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Obstacles and opportunities for achieving good care on the surgical ward: nurse and surgeon perspective
Linköping University, Department of Medical and Health Sciences. Region Östergötland, Local Health Care Services in West Östergötland, Research & Development Unit in Local Health Care. Linköping University, Faculty of Medicine and Health Sciences.
Linköping University, Department of Clinical and Experimental Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center for Surgery, Orthopaedics and Cancer Treatment, Department of Surgery in Linköping.
Region Östergötland, Center for Surgery, Orthopaedics and Cancer Treatment, Department of Surgery in Linköping. Linköping University, Department of Clinical and Experimental Medicine. Linköping University, Faculty of Medicine and Health Sciences.
Uppsala University, Sweden; University of Uppsala Hospital, Sweden.
2016 (English)In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 24, no 4, 492-499 p.Article in journal (Refereed) PublishedText
Abstract [en]

Aim The purpose of this qualitative study was to explore and understand from the perspectives of nurses and surgeons the situations and processes that are important in the context of surgical care support or are obstacles to achieving good care. Background Medical advances and inpatients with multiple illnesses are on the increase. In addition, a high turnover of registered nurses has been identified. This contributes to an increasingly inexperienced nursing staff. Concurrently, studies have shown that patient safety and quality of care are linked to organisational structures and staffing education levels. Method Eight nurses and six surgeons from three hospitals were interviewed and data were analysed by systematic text condensation. Results This identified three themes: shifting focus away from the patients, emphasising good communication, and using the competence of the team. Conclusion This study contributes to a deeper understanding that many interruptions, insufficient communication and unused competence can be a threat to patient safety. Sweden has a high standard but this study elucidates that challenges remain to be resolved. Implications for nursing management The focus on patients can increase by a balance between direct/indirect patient work and administration and by the support of clinicians using their full professional competence.

Place, publisher, year, edition, pages
WILEY-BLACKWELL , 2016. Vol. 24, no 4, 492-499 p.
Keyword [en]
good care; nurse; qualitative research; quality of care; surgeon; surgical care
National Category
Nursing
Identifiers
URN: urn:nbn:se:liu:diva-128953DOI: 10.1111/jonm.12349ISI: 000375780500008PubMedID: 26645917OAI: oai:DiVA.org:liu-128953DiVA: diva2:934906
Note

Funding Agencies|Medical Research Council of Southeast Sweden (FORSS)

Available from: 2016-06-09 Created: 2016-06-07 Last updated: 2016-06-27

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Yngman Uhlin, PiaKlingvall, EmmaWilhelmsson, Maria
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Department of Medical and Health SciencesResearch & Development Unit in Local Health CareFaculty of Medicine and Health SciencesDepartment of Clinical and Experimental MedicineDepartment of Surgery in Linköping
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Journal of Nursing Management
Nursing

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