Document Type : Original Quantitative and Qualitative Research Paper
Authors
1
Assistant Professor of Nursing, School of Nursing and Midwifery, Clinical Research Development Center, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2
Student Research Committee, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3
Department of psychiatric Nursing and management, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4
Nursing Faculty. Aja University of Medical Sciences Tehran, Iran
5
Department of Community health Nursing, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
10.22038/ebcj.2025.89214.3166
Abstract
Background: The dimensions of care in the operating room are unknown.the aim of study for explaining the process of patient care in Iranian operating rooms in order to deeply understand the concept of care, determine the dimensions of care, facilitators and obstacles based on the obtained data.
Method: This grounded theory study was conducted in Iran in 2020-2023. Data gathering was with unstructured interview. Interviews were done with 35 participants. Data analyzed by using Corbin and Strauss, 2015 in three levels of concept, context and process.
Result: the operating room nurses were affected by the “Slippery passage of care” in the context of "Tthreatening and risky conditions of care", " In the straits of stress and pressure" and "Lack of understanding of the sensitive surgical situation", which affected the care of the patient in the operating room. The results of the analysis showed that the main concern of these nurses is "To maintain the patient's safety in the slippery passage of care". To achieve this goal, they use the main process of "Trying to maintain balance and safe care". This process included "relying on values", "deciding to improve performance", "reviewing" and "seeking support". The outcome of these efforts was "safe care" and the sub-categories of the outcome included "maintaining vigilance", "assertiveness and authority", “continued patient safety”, and “patient reassurance and peace”
Implication for practice: The nurses try to maintain the patient's safety in the slippery passage of care with relying on values, deciding to improve performance, reviewing and seeking support.
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