Patient and staff safety differences between open and laparoscopic surgical procedures: A qualitative study of operating room nurses' perspectives
Perioperative Care and Operating Room Management, cilt.41, 2025 (ESCI, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 41
- Basım Tarihi: 2025
- Doi Numarası: 10.1016/j.pcorm.2025.100555
- Dergi Adı: Perioperative Care and Operating Room Management
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus
- Anahtar Kelimeler: Laparoscopic surgery, Open surgery, Operating room nursing, Patient and staff safety, Qualitative research
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Background: Operating room nurses play a critical role in maintaining safety for both patients and staff during the perioperative period. Given the distinct nature of open and laparoscopic surgical procedures, they must identify and address procedure-specific safety risks through preventive strategies. Aim: This study aimed to investigate the factors that threaten patient and staff safety in open and laparoscopic surgeries. Methods: Data were collected through semi-structured interviews with 18 operating room nurses from various surgical units selected via purposive sampling. Interviews were audio-recorded, transcribed verbatim, and thematically analyzed. Results: Analysis yielded three main themes: Operating room environment, Staff responsibility,and Risk specific for surgical procedure. Sub-themes included environmental and psychological factors, team harmony, risk in surgical preparation, and risk during intraoperative. The findings showed that open and laparoscopic surgical procedures posed different risks to patient and staff safety. Conclusions: Recognizing the safety challenges of different surgical methods is essential for improving outcomes. Operating room nurses and surgical teams should implement proactive, procedure-specific strategies to mitigate risks across all phases of surgery.