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手术安全核查人员执行体验的质性研究OA

Qualitative study on the execution experience of surgical safety verification personnel

中文摘要英文摘要

目的 了解手术安全核查人员的执行体验,为提高手术安全核查的质量提供积极有效的应对措施.方法 采取描述性质性研究,以目的抽样法,于2024 年7 月~11 月对20 名烟台市某三级甲等医院手术安全核查人员进行半结构式访谈,运用内容分析法进行资料分析.结果 呈现 4 个主题和16 个亚主题.主题1:执行实况,依从性不足、规范性递减、积极性不同和程序化应对;主题2:执行阻碍,工作负荷过大、相关认知不足、时机寻找困难、核查工具缺陷和核查相关倦怠;主题 3:益处感知,获得安全感、利于手术配合和促进团队合作;主题4:改进建议,增加培训、规范流程、合理监管和设立提醒.结论 手术安全核查受多种因素影响,管理者应通过减少安全核查任务中的阻碍,创造安全核查支持性环境,加强安全核查培训,提高核查人员认知水平,来促进手术安全核查的规范执行.

Objective To investigate the execution experience of surgical safety verification personnel,so as to provide targeted and effective coping measures.Methods A descriptive qualitative study was con-ducted using purposeful sampling.Semi-structured interviews were performed with 20 surgical safety verification personnel from a tertiary grade A hospital in Yantai City between July and November 2024.Data analysis was carried out using content analysis.Results Four themes and 16 sub-themes emerged.Theme 1 reflec-ted implementation status(insufficient compliance,decreasing standardization,varying enthusiasm,and proceduralized responses).Theme 2 reflected implementation barriers(excessive workload,inadequate relevant knowledge,insufficient timing identification,defects in verification tools,and verification-related burnout).Theme 3 reflected perceived benefits(enhanced safety awareness,improved surgical coordination,and promoted team collaboration).Theme 4 reflected improvement suggestions(enhanced training,standardized procedures,reasonable supervision,and reminder system establishment).Conclusions Surgical safety verification is influenced by multiple factors.Administrators should reduce barriers in safety verification tasks,create supportive environments for verification,strengthen safety verification training,and improve personnel's cognitive levels to promote standardized implementation of surgical safety verification.

黄维健;李传圣;孙健鑫;王艳梅

烟台毓璜顶医院,山东 烟台 264000烟台毓璜顶医院,山东 烟台 264000烟台毓璜顶医院,山东 烟台 264000烟台毓璜顶医院,山东 烟台 264000

手术安全核查手术心理体验质性研究

surgical safety verificationoperationpsychological experiencequalitative research

《中国现代手术学杂志》 2026 (1)

76-81,6

烟台市科技计划项目(2023YD063)

10.16260/j.cnki.1009-2188.2026.01.011

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