Abstract
BACKGROUND
Effective teamwork and communication is a crucial determinant of patient safety in the operating room. Communication failures are often underpinned by the inherent differences in professional practices across disciplines, and the ways in which they collaborate. Despite the overwhelming international support to improve team communication, progress has been slow.
OBJECTIVE
The aim of this paper is to extend understanding of the organisational and individual factors that influence teamwork in surgery.
DESIGN
This qualitative study used a grounded theory approach to generate a theoretical model to explain the relations between organisational and individual factors that influence interdisciplinary communication in surgery.
SETTING AND PARTICIPANTS
A purposive sample of 16 participants including surgeons, anaesthetists, and nurses who worked in an operating room of a large metropolitan hospital in south east Queensland, Australia, were selected.
METHODS
Participants were interviewed during 2008 using semi-structured individual and group interviews. All interviews were recorded and transcribed. Using a combination of inductive and deductive approaches, thematic analyses uncovered individual experiences in association with teamwork in surgery.
RESULTS
Analysis generated three themes that identified and described causal patterns of interdisciplinary teamwork practices; interdisciplinary diversity in teams contributes to complex interpersonal relations, the pervasive influence of the organisation on team cohesion, and, education is the panacea to improving team communications.
CONCLUSIONS
The development of shared mental models has the potential to improve teamwork in surgery, and thus enhance patient safety. This insight presents a critical first step towards the development teambuilding interventions in the operating room that would specifically address communication practices in surgery.
TY - JOUR
T1 - The impact of organisational and individual factors on team communication in surgery: a qualitative study.
AU - Gillespie,Brigid M,
AU - Chaboyer,Wendy,
AU - Longbottom,Paula,
AU - Wallis,Marianne,
Y1 - 2009/11/27/
PY - 2009/05/21/received
PY - 2009/08/14/revised
PY - 2009/11/01/accepted
PY - 2009/12/1/entrez
PY - 2009/12/1/pubmed
PY - 2010/7/17/medline
SP - 732
EP - 41
JF - International journal of nursing studies
JO - Int J Nurs Stud
VL - 47
IS - 6
N2 - BACKGROUND: Effective teamwork and communication is a crucial determinant of patient safety in the operating room. Communication failures are often underpinned by the inherent differences in professional practices across disciplines, and the ways in which they collaborate. Despite the overwhelming international support to improve team communication, progress has been slow. OBJECTIVE: The aim of this paper is to extend understanding of the organisational and individual factors that influence teamwork in surgery. DESIGN: This qualitative study used a grounded theory approach to generate a theoretical model to explain the relations between organisational and individual factors that influence interdisciplinary communication in surgery. SETTING AND PARTICIPANTS: A purposive sample of 16 participants including surgeons, anaesthetists, and nurses who worked in an operating room of a large metropolitan hospital in south east Queensland, Australia, were selected. METHODS: Participants were interviewed during 2008 using semi-structured individual and group interviews. All interviews were recorded and transcribed. Using a combination of inductive and deductive approaches, thematic analyses uncovered individual experiences in association with teamwork in surgery. RESULTS: Analysis generated three themes that identified and described causal patterns of interdisciplinary teamwork practices; interdisciplinary diversity in teams contributes to complex interpersonal relations, the pervasive influence of the organisation on team cohesion, and, education is the panacea to improving team communications. CONCLUSIONS: The development of shared mental models has the potential to improve teamwork in surgery, and thus enhance patient safety. This insight presents a critical first step towards the development teambuilding interventions in the operating room that would specifically address communication practices in surgery.
SN - 1873-491X
UR - https://www.unboundmedicine.com/medline/citation/19945107/The_impact_of_organisational_and_individual_factors_on_team_communication_in_surgery:_a_qualitative_study_
L2 - https://linkinghub.elsevier.com/retrieve/pii/S0020-7489(09)00356-3
DB - PRIME
DP - Unbound Medicine
ER -
