Background: Every year in Sweden 25 000 patients suffer from injuries caused by health care and 70 % of those injuries comes from lack in communication. The perioperative setting have is a complex environment, a sterile environment with high tech equipment and different professions that needs to cooperate. These factors put a lot of pressure on the nurse specialists to perform the profession according to the ethic codes and to maintain high patient safety. Purpose: The purpose of the study was to describe nurse specialists’ experiences of perioperative communication and its impact on patient safety. Method: A literature review with a metasynthesis according to Bettany-Saltikov and McSherry. 14 studies published later than the year 2016 were included and they were found by a systematic search in the databases Cinahl, PubMed, PsycInfo and Google Scholar. The studies underwent quality-review according to Willman et al. protocol. Results: The metasynthesis emerged in two themes and six subthemes. Nurse specialists experienced that good communication, and especially systematic communication, enhanced patient safety. But there were obstacles such as hierarchy and working environment. With the right prerequisites, such as stability and trust within the operating team, communication can be done without hassle. Conclusion: To ensure perioperative patient safety systematic communication is a good instrument. A more person-centered approach should be used more extensive to encourage both profession and patient.
|Date of Award||2022-Jun|
|Supervisor||Lars Axelsson (Supervisor) & Gerd Röndahl (Examiner)|
- patient safety
- nurse specialist