS958520
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
293-300Subventions
Organisme : AHRQ HHS
ID : P30 HS024380
Pays : United States
Informations de copyright
Copyright © 2018 Elsevier Ltd. All rights reserved.
Références
J Thorac Cardiovasc Surg. 2000 Apr;119(4 Pt 1):661-72
pubmed: 10733754
AORN J. 2003 Jan;77(1):122, 125-9, 132-4
pubmed: 12575628
Surgery. 2003 Jun;133(6):614-21
pubmed: 12796727
J Biomed Inform. 2003 Feb-Apr;36(1-2):106-19
pubmed: 14552852
Qual Saf Health Care. 2006 Dec;15 Suppl 1:i59-65
pubmed: 17142611
J Am Coll Surg. 2007 Apr;204(4):533-40
pubmed: 17382211
Surgery. 2007 Nov;142(5):658-65
pubmed: 17981185
J Adv Nurs. 2008 Jan;61(1):29-37
pubmed: 18173734
Crit Care Nurs Q. 2009 Apr-Jun;32(2):71-4; quiz 75-6
pubmed: 19300067
Appl Ergon. 2010 Sep;41(5):701-12
pubmed: 20202623
AORN J. 2012 Jun;95(6):755-62
pubmed: 22633382
Am J Surg. 2013 Aug;206(2):253-62
pubmed: 23642651
Anesthesiology. 2013 Nov;119(5):1066-77
pubmed: 23811697
BMJ Open. 2013 Nov 25;3(11):e003519
pubmed: 24282244
BMJ Qual Saf. 2015 Feb;24(2):111-9
pubmed: 25053827
JACC Cardiovasc Interv. 2014 Aug;7(8):898-904
pubmed: 25086843
JAMA Surg. 2014 Sep;149(9):962-8
pubmed: 25103360
HERD. 2014 Fall;8(1):45-66
pubmed: 25816182
J Adv Nurs. 2015 Dec;71(12):2846-57
pubmed: 26249844
Ann Surg. 2015 Jun;261(6):1079-84
pubmed: 26291954
BJU Int. 2016 Jul;118(1):132-9
pubmed: 26800347