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Preventing well leg compartment syndrome among patients in the lithotomy position—Operating room nurses' perspectives: A qualitative study

AIM: To describe operating room nurses' experiences of well leg compartment syndrome and how they work perioperative to prevent it during the lithotomy position. DESIGN: The study had a qualitative design. METHODS: Focus group interviews were performed with 10 operating room (OR) nurses. The in...

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Autores principales: Susanne, Johansson, Åsa, Hörnsten
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10495710/
https://www.ncbi.nlm.nih.gov/pubmed/37571958
http://dx.doi.org/10.1002/nop2.1971
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author Susanne, Johansson
Åsa, Hörnsten
author_facet Susanne, Johansson
Åsa, Hörnsten
author_sort Susanne, Johansson
collection PubMed
description AIM: To describe operating room nurses' experiences of well leg compartment syndrome and how they work perioperative to prevent it during the lithotomy position. DESIGN: The study had a qualitative design. METHODS: Focus group interviews were performed with 10 operating room (OR) nurses. The interviews were semi‐structured and analysed by qualitative content analysis. The study complied with the Consolidated Criteria for Reporting Qualitative Research (COREQ). RESULTS: The main theme showed that the OR nurses shoulder duty and responsibility, independently and in the team, but they need more structural support and knowledge. The themes showed that they follow routines whenever possible and take responsibility for positioning; however, they have to balance between flexibility and strict routines. Although they also develop and participate in teamwork, they still need further knowledge. CONCLUSION: The severe complication of well leg compartment syndrome (WLCS) can occur when the patient is in the lithotomy position. Maintaining the same routines and paying attention to the WHO's surgical safety checklist were described as actions that could prevent well leg compartment syndrome. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution. We have interviewed nurses but without financial support since the study was performed and supervised within a master programme.
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spelling pubmed-104957102023-09-13 Preventing well leg compartment syndrome among patients in the lithotomy position—Operating room nurses' perspectives: A qualitative study Susanne, Johansson Åsa, Hörnsten Nurs Open Empirical Research Qualitative AIM: To describe operating room nurses' experiences of well leg compartment syndrome and how they work perioperative to prevent it during the lithotomy position. DESIGN: The study had a qualitative design. METHODS: Focus group interviews were performed with 10 operating room (OR) nurses. The interviews were semi‐structured and analysed by qualitative content analysis. The study complied with the Consolidated Criteria for Reporting Qualitative Research (COREQ). RESULTS: The main theme showed that the OR nurses shoulder duty and responsibility, independently and in the team, but they need more structural support and knowledge. The themes showed that they follow routines whenever possible and take responsibility for positioning; however, they have to balance between flexibility and strict routines. Although they also develop and participate in teamwork, they still need further knowledge. CONCLUSION: The severe complication of well leg compartment syndrome (WLCS) can occur when the patient is in the lithotomy position. Maintaining the same routines and paying attention to the WHO's surgical safety checklist were described as actions that could prevent well leg compartment syndrome. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution. We have interviewed nurses but without financial support since the study was performed and supervised within a master programme. John Wiley and Sons Inc. 2023-08-12 /pmc/articles/PMC10495710/ /pubmed/37571958 http://dx.doi.org/10.1002/nop2.1971 Text en © 2023 The Authors. Nursing Open published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Empirical Research Qualitative
Susanne, Johansson
Åsa, Hörnsten
Preventing well leg compartment syndrome among patients in the lithotomy position—Operating room nurses' perspectives: A qualitative study
title Preventing well leg compartment syndrome among patients in the lithotomy position—Operating room nurses' perspectives: A qualitative study
title_full Preventing well leg compartment syndrome among patients in the lithotomy position—Operating room nurses' perspectives: A qualitative study
title_fullStr Preventing well leg compartment syndrome among patients in the lithotomy position—Operating room nurses' perspectives: A qualitative study
title_full_unstemmed Preventing well leg compartment syndrome among patients in the lithotomy position—Operating room nurses' perspectives: A qualitative study
title_short Preventing well leg compartment syndrome among patients in the lithotomy position—Operating room nurses' perspectives: A qualitative study
title_sort preventing well leg compartment syndrome among patients in the lithotomy position—operating room nurses' perspectives: a qualitative study
topic Empirical Research Qualitative
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10495710/
https://www.ncbi.nlm.nih.gov/pubmed/37571958
http://dx.doi.org/10.1002/nop2.1971
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