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Exploring the experiences of the surgical team on the cancellation of elective surgical procedures

Thesis (MNur)--Stellenbosch University, 2025.

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Main Author: Mkona, Nonhise Joyce
Other Authors: Schutte, Loraine
Format: Thesis
Language:English
Published: Stellenbosch : Stellenbosch University 2025
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access_status_str Open Access
author Mkona, Nonhise Joyce
author2 Schutte, Loraine
author_browse Mkona, Nonhise Joyce
Schutte, Loraine
author_facet Schutte, Loraine
Mkona, Nonhise Joyce
author_sort Mkona, Nonhise Joyce
collection Thesis
dc_rights_str_mv Stellenbosch University
description Thesis (MNur)--Stellenbosch University, 2025.
format Thesis
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institution Stellenbosch University (South Africa)
language English
last_indexed 2026-06-10T12:45:15.253Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository
publishDate 2025
publishDateRange 2025
publishDateSort 2025
publisher Stellenbosch : Stellenbosch University
publisherStr Stellenbosch : Stellenbosch University
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spelling oai:scholar.sun.ac.za:10019.1/133408 Exploring the experiences of the surgical team on the cancellation of elective surgical procedures Mkona, Nonhise Joyce Schutte, Loraine Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Nursing & Midwifery. Operating rooms -- Administration -- Eastern Cape (South Africa) Operating rooms -- Management -- Eastern Cape (South Africa) Surgery, operative -- Utilization -- Eastern Cape (South Africa) Health personnel -- Job satisfaction -- Eastern Cape (South Africa) Work environment -- Health aspects -- Eastern Cape (South Africa) UCTD Thesis (MNur)--Stellenbosch University, 2025. Mkona, N. J. 2025. Exploring the Experiences of the Surgical Team on the Cancellation of Elective Surgical Procedures. Unpublished masters thesis. Stellenbosch: Stellenbosch University [online]. Available: https://scholar.sun.ac.za/items/b12f8c8d-061e-4ee0-ab37-d171164a125b ENGLISH SUMMARY: Background: The cancellation of elective surgical procedures is a global problem that challenges both the surgical team and patients booked for elective surgical procedures. This study explored the experiences of surgical team on the cancellation of elective surgical procedures in a regional hospital in the Eastern Cape. Research question: The study was guided by the question ‘’What are the experiences of surgical team on the cancellation of elective surgical procedures? Research aim and objectives: The aim of the study was to explore experiences of surgical team on the cancellation of elective surgical procedures. The objectives of this study were to gain an understanding of the experiences of surgical team on the cancellation of elective surgical procedures, specifically to gain insight on the cancellation of the elective surgical procedures in operating rooms, to explore effective use of resources in the operating room, to determine challenges that arise due to the cancellation of elective surgical procedures and to explore solutions to address the cancellation of elective procedures. Methods: An exploratory-descriptive qualitative design was used to explore the experiences of surgical team members on the cancellation of the elective surgical procedures. Through purposive sampling, participants who were able to provide in-depth data about the purpose of the study were selected, and data was collected through semi-structured individual interviews. Results: The study found that the cancellation of elective surgical procedures had a great impact on the surgical team, including demotivation, missing out on learning opportunities, frustration and physical exhaustion. Among other reasons of the cancellations is the shortage of staff of both doctors and nurses. Staff described feeling exhausted which added risks of absenteeism and leaving the institution. Participant explained how the cancellation of elective surgical procedures further constrained resources, which may lead to compromised patient safety and further complicate organisational management in the operating room. Conclusion: The study findings revealed the experiences of the surgical team on the cancellation of elective surgical procedures, who described various related challenges which may effect organisational management, surgical resources and safe perioperative patient care. The surgical team experiences low work satisfaction when elective surgeries are cancelled, including staff demotivation, missed learning opportunities, reduced social engagement due to constantly shifting work plans, conflict due to limited available theatre time, frustration and physical exhaution. AFRIKAANSE OPSOMMING: Agtergrond: Die kansellasie van elektiewe chirurgiese prosedures is ʼn wereldwye probleem wat beide die chirurgiese span en pasiente wat vir elektiewe chirurgie bespreek is, uitgedaag. Hierdie studie het ʼn chirurgiese span se ervarings van sulke kansellasies in ʼn streekshospitaal in die Oos-Kaap ondersoek. Navorsingsvraag: Die studie is gelei deur die vraag: “Wat is die chirurgiese span se ervarings van die kansellasie van elektiewe chirurgiese prosedures?” Navorsingsdoel en -doelwitte: Die doel van die studie was om ʼn chirurgiese span se ervarings van die kansellasie van elektiewe chirurgiese prosedures te ondersoek. Die doelwitte van hierdie studie was om: 1. insig oor die kansellasie van die elektiewe chirurgiese prosedures in operasiesale te kry 2. effektiewe gebruik van hulpbronne in die operasiesaal te ondersoek 3. uitdagings wat ontstaan as gevolg van die kansellasie van elektiewe chirurgiese prosedures te bepaal 4. oplossings te ondersoek om die kansellasie van elektiewe prosedures aan te spreek. Navorsinsmetodiek: 'n Verkennend-beskrywende kwalitatiewe ontwerp is gebruik om die ervarings van chirurgiese spanlede met die kansellasie van die elektiewe chirurgiese prosedures te ondersoek. Deur doelgerigte steekproefneming is deelnemers gekies wat diepgaande data oor die doel van die studie kon verskaf, en data is ingesamel deur semi-gestruktureerde individuele onderhoude. Resultate: Die studie het bevind dat die kansellasie van elektiewe chirurgiese prosedures ʼn groot impak op die chirurgiese span gehad het, insluitend demotivering, misloop van leergeleenthede, frustrasie en fisiese uitputting. Onder andere, was redes vir die kansellasies die tekort aan beide dokters en verpleegpersoneel. Deelnemers het beskryf dat hulle uitgeput voel, wat die risiko's van afwesigheid en bedanking verhoog het. Deelnemer het verduidelik hoe die kansellasie van elektiewe chirurgiese prosedures hulpbronne verder beperk, wat kan lei tot verswakte pasientveiligheid en organisatoriese bestuur in die operasiesaal verder kan bemoeilik. Konklusie: Die studiebevindinge het verskeie uitdagings aan die lig gebring wat die chirurgiese span met die kansellasie van elektiewe chirurgiese prosedures ervaar het, en wat organisatoriese bestuur, chirurgiese hulpbronne en veilige perioperatiewe pasientsorg kan beinvloed. Masters 2025-08-07T08:42:07Z 2025-08-07T08:42:07Z 2025-03 Thesis https://scholar.sun.ac.za/handle/10019.1/133408 en Stellenbosch University xiv, 99 pages ; includes annexures application/pdf Stellenbosch : Stellenbosch University
spellingShingle Operating rooms -- Administration -- Eastern Cape (South Africa)
Operating rooms -- Management -- Eastern Cape (South Africa)
Surgery, operative -- Utilization -- Eastern Cape (South Africa)
Health personnel -- Job satisfaction -- Eastern Cape (South Africa)
Work environment -- Health aspects -- Eastern Cape (South Africa)
UCTD
Mkona, Nonhise Joyce
Exploring the experiences of the surgical team on the cancellation of elective surgical procedures
title Exploring the experiences of the surgical team on the cancellation of elective surgical procedures
title_full Exploring the experiences of the surgical team on the cancellation of elective surgical procedures
title_fullStr Exploring the experiences of the surgical team on the cancellation of elective surgical procedures
title_full_unstemmed Exploring the experiences of the surgical team on the cancellation of elective surgical procedures
title_short Exploring the experiences of the surgical team on the cancellation of elective surgical procedures
title_sort exploring the experiences of the surgical team on the cancellation of elective surgical procedures
topic Operating rooms -- Administration -- Eastern Cape (South Africa)
Operating rooms -- Management -- Eastern Cape (South Africa)
Surgery, operative -- Utilization -- Eastern Cape (South Africa)
Health personnel -- Job satisfaction -- Eastern Cape (South Africa)
Work environment -- Health aspects -- Eastern Cape (South Africa)
UCTD
url https://scholar.sun.ac.za/handle/10019.1/133408
work_keys_str_mv AT mkonanonhisejoyce exploringtheexperiencesofthesurgicalteamonthecancellationofelectivesurgicalprocedures