Kommunikation mellan anestesisjuksköterska och anestesiolog vid induktion och intubation : En kvantitativ och kvalitativ observationsstudie

Background: Communication is one of the nurse anaesthetist’s non-technical skills. In anaesthesia, potent drugs are administered during induction and intubation, therefore it is necessary that the exchange of information during these procedures are correctly perceived by the recipient. Consequently, a well-developed communication skill is part of nurse anaesthetist’s core competencies in order to maintain patient safety. Aim: The aim of the study is to investigate how closed-loop communication [CLC] is used between nurse anaesthetists and anesthesiologists during induction and intubation, and to observe which environmental factors affected the communication. Method: The study had a quantitative and qualitative descriptive approach. Observation protocols inspired by CLC and Nurse Anaesthetists’ Non-Technical Skills [N-ANTS] were used during data collection of a total of 20 observations at an operation unit in Sweden. Results: The anaesthesia personnel used CLC in more than half of the observations. However, the use of CLC varied depending on whether the surgeries were planned or emergent, and which profession administered the drugs. According to N-ANTS, most of the exchanged communication was considered to be of good quality. Communication during induction and intubation was for instance, affected by preparations, roles, priorities and technical equipment and devices. Conclusion: The result indicates that the use of standardized communication methods and the minimization of distractions, increases the quality of communication and reduces the risk of interruptions during induction and intubation