國立虎尾科技大學 |

Culture and politics driving nursing perceptions towards performance improvement in the operating room.

紀錄類型:	書目-語言資料,手稿 : Monograph/item
正題名/作者:	Culture and politics driving nursing perceptions towards performance improvement in the operating room./
作者:	Koester, Dana Y.G.
面頁冊數:	1 online resource (110 pages)
附註:	Source: Dissertation Abstracts International, Volume: 78-07(E), Section: A.
Contained By:	Dissertation Abstracts International78-07A(E).
標題:	Health education. -
電子資源:	click for full text (PQDT)
ISBN:	9781369531909

Culture and politics driving nursing perceptions towards performance improvement in the operating room.
Koester, Dana Y.G.

Culture and politics driving nursing perceptions towards performance improvement in the operating room. - 1 online resource (110 pages)

Source: Dissertation Abstracts International, Volume: 78-07(E), Section: A.

Thesis (Ph.D.)--Capella University, 2017.

Includes bibliographical references

The purpose of this qualitative study was to explore the experiences of operating room nurses on how culture and politics drives their perceptions toward performance improvement in the operating room. Secondarily, do culture and politics circumvent success of performance improvement initiatives in the operating room? The study was performed in the operating room of a military hospital. The review of literature revealed that the perioperative nursing profession continues to struggle to cope with culture and politics while improving performance. Numerous researchers have validated that politics and behaviors embedded in the culture continue to be prevalent, and impacts nursing perceptions to effectively implement and sustain performance improvement. As focus remains on improvement performance and patient safety in operating rooms, any investigation that contributes to understanding culture and politics in the operating room should be rigorously pursued. This study examined a gap in knowledge taken from nursing's reflection of their experiences regarding the influence of culture and surgeon politics on sustaining performance improvement in the operating room. Since the operating room environment is dependent on the relationships between doctors and nurses, the social framework of constructivism was essential to understanding how the environment permits performance improvement to be achieved but not sustained. Constructivism guided the researcher to examine and understand a nurse's experiences and perspective on the influence of operating room culture and physician politics toward sustaining improvements in the operating room. Semi-structural interviews were performed and text analysis was done to identify common themes. The five themes identified are relationships between nurses and surgeons, surgeon and staff compliance, operating room staff clinical competency, competing priorities, and military influence in the operating room. Complexity and unpredictability of the operating room environment were clearly identified as factors affecting quality, safety and cost. This study provided new information in the findings that is not covered in existing literature; primarily around military influence on patient safety in the operating room.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2018

Mode of access: World Wide Web

ISBN: 9781369531909Subjects--Topical Terms:

585977
Health education.
Index Terms--Genre/Form:

554714
Electronic books.

Culture and politics driving nursing perceptions towards performance improvement in the operating room.
LDR:03547ntm a2200349Ki 4500 001 917490
005 20181022104648.5
006 m o u
007 cr mn||||a|a||
008 190606s2017 xx obm 000 0 eng d
020 $a 9781369531909
035 $a (MiAaPQ)AAI10254601
035 $a (MiAaPQ)capella:19216
035 $a AAI10254601
040 $a MiAaPQ $b eng $c MiAaPQ $d NTU
100 1 $a Koester, Dana Y.G. $3 1191554
245 1 0 $a Culture and politics driving nursing perceptions towards performance improvement in the operating room.
264 0 $c 2017
300 $a 1 online resource (110 pages)
336 $a text $b txt $2 rdacontent
337 $a computer $b c $2 rdamedia
338 $a online resource $b cr $2 rdacarrier
500 $a Source: Dissertation Abstracts International, Volume: 78-07(E), Section: A.
500 $a Adviser: Terry Karjalainen.
502 $a Thesis (Ph.D.)--Capella University, 2017.
504 $a Includes bibliographical references
520 $a The purpose of this qualitative study was to explore the experiences of operating room nurses on how culture and politics drives their perceptions toward performance improvement in the operating room. Secondarily, do culture and politics circumvent success of performance improvement initiatives in the operating room? The study was performed in the operating room of a military hospital. The review of literature revealed that the perioperative nursing profession continues to struggle to cope with culture and politics while improving performance. Numerous researchers have validated that politics and behaviors embedded in the culture continue to be prevalent, and impacts nursing perceptions to effectively implement and sustain performance improvement. As focus remains on improvement performance and patient safety in operating rooms, any investigation that contributes to understanding culture and politics in the operating room should be rigorously pursued. This study examined a gap in knowledge taken from nursing's reflection of their experiences regarding the influence of culture and surgeon politics on sustaining performance improvement in the operating room. Since the operating room environment is dependent on the relationships between doctors and nurses, the social framework of constructivism was essential to understanding how the environment permits performance improvement to be achieved but not sustained. Constructivism guided the researcher to examine and understand a nurse's experiences and perspective on the influence of operating room culture and physician politics toward sustaining improvements in the operating room. Semi-structural interviews were performed and text analysis was done to identify common themes. The five themes identified are relationships between nurses and surgeons, surgeon and staff compliance, operating room staff clinical competency, competing priorities, and military influence in the operating room. Complexity and unpredictability of the operating room environment were clearly identified as factors affecting quality, safety and cost. This study provided new information in the findings that is not covered in existing literature; primarily around military influence on patient safety in the operating room.
533 $a Electronic reproduction. $b Ann Arbor, Mich. : $c ProQuest, $d 2018
538 $a Mode of access: World Wide Web
650 4 $a Health education. $3 585977
650 4 $a Social sciences education. $3 1179940
650 4 $a Business administration. $3 1148568
655 7 $a Electronic books. $2 local $3 554714
690 $a 0680
690 $a 0534
690 $a 0310
710 2 $a ProQuest Information and Learning Co. $3 1178819
710 2 $a Capella University. $b Public Service Leadership. $3 1185540
773 0 $t Dissertation Abstracts International $g 78-07A(E).
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=10254601 $z click for full text (PQDT)