Communication in perioperative nursing and the impact on the quality: scoping review

Authors

DOI:

https://doi.org/10.37914/riis.v9.437

Keywords:

communication, perioperative nursing, quality improvement

Abstract

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 DOI: 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 DOI: 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 DOI: 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 DOI: 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 DOI: 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 DOI: 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 DOI: 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 DOI: 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 DOI: 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 DOI: 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 DOI: 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 DOI: 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 DOI: 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 DOI: 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 DOI: 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 DOI: 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 DOI: 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 DOI: 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 DOI: 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 DOI: 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 DOI: 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 DOI: 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 DOI: https://doi.org/10.26550/2209-1092.1064

Published

22-01-2026

How to Cite

Costa, C., & Regadas, S. (2026). Communication in perioperative nursing and the impact on the quality: scoping review. Journal of Health Research & Innovation, 9, e437. https://doi.org/10.37914/riis.v9.437

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