knowledge, strength, attitude

8/17/2019 Knowledge, Strength, Attitude

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through to a broader understanding of the elements that underpin competence in

relation to knowledge, skills and attitudes (Benner !"#$%

But, competence is &ust one part of the whole% 'o be able to provide uality

care and ensure safety to patients in the operating room, )*+ (knowledge, *kills,

+ttitude$ is highly essential in any aspect inside the theatre% 'he following are some

of the aspects which highlights the )*+ of an OR nurse

a% -atient.centered care

'he nurse must recogni/e the patient as the source of control and full

partner in providing compassionate and coordinated care based on respect

for patient0s preferences, values, and needs% + knowledgeable nurse

integrates understanding of multiple dimensions of patient. centered care

such as patient preferences, values, coordination and integration of care,information, communication, and education, physical comfort and emotional

support especially when patient is an1ious while inside the operating room%

*kills needed include communicating patient values, preferences and

e1pressed needs to other members of health care team and provide care with

sensitivity and respect for the diversity of the patient% 'he nurse must also

ensure that the care must not only for short. term but for continuity of care

until recovery phase% 2onitoring of patient before, during and after surgery is

essential% +ttitude accounts for respect, valuing the patient0s e1pertise with

own health, putting patient as the focus and acknowledging that patient

e1pectations in3uence outcomes in management of pain or su4ering% 'he

nurse must put him5 herself as the feet of the patient while he is5 she is week%

b% 'eam work and Collaboration

'he nurse must function e4ectively within nursing and inter.

professional teams, fostering open communication, mutual respect, and

shared decision.making to achieve uality patient care% )nowledge includes

describing strategies for identifying and managing overlaps in team member

roles and accountabilities and being able to recogni/e contributions of other

individuals and groups in the success of the procedure undertaken by the

patient% *kills demand the assumption of individual role as a team member or


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leader based on the situation, initiation of reuests for help when needed%

+lso, a skillful nurse clari6es roles and accountabilities under conditions of

potential overlap in team member functioning and integrates the

contributions of others% 'he attitude aligns the contribution of the OR nurse to

resolution of con3ict and disagreement and anticipation of needs before,

during and after the procedure%

c% 7uality improvement

'he OR nurse must have the knowledge to recogni/e that nursing and

other health professions such as students are parts of the OR team and not

&ust another instruments% *kills include the use of appropriate tools, devices

or paraphernalia in determining the status of patients pre. op, intra. op and

post. operatively% +n attitude of appreciating that continuous uality

improvement is an essential part of the daily work of all health professionals

helps in the assurance of patient0s best care%

d% *afety

'he OR nurse minimi/es risk of harm to patients and providers through

both system e4ectiveness and individual performance% + knowledgeable

nurse must e1amine human factors and other basic safety design principles

as well as commonly used unsafe practices in handling patients% 'he nurse

must describe factors that create a culture of safety such as, open

communication strategies% 'he nurse must be knowledgeable of the

instruments being used in the procedure such as the numbers of each

instruments, sponges and the like% + nurse is skillful if she5 he employs

correct handling, proper counting, etc% of the instruments ensuring safety to

own self, other team members and to the patient for a smooth operation%

+nticipation and presence of mind weigh much as attitudes when inside the

theatre%


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knowledge, strength, attitude

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