“Operating Room Effectiveness”: Phenomenological Qualitative Study In Hospital

Authors

  • Teguh Tirto Katon Master of Public Health Study Program, Universitas Prima Indonesia Sumatera Utara Indonesia.
  • Sri Wahyuni Nasution Master of Public Health Study Program, Universitas Prima Indonesia Sumatera Utara Indonesia.
  • Tri Suci Master of Public Health Study Program, Universitas Prima Indonesia Sumatera Utara Indonesia.

DOI:

https://doi.org/10.51601/ijhp.v3i3.160

Abstract

This study investigates the experience of health and medical personnel in hospital operating rooms and to evaluate the effectiveness of activities in operating rooms and ventilation conditions in hospitals. This study was designed as a qualitative research based on Heidegger's Hermeneutic Phenomenology Approach. The research method was carried out on health and medical personnel working in the operating room (OR) as observers. The research data were collected using an open and unstructured interview form. This form includes items that question the operating room design and operating room ventilation conditions. Data analysis used the Miles & Huberman method with the stages of data reduction, data display, and conclusion or verification. The research findings were obtained from seven informants (health and medical personnel) consisting of three men and four women. Age ranged from 30 to 45 years. Two themes and twelve sub-themes were determined as a result of data analysis. The research themes are (1) the effectiveness of operating room layout and (2) the effectiveness of operating room ventilation. This study concludes and provides important information about the physical requirements of the hospital operating room and the effectiveness for working professionally experience workers in the operating room (OR). It is understood that the room layout in the hospital is very good in helping smooth preoperative and postoperative handling. And operating room ventilation already supports good air circulation and is easy to control its use. But still found another room that causes noise. Hospital management must consider the type of activity, use of equipment, and/or other sources of noise, whether in the operating room building, ventilation of the operating room without a positive pressure system. So, the hospital must be able to pay attention to air humidity and pay attention to the state of the ventilation system and air filtration in the operating room so as to reduce the risk of preoperative and postoperative wound infections.

References

Abigail J. Fong, Meghan Smith, & Alexander Langerman (2016). Efficiency Improvement in The Operating Room. Journal of Surgical Research. Elsevier. Volume 204, Issue 2, Pages 371-383. https://doi.org/10.1016/j.jss.2016.04.054

Undang-Undang Republik Indonesia (2009). Undang-Undang Republik Indonesia Nomor 44 Tahun 2009 Tentang Rumah Sakit. https://jdihn.go.id/files/4/2009uu044.pdf

Sara Bayramzadeh, Anjali Joseph, Dee San, Amin Khoshkenar, Kevin Taaffe, Roxana Jafarifiroozabadi & David M. Neyens (2018). The Impact of Operating Room Layout on Circulating Nurse’s Work Patterns and Flow Disruptions: A Behavioral Mapping Study. Health Environments Research & Design Journal. Sage. Volume 11, Issue 3, pp. 1-15. https://doi.org/10.1177/1937586717751124

AORN. (2014). AORN Position Statement on One Perioperative Registered Nurse Circulator Dedicated to Every Patient Undergoing an Operative or Other Invasive Procedure. AORN Journal, Elsevier. Volume 99, Series 2, Page: 204–207. https://dx.doi.org/10.1016/j.aorn.2013.11.019

Alfredsdottir, H., & Bjornsdottir, K. (2007). Nursing And Patient Safety in The Operating Room. Journal Of Advanced Nursing, Willey. 61 (1), 29–37. https://doi: 10.1111/j.1365-2648.2007.04462.x

Yang, Y. T., Henry, L., Dellinger, M., Yonish, K., Emerson, B., & Seifert, P. C. (2012). The Circulating Nurse’s Role in Error Recovery in The Cardiovascular OR. AORN Journal, Elsevier. Vol.95, Issue 6, pp. 755–762. https://doi: 10.1016/j.aorn.2011.09.022

Constantinos A. Balaras, Elena Dascalaki & Athina Gaglia (2006). HVAC And Indoor Thermal Conditions in Hospital Operating Rooms. Energy and Buildings, Elsevier. Vol.39, Issue 4, pp.454–470. https://doi.org/10.1016/j.enbuild.2006.09.004

Kementrian Kesehatan Republik Indonesia (2016). Kemenkes RI Nomor 24 Tahun 2016 Tentang Persyaratan Teknis Bangunan Dan Prasarana Rumah Sakit. https://dinkes.kedirikab.go.id/konten/uu/97467PMK_No._24_ttg_Persyaratan_Teknis_Bangunan_dan_Prasarana_Rumah_Sakit.pdf

Kementerian Kesehatan – Republik Indonesia (2012). Pedoman Teknis Ruang Operasi Rumah Sakit. Direktorat Jenderal Bina Upaya Kesehatan. Kemenkes RI. Jakarta

AIA (2006) Guidelines for Design and Construction of Hospital and Health Care Facilities, The American Institute of Architects Press, Washington, DC.

Health Care Facilities (2003). HVAC Applications Handbook, American Society of Heating, Refrigerating and Air-Conditioning Engineers Inc., Atlanta, GA, (Chapter 7)

ASHRAE Standard 170P (2006), Ventilation of Health Care Facilities, American Society for Heating, Refrigerating and Air-Conditioning Engineers Inc., Atlanta, GA.

DIN 1946 (1999). Ventilation and Air-Conditioning. Part 4. Ventilation in Hospitals, vol. 4, Deutsches Institut fu¨r Normung e.V., Beuth-Verlag, Berlin.

Technical Directive 2423/86 (1987). Building Installations, Air-Conditioning of Building Spaces, Technical Chamber of Greece, Athena.

Technical Directive 2425/86 (1987). Building Installations, Elements of HVAC Load Calculations for Building Spaces, Technical Chamber of Greece, Athena.

Health Ministry, Athena, (1997) Guidelines for Electromechanical Installations in Hospitals, Directorate of Technical Services, Design Department.

Sejarah RSD Gunung Jati Kota Cirebon (2022). www.rsdgunungjati.cirebonkota.go.id.

David H. Rothsteina & Mehul V. Raval (2018). Operating Room Efficiency. Seminars in Pediatric Surgery. Elsevier. Volume 27, Issue 2, Pages 79-85. https://doi.org/10.1053/j.sempedsurg.2018.02.004

Souza, T.A., Roehe Vaccaro, G.L. and Lima, R.M. (2020), Operating Room Effectiveness: A Lean Health-Care Performance Indicator, International Journal of Lean Six Sigma, Emerald. Vol. 11 No. 5, pp. 973-988. https://doi.org/10.1108/IJLSS-12-2017-0141.

Bambang Suwarno, Rusiadi, Bhakti Alamsyah, Firman Handiko (2019). The Effect of Salary and Work Environment on Job Satisfaction on Non-Civil Servant Nurses in the Hospital Medan. IOSR Journal of Business and Management (IOSR-JBM). Volume 22, Issue 11. Ser. V, PP 25-30. https://doi.org/10.9790/487X-2211052530.

Sara Bayramzadeh, Anjali Joseph, David Allison, Jonas Shultz, James Abernathy & RIPCHD.OR Study Group (2018). Using An Integrative Mock-Up Simulation Approach for Evidence-Based Evaluation of Operating Room Design Prototypes. Applied Ergonomics, Elsevier. Volume 70, Pages 288-299. https://doi.org/10.1016/j.apergo.2018.03.011.

Ayçam, İ. & Yazıcı, A. (2017). Evaluation Of Operating Room Units Within the Context of Green Design Criteria. Gazi University Journal of Science, 30 (1), 1-15. Retrieved from https://dergipark.org.tr/en/pub/gujs/issue/28464/303368.

Dascalakia, E., Lagoudib, A., Balaras C.A., Gaglia A., (2008). Air Quality in Hospital Operating Rooms, Building and Environment, Elsevier. Volume 43, Issue 11, Pages 1945-1952. https://doi.org/10.1016/j.buildenv.2007.11.015

H. Humphreys & E.W. Taylor (2002). Operating Theatre Ventilation Standards and The Risk of Postoperative Infection. Journal of Hospital Infection, Elsevier. Volume 50, Issue 2, Pages 85-90. https://doi.org/10.1053/jhin.2001.1126

T.T. Chow & X.Y. Yang, (2004). Ventilation performance in operating theatres against airborne infection: review of research activities and practical guidance, Journal of Hospital Infection, Elsevier. Volume 56, Series 2, Pages 85-92. https://doi.org/10.1016/j.jhin.2003.09.020

Robert R. Cima, Michael J. Brown, James R. Hebl, Robin Moore, James C. Rogers, Anantha Kollengode, Gwendolyn J. Amstutz, Cheryl A. Weisbrod, Bradly J. Narr, Claude Deschamps, (2011). Use of Lean and Six Sigma Methodology to Improve Operating Room Efficiency in a High-Volume Tertiary-Care Academic Medical Center. Journal of the American College of Surgeons, Elsevier. Volume 213, Issue 1, Pages 83-92, https://doi.org/10.1016/j.jamcollsurg.2011.02.009.

Van Manen M. (2014). Phenomenology of Practice: Meaning-Giving Methods in Phenomenological Research and Writing. Walnut Creek: CA.

Miles, Matthew B. and A. Michael Huberman. (2005). Qualitative Data Analysis (terjemahan). Jakarta: UI Press

Sugiyono, (2018). Metode Penelitian Manajemen: Pendekatan Kuantitatif, Kualitatif, Mixed Methods, Action Research, Penelitian Evaluasi. Edisi 6, Bandung: Penerbit CV. Alfabeta.

Putra, S. K., Simanjuntak, E. K., Hendradjit, W., & Hadisupadmo, S. (2015). Perancangan dan Kontrol Mode Operasi Tata Udara Ruang Bedah. Prosiding Seminar Nasional Instrumentasi, Kontrol dan Otomasi (SNIKO), 10-11 Desember 2015, Institut Teknologi Bandung. https://doi.org/10.5614/sniko.2015.19

Yudiansyah, G & Yuliansyah, N, (2019). Peningkatan Efektivitas Dan Efisiensi Perbekalan Farmasi di Instalasi Kamar Operasi RSIG. Jurnal Ilmiah Kesehatan Rustida, Volume 06, Nomor 1, page: 37 – 43. DOI: https://doi.org/10.55500/jikr.v6i1.71

Gusti Ngurah Kade Suwiherawan, I., Gede Dyana Arjana, I., & Gede Indra Partha, C. (2021). Perencanaan Sistem Tata Udara Ruang Operasi di Rumah Sakit Ibu Dan Anak Puri Bunda Tabanan. Jurnal SPEKTRUM. Volume 8, Nomor 1. pp.292-299. https://doi.org/10.24843/SPEKTRUM.2021.v08.i01.p33.

Downloads

Published

2022-11-22

How to Cite

Tirto Katon, T. ., Wahyuni Nasution, S. ., & Suci, T. . (2022). “Operating Room Effectiveness”: Phenomenological Qualitative Study In Hospital. International Journal of Health and Pharmaceutical (IJHP), 3(3), 269–280. https://doi.org/10.51601/ijhp.v3i3.160

Issue

Section

Articles

Most read articles by the same author(s)