Application effect of point-factor method in constructing nursing performance management mode in Operating Room

Objective To explore the effects of Miller's pyramid principle on training for newly enrolled nurses in operation room. Methods Totally 25 newly enrolled nurses in operation room who attended training for new nurses from July 2016 to June 2018 were included into the observation group. Miller's pyramid principle was incorporated into conventional training methods, and progressive and multilayer training was provided based on its theoretical framework. Another 22 newly enrolled nurses in operation room who attended training for new nurses from July 2014 to June 2016 were included into the control group who were trained using conventional methods. Theoretical performance, operation skill, case discussion, core competence self-evaluation and core competence evaluated by others were compared between the two groups. Results The operation skill, case discussion, core competence self-evaluation and core competence evaluated by others of the observation group scored (88.72±3.10) , (52.72±2.11) , (144.44±23.87) and (133.44±18.32) , respectively, higher than those of the control group, which were (85.27±3.95) , (50.82±1.97) , (122.64±22.61) and (115.68±14.01) , respectively (t=-3.35, -3.18, -3.20, -3.69; P 0.05) . Conclusions The effects of Miller's pyramid principle were better than those of conventional methods, which can improve the overall quality and core competency of newly enrolled nurses in operation room. Key words: Operation room; Training for newly enrolled nurses; Miller's pyramid principle; Operation skill; Core competence

Objective To explore nurse′s shortcoming repair scheme (NSRS) impacting on nursing quality in Operating Room (OR). Methods A total of 62 OR nurses had been chosen as sampling received NSRS after utilizing nurse′s shortcoming scale to acquire shortcomings. Results Nurses had the more younger, lower occupational title and educational background, the easier acquired shortcomings. After application of NSRS, the total comprehensive abilities of nurses improved apparently, of which the comprehensive ability of grade N0,N1,N2,N3 and N4 nurses were (70.36±5.38), (74.86±7.25), (76.38±6.86), (82.35±4.72), (86.97±2.35) scores before NSRS implementation improved to (79.58±3.61), (83.69±3.45), (85.31±3.11), (90.56±2.45), (96.48±2.33) after NSRS implementation (t=9.846, 9.012, 9.327, 8.742, 11.356; P<0.01). Before NSRS implementation, the rates were 14.52%, 19.35%, 16.13%, 20.97%, 17.74%, 9.68 % and 27.42% for taking wrong patents, arranging wrong operative position, incomplete operative equipment preparation, counting mistake, improper use of equipment, medicine error, specimen improper preservation; after NSRS used, there were just one cases for arranging wrong operative position and count error, and the other 6 parts had no nursing error. Conclusions Through repairing nurse′s shortcoming, the incidence of nursing error reduces and the overall OR nurses′ comprehensive abilities improve. It also can reduce the surgical care in the process of the accident, and improve the nursing quality of OR. Key words: Operating room; Nursing quality audit; Shortcoming repair scheme

Objective To analyze the prospective coping styles of nurses in operation room of plastic surgery department and its influencing factors. Methods A total of 169 nurses of two tertiary first-class hospitals and two secondary hospitals in Yuncheng city were selected as the research objects by convenient sampling from January 2016 to January 2017, their general data, dispositional hope, occupational expectations, occupational values, occupational maturity and prospective coping styles were analyzed. The influencing factors of prospective coping style were analyzed. Results The quality of hope was (31.78±4.24) points, occupational expectation was (72.41±7.24) points, professional values were (86.63 ± 7.02) points, professional maturity was (94.58 ± 6.25) points, and prospective coping style was (40.64 ± 6.13) points in the nurses in plastic surgery operation room. The results of multivariate linear regression model showed that the longer working time, high professional title, high degree of education, high monthly income, longer working hours in plastic surgery operation room, high hope quality, high career expectation, high occupational values and high career maturity were all the prospective coping styles of nurses in the operation room. Significant factors (P <0.05). Conclusions The nurses in the plastic surgery operation room have a certain prospective coping style, improve the treatment of nurses, set up their active work goals, improve their hope traits, career expectations, occupational values and career maturity, which can significantly enhance the level of prospective coping style. Key words: Nurses; Plastic surgery operation room; Prospective coping styles

Objective To explore and analyze the correlation between nurses' willingness to stay in the operating room and job stressor, job burnout and work-family conflict. Methods A total of 128 nurses from Mianyang Central Hospital, Third People′s Hospital of Mianyang, Mianyang People′s Hospital were selected as the research objects. The questionnaire of nurses' retention intention, the scale of nurses' job stressor, the scale of nurses' occupational fatigue and the scale of work stress conflict were used to investigate and analyze the correlation between nurses' retention intention and work stressor, occupational fatigue and family conflict. Results The average retention intention of the nurses surveyed in this study was (3.16±0.71), and the retention intention of the nurses was in the middle level. Operating room nurses' total score of work stress was (95.27±15.28). Among them, the scores of time allocation and workload, nursing specialty and work were the highest (2.86 ± 0.73) and (2.75 ± 0.64), respectively. The highest score of personal achievement was (33.26 ± 8.39). The total score of work family conflict of nurses in operating room was (58.32 ± 11.29), and the total score was (3.09 ± 0.58). The average score of work family conflict based on time was the highest, which was (3.91 ± 0.64), which was the main source of work family conflict of nurses. Pearson correlation analysis showed that nurses' intention to stay was negatively correlated with work pressure, job burnout and work family conflict (r value was-0.374,-0.400,-0.327, P < 0.05). Conclusions Nurses' willingness to stay in the operating room is at a medium level. Nursing managers can reduce the pressure of occupational fatigue by reducing work stress and improve the willingness of nursing staff to stay. Key words: Operating room; Nursing staff; Retention intention; Source of work stress; Sense of occupational fatigue; Work-family conflict; Correlation

Objective To investigate the correlation of high-quality nursing in operating room with patient expectation.Methods 120 patients who received surgical treatment in our hospital were selected.The modified Servqual scale was utilized for survey and a database was established for data collection.The Sperman correlation coefficient was used to analyze the correlation of high-quality nursing in operating room with patient expectation.Results Patient expectation was significantly correlated with high-quality nursing in operating room(r=0.896,P＜0.05).Conclusions Patients have a certain degree of recognition on high-quality nursing in operating room.High-quality nursing can satisfy patient expectation at a certain extent. Key words: Operating room; High-quality nursing; Expectations; Correlation

Objective To explore the clinical application of 5S methodology in the operation room of nursing management, and to provide reference for daily management. Methods A total of 2 459 patients were chosen from October 2012 to May 2014. 1 147 Patients from October 2012 to June 2013 were in the control group that given regular nursing management, while 1 312 patients from July 2013 to May 2015 were as experimental group and underwent 5S methodology. Quality of operation nursing management were compared before and after using 5S methodology, and managerial experience was summarized. Results The items readiness rate, equipment readiness rate, use of intact rate and emergency items readiness rate were 96.95%, 98.70%, 99.77% and 97.79%, respectively, and there were statistically significance between the two groups (χ2=10.52, 12.33, 8.76, 9.28, respectively; P<0.05). In the experimental group, the air bacteria detection index, time of fetching items and time of supplementing items were (29.71±5.94)cfu/m3, (18.34±6.42)and (17.85±5.89)s, which were better than those in the control group (t=132.48, 21.27, 26.18, respectively; P<0.05). For the satisfaction of medical staffs and patients, the experimental group (89.42% and 92.38%) were better than control group, the differences were statistically significant (χ2=8.56, 9.41; P<0.05). Conclusions The implement of 5S methodology can help to improve the efficiency of nursing management in operation room, and promote the operation room overall work efficiency and quality. Key words: Operation room nursing; 5Smethodology; Quality of management

Objective To investigate the modest leadership behaviors of nurses in operating rooms and the status of nurses′ work-family gains, and to analyze their relationship. Methods From October to November 2017, a convenient sampling method was used to select 230 operating rooms from 3 tertiary-level A hospitals, 2 secondary A hospitals, and a tertiary A hospital in Guilin City, Guangxi Zhuang Autonomous Region. The nurses used the general information questionnaire, the humble leadership scale, and the work household income scale to conduct questionnaire surveys. Results The total score of the head nurse behavior scale of the operating room was (3.16±0.38) points, and the total score of the nurse work family was (2.95±0.46) points; the headroom behavior of nurses in the operating room was humble leadership behavior and the family income of nurses was increased. Positive correlation (r=0.678, P<0.05). Conclusions The humility leadership behavior of the head nurse can play a positive role in the growth of the work-room nurses′ family. The head nurse should pay attention to cultivate the leadership characteristics of the humility leadership behavior, so as to effectively enhance the work-family gain level. Key words: Operating room; Nurse; Humble leader; Work family gain

Objective To explore the correlation between security culture and job burnout in nurses of Operating Room. Methods A total of 607 nurses of Operating Room from 17 class Ⅲ grade A hospitals in Xinjiang were selected as subjects from July 2015 to October 2015 with the method of stratified cluster sampling. The security culture and job burnout were evaluated with the safety attitudes questionnaire (SAQ) and the Maslach burnout inventory (MBI) along with analyzing their related influencing factors and relationships between them. Results The analysis of multiple linear regression showed that working lives, positional titles and average total monthly income were independent factors for atticude of security culture (F=18.569, P<0.05) . Besides, nurses with different sexes, ages, working lives, positional titles and average total monthly income were independert factors of job burnout (F=27.559, P<0.05) . The dimension on sense of personal achievement of MBI was positively related to five dimensions of SAQ (P<0.05) . The emotional exhaustion dimension and depersonalization dimension of MBI had negative correlations with five dimensions of SAQ (P<0.05) . There was a negative correlation between total scores of two scales (P<0.05) . Conclusions There is a negative correlation between security culture and job burnout. Interventions should be provided for job burnout by managers so as to improve security culture in nurses of operating room. Key words: Nursing staff; Operating Room; Security culture; Job burnout

Objective To explore the effects of WeChat group in teaching of standardized training among Operating Room nurses. Methods A total of 28 nurses accepting standardized training in Operating Room were selected as control group (standardized training) from July 2011 to December 2012. A total of 28 nurses accepting standardized training in Operating Room were selected as intervention group (standardized training & WeChat group teaching ) from January 2013 to July 2014. What was compared after intervention among nurses between two groups included theoretical knowledge, the score of operation skill, nurses′ satisfaction with training, the satisfaction degree of patients and family members and surgeons′ satisfaction with nurses. Results After the intervention with WeChat group teaching, scores of theoretical knowledge and technical knowledge were (96.3±3.6) and (94.5±4.6) in intervention group which were higher than those in control group with significant differences (t=-8.652, -7.254; P 0.05). Scores of suture needle, aseptic technique, transferring equipment in operation, arranging surgical position, surgery cooperation were (92.1±6.2), (91.6±5.2), (95.6±3.3), (96.2±3.6), (97.1±2.6) in intervention group which were higher than those in control group with significant differences (t=-4.125, -4.526, -3.856, -5.846, -9.032; P<0.01). Satisfaction degrees of nurses with training, surgeons with nurses, patients′ family members with treatment in intervention group were obviously better than those in control group with significant differences (P<0.01). Conclusions Training with WeChat group in nurses can visibly improve nurses′ study enthusiasm, theoretical knowledge, operation skill, satisfaction degrees of nurses with training, surgeons with nurses, patients and their family members with treatment and improve the quality of care in operating room at the same time. Key words: Operating Room; Standardized training; WeChat group

Objective To understand the correlation between operating room nurses′ cognition of patient safety culture and hospitals responsibility, so as to provide basis to establish patient safety measures. Methods A total of 98 operating room nurses participating the meeting were investigated by convenience sampling method with Nurse′s Organizational Climate Scale and Patient Safety Culture Assessment Scale. Results The mean score of nurses′ cognition of patient safety culture was 3.58 ± 0.30, which showed a high level. The mean score of operating room nurses′perception of psychological contract was 2.17 ± 0.58, which was below the middle level. There was a negative correlation between nurses′cognition of patient safety culture and psychological contract (P < 0.05). Conclusions Hospitals responsibility need to improve urgently. Nursing administrators should improve resource guarantee, management support and team behavior, in order to promote positive nurses′consciousness and behavior of patient safety and ensure the safety of patients. Key words: Operating room nurse; Patient safety; Safety culture; Hospitals responsibility

To establish the nursing quality indicators of intra-hospital transport in emergency department. To improve the nursing quality of intra-hospital transport in the emergency department by means of quantitative monitoring and management. Methods According to the results of literature search and expert panel discussions, the incidence of adverse events in the emergency intra-hospital transport and the nursing eligibility rate of emergency intra-hospital transport were selected as the indexes of the nursing quality monitoring in the emergency intra-hospital transport and the detailed evaluation rules were formulated. Targeted training for general nurses was conducted and applied to clinical practice. A retrospective case-control study was conducted on the data of 5 958 cases of patients who were transported after emergency rescue from the emergency department of Wujin Hospitalaffiliated to Jiangsu University from July 2016 to June 2017. 2 850 males and 3 108 females were included, aged 14-99 years, with an average age of (51.97±10.15)years. Among them, 2 650 cases of intra-hospital transport patients, without any monitoring indicators for the nursing quality, implemented from July to December 2016 were selected as the control group. While 3 308 cases using nursing quality monitoring indicators mentioned above, implemented from January to June in 2017, were set up as observation group. The incidence of adverse events, the occurrence of specific adverse events and the differences in the eligibility rates of nursing between the two groups in the process of emergency intra-hospital transport were compared and analyzed. The data of two groups were sampled by random number table method. The differences in satisfaction of the patients and related departments and differences in the standardized implementation of regulatory measures were compared to evaluate the clinical effect of the indicators of nursing quality monitoring in emergency intra-hospital transport. Results The incidence of adverse events in the observation group was 3.2(105/3 308), lower than the control group [15.5%(412/2 650)], and the incidence of equipment malfunction, insufficiency of oxygen and drug maintenance, abnormal pipeline and sharp changes in patient’s vital signs were all lower than those of the control group. The differences were statistically significant (P< 0.05). The results of sample survey showed that the eligibility rate of nursing in the observation group [90.13% (137/152) vs. 75.17%(137/152)] and both of the satisfaction of patients (family members) [94.32% (142/152) vs. 84.56%(126/149)]and related departments 90.79% (138/152) vs. 71.17%(106/149)] were improved. But in the standardization of intra-hospital transport nursing measures implementation, only the incidence of insufficient preparation of materials [1.32% (2/152) vs. 9.39% (14/149) and incomplete terminal processing [1.97% (3/152) vs. 4.03% (6/149)] were reduced. The differences of the remaining 4 items (lack of notice to the accepting department, insufficient doctors-patient communication, unqualified pipeline nursing and the unclear nursing handover)were not significant. Conclusion Formulating the nursing quality monitoring indicators of emergency intra-hospital transport can reflect the characteristics of emergency department and effectively evaluate and improve the nursing quality in emergency intra-hospital transport. Key words: Emergency department; Intra-hospital transport; Nursing quality indicators; Nursing quality audit

This paper introduced the background and application method of healthcare failure mode and effect analysis (HFMEA) to understand the application of HFMEA mode in the operation room nursing management at home and abroad, and explored its application value in nursing management of operating room. It can provide experience for the application of HFMEA in nursing process of operating room, so as to better reduce the incidence of nursing risk in operating room, protect patients' life safety and improve the quality of nursing. Key words: Review; Operating room; Healthcare failure mode and effect analysis; Nursing management; Nursing safety

Background: The escalating global incidence of dry eye disease (DED) necessitates heightened attention from nursing professionals, given its detrimental impact on patient well-being. Despite extensive research on DED, a notable dearth of literature exists regarding its occurrence among Operation Theatre (OT) nurses in India. Consequently, this study seeks to evaluate the prevalence, severity, and contributory factors of DED among OT nurses in Indian healthcare. The result of the present research will provide the guidance on how to maintain the eye sight health of nursing officers who are spending more time in operating theatre. Aims and Objectives: The primary objective of the study was to analyse prevalence Dry Eye Disease among Operating Room Nursing Officers based on Ocular Surface Disease Index (OSDI) questionnaire. The secondary objective was to find association of risk factors and dry eye disease among Operating Room Nursing Officers. Methods and Material: The study was conducted at AIIMS Jodhpur, a tertiary care teaching hospital in western Rajasthan, India using cross-sectional study design. The population under study were 162 nurses from all operation theatres of the hospital. The sample size was determined to be 115 operating room nurses. The study was conducted from May 2023 to August 2023. Data collected using Socio-demographic sheet and Ocular Surface Disease Index (OSDI) questionnaire. Appropriate Descriptive and inferential statistics were used for data analysis. Results: In this study, the mean age of the participants was 28.45 years and among the nursing officers, 75.65% were male. Significant DED was detected in 43.5% (50/115) of nursing officers working in operating room. Out of this 22.9% (26/50) had mild DED, 12.2% (14/50) had moderate and 08.4% (10/50) had sever DED. The prevalence of dry eye disease is more in females (48.1% Female; 40.7% Male) and in nursing officers with age below 30 years (44.8%). There is significant difference is identified between contact lens usage and presence of DED (P=0.03). Conclusions: According to the results, the prevalence of dry eye disease is not much sever in operating room nursing officers but participants do have mild and moderate symptoms of related to ocular and vision related functions. Prolong working hours in indoor environment, exposure under operating room lights, focused vision on surgical site, High humidity and higher particulate matter may be contributing factors put nursing officer at risk to get dry eye disease in operating room setting.

Objective To investigate application effect of micro-courses in the clinical teaching of operating room nursing, and to improve practice quality. Methods A total of 81 nursing interns of Grade 2012, majored in Nursing of Cangzhou Medical College, had internship from July 2014 to November 2014 were treated as the control group; another 82 nursing interns, who had internship from December 2014 to April 2015 were treated as the observation group. The control group applied traditional one-one teaching style, while observation group used an extra operating room nursing micro curriculum on this basis. At the end of the operating room practice, theory, skills assessment, self-satisfaction and satisfaction of teaching methods were compared. Results Observation group theory and skills assessment scores were better than the control group[(83.72±3.53) vs (71.21±4.36), (89.72±3.53) vs (81.21±4.36); t=14.58, 11.15; P<0.01)]. nursing interns self-learning satisfaction of the control group and the observation group were 88.9% and 98.8% respectively(Z=12.73, P<0.01). Nursing interns teaching methods satisfaction for operating room teaching of the control group and the observation group were 90.1% and 100.0% respectively (Z=17.12, P<0.01). Conclusions During clinical teaching of operating room nursing, micro courses could improve the quality of practice, improve nursing interns′ self-study and clinical teaching satisfaction. Key words: Nursing education; Operating room; Nursing intern; Micro courses; Clinical teaching

Objective To evaluate the effects of peer-assisted learning (PAL) combined with peer feedback in the teaching of operating room nursing. Methods 80 undergraduate nursing students in grade 2012 were assigned to the experimental group (n=40) and control group (n=40) by random number table method. The content of this training is operating room nursing skills. Nursing students in the experimental group received peer-assisted learning combined with peer feedback teaching, while nursing students in the control group received conventional teaching. Results The students' examination scores of the experimental group was (92.25±3.43) obviously higher than that of the control group (89.20±3.55) U=609.500, (P < 0.05), the students' evaluation of the new teaching method was higher than that of the control group (t=-2.76 --2.27, P < 0.05 or 0.01). Conclusions Peer-assisted learning combined with peer feedback can improve the operational capability of the students in operating room, is helpful to stimulate students' subjective initiative and improve the teaching quality of nursing. Key words: Operating room nursing; Teaching methods; Peer feedback; Peer-assisted learning