Följsamhet av WHO:s checklista för säker kirurgi : Anestesisjuksköterskors perspektiv

Sammanfattning: Background: Every year millions of surgical procedures are performed worldwide. Surgery related injuries is a public health problem. Due to this problem, in 2008 the World Health Organization, WHO, published a checklist to ensure safer surgeries. The objective was to reduce the number of deaths associated with surgeries worldwide, by addressing important safety issues. Earlier studies have highlighted lack of compliance of the checklist. A Swedish study suggest the need for additional studies to confirm the results of earlier studies. Purpose: The purpose of this study was to investigate anesthesiology nurses’ opinions regarding the compliance of WHO’s checklist for safe surgeries. Method: The study was based on the results of a qualitative survey where 34 surveys were collected from three middle sized hospitals. Data analysis was performed according to Lundman and Hällgren-Graneheim’s qualitative content analysis procedure. Results: The study shows distinct lack of compliance of the checklist for safe surgery. The compliance of the checklist and the extent to which it is applied, is heavily dependent on the specific individuals included in the surgery team. Unclear responsibilities, local differences within surgery teams, and personal interpretations of the checklist, all affect the compliance of the checklist. Clear responsibilities and continuous education of the checklist both fall short. Conclusion: The results confirm earlier studies and emphasizes their clinical significance. The study concludes that even though there’s often lack of compliance, the actual implementation of the checklist, is often perceived as satisfying. The checklist is currently being reviewed and an updated edition with clear directives on areas of responsibilities, will be published during the summer of 2018. Keyword WHO’s checklist, registered nurse anesthetist's (RNA), compliance, qualitative survey