Key result
Implementation of lean management strategies significantly improved the met standards performance of scrub and circulator nurses (P<0.005).
Why the study?
The multiplicity of scrub and circulator nurses' activities affects the quality of perioperative nursing roles, warranting an assessment of performance gaps and the use of lean management strategies.
Does the implementation of lean management strategies improve the quality of perioperative nursing roles for scrub and circulator nurses?
Does the implementation of lean management strategies improve the quality of perioperative nursing roles for scrub and circulator nurses?
p-value: p=<0.005
The implementation of lean management strategies significantly improves the performance standards of perioperative scrub and circulator nurses.
May support lean strategies for perioperative nurses; leaves open need for RCTs on outcomes and generalizability.
Background: The huge multiplicity of scrub and circulator nurses'activities affects thequality performance of perioperative nursing roles. Therefore, the pursuit of perfect practiceof perioperative nursing roles should focus on assessing the performance gaps in these rolesand use of lean management strategies for effective patient care delivery. Aim: The studyaimed to assess the effect of lean management strategies on the quality of perioperative nursingroles. Design and Setting: A quasi experimental design was used to implement the study inthe operating room at new Dar Al Fouad Hospital, Cairo, Egypt. Tool of Data Collection:Observational checklist tool aimed to assess the perioperative nursing roles of scrub andcirculator nurses, the tool consisted of two main parts; first part is the performance observationof scrub nurse role, and the second part is the performance observation of circulator nurse role.Results: The results of the present study illustrated that the perioperative nursing roles forscrub nurses of met standards performance were improved from above half normal to abovethree quarter, and the met standards performance of the circulator nurses roles were alsoimproved from less than one fifth to near three fifth with statistical significance difference atp < 0.005for both roles post implementation of the lean management strategies. Conclusion:The perioperative nursing roles of scrub and circulator nurses were improved postimplementation of lean management strategies which induced positive effect in the eliminationof un-value added activities and volume based activities through designing new supportiveroles included anesthesia nurse, post anesthesia care unit nurse, surgical technologist,instrumentation technician, nurse aids, store keeper in addition to other relevant roles such aslean team. Recommendation: Focused training program is recommended for all OR personnelwith periodic evaluations of the perioperative nursing roles and the new supportiveperioperative roles. Further research is recommended to disseminate the developed leanmanagement strategies and investigate its effect on the perioperative nursing in differentsettings.
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Ali et al. (2020) studied Perioperative nursing roles. Lean management strategies vs. Pre-implementation was evaluated on Met standards performance of scrub and circulator nurses (p=<0.005). Implementation of lean management strategies significantly improved the met standards performance of scrub and circulator nurses (P<0.005).
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