การวิเคราะห์สถานการณ์การจัดการความปลอดภัยในการทำงานในห้องผ่าตัด โรงพยาบาลสมเด็จพระยุพราชปัว จังหวัดน่าน

Abstract

Work safety management is an effective process in reducing severity of workplace injuries and illness. The objective of the study was to study the situation of work safety management in the operating room at Pua Crown Prince Hospital, Nan province. The research population included documents related to work safety management; 3 nursing managers and 3 committees working on work safety management in the hospital; and 10 professional nurses with at least 2 years work experience in the operation room. The instruments consisted of individual interview guidelines and focus group discussion questions, which were developed by the researcher based on the work safety management model suggested by Fernandez-Muniz et al. (2007). Data were analyzed using content analysis. Study results revealed the following: 1. Work safety policy in the operating room: The operating room used the Pua Crown Prince Hospital’s work safety policy as the framework for workplace safety actions and to develop safety practice guidelines and initiatives for reducing workplace injuries. However, the work safety management policy in the operating room did not fully cover all workplace hazards that occured in the operating room. Nursing personnel did not comply with safety practice guidelines and initiatives. 2. Encouragement for participation: Nurse managers encouraged nursing and hospital personnel to take part in discovering solutions for unsafe working conditions in the operating room. Workplace injuries were under reported. Audits by a joint committee comprising nursing personnel and hospital personnel were not carried out regularly. 3. Training: Nurse managers had an operating room work safety training plan and risk personnel within the unit were trained. However, there were few training and knowledge sharing activities, and they occurred irregularly. 4. Communication and transfer of information: Information about work safety in the operation room was shared during division meetings, posted on a communication board, mailed via a circular notice, and delivering upon nursing shift handovers. However, information about unsafe work did not reach every nursing personnel. Furthermore, informal communication rather than a formal method was often found. 5. Planning: Nurse managers set regular and emergency work safety plans. However, those plans, including the work safety management guidelines, were not followed. Annual drills to practice the plans and guidelines was not done. 6. Control and review of activities: The operating room audit and inspected practices complied with work safety practice guidelines. The unit also used root causes analysis when handing problems and developed solutions for them. However, the audit or was not informed of the results of audit and inspection. Additionally, there were no root causes analysis on work related illness. The results of this study may be beneficial to nurse managers in improving work safety management in the operating room.