Importance of role clarity: a critique of the literature

Mafuba, Kay; Kupara, Dorothy; Cozens, Maria; Kudita, Chiedza

doi:10.7748/ldp.18.8.28.e1664

Cited by 6 publications

(7 citation statements)

References 10 publications

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“…Previous research and national reports from the Health Foundation and NHS England have all highlighted the need for effective leadership and communication to help promote multidisciplinary team working in operating rooms 18,36–38 . This includes continuously reviewing key operating room policies and procedures, 18 and ensuring that the roles and responsibilities of individuals within the team are clear 39 . The Royal College of Surgeons of England has developed training courses, such as Safety and Leadership for Interventional Procedures and Surgery for surgical teams to improve their interdisciplinary working 40 .…”

Section: Discussionmentioning

confidence: 99%

“…18,[36][37][38] This includes continuously reviewing key operating room policies and procedures, 18 and ensuring that the roles and responsibilities of individuals within the team are clear. 39 The Royal College of Surgeons of England has developed training courses, such as Safety and Leadership for Interventional Procedures and Surgery for surgical teams to improve their interdisciplinary working. 40 More interventions such as these need to be explored for the nonmedical leadership teams so as to promote their roles and responsibilities in improving the safety culture in operating rooms.…”

Section: Discussionmentioning

confidence: 99%

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A Retrospective Review of Serious Surgical Incidents in 5 Large UK Teaching Hospitals: A System-Based Approach

et al. 2021

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ObjectivesSurgical incidents are the most common serious patient safety incidents worldwide. We conducted a review of serious surgical incidents recorded in 5 large teaching hospitals located in one London NHS trust to identify possible contributing factors and propose recommendations for safer healthcare systems.MethodsWe searched the Datix system for all serious surgical incidents that occurred in any operating room, excluding critical care departments, and were recorded between October 2014 and December 2016. We used the London Protocol system analysis framework, which involved a 2-stage approach. A brief description of each incident was produced, and an expert panel analyzed these incidents to identify the most likely contributing factors and what changes should be recommended.ResultsOne thousand fifty-one surgical incidents were recorded, 14 of which were categorized as “serious” with contributing factors relating to task, equipment and resources, teamwork, work environmental, and organizational and management. Operating room protocols were found to be unavailable, outdated, or not followed correctly in 8 incidents studied. The World Health Organization surgical safety checklist was not adhered to in 8 incidents, with the surgical and anesthetic team not informed about faulty equipment or product shortages before surgery. The lack of effective communication within multidisciplinary teams and inadequate medical staffing levels were perceived to have contributed.ConclusionsMultiple factors contributed to the occurrence of serious surgical incidents, many of which related to human failures and faulty equipment. The use of faulty equipment needs to be recognized as a major risk within departments and promptly addressed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Retrospective Review of Serious Surgical Incidents in 5 Large UK Teaching Hospitals: A System-Based Approach

et al. 2021

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“…Role clarity is a crucial factor in interpersonal collaboration [84,85]. The clearer one's own role is, the more strongly it can be represented externally [86]. Uncertainty about professional boundaries thus transfers to the management of personal protective behaviors.…”

Section: Why Cooperation Has Not Worked So Farmentioning

confidence: 99%

Bold Future of Human Resources Development in Healthcare

Tewes¹

2021

Innovative Staff Development in Healthcare

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“…In addition, S&C coaches can only be involved in athlete rehabilitation in NZ if the medical rehabilitation team and performance rehabilitation team strongly collaborate. This can be achieved by improving physiotherapists' and S&C coaches' understanding of each other's roles in athlete rehabilitation (Mafuba, Kupara, Cozens, & Kudita, 2015;Sims et al, 2015b). Greater insight is needed into the role of the S&C coach in athlete rehabilitation and the 'grey area' of athlete rehabilitation.…”

Section: Discussionmentioning

confidence: 99%

“…Clearly defined roles of the S&C coach in athlete rehabilitation are needed to improve the working relationships between physiotherapists and S&C coaches (Mafuba et al, 2015;Sims et al, 2015b). Insight into the perspectives of physiotherapists and S&C coaches on the role of the S&C coach in the rehabilitation process will help improve teamwork by improving role clarity (Almost et al, 2016;Atwal, 2002;Sims et al, 2015b;World Health Organisation, 2011).…”

Section: Figurementioning

confidence: 99%

Clarifying the role of the strength and conditioning coach in athlete rehabilitation

Armstrong¹

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Strength and conditioning (S&C) coaches are assumed as performance professionals, but S&C may be utilised in athlete rehabilitation. Some S&C coaches collaborate with physiotherapists in athlete rehabilitation. The role of S&C coaches in athlete rehabilitation has been poorly documented. Therefore, this thesis aimed to clarify the role of S&C coaches in athlete rehabilitation using current literature and the perspectives of physiotherapists and S&C coaches. Firstly, a narrative literature review on the roles involved in athlete rehabilitation helped to theorise a role for S&C coaches. Current literature highlights a gap in performance training at the end of athlete rehabilitation that S&C coaches could fill. Secondly, semi-structured interviews were conducted in New Zealand (NZ) with four physiotherapists, four S&C coaches and one S&C coach with a physiotherapy background. A thematic analysis of the interview data identified thirteen themes that were analysed in four categories. These themes in their respective categories were: Current role (teamwork with the rehabilitation team, level of involvement, and physical roles), proposed role (teamwork with the rehabilitation team, level of involvement, and physical roles), variables (rehabilitation team structure, governance, relationships in the rehabilitation team, and the athlete), and significance (positive and negative). The theorised role from the literature is similar to the current perceived role of S&C coaches in athlete rehabilitation. Most S&C coaches seem to have a small role in the end stages of athlete rehabilitation and take over from physiotherapists to provide performance training. Participants thought that S&C coaches should have a much greater role than this. Participants thought that S&C coaches can provide performance context throughout the athlete rehabilitation process, but poor communication and collaboration with health professionals reduces their role. Participants thought S&C coaches should be minimally involved following a health professional’s diagnosis. Their involvement should then increase as athlete function improves and the physiotherapist’s role decreases. Their most significant involvement would be in performance training. Participants agreed that the S&C coach’s role should be flexible and account for the context of rehabilitation and their own personal skillset.

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Importance of role clarity: a critique of the literature

Abstract: Peer review This article has been subject to double-bind review and has been checked using antiplagiarism software Author guidelines journals.rcni.com/r/ ldp-author-guidelines

Cited by 6 publications

References 10 publications

A Retrospective Review of Serious Surgical Incidents in 5 Large UK Teaching Hospitals: A System-Based Approach

A Retrospective Review of Serious Surgical Incidents in 5 Large UK Teaching Hospitals: A System-Based Approach

Bold Future of Human Resources Development in Healthcare

Clarifying the role of the strength and conditioning coach in athlete rehabilitation

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