Operating room nurses' positioning of anesthetized surgical patients.
OBJECTIVE
To describe the incidence of problems associated with the positioning of anaesthetised surgical patients.


BACKGROUND
The positioning of the anaesthetised surgical patient is a complex task. The interdisciplinary nature with several professional groups in a surgical team may lead to conflict between the positioning standards and individual consideration for the patient. Existing knowledge of the relationship between the different positioning forms, surgical team competences and the applicability and availability of positioning equipment is sparse.


METHODS
A descriptive cross-sectional study.


METHODS
An electronic questionnaire was sent to 833 OR nurses employed at four public university hospitals. With 481 responses, a response rate of 57·7% was achieved. Descriptive statistical analyses were performed using the spss software package (version 19.00).


RESULTS
Positioning of the patient was found to be particularly difficult for the prone (43·8%), lithotomy (53·4%) and lateral (65·5%) positions. Lack of positioning competences and equipment for arm support, standardised equipment for leg support and standard sizes of OR beds seemed to complicate positioning.


CONCLUSIONS
Lack of appropriate positioning equipment and positioning competences in surgical teams, combined with the poor availability of positioning equipment in ORs were found to cause problems.


CONCLUSIONS
There is a need for innovative solutions to develop modern forms of positioning equipment allowing individual consideration of the patient. Further research is required on positioning equipment, optimisation of continuity and the establishment of permanent surgical teams.
Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.|Clinical Nursing Research Unit, Aalborg University Hospital, Aalborg, Denmark.
Erik Elgaard
EE
Sørensen
Clinical Nursing Research Unit, Aalborg University Hospital, Aalborg, Denmark.
Kathrine Hoffmann
KH
Kusk
Clinical Nursing Research Unit, Aalborg University Hospital, Aalborg, Denmark.
Mette
M
Grønkjaer
D000328:Adult; D000758:Anesthesia; D001291:Attitude of Health Personnel; D001513:Beds; D002983:Clinical Competence; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D009740:Nursing Staff; D009873:Operating Rooms; D056888:Patient Positioning; D013527:Perioperative Nursing; D011795:Surveys and Questionnaires
electronic questionnaire; operative surgical procedures; patient positioning; perioperative nursing; surgery