Communication in perioperative nursing and the impact on the quality: scoping review
DOI:
https://doi.org/10.37914/riis.v9i1.437Keywords:
communication, perioperative nursing, quality improvementAbstract
Background: communication is a fundamental area in the provision of nursing care. In the perioperative context, communication failures put the person at risk, and it is important to improve communication strategies to avoid errors and improve the quality of care provided. Objective: to map the best available scientific evidence regarding nursing communication and its impact on improving the quality of care provided to the person in a perioperative situation. Methodology: a Scoping Review was carried out based on the recommendations of the Joanna Briggs Institute and research in electronic databases: CINAHL Complete (via EBSCOhost), MEDLINE (via EBSCOhost), COCHRANE, Scielo, Lilacs and gray literature. The articles were selected in light of the defined inclusion criteria, published in full, with free access, excluded in Chinese and applied a time limit (2013-2023). Results: the review resulted in 19 articles that share and highlight: person- and family-centered communication (3), standardized transfer processes (3), safe verification briefings (2), continuous improvement projects (5), care bundles (1), commitment and satisfaction of professionals (4) and shared mental models (4). Conclusion: the study resulted in 7 concepts that relate perioperative communication to improving the quality of care.
References
Aromataris, E., & Munn, Z. (Eds). (2020). JBI Manual for evidence synthesis. JBI. https://doi.org/10.46658/JBIMES-20-02
Associação dos Enfermeiros de Sala de Operações Portugueses. (2012). Enfermagem perioperatória: da filosofia à prática de cuidados (1ª Ed.). Lusodidacta.
Brunges, M., & Foley-Brinza, C. (2014). Projects for increasing job satisfaction and creating a healthy work environment. AORN Journal, 100(6), 670-681. https://doi.org/10.1016/j.aorn.2014.01.029
Chora, J. M., & Correia, P. (2022). Gestão organizacional e qualidade: experiência prática de implementação do modelo da Agencia de Calidad Sanitaria de Andalucía. In M. Frederico & F. Sousa (Coords.), Gerir com qualidade em saúde (pp. 175-182). Lidel.
Despacho n.º 9390/2021, de 24 de setembro. Diário da República, Série II(187). https://diariodarepublica.pt/dr/detalhe/despacho/9390-2021-171891094
Direção-Geral da Saúde. (2017). Norma n.º 001/2017. Comunicação eficaz na transição de cuidados de saúde. https://normas.dgs.min-saude.pt/wp-content/uploads/2019/10/comunicacao-eficaz-na-transicao-de-cuidados-de-saude.pdf
Direção-Geral da Saúde. (2023). Plano nacional de saúde 2030 - Guia de comunicação em saúde: boas práticas. https://pns.dgs.pt/files/2023/04/GBP_01_Boas-Praticas-em-Comunicacao.pdf
Duff, J. (2021). Still more to do to improve perioperative safety and prevent patient harm [Editorial]. Journal of Perioperative Nursing, 34(2), 1-3. https://doi.org/10.26550/2209-1092.1127
Etherington, C., Wu, M., Cheng-Boivin, O., Larrigan, S. & Boet, S. (2019). Interprofessional communication in the operating room: a narrative review to advance research and practice. Journal Canadien d’Anesthesie, 66(10), 1251–1260. https://doi.org/10.1007/s12630-019-01413-9
Fowler, A. (2016). Communication in practice. The Dissector, 43(4), 33-34. https://research.ebsco.com/c/lkz66a/viewer/pdf/o2svs23vpv
Gleadall, R., Masiglat, C., Hutter, S., & Sanariz, S. (2018). SWITCH-ing in the perioperative setting. The Journal of the American Society of Ophthalmic Registered Nurses, 43(2). https://research.ebsco.com/c/lkz66a/viewer/pdf/hnfarlewrr
Gomes, J. A., Martins, M., Tronchin, D., & Fernandes, C. S. (2020). Perceção dos enfermeiros sobre a qualidade em saúde no bloco operatório. Revista de Enfermagem Referência, 5(1), e19053. https://doi.org/10.12707/RIV19053
Grant, L., Nicholson, P., Davidson, B., & Manias, E. (2021). “Can you hear me?” Barriers to and facilitators of communication in the presence of noise in the operating room. Journal of Perioperative Nursing, 34(3), 26-33. https://doi.org/10.26550/2209-1092.1132
Hanson-Heath, C. A., Muller, L. M., & Cunningham, M. F. (2016). Evaluating enhancements to a perioperative nurse liaison program. AORN Journal, 103(4), 414-420. https://doi.org/10.1016/j.aorn.2016.01.017
Hayes, K., & Gordon, D. B. (2015). Delivering quality pain management: the challenge for nurses. AORN Journal, 101(3), 327-337. https://doi.org/10.1016/j.aorn.2014.11.019
Hemingway, M. W., O’Malley, C., & Silvestri, S. (2015). Safety culture and care: a program to prevent surgical errors. AORN Journal, 101(4), 404-415. https://doi.org/10.1016/j.aorn.2015.01.002
Işık, I., Gümüşkaya, O., Şen, S., & Arslan Özkan, H. (2020). The elephant in the room: nurses’ views of communication failure and recommendations for improvement in perioperative care. AORN Journal, 111(1), e1-e15. https://doi.org/10.1002/aorn.12899
Jowsey, T., Beaver, P., Long, J., Civil, I., Garden, A. L., Henderson, K., Merry, A., Skilton, C., Torrie, J., & Weller, J. (2019). Towards a safer culture: Implementing multidisciplinary simulation-based team training in New Zealand operating theatres - a framework analysis. BMJ Open, 9, e027122. https://doi.org/10.1136/bmjopen-2018-027122
Kirschbaum, K., & McAuliffe, M. S. (2018). Team communication in the operating room: a measure of latent factors from a national sample of nurse anesthetists. AANA Journal, 86(1), 11-18. https://pubmed.ncbi.nlm.nih.gov/31573489/
Kitney, P., Tam, R., Bramley, D., & Simons, K. (2020). Handover using ISBAR principles in two perioperative sites: a quality improvement project. Journal of Perioperative Nursing, 33(4), 12–13. https://doi.org/10.26550/2209-1092.1094
Marshall, D. C., & Finlayson, M. P. (2018). Identifying the nontechnical skills required of nurses in general surgical wards. Journal of Clinical Nursing, 27(7–8), 1475-1487. https://doi.org/10.1111/jocn.14290
McDowell, D. S., & McComb, S. A. (2014). Safety checklist briefings: a systematic review of the literature. AORN Journal, 99(1), 125-137. https://doi.org/10.1016/j.aorn.2013.11.015
Mercurio, P., Shaffer Ellis, A., Schoettker, P. J., Stone, R., Lenk, M. A., & Ryckman, F. C. (2014). Using improvement science methods to increase accuracy of surgical consents. AORN Journal, 100(1), 42-53. https://doi.org/10.1016/j.aorn.2013.07.023
Merlino, M. (2019). Creating our future through team communication. AORN Journal, 109(6), 669-671. https://doi.org/10.1002/aorn.12715
Morath, J., Filipp, R., & Cull, M. (2014). Strategies for enhancing perioperative safety: promoting joy and meaning in the workforce. AORN Journal, 100(4), 376-389. https://doi.org/10.1016/j.aorn.2014.01.027
Nedelcu, C. M., Niculiă, O. O., Nedelcu, V., Zazu, M., Mazilu, D. C., Klugarová, J., & Klugar, M. (2022). Effective communication and patient safety among nurses in perioperative settings: a best practice implementation project. JBI Evidence Implementation, 20(S1), S3-S14. https://doi.org/10.1097/XEB.0000000000000316
Ordem dos Enfermeiros. (2017). Padrões de qualidade dos cuidados especializados em enfermagem médico-cirúrgica. https://www.ordemenfermeiros.pt/media/5681/ponto-2_padroes-qualidade-emc_rev.pdf
Plonien, C., & Williams, M. (2015). Stepping up teamwork via TeamSTEPPS. AORN journal, 101(4), 465-470. https://doi.org/10.1016/j.aorn.2015.01.006
Proops, E. M. (2019). Implementing a surgical site infection care bundle: implications for perioperative practice. Journal of Perioperative Nursing, 32(2), 25-28. https://doi.org/10.26550/2209-1092.1045
Sequeira, C. (2021). Comunicação clínica e relação de ajuda (1ª Ed.). Lidel.
Sussman, E. (2022). Improving perioperative communication during the COVID-19 pandemic. AORN journal, 115(4), 300–307. https://doi.org/10.1002/aorn.13640
Tibbs, S. M., & Moss, J. (2014). Promoting teamwork and surgical optimization: combining TeamSTEPPS with a specialty team protocol. AORN Journal, 100(5), 477-488. https://doi.org/10.1016/j.aorn.2014.01.028
Wilson, A. (2020). Creating and applying shared mental models in the operating room. Room Nurses Association of Canada Journal, 38(4), 32-42 https://ornacjournal.ca/index.php/ornac/article/view/12015
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