Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
The Experiences of the Operating Room Nurses in the COVID-19 Pandemic: A Qualitative Study
Ameliyathane Hemşirelerinin COVID-19 Pandemisindeki Deneyimleri: Nitel Bir Çalışma
Yeliz SÜRMEa, Gökçen AYDIN AKBUĞAb, Derya ESENKAYAc
aDepartment Nursing, Division of Surgical Diseases Nursing, Erciyes University Faculty of Health Sciences, Kayseri, Türkiye
bDepartment Nursing, Division of Surgical Diseases Nursing, Yozgat Bozok University Faculty of Health Sciences, Yozgat, Türkiye
cYozgat Bozok University Faculty of Health Sciences, Yozgat, Türkiye
Turkiye Klinikleri J Nurs Sci. 2022;14(4):965-73
doi: 10.5336/nurses.2022-90271
Article Language: EN
Full Text
ABSTRACT
 Objective: This study was conducted to examine the experiences of operating room nurses care for COVID-19 positive and suspected patients during the surgical process. Material and Methods: This study was conducted qualitatively with operating room nurses between 01-31 May 2021. 22 operating room nurses were interviewed face-to-face-in-depth in the break room of the operating room. Data were analyzed by Colaizzi's seven-step method. The Consolidated Criteria for Reporting Qualitative Research checklist was used in reporting this research. Results: Three themes were determined: Difficulties experienced in the operating room during the COVID-19 epidemic, effect of the COVID-19 epidemic on the operating room organization and the effect of the risk of contamination on the surgical team communication. 7 sub-themes were identified as fear of catching and transmitting the infection, equipment problems, difficulties in the management of emergency cases, operation and working times, changes in the patient transfer line and operating room, social isolation and reduced communication, and fear of medical error. Conclusion: This study reveals difficulties experienced by nurses due to COVID-19, effect of the pandemic on the operating room organization and nurses, and effect of the risk of transmission on the surgical team communication. Nurses have fear of catching and transmitting infection in the operating room, lack of equipment, and experience anxiety in managing emergency cases. The pandemic caused changes in the organization of the operating room. Besides, nurses experienced social isolation and team communication decreased, the use of equipment disrupted communication with the surgical team, and this situation led to fear of medical error.

Keywords: Operating room nursing; pandemic; experience
ÖZET
 Amaç: Bu çalışma, ameliyathane hemşirelerinin COVID-19 pozitif ve şüpheli hastalara cerrahi süreçte bakım verme deneyimlerini incelemek amacıyla yapılmıştır. Gereç ve Yöntemler: Bu çalışma 01- 31 Mayıs 2021 tarihleri arasında ameliyathane hemşireleriyle nitel olarak yapılmıştır. Çalışma süresince 22 ameliyathane hemşiresi ile ameliyathanenin dinlenme odasında yüz yüze-derinlemesine görüşülmüştür. Elde edilen veriler Colazzinin 7 aşamalı metoduyla analiz edilmiştir. Bu araştırmanın raporlanmasında Konsolide Kriterler kontrol listesi kullanılmıştır. Bulgular: COVID-19 salgınında ameliyathanede deneyimlenen zorluklar, COVID-19 salgınının ameliyathane organizasyonuna etkisi ve bulaş riskinin cerrahi ekip iletişimine etkisi olmak üzere 3 tema belirlenmiştir. Enfeksiyon kapma ve bulaştırma korkusu, ekipman problemleri, acil vakaların yönetimindeki zorluklar, operasyon ve çalışma süreleri, hasta transfer hattı ve ameliyathanedeki değişiklikler, sosyal izolasyon ve iletişimin azalması, tıbbi hata korkusu olmak üzere 7 alt tema belirlenmiştir. Sonuç: Bu çalışma, ameliyathane hemşirelerinin COVID-19 nedeniyle ameliyathanede yaşadıkları zorlukları, pandeminin ameliyathane organizasyonu ve hemşireler üzerindeki etkisini ve bulaş riskinin cerrahi ekip iletişimine etkisini ortaya koymaktadır. Ameliyathane hemşirelerin ameliyathanede enfeksiyonu kapma ve bulaştırma korkusu yaşadıkları, ekipman eksikliği yaşadıkları ve acil vakaları yönetmede endişe yaşadıkları belirlenmiştir. Pandeminin ameliyathane organizasyonunda değişiklik yapılmasına yol açtığı ifade edilmiştir. Ayrıca pandemi sürecinde sosyal izolasyon yaşadıkları ve ekip iletişimi azaldığı, ekipman kullanımının cerrahi ekip ile iletişimi bozduğu ortaya konmuştur. Bu durumun tıbbi hata korkusuna yol açtığı belirlenmiştir.

Anahtar Kelimeler: Ameliyathane hemşireliği; pandemi; deneyim
REFERENCES:
  1. Aydın Akbuga G, Sürme Y. COVID-19 tanılı hastaların cerrahisi: perioperatif savunma [Surgery of patients with COVID-19 diagnosis: perioperative defense]. Turkish Journal of Science and Health. 2021;2(1):16-21. [Link] 
  2. Kang Y, Shin KR. COVID-19: Korean nurses' experiences and ongoing tasks for the pandemic's second wave. International Nursing Review. 2020;67(4):445-9. [Crossref]  [PubMed]  [PMC] 
  3. Rausei S, Ferrara F, Zurleni T, Frattini F, Chiara O, Pietrabissa A, et al; for Italian Association of Hospital Surgeons, and Collected Data Contributors. Dramatic decrease of surgical emergencies during COVID-19 outbreak. J Trauma Acute Care Surg. 2020;89(6):1085-91. [Crossref]  [PubMed]  [PMC] 
  4. Gualano MR, Sinigaglia T, Lo Moro G, Rousset S, Cremona A, Bert F, et al. The burden of burnout among healthcare professionals of intensive care units and emergency departments during the covid-19 pandemic: a systematic review. Int J Environ Res Public Health. 2021;18(15):8172. [Crossref]  [PubMed]  [PMC] 
  5. De Simone B, Chouillard E, Di Saverio S, Pagani L, Sartelli M, Biffl WL, et al. Emergency surgery during the COVID-19 pandemic: what you need to know for practice. Ann R Coll Surg Engl. 2020;102(5):323-32. [Crossref]  [PubMed]  [PMC] 
  6. Muz G, Erdoğan Yüce G. Experiences of nurses caring for patients with COVID-19 in Turkey: A phenomenological enquiry. J Nurs Manag. 2021;29(5):1026-35. [Crossref]  [PubMed] 
  7. Akman C, Cetin M, Toraman C. The analysis of emergency medicine professionals' occupational anxiety during the COVID-19 pandemic. Signa Vitae. 2021;17(3):103-11. [Crossref] 
  8. Dhillon RS, Rowin WA, Humphries RS, Kevin K, Ward JD, Phan TD, et al; Clinical Aerosolisation Study Group. Aerosolisation during tracheal intubation and extubation in an operating theatre setting. Anaesthesia. 2021;76(2):182-8. [Crossref]  [PubMed]  [PMC] 
  9. Ogce F, Cakir Umar D, Turhan Damar H, Celik B, Yasak K. COVID-19 salgını için ameliyathanede alınması gereken önlemler. 2020. [Erişim tarihi: 1 Eylül 2021]. Erişim linki: [Link] 
  10. Maben J, Bridges J. Covid-19: Supporting nurses' psychological and mental health. J Clin Nurs. 2020;29(15-16):2742-50. [Crossref]  [PubMed]  [PMC] 
  11. Callan V, Eshkevari L, Finder S, Jeter L, May S, Schirle L, et al. Impact of COVID-19 pandemic on certified registered nurse anesthetist practice. AANA J. 2021;89(4):334-40. [PubMed] 
  12. Karampelias V, Karonis D, Psaroudi V. The psycho-emotional impact of COVID-19 on surgical staff working in emergency departments. Eur J Trauma Emerg Surg. 2020;46(4):747-9. [Crossref]  [PubMed]  [PMC] 
  13. Li XY, Wang J, Zhang RX, Chen L, He CK, Wang CY, et al. Psychological status among anesthesiologists and operating room nurses during the outbreak period of COVID-19 in Wuhan, China. Front Psychiatry. 2020;11:574143. [Crossref]  [PubMed]  [PMC] 
  14. Mohammadi F, Tehranineshat B, Bijani M, Oshvandi K, Badiyepeymaiejahromi Z. Exploring the experiences of operating room health care professionals' from the challenges of the COVID-19 pandemic. BMC Surg. 2021;21(1):434. [Crossref]  [PubMed]  [PMC] 
  15. Lee JY, Hong JH, Park EY. Beyond the fear: Nurses' experiences caring for patients with Middle East respiratory syndrome: A phenomenological study. J Clin Nurs. 2020;29(17-18):3349-62. [Crossref]  [PubMed] 
  16. Kyngäs H. Qualitative research and content analysis. In: Kyngäs H, Mikkonen K, Kääriäinen M, eds. The Application of Content Analysis in Nursing Science Research. 1st ed. Springer Nature; 2019. p.3-11. [Crossref]  [PMC] 
  17. Colaizzi PF. Psychological research as the phenomenologist views it. In: Valle R, King M, eds. Existential Phenomenological Alterations for Psychology. 1st ed. New York: Oxford University Press; 1978. p.48-71.
  18. Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349-57. [Crossref]  [PubMed] 
  19. Colorafi KJ, Evans B. Qualitative descriptive methods in health science research. HERD. 2016;9(4):16-25. [Crossref]  [PubMed]  [PMC] 
  20. Lin H, Wang X, Luo X, Qin Z. A management program for preventing occupational blood-borne infectious exposure among operating room nurses: an application of the PRECEDE-PROCEED model. J Int Med Res. 2020;48(1):300060519895670. [Crossref]  [PubMed]  [PMC] 
  21. Guo X, Wang J, Hu D, Wu L, Gu L, Wang Y, et al. Survey of COVID-19 disease among orthopaedic surgeons in Wuhan, People's Republic of China. J Bone Joint Surg Am. 2020;102(10):847-54. [Crossref]  [PubMed]  [PMC] 
  22. Mavroudis CL, Landau S, Brooks E, Bergmark R, Berlin NL, Blumenthal B, et al. Exploring the experience of the surgical workforce during the Covid-19 pandemic. Ann Surg. 2021;273(3):e91-e6. [Crossref]  [PubMed]  [PMC] 
  23. LoGiudice JA, Bartos S. Experiences of nurses during the COVID-19 pandemic: a mixed-methods study. AACN Adv Crit Care. 2021;32(1):14-26. [Crossref]  [PubMed] 
  24. Honda H, Iwata K. Personal protective equipment and improving compliance among healthcare workers in high-risk settings. Curr Opin Infect Dis. 2016;29(4):400-6. [Crossref]  [PubMed] 
  25. Catania G, Zanini M, Hayter M, Timmins F, Dasso N, Ottonello G, et al. Lessons from Italian front-line nurses' experiences during the COVID-19 pandemic: A qualitative descriptive study. J Nurs Manag. 2021;29(3):404-11. [Crossref]  [PubMed] 
  26. Tan R, Yu T, Luo K, Teng F, Liu Y, Luo J, et al. Experiences of clinical first-line nurses treating patients with COVID-19: A qualitative study. J Nurs Manag. 2020;28(6):1381-90. [Crossref]  [PubMed]  [PMC] 
  27. Karaman Y, Aydın G. Covid-19 Salgını sırasında anestezi ve hava yolu yönetimi. Tepecik Eğit. ve Araşt. Hast. Dergisi 2020;30(Ek sayı):173-82. [Link] 
  28. Pappa S, Ntella V, Giannakas T, Giannakoulis VG, Papoutsi E, Katsaounou P. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain Behav Immun. 2020;88:901-7. Erratum in: Brain Behav Immun. 2021;92:247. [Crossref]  [PubMed]  [PMC] 
  29. Gül Ş, Kılıç ST. Determining anxiety levels and related factors in operating room nurses during the COVID-19 pandemic: A descriptive study. J Nurs Manag. 2021;29(7):1934-45. [Crossref]  [PubMed]  [PMC] 
  30. Wong J, Goh QY, Tan Z, Lie SA, Tay YC, Ng SY, et al. Preparing for a COVID-19 pandemic: a review of operating room outbreak response measures in a large tertiary hospital in Singapore. Can J Anaesth. 2020;67(6):732-45. [Crossref]  [PubMed]  [PMC] 
  31. Xiang YT, Yang Y, Li W, Zhang L, Zhang Q, Cheung T, et al. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiatry. 2020;7(3):228-9. [Crossref]  [PubMed]  [PMC] 
  32. Labrague LJ, de Los Santos JAA. Fear of COVID-19, psychological distress, work satisfaction and turnover intention among frontline nurses. J Nurs Manag. 2021;29(3):395-403. [Crossref]  [PubMed]  [PMC] 
  33. Häussl A, Ehmann E, Pacher A, Knödl K, Huber T, Neundlinger L, et al. Psychological, physical, and social effects of the COVID-19 pandemic on hospital nurses. Int Nurs Rev. 2021;68(4):482-92. [Crossref]  [PubMed]  [PMC] 
  34. Deliktas Demirci A, Oruc M, Kabukcuoglu K. 'It was difficult, but our struggle to touch lives gave us strength': The experience of nurses working on COVID-19 wards. J Clin Nurs. 2021;30(5-6):732-41. [Crossref]  [PubMed] 
  35. Ellis R, Hay-David AGC, Brennan PA. Operating during the COVID-19 pandemic: How to reduce medical error. Br J Oral Maxillofac Surg. 2020;58(5):577-80. [Crossref]  [PubMed]  [PMC] 

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