Operationssjuksköterskans upplevelse av problembeteenden

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Sammanfattning: Background: The OR is a hazardous, high-tech environment where the perioperative nurse plan, practise and evaluate patient-centered perioperative care. Most work assignments revolve around preventing healthcare injuries. The patient is in a vulnerable situation and depends on the competence of several professionals in the OR. For the perioperative nurse, teamwork involves handling interprofessional relations to secure patient-safety. Disruptive behavior is a well-known phenomenon, most frequent in surgeons, and is often directed down the traditional hierarchy. There is limited research that enlightens the experiences and perceptions of disruptive behavior from the perioperative nurses’ point of view.Aim: The aim was to describe perioperative nurses’ perceptions and experiences of surgeons disruptive behaviors.Method: A systematic literature review of qualitative design was undertaken, based on the aim and research questions. Systematic literature searches were conducted in PubMed, Cinahl, PsycINFO and Scopus. Ten empirical, scientific studies were found suitable for the review after the relevance- and quality control. Information was extracted and assigned in categories that consisted of research questions.Results: The surgeon displays a variety of different verbal and physical disruptive behaviors. They vary in severity and frequency. The surgeons disruptive behavior can be triggered by various factors: interpersonal, contextual and intrapersonal factors. The perioperative nurse develops and utilizes different strategies to cope with the surgeons disruptive behaviors. Teamwork, patient safety, work assignments and health of perioperative nurses were perceived as compromised by surgeons disruptive behaviors.Conclusion: This literature review sheds light on the perioperative nurses’ depiction of disruptive behaviors. These behaviors thrive in hierarchical environments and cause increased levels of stress and frustration in the surgical team. A common depiction of this phenomenon that is shared interprofessionally, needs to be achieved to successfully handle disruptive behavior on an individual and organizational level. This is vital in creating a sound safety culture.

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