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dc.contributor.authorWarwick, VR
dc.contributor.authorGillespie, BM
dc.contributor.authorMcMurray, A
dc.contributor.authorClark-Burg, KG
dc.date.accessioned2021-10-06T00:00:42Z
dc.date.available2021-10-06T00:00:42Z
dc.date.issued2021
dc.identifier.issn2209-1084
dc.identifier.doi10.26550/2209-1092.1089
dc.identifier.urihttp://hdl.handle.net/10072/408591
dc.description.abstractObjective To systematically measure and describe perioperative nurses’ surgical count practices using the Surgical Count Observational Tool, to measure conformity with standardised processes and identify barriers and enablers influencing nurses’ practices. Sample and setting A large public tertiary hospital in Western Australia. Methods The Surgical Count Observational Tool (SCOT) was developed using the Content Validity Index over two Delphi panel rounds and then pilot tested. Individual observations were analysed according to 14 criteria based on the 2016 Australian College of Perioperative Nurses (ACORN) standard ‘Management of accountable items used during surgery and procedures’1. Count processes were observed over two consecutive weeks across six specialist perioperative teams including nurses, surgeons, anaesthetists and technicians to measure compliance with the ACORN standard. The SCOT and a field diary were then used in an observational study of 83 nursing staff, including 54 circulating nurses and 29 instrument nurses, over a period of 57 hours. Interrater reliability was calculated using Cohen’s kappa. Descriptive statistics were used to analyse observational data. Results Of the 1268 count practices observed, 759 were compliant with the ACORN standard, representing a 60 per cent compliance rate. Conclusion Consistency and compliance rates were lower than expected. Patient, case, environmental factors and expectations of surgeons and co-workers were observed to act as barriers to best practice in perioperative nurses undertaking a surgical count, while nurse’s knowledge was observed to act as an enabler.
dc.description.peerreviewedYes
dc.languageen
dc.publisherAustralian College of Perioperative Nurses
dc.relation.ispartofpagefrome-3
dc.relation.ispartofpagetoe-14
dc.relation.ispartofissue3
dc.relation.ispartofjournalJournal of Perioperative Nursing
dc.relation.ispartofvolume34
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchcode4205
dc.titleUndertaking the surgical count: An observational study
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationWarwick, VR; Gillespie, BM; McMurray, A; Clark-Burg, KG, Undertaking the surgical count: An observational study, Journal of Perioperative Nursing, 2021, 34 (3), pp. e-3 - e-14
dcterms.licensehttps://creativecommons.org/licenses/by/4.0/
dc.date.updated2021-10-05T23:51:29Z
dc.description.versionVersion of Record (VoR)
gro.rights.copyright© The Author(s) 2021. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited.
gro.hasfulltextFull Text
gro.griffith.authorMcMurray, Anne M.
gro.griffith.authorGillespie, Brigid M.


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