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The impact of organisational and individual factors on team communication in surgery: a qualitative study.
Int J Nurs Stud. 2010 Jun; 47(6):732-41.IJ

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.

Authors+Show Affiliations

Research Centre for Clinical & Community Practice Innovation & School of Nursing & Midwifery, Griffith University, Gold Coast Campus, Gold Coast, Queensland 4222, Australia. B.Gillespie@griffith.edu.auNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19945107

Citation

Gillespie, Brigid M., et al. "The Impact of Organisational and Individual Factors On Team Communication in Surgery: a Qualitative Study." International Journal of Nursing Studies, vol. 47, no. 6, 2010, pp. 732-41.
Gillespie BM, Chaboyer W, Longbottom P, et al. The impact of organisational and individual factors on team communication in surgery: a qualitative study. Int J Nurs Stud. 2010;47(6):732-41.
Gillespie, B. M., Chaboyer, W., Longbottom, P., & Wallis, M. (2010). The impact of organisational and individual factors on team communication in surgery: a qualitative study. International Journal of Nursing Studies, 47(6), 732-41. https://doi.org/10.1016/j.ijnurstu.2009.11.001
Gillespie BM, et al. The Impact of Organisational and Individual Factors On Team Communication in Surgery: a Qualitative Study. Int J Nurs Stud. 2010;47(6):732-41. PubMed PMID: 19945107.
* Article titles in AMA citation format should be in sentence-case
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 -