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Operationssjuksköterskors erfarenheter av optimerad arbetsmodell i förhållande till vanlig elektiv arbetsmodell
The Swedish Red Cross University College.
The Swedish Red Cross University College.
2011 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Operation room nurses´experiences of optimized work model in relation to a conventional work model (English)
Abstract [sv]

Bakgrund Inom hälso- och sjukvården eftersträvar verksamheterna att öka effektivitet och produktion. Studier visar att en av de verksamheter med störst möjlighet att öka sjukhusets produktion är operationsavdelningen. Utmaningen för operationsavdelningarna är att utföra fler ingrepp med befintliga resurser utan att personalen upplever ökad arbetsbelastning och stress. Med detta ändamål har de på det valda sjukhuset utarbetat en arbetsmodell. Syftet med denna studie är att undersöka operationssjuksköterskors erfarenheter av optimerad arbetsmodell i förhållande till vanlig elektiv arbetsmodell. Metod En kvalitativ studie genomfördes, ett bekvämlighetsurval användes och 18 operationssjuksköterskor från ett medelstort sjukhus i Mellansverige deltog i studien. Semistrukturerade intervjuer utfördes med hjälp av en intervjuguide, en kvalitativ manifest innehållsanalys utfördes. Resultatet Tre kategorier och sju subkategorier kom fram. Operationssjuksköterskorna ansåg att den optimerade arbetsmodellen gav många fördelar och få nackdelar för personalen, patienterna och verksamheten. Den ökade bemanningen samt standardiseringen av ingrepp, patienter, arbetsuppgifter, operationssalar och material var de faktorer som ledde till fördelarna i den optimerade arbetsmodellen. Hälften av operationssjuksköterskorna föredrog inte den ena arbetsmodellen framför den andra, antalet operationssjuksköterskor som hade en preferens var jämt fördelat mellan arbetsmodellerna. Slutsats En majoritet av operationssjuksköterskorna ansåg att den optimerade arbetsmodellen ledde till mindre stress och ökad patientsäkerhet samtidigt som ett fåtal upplevde ökad stress och sämre patientsäkerhet. 

Abstract [en]

Background Healthcare organizations strive to increase their efficiency. Studies show that the operating room is one of the departments with the greatest possibility to increase a hospital's efficiency. Their challenge is to perform more surgeries using the existing resources without increasing personnel workload or causing stress. In order to achieve this a new work model has been established by the selected hospital. The aim of this study was to investigate the operation room nurses' experiences of this new work model in relation to a conventional work model. Method A qualitative study was performed, a convenience sample was used and 18 operation room nurses from a hospital in central Sweden took part in a survey. Semi-structured interviews were conducted with an interview guide, a manifest qualitative content analysis was performed. Results Three categories and seven subcategories emerged. The operating room nurses believed that the new work model lead to many advantages and few disadvantages for the staff, patients and the department as a whole. The operating room nurses believed that the increase in staffing combined with a standardization of operation procedures, patients, tasks, operation rooms and material were the main reasons to the advantages with the new work model. Half of the operating room nurses did not prefer one work model over the other, the amount of operating room nurses that did was equal between the two work models. Conclusion A majority of the operation room nurses believed that the new work model lead to a decline in stress and to higher patient safety, but a minority experienced more stress and lower patient safety. 

Place, publisher, year, edition, pages
2011. , 37 p.
Keyword [en]
operating rooms, efficiency, nursing staff, operating room nursing, job satisfaction
Keyword [sv]
operationssalar, effektivitet, vårdpersonal, operationssjukvård, arbetstillfredsställelse
National Category
Nursing
Identifiers
URN: urn:nbn:se:rkh:diva-114OAI: oai:DiVA.org:rkh-114DiVA: diva2:426944
Educational program
Postgraduate Program in Specialist Nursing
Uppsok
Medicine
Available from: 2011-06-27 Created: 2011-06-27 Last updated: 2017-07-07Bibliographically approved

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