The next step in building a case for change is to find a number of additional, related articles to support your proposed change to patient care. You plan to do this by searching for additional evidence in the medical literature databases, but you know that you will have to search through a number of articles to find what you are looking for.
The information that you find will guide the development of your presentation to staff or patients, and you should provide rationale for doing things differently to enhance patient care.
You know that your supervisor does not have time to complete an in-depth review of each supporting article. Therefore, you plan to e-mail your supervisor an annotated bibliography of the evidence that supports your request for change.
Using the databases below, find 3 additional scholarly articles that support your request for change (This brings the total to 5, including the prior article from the Unit 2 Discussion Board and the article from the Unit 3 Discussion Board). (I have attached those 2 articles in the files section)
Write an annotated bibliography for each of the 5 identified studies.
Address the following:
Conduct a search that is related to your previously identified clinical question or nursing problem. (My nursing problem is patient safety events in the operating room) Conduct the search within the following primary data source:
– google scholar search engine
List the search terms that you used.
For each article summary (you will do this for all 5 articles), address all of the following:
Identify the purpose of the study, and include the research question.
Determine whether it was qualitative or quantitative research. Explain how you arrived at this decision.
Describe the population studies.
Describe the methods that you used to collect data.
What was done to establish reliability and validity in this study?
What were the major findings?
What were the conclusions?
What were the study limitations?
Include a correctly formatted APA title page and reference page.
The submission should be 3–5 pages, excluding the title and reference pages.
Annotated Bibliography
Student’s Name
Institutional Affiliations
Annotated Bibliography
Adverse events in the operating room are associated with negative patient outcomes. Maintaining patient safety in the operating room should be the responsibility of various stakeholders including managers, clinicians, and patients (Etherington et al., 2019). The team should work together to eliminate factors that might negatively affect patient safety and take action to reduce disaster risk. Patient training, clinician training, and the development of clinical practice guidelines are some of the strategies that an organization can implement to enhance patient safety in the operating room (Samamdipour et al., 2019; Etherington et al., 2019; Liao et al., 2022; Sirevag et al., 2021; Gong et al., 2021). Numerous studies have been conducted to assess factors that contribute to the prevention of patient safety events in the operating room. The purpose of this annotated bibliography is to explore research evidence outlining the best strategies to prevent patient safety events in the operating room. The key phrases used to locate the articles from the Google Scholar database include; reducing patient safety events in the operating room, promoting patient safety in the operating room, the role of stakeholders in promoting patient safety in the surgical wards, and nursing strategies to prevent adverse events.
Etherington, N., Usama, A., Patey, A. M., Trudel, C., Przybylak-Brouillard, A., Presseau, J., Grimshaw, J. M., & Boet, S. (2019). Exploring stakeholder perceptions around implementation of the Operating Room Black Box for patient safety research: a qualitative study using the theoretical domains framework. BMJ Open Quality, 8(3), e000686. https://doi.org/10.1136/bmjoq-2019-000686
The purpose of this study was to assess the barriers and facilitators that influence hospital stakeholders’ support of an operating room (OR) Black Box. The aim of conducting the study was to generate insights into the factors that could guide the future implementation of the OR Black Box to maximize patient safety in the operating room. The authors have not indicated the research question that the study was meant to answer. This is a qualitative study that utilizes the theoretical domains framework (TDF) to collect and analyze data.
The population used in the study is a group of hospital stakeholders comprising 9 senior leadership team members, 17 clinicians, and 15 patients. Data was collected using semi-structured interviews that followed the TDF model. To establish the reliability of the data collection process, the researchers code the first and second pilot interviews which helped them to obtain preliminary insights into the whole process. The researchers have collected the specific data that they intended to measure thereby ensuring validity.
Barriers and enablers were categorized into domains. The domains that acted as both enablers and barriers for all stakeholders are beliefs and knowledge about consequences. Enabling factors for senior leadership and clinicians were social influences as well as decision, attention, and memory processes. Emotional and behavioral regulation, as well as environmental resources and contexts, were both enabling and hindering factors for patients and clinicians. Patients were motivated by reinforcement as well as professional/social identity and role. Enablers and barriers for clinicians only were identified to be intentions and optimism. The researchers concluded that most stakeholders support the implementation of the OR Black Box to improve patient safety in the operating room. There are, however, a number of key areas to be addressed to improve practice. The main limitation of the study is that it was conducted in one hospital only, a factor that might hinder generalizability.
Gong, J., Ma, Y., An, Y., Yuan, Q., Li, Y., & Hu, J. (2021). The surgical safety checklist: a quantitative study on attitudes and barriers among gynecological surgery teams. BMC Health Services Research, 21(1), 1106. https://doi.org/10.1186/s12913-021-07130-8.
The surgical safety checklist is one of the tools used by surgical departments to reduce and prevent patient safety events. Gong et al. (2021) conducted a study to assess the factors affecting the satisfaction levels for the SSC among the operating room clinicians. The research question reads that “Which conflicting factors are associated with the implementation of the SSC among members of the surgical team? This was quantitative research because the researchers have used a standardized instrument to collect the data and statistical approaches for data analysis.
The researchers used operating room surgical teams comprising gynecologists, anesthesiologists, and OR-RNs at a China-based hospital. They collected data by administering 267 questionnaires to 85, 86, and 96 gynecologists, anesthesiologists, and OR-RNs respectively. The researchers utilized the test-retest reliability testing to establish the reliability of the questionnaire. They designed it using appropriate measures to ensure validity.
Major findings from the study showed that there were significant differences in the satisfaction levels for the SSC among the study participants. The number of operations, the eagerness of the surgeon to start a surgery, and the presence of a clinician to ‘sign out’ were among the factors that influenced the participants’ satisfaction levels for the SSC. The researchers concluded that there is a need to reduce workloads for the surgical team and enhance their understanding of the SSC implementation to increase their compliance with the SSC. The main limitation of the study is that it did not address the organizational and contextual factors that might affect the satisfaction levels of the surgical team members with SSC implementation.
Liao, X., Zhang, P., Xu, X., Zheng, D., Wang, J., Li, Y., & Xie, L. (2022). Analysis of factors influencing safety attitudes of operating room nurses and their cognition and attitudes toward adverse event reporting. Journal of Healthcare Engineering, 2022, 8315511. https://doi.org/10.1155/2022/8315511
Liao et al. (2022) conducted this study purposely to analyze the factors that are influencing the safety attitudes and error reporting behaviors of operating room nurses at 16 tertiary hospitals in China. The research question can be developed to be “Does safety attitudes of operating room nurses influence their cognition towards adverse events reporting?” This is a quantitative study because the researchers have employed statistical approaches to data collection and analysis.
The study population involved a team of operating room nurses from 16 tertiary hospitals based in Sichuan Province in China. The researchers have collected data from 711 nurses using the Chinese version of the Safety Attitudes Questionnaire (C-SAQ). They utilized the test-retest reliability testing to establish the reliability of the questionnaire. The researchers further designed the questionnaire using appropriate measures to ensure validity.
Major findings from the study revealed that safety attitudes among operating room nurses were affected by night shifts and their cognition/attitudes towards adverse events reporting. The average safety level score was 4.20 +/- 0.49. The researchers concluded that hospitals can promote safety in the operating room by establishing a policy that encourages adverse events reporting among nurses. The main limitation of the study is that the fact that the researchers focused on tertiary hospitals only limits the popularization of findings to secondary and community hospitals.
Samamdipour, E., Seyedin, H., & Ravaghi, H. (2019). Roles, responsibilities, and strategies for enhancing disaster risk perception: A quantitative study. Journal of Education and Health Promotion, 8, 9. doi: 10.4103/jehp.jehp_185_18.
The purpose of a study by Samamdipour et al. (2019) was to understand what people expect from disaster risk management authorities with the aim of enhancing disaster risk perceptions among residents of three provinces in Iran. Although the research question was not clearly identified in the article, it can be framed to be “Does understanding people’s expectations from disaster risk management authorities influence their disaster risk perception?” This is a qualitative study as identified by the data collection and analysis procedures used by the researchers.
The study population was a group of residents of three Iranian provinces. The researchers collected data through semi-structured interviews. Coding was done to ensure reliability. The researchers have ensured reliability by designing the semi-structured interviews to enable them to collect the specific data that has helped to address the research question.
Findings from the study indicate that the participants expected disaster risk management authorities to demonstrate commitment as this increases their disaster risk perception. The participants valued personal-level commitment, interpersonal-level commitment, and social-level commitment. The researchers concluded that commitment among disaster risk management authorities has an influence on people’s perceptions about disasters.
Sirevåg, I., Tjoflåt, I., & Hansen, B. S. (2021). A Delphi study identifying operating room nurses’ non-technical skills. Journal of Advanced Nursing, 77(12):4935-4949. doi: 10.1111/jan.15064.
The purpose of this study was to unravel the non-technical skills that operating room nurses are required to possess to enhance patient safety. The researchers did not clearly identify the research question that the study aimed to answer. This was a mixed-methods study as evidenced by the application of both quantitative and qualitative approaches in data collection and analysis.
The study population was a group of operating room nurses. The researchers used online surveys to collect the data. Coding and careful selection of measures were done to ensure reliability and validity respectively.
Major findings from the study revealed that operating room nurses should maintain a number of non-technical skills to enable them to maximize patient safety during practice. The non-technical skills include; leadership skills, situation awareness, independent decision-making, communication, and teamwork. The researchers concluded that nursing institutions should include non-technical skills training in their curricula to prepare operating room nurses to ensure patient safety during practice. The main limitation of the study is that the study did not explore the non-technical skills that operating room nurses require when preparing and handing over patients for surgery.
References
Etherington, N., Usama, A., Patey, A. M., Trudel, C., Przybylak-Brouillard, A., Presseau, J., Grimshaw, J. M., & Boet, S. (2019). Exploring stakeholder perceptions around implementation of the Operating Room Black Box for patient safety research: a qualitative study using the theoretical domains framework. BMJ Open Quality, 8(3), e000686. https://doi.org/10.1136/bmjoq-2019-000686
Gong, J., Ma, Y., An, Y., Yuan, Q., Li, Y., & Hu, J. (2021). The surgical safety checklist: a quantitative study on attitudes and barriers among gynecological surgery teams. BMC Health Services Research, 21(1), 1106. https://doi.org/10.1186/s12913-021-07130-8.
Liao, X., Zhang, P., Xu, X., Zheng, D., Wang, J., Li, Y., & Xie, L. (2022). Analysis of factors influencing safety attitudes of operating room nurses and their cognition and attitudes toward adverse event reporting. Journal of Healthcare Engineering, 2022, 8315511. https://doi.org/10.1155/2022/8315511
Samamdipour, E., Seyedin, H., & Ravaghi, H. (2019). Roles, responsibilities, and strategies for enhancing disaster risk perception: A quantitative study. Journal of Education and Health Promotion, 8, 9. doi: 10.4103/jehp.jehp_185_18.
Sirevåg, I., Tjoflåt, I., & Hansen, B. S. (2021). A Delphi study identifying operating room nurses’ non-technical skills. Journal of Advanced Nursing, 77(12):4935-4949. doi: 10.1111/jan.15064.