Perioperative nurses’ engagement with the surgical safety checklist: A focused ethnography

Purpose: To gain greater insight into how nurses engage with the multidisciplinary team during the surgical safety checklist process. Participants and setting: Participants were a purposeful sample of eight operating room nurses. The study was conducted in the operating room department of a major...

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Main Authors: Julie Rogers, Paul McLeish, Jan Alderman
Format: Article
Language:English
Published: Australian College of Perioperative Nurses 2020-06-01
Series:Journal of Perioperative Nursing
Subjects:
Online Access:https://journal.acorn.org.au/index.php/jpn/article/view/229
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author Julie Rogers
Paul McLeish
Jan Alderman
author_facet Julie Rogers
Paul McLeish
Jan Alderman
author_sort Julie Rogers
collection DOAJ
description Purpose: To gain greater insight into how nurses engage with the multidisciplinary team during the surgical safety checklist process. Participants and setting: Participants were a purposeful sample of eight operating room nurses. The study was conducted in the operating room department of a major tertiary teaching hospital in South Australia. Methods: Phase 1 employed participant observations while phase 2 employed semi-structured interviews. Findings: Participants supported the use of the surgical safety checklist and valued its role to enhance patient safety. Multidisciplinary team culture played a significant role in how the checklist was conducted and heavily influenced the level of nurse participation in the process. Observations indicated poor compliance with the nursing review section of the checklist. Conclusions: Multidisciplinary team engagement is important for effective communication during the process of utilising the surgical safety checklist to promote safe outcomes for patients. Nurses are more likely to actively participate in the checklist process if they feel their role is valued by other team members. The nurse-specific area of the checklist is an area for improvement as this tends to be overlooked and considered less important than other checklist items. Modifications in timing the checklist and nurse training may be beneficial to address non-compliance with the nurse area of the checklist.
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spelling doaj-art-9d07c75692ad44f7af749b4c4e69cb7d2025-08-20T03:53:23ZengAustralian College of Perioperative NursesJournal of Perioperative Nursing2209-10842209-10922020-06-0133210.26550/2209-1092.1066Perioperative nurses’ engagement with the surgical safety checklist: A focused ethnographyJulie Rogers0Paul McLeish1Jan Alderman2University of AdelaideUniversity of AdelaideUniversity of Adelaide Purpose: To gain greater insight into how nurses engage with the multidisciplinary team during the surgical safety checklist process. Participants and setting: Participants were a purposeful sample of eight operating room nurses. The study was conducted in the operating room department of a major tertiary teaching hospital in South Australia. Methods: Phase 1 employed participant observations while phase 2 employed semi-structured interviews. Findings: Participants supported the use of the surgical safety checklist and valued its role to enhance patient safety. Multidisciplinary team culture played a significant role in how the checklist was conducted and heavily influenced the level of nurse participation in the process. Observations indicated poor compliance with the nursing review section of the checklist. Conclusions: Multidisciplinary team engagement is important for effective communication during the process of utilising the surgical safety checklist to promote safe outcomes for patients. Nurses are more likely to actively participate in the checklist process if they feel their role is valued by other team members. The nurse-specific area of the checklist is an area for improvement as this tends to be overlooked and considered less important than other checklist items. Modifications in timing the checklist and nurse training may be beneficial to address non-compliance with the nurse area of the checklist. https://journal.acorn.org.au/index.php/jpn/article/view/229surgical safety checklistteam time outperioperative nursingteamworkpatient safetyadverse events
spellingShingle Julie Rogers
Paul McLeish
Jan Alderman
Perioperative nurses’ engagement with the surgical safety checklist: A focused ethnography
Journal of Perioperative Nursing
surgical safety checklist
team time out
perioperative nursing
teamwork
patient safety
adverse events
title Perioperative nurses’ engagement with the surgical safety checklist: A focused ethnography
title_full Perioperative nurses’ engagement with the surgical safety checklist: A focused ethnography
title_fullStr Perioperative nurses’ engagement with the surgical safety checklist: A focused ethnography
title_full_unstemmed Perioperative nurses’ engagement with the surgical safety checklist: A focused ethnography
title_short Perioperative nurses’ engagement with the surgical safety checklist: A focused ethnography
title_sort perioperative nurses engagement with the surgical safety checklist a focused ethnography
topic surgical safety checklist
team time out
perioperative nursing
teamwork
patient safety
adverse events
url https://journal.acorn.org.au/index.php/jpn/article/view/229
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AT paulmcleish perioperativenursesengagementwiththesurgicalsafetychecklistafocusedethnography
AT janalderman perioperativenursesengagementwiththesurgicalsafetychecklistafocusedethnography