Kommunikation i den perioperativa fasen - en systematisk litteraturöversikt utifrån operationssjuksköterskans perspektiv

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Sammanfattning: Background: The work of the operating theatre nurse (OTN) takes place in the perioperative phase and involves the planning, execution and evaluation of the nursing care around the patient. Together with other professions such as anaesthesia nurses, anaesthetists, surgeons and assistant nurses, the OTN together with the patient forms a team that needs to be able to communicate with each other in a high-complex work environment to enable a patient-safe, evidence-based work.Investigations show that as much as eight per cent of all healthcare opportunities in Sweden result in avoidable injuries that cost society about SEK 65 billion a year. Many of these care-related injuries occur in conjunction with surgery and may be due to organizational factors, technical equipment or lack of communication and routines.Research shows that communication between team members in the operating room can be influenced by several factors such as hierarchies between occupational groups, perceptions of communication and various disturbances that affect the team and patient safety negatively. Communication tools such as SBAR, CRM and WHO's checklist facilitate communication in teams and enable secure, structured communication. The OTN needs knowledge and understanding of communication and the impact this has on patient safety, work environment and team work.Aim: To describe the operating theatre nurse experience of communication in teams during the perioperative phaseMethod: Systematic literature review.Result: Dare to say their opinion and speak up. Safety, respect, and competent communication are the key to good communication in the perioperative phase. Team security is created when everyone collaborates as team players where learning is an important factor. For patient-safe work, the team must possess communication skills and work with routines.

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