Optimization of nursing staff standards in the perioperative settings of the IRCCS University Hospital of Bologna. An Improvement Project

Chiara Cenacchi¹Martina Giusti^2,3Angela Peghetti⁴Silvio Quirini⁴Francesco Tinelli⁴Sabina Giorgi¹Salvatore Mineo¹Manuela De Rosa⁴Stefano Durante^3,4*

• ¹Departement of Healthcare Professions, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy
• ²Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy
• ³Strategic Steering Commitee, Centro Studi SAPIS Foundation, Italian National Federation of Orders of Radiographers and Technical, Rehabilitation, and Prevention Health Professions Research Centre, Rome, Italy
• ⁴SPIR, Professional Development and Research Implementation, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy

The organization of healthcare staff within operating block settings, which accommodate various surgical specialties, must consider the growing shortage of personnel and the need for resource optimization. For these reasons, we hypothesized that reorganizing the nursing staff could help reduce patient waiting lists, improve efficiency, and ensure patient safety.We conducted a review of the existing literature on Nursing Staff Standards in the Operating Rooms in relation to surgical procedures. IRCSS University Hospital of Bologna (Italy) hospital’s operating blocks (excepted pediatric surgical rooms) were chosen as experimental contexts due to the achievement of excellence according with the research mission of this hospital. Here, all implemented surgical procedures were classified and coded using ICD-9-CM codes. For each procedure, a reclassification process was applied based on the required nursing care intensity. Results of literature review on Nursing Staff Standards in the Operating Rooms were applied, implementing a nursing roles’ reorganization. The reorganization moved from the incorporation of input from nurses and surgeons to identify areas for improvement and develop of organizational solutions.The reorganization process allowed for a redefinition of surgical schedules and staff allocation, leading to the reallocation of nursing units that were reassigned to support the opening of a recovery room.