Construction and application of standardized nursing coordination and management system for DaVinci robotic surgery based on goal-oriented theory
Objective To explore construction and application effect of standardized nursing coordination and management system for DaVinci robotic surgery based on goal-oriented theory.Methods Standardized nursing coordination and manag-ement system for DaVinci robotic surgery were constructed by using literature review and Delphi method.Non randomized quasi experimental design was adopted.One hundred and forty-six patients underwent DaVinci robot assisted surgery in Operating Theater of Affiliated Hospital of Guizhou Medical University from January to March 2023 were selected as the control group through convenience sampling,and 168 patients from April to June 2023 were selected as the experimental group.The control group received traditional surgical nursing cooperation and management methods,while the experimental group received standardized surgical nursing cooperation and management methods.Preoperative preparation time,surgical duration,on time rate of first machine opening,waiting time for receiving surgery,surgical cooperation and doctor satisfaction between the two groups were compared.Results Preoperative preparation time,surgical duration and waiting time for receiving surgery in the experimental group were shorter than those in the control group,and the differences were statistically significant(P＜0.05).On time rate of first machine opening in the experimental group was higher than that in the control group,and the difference was statistically significant(P＜0.05).The scores of reasonable layout of operating room,convenient use of instruments and equipment,impact of surgical position on operation,sufficient preparation of items,reasonable placement of instruments,accurate transmission of instruments,timely transmission of instruments and medical and nursing cooperation in the experimental group were higher than those in the control group,and the differences were statistically significant(P＜0.05).The scores of surgical item preparation,communication,patient care,fault handling and operational proficiency and total scores in the experimental group were higher than those in the control group,and the differences were statistically significant(P＜0.05).Conclusion Standardized nursing coordination and management in surgery can effectively shorten preoperative preparation time,operation duration and waiting time for subsequent surgeries in DaVinci robotic surgery,and improve cooperation degree of operating theater nurses and doctor satisfaction.
DaVinci robotic surgeryStandardized nursing coordinationSurgical managementSurgical cooperationGoal-oriented theory
万方数据
维普
