Undertaking the surgical count: An observational study
Objective: To systematically measure and describe perioperative nurses’ surgical count practices using the Surgical Count Observational Tool, to measure conformity with standardised processes and identify barriers and enablers influencing nurses’ practices. Sample and setting: A large public ter...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Australian College of Perioperative Nurses
2021-06-01
|
| Series: | Journal of Perioperative Nursing |
| Subjects: | |
| Online Access: | https://journal.acorn.org.au/index.php/jpn/article/view/184 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849714170059030528 |
|---|---|
| author | Victoria Warwick Brigid Gillespie Anne McMurray Karen Clark-Burg |
| author_facet | Victoria Warwick Brigid Gillespie Anne McMurray Karen Clark-Burg |
| author_sort | Victoria Warwick |
| collection | DOAJ |
| description |
Objective: To systematically measure and describe perioperative nurses’ surgical count practices using the Surgical Count Observational Tool, to measure conformity with standardised processes and identify barriers and enablers influencing nurses’ practices.
Sample and setting: A large public tertiary hospital in Western Australia
Methods: The Surgical Count Observational Tool (SCOT) was developed using the Content Validity Index over two Delphi panel rounds and then pilot tested. Individual observations were analysed according to 14 criteria based on the 2016 Australian College of Perioperative Nurses (ACORN) standard ‘Management of accountable items used during surgery and procedures’1. Count processes were observed over two consecutive weeks across six specialist perioperative teams including nurses, surgeons, anaesthetists and technicians to measure compliance with the ACORN standard. The SCOT and a field diary were then used in an observational study of 83 nursing staff, including 54 circulating nurses and 29 instrument nurses, over a period of 57 hours. Interrater reliability was calculated using Cohen’s kappa. Descriptive statistics were used to analyse observational data.
Results: Of the 1268 count practices observed, 759 were compliant with the ACORN standard, representing a 60 per cent compliance rate.
Conclusion: Consistency and compliance rates were lower than expected. Patient, case, environmental factors and expectations of surgeons and co-workers were observed to act as barriers to best practice in perioperative nurses undertaking a surgical count, while nurse’s knowledge was observed to act as an enabler.
|
| format | Article |
| id | doaj-art-bfa0a8b1b674470380ee65bbb533c800 |
| institution | DOAJ |
| issn | 2209-1084 2209-1092 |
| language | English |
| publishDate | 2021-06-01 |
| publisher | Australian College of Perioperative Nurses |
| record_format | Article |
| series | Journal of Perioperative Nursing |
| spelling | doaj-art-bfa0a8b1b674470380ee65bbb533c8002025-08-20T03:13:46ZengAustralian College of Perioperative NursesJournal of Perioperative Nursing2209-10842209-10922021-06-0134310.26550/2209-1092.1089Undertaking the surgical count: An observational studyVictoria Warwick0Brigid Gillespie1Anne McMurray2Karen Clark-Burg3Fiona Stanley Hospital and Fremantle Hospital GroupGriffith University, Gold Coast Hospital & Health ServiceGriffith UniversityUniversity of Notre Dame Objective: To systematically measure and describe perioperative nurses’ surgical count practices using the Surgical Count Observational Tool, to measure conformity with standardised processes and identify barriers and enablers influencing nurses’ practices. Sample and setting: A large public tertiary hospital in Western Australia Methods: The Surgical Count Observational Tool (SCOT) was developed using the Content Validity Index over two Delphi panel rounds and then pilot tested. Individual observations were analysed according to 14 criteria based on the 2016 Australian College of Perioperative Nurses (ACORN) standard ‘Management of accountable items used during surgery and procedures’1. Count processes were observed over two consecutive weeks across six specialist perioperative teams including nurses, surgeons, anaesthetists and technicians to measure compliance with the ACORN standard. The SCOT and a field diary were then used in an observational study of 83 nursing staff, including 54 circulating nurses and 29 instrument nurses, over a period of 57 hours. Interrater reliability was calculated using Cohen’s kappa. Descriptive statistics were used to analyse observational data. Results: Of the 1268 count practices observed, 759 were compliant with the ACORN standard, representing a 60 per cent compliance rate. Conclusion: Consistency and compliance rates were lower than expected. Patient, case, environmental factors and expectations of surgeons and co-workers were observed to act as barriers to best practice in perioperative nurses undertaking a surgical count, while nurse’s knowledge was observed to act as an enabler. https://journal.acorn.org.au/index.php/jpn/article/view/184surgical countperioperativestructured observationsbest practicepatient safetystandard |
| spellingShingle | Victoria Warwick Brigid Gillespie Anne McMurray Karen Clark-Burg Undertaking the surgical count: An observational study Journal of Perioperative Nursing surgical count perioperative structured observations best practice patient safety standard |
| title | Undertaking the surgical count: An observational study |
| title_full | Undertaking the surgical count: An observational study |
| title_fullStr | Undertaking the surgical count: An observational study |
| title_full_unstemmed | Undertaking the surgical count: An observational study |
| title_short | Undertaking the surgical count: An observational study |
| title_sort | undertaking the surgical count an observational study |
| topic | surgical count perioperative structured observations best practice patient safety standard |
| url | https://journal.acorn.org.au/index.php/jpn/article/view/184 |
| work_keys_str_mv | AT victoriawarwick undertakingthesurgicalcountanobservationalstudy AT brigidgillespie undertakingthesurgicalcountanobservationalstudy AT annemcmurray undertakingthesurgicalcountanobservationalstudy AT karenclarkburg undertakingthesurgicalcountanobservationalstudy |