Article88. McGarry JR, Pope C, Green SM. Perioperative nursing: maintaining momentum and staying safe. J Res Nurs. 2018;23(8):727-39. doi: https://doi.org/10.1177/1744987118808835 https://doi.org/10.1177/1744987118808835...
England 2018 |
Descriptive, qualitative/VI |
Emergency surgeries |
Cancellation of surgeries Late shift work Internal groups examining cancellations |
Lack or unavailability of equipment |
Client not ready for the ward, or client cannot return to the ward, or staff not ready to receive the client in the ward |
Lack of vacant beds in the immediate post-anesthetic recovery room |
Delayed surgeries |
Article1010. Bayramzadeh S, Joseph A, San D, Khoshkenar A, Taaffe K, Jafarifiroozabadi R, et al. The impact of operating room layout on circulating nurse's work patterns and flow disruptions: a behavioral mapping study. Herd. 2018;11(3):124-38. doi: https://doi.org/10.1177/1937586717751124 https://doi.org/10.1177/1937586717751124...
USA 2018 |
Descriptive, quantitative/VI |
Excessive movement of the circulating nurse |
Increased time spent on each activity of the circulating nurse due to the distance between the areas of the operating room, interrupting the workflow of surgical procedures |
Article1313. Sampaio CEP, Gonçalves RA, Seabra Júnior HC. Determination of surgery suspension factors and their constributions with nursing assistance. Rev Pesq Cuid Fundam. 2016;8(3):4813-20. doi: https://doi.org/10.9789/2175-5361.2016.v8i3.4813-4820 https://doi.org/10.9789/2175-5361.2016.v...
Brazil 2016 |
Descriptive, quantitative/VI |
Lack of human, material and structural resources |
Cancellation of surgeries |
Client's clinical conditions |
Article1414. Calebrant H, Sandh M, Jansson I. How the nurse anesthetist decides to manage perioperative fluid status. J Perianesth Nurs. 2016;31(5):406-14. doi: https://doi.org/10.1016/j.jopan.2015.04.005 https://doi.org/10.1016/j.jopan.2015.04....
Sweden 2016 |
Descriptive, qualitative/VI |
Data collected in the preoperative period |
Establishment of communication with the anesthetist Meeting the client's fluid therapy needs |
Detection of the client's clinical changes during the operation |
Article1515. Xiang W, Yin J, Lim G. A short-term operating room surgery scheduling problem integrating multiple nurses roster constraints. Artif Intell Med. 2015;63(2):91-106. doi: https://doi.org/10.1016/j.artmed.2014.12.005 https://doi.org/10.1016/j.artmed.2014.12...
China 2015 |
Descriptive, quantitative/VI |
Use of computational algorithm for surgical programming |
Improvement of surgical programming and allocation of materials and human resources |
Article1616. Jacques JPB, Ribeiro RP, Martins JT, Rizzi DS, Schimidt DRC. Geradores de estresse para os trabalhadores de enfermagem de centro cirúrgico. Semina Cienc Biol Saúde. 2015;36(Supl 1):25-32. doi: https://doi.org/10.5433/1679-0367.2015v36n1Suplp25 https://doi.org/10.5433/1679-0367.2015v3...
Brazil 2015 |
Descriptive, qualitative/VI |
Lack of adequate time to carry out activities |
Work overload, tiredness and stress |
Lack of materials and equipment |
Lack of planning and organization |
Lack of human resources |
Article1717. Gaspar AF, Martone D, Carraro DC, Ferreira GSA, Ferreira Filho JA, Cardoso R, et al. Impacto da implantação de um novo modelo de gestão embasado em indicadores no bloco cirúrgico de um hospital universitário terciário. Medicina (Ribeirão Preto). 2015;48(1):33-40. doi: https://doi.org/10.11606/issn.2176-7262.v48i1p33-40 https://doi.org/10.11606/issn.2176-7262....
Brazil 2015 |
Descriptive, quantitative/VI |
Adoption of a management model |
Reduced length of stay in immediate post-anesthetic recovery Reduction in the number of suspended surgeries Reduced first surgery delay |
Article1818. Fernandes HMLG, Peniche ACG. Perception of the nursing team of a surgical center regarding hospital accreditation at a university hospital. Rev Esc Enferm USP. 2015;49(esp):22-8. doi: https://doi.org/10.1590/S0080-623420150000700004 https://doi.org/10.1590/S0080-6234201500...
Brazil 2015 |
Descriptive, quantitative/VI |
Preparation for certification (acquisition of equipment, incorporation of security measures, compliance with bundles, elaboration of an annual training program, standardization of practices and conduct of the nursing team and adherence to the safe surgery protocol) |
Better working conditions Increased staff stress |
Article1919. Bezerra WR, Bezerra ALQ, Paranaguai TTB, Bernardes MJC, Teixeira CC. Occurrence of incidents at a surgical center: a documentary study. Rev Eletr Enferm 2015;17(4). doi: https://doi.org/10.5216/ree.v17i4.33339 https://doi.org/10.5216/ree.v17i4.33339...
Brazil 2015 |
Descriptive, quantitative/VI |
Lack of human resources and preoperative evaluation |
Cancellation of surgeries |
Disorganization of the operating room |
Reduced quality of care |
Technical failures of the professionals |
Poor quality devices and equipment |
Article66. Santos FK, Silva MVG, Gomes AMT. Understanding the forms of care of nurses in the operating room - a construction based on the grounded theory method. Texto Contexto - Enferm. 2014;23(3):696-703. doi: https://doi.org/10.1590/0104-07072014001140013 https://doi.org/10.1590/0104-07072014001...
Brazil 2014 |
Descriptive, qualitative/VI |
Failure to communicate with management |
Difficulty in the workflow Reduced quality of care |
Lack of provision of resources |
Excessive non-nursing tasks |
Article55. Richa AC, Guimarães SM, Cardoso TV. Gestão por padronização de processos: a percepção dos enfermeiros de centro cirúrgico. Rev SOBECC. 2014;19(1):3-10. doi: https://doi.org/10.4322/sobecc.2014.003 https://doi.org/10.4322/sobecc.2014.003...
Brazil 2014 |
Descriptive, qualitative/VI |
Standardization of processes |
Lower costs Easier workflow Quality improvement |
Article2020. Macedo JM, Kano JÁ, Braga EM, Garcia MA, Caldeira SM. Cancelamento de cirurgias em um hospital universitário: causas e tempo de espera para novo procedimento. Rev SOBECC. 2013 [cited 2019 Mar 2];18(1):26-34. Available from: http://hdl.handle.net/11449/140728 http://hdl.handle.net/11449/140728...
Brazil 2013 |
Descriptive, quantitative/VI |
Absenteeism/client refusal |
Cancellation of surgeries |
Emergency surgeries |
Client's clinical conditions |
Failure in the work process |
Lack of structural conditions |
Lack of human resources |
Article2121. Bohomol E, Tartali JA. Adverse effects in surgical patients: knowledge of the nursing professionals. Acta Paul Enferm. 2013;26(4):376-81. doi: https://doi.org/10.1590/S0103- 21002013000400012 https://doi.org/10.1590/S0103- 210020130...
Brazil 2013 |
Descriptive, quantitative/VI |
Need to warn the medical staff about risk to client’s safety |
Retaliation to the nursing team |
Low level of autonomy of the nursing leader in the operating room |
Article2222. Souza NVDO, Mauricio VC, Marques LG, Mello CV, Leite GFP. Determinantes para suspensões cirúrgicas em um hospital universitário. Rev Min Enferm. 2010 [cited 2019 Feb 24];14(1):82-7. Available from: http://www.reme.org.br/artigo/detalhes/91 http://www.reme.org.br/artigo/detalhes/9...
Brazil 2010 |
Descriptive, quantitative/VI |
Absenteeism/client’s refusal |
Cancellation of surgeries |
Emergency surgeries |
Client's clinical conditions |
Failure in the work process |
Lack of structural conditions |
Lack of human resources |
Article2323. Silva DC, Alvim NAT. Ambiente do centro cirúrgico e os elementos que o integram: implicações para os cuidados de enfermagem. Rev Bras Enferm. 2010;63(3):427-34. doi: https://doi.org/10.1590/S0034-71672010000300013 https://doi.org/10.1590/S0034-7167201000...
Brazil 2010 |
Descriptive, qualitative/VI |
Lack of equipment and materials |
Decreased functional capacity of the operating room |
Operating room layout |
Optimization of the workflow or physical and psychological exhaustion of the nursing team |
Work overload |
Damage to interpersonal relationships |
Article2424. Hemingway M, Freehan M, Morrissey L. Expanding the role of nonclinical personnel in the OR. AORN J. 2010;91(6):753-61. doi: https://doi.org/10.1016/j.aorn.2009.11.067 https://doi.org/10.1016/j.aorn.2009.11.0...
USA 2010 |
Descriptive pilot- project/VI |
Creation of the equipment technician function |
Increased time spent in nursing care for the client and increased job satisfaction |
Nursing time spent on non-clinical tasks |
Creation of the equipment technician function |
Article2525. Nepote MHA, Monteiro IU, Hardy E. Association between operational indexes and the utilization rate of a general surgery center. Rev Latino-Am Enfermagem. 2009;17(4):529- 34. doi: https://doi.org/10.1590/S0104-11692009000400015 https://doi.org/10.1590/S0104-1169200900...
Brazil 2009 |
Descriptive, quantitative/VI |
Delayed surgeries |
Loss of operational capacity (resistance index) |
Cancellation of surgeries |
Increased resistance index |
Possibility of relocation of the operating room |
Gain in operational capacity (optimization index) |
Adequate time spent in cleaning |
High occupancy rate |
Excessive use of operational capacity |
Surgery exceeds the scheduled time, even when it starts on time |
Article44. Grittem L, Meier MJ, Peres AM. Sistematization of perioperative care - a qualitative research. Online Braz J Nurs. 2009;8(3) doi: https://doi.org/10.5935/1676- 4285.20092588 https://doi.org/10.5935/1676- 4285.20092...
Brazil 2009 |
Descriptive, qualitative/VI |
Organizational structure |
Difficulty in making decision |
Lack of human resources |
Reduction of direct care to the client, which is delegated to other members of the nursing staff |
Nursing time spent on non-clinical tasks |
Use of instruments for documentation of nursing care |
Guidance on the nursing practice |