Thesis (M.Sc.) - Cairo University - Faculty of Nursing - Department of Nursing Services Administration

Operating room is a very critical area, and the number of patients undergoing surgical operation keeps growing, and maybe exposed to numerous risks. So the nurses working in operating room unit must be responsible and highly competent to meet the demands of their professionAim: this study determined the level of nurses{u2019} performance at the operating room at EL Miniya University Hospitals. Design: A descriptive exploratory design was used to attain the aim of the present study. Sample: A convenient sample of 30 circulating staff nurses and 30 scrub staff nurse working at operating rooms in three shifts. Setting: The sample was recruited from three specialty areas (general surgery, orthopedic surgery, and gynecology & obstetric surgery) at Elminya university hospitals. Methodology: 2 performance checklists are used; scrub nurse performance checklist and circulating nurse performance checklist developed by Egyptian ministry of health. Data were collected in a period of one year from March, 2013 to February 2014. Results: The findings revealed that the majority of the study nurses among the study were diploma nurses, (46.6%) of them have years of experience between 10 {u2013} 15 years working in the OR, the majority percentage of them didn{u2019}t gain training courses (65%) and (36.6%) of them working on general surgery, the circulating nurses have poor performance in pre, during, and post-operative phase Circulating nurses performance was significantly relevant attainment of training courses (p= 0.001), years of experience (p= 0.013). Conclusion: The study concluded that the poorest circulating nurse performance was showed in post- operative phase, rather than other phases and good performance for the scrub nurses. Recommendation: The study recommended that Performance feedback about circulating and scrub nurses is critical to improve performance among OR nurses, Strict observation of nurses during work and continuous evaluation of their performance and correction of poor performance is essential, Reminder for nurses should be placed as wall chart and handout

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