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Literature Search

As a perioperative nurse, surgery is my everyday environment and patient safety is my main concern. Working in the operating room patients under anesthesia cannot advocate for themselves. As operating room nurses we have to make sure our patients are safe and have no sentinel events. Surgical safety is my research practice problem of interest.

References
Mottram, A. (2012). Day surgery patients perceptions of risk: a qualitative research study. Journal of International Association of Ambulatory Surgery, 17 (4), 69-73.
Abstract
Aim: The aim of the study was to gain new insight into the perceptions of day surgery patients. Method: 145 patients aged 18-70 years and 100 carers were recruited from the pre-operative assessment clinics in 2 public hospitals in the United Kingdom. They participated in semi-structured interviews on 3 occasions over a two year period. Findings: Patients’ preferred day surgery because they saw it as a form of risk management. Fears of cross-infection and neglect in in-patient care generated by high profile press reports made them believe day surgery was a less risky option for surgical care. They also needed “to have a say” in their treatment options especially in relation to anaesthesia. Conclusion: Patients are no longer passive recipients of health care but wish to have a say in their treatment options. Risk is linked to trust so day surgery personnel must ensure that full information, welcoming attitude and pleasant environment is presented to patients.

Pai, M. S., Bhaduri, A., Jain, A. G., Kumar, V., & Sethi, S. (2008). The experiences of mothers of pediatric surgery children--a qualitative analysis. Journal of Pediatric Nursing, 23(6), 479-489.

Abstract
The purpose of this study was to explore the experiences of mothers of children admitted in the pediatric surgery ward. Respondents consisted of a convenience sample of 10 mothers. Data were collected through in-depth interview and were analyzed based on the synthetic approach to grounded theory analysis. The core category that emerged from the analysis was "staying hopeful that the child is alright." The categories identified include discovering the condition, questioning God, seeking information, trusting the health care system, coming to terms, desiring to participate in the care of the child, and maintaining quality of care. Implications for health professionals include a need for thorough assessment and anticipatory guidance to the parents. Limitations of the study and recommendations for future research are also given.

Rogers, W. A., Lotz, M., Hutchison, K., Pourmoslemi, A., & Eyers, A. (2013). Identifying Surgical Innovation: A Qualitative Study of Surgeons Views. Annals of Surgery.
Abstract
Objective: This study explores how surgeons define innovation, critically examines and evaluates these views, and uses the findings to develop practical criteria for identifying surgical innovation for ethical and regulatory purposes.
Background: Surgical innovation is crucial for progress in surgery, but can be harmful to patients and difficult to identify and therefore support appropriately. Current attempts to define surgical innovation lack precision, and do not give enough guidance to identify innovations in practice. This study is the first to give an account of surgeons' own views about defining innovation.
Methods: This qualitative study involved interviews with 18 Australian surgeons. Participants provided examples of innovation and distinguished innovation from variations in practice and from research. Data were collected using audio-recorded semistructured interviews. The data were coded using a template and analyzed to develop a thematic account of innovative surgery in practice.
Results: There was no uniform view about innovation, but participants identified 5 features of surgical innovation that distinguish it from variations: newness or novelty; degree of change; level of risk; impact; and requiring formal processes. There was no agreement on the distinction between innovation and research.
Conclusions: Drawing on surgeons' own views is important for the development of a practical definition of surgical innovation. We have used a critical analysis of surgeons' own views as the basis for defining the core features of innovation. A precise definition of innovation will assist surgeons to identify and manage innovation and thereby enhance patient safety.

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