Potential errors and their prevention in operating room teamwork as experienced by Finnish, British and American nurses

Silén-Lipponen, Marja; Tossavainen, Kerttu; Turunen, Hannele; Smith, Ann

doi:10.1111/j.1440-172x.2005.00494.x

Cited by 70 publications

(89 citation statements)

References 50 publications

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“…This is significant since the utilization of expertise is important in the development of nursing [6,16,25,26] as the combined knowledge, skills of co-operating team members inevitably exceeds their individual knowledge and skills. In addition to processing information, the participants indicated that multiprofessional learning, responsibility and commitment were central to good teamwork, again in accordance with previous findings [8,11,12,19] .…”

Section: Resultssupporting

confidence: 78%

“…However, common goals, internal interaction, community spirit and shared expertise are also crucial elements of successful network co-operation and teamwork [10,11,17] . When assessing the functionality of teamwork, attention must also be paid to aspects such as: team structure; the roles of team members; whether the operational culture promotes co-operation, trust and a positive team atmosphere; feedback practices; conflict resolution; sharing of information; multiprofessional learning; personal relationships; responsibility; commitment; interaction skills; functional skills; and problem-solving [8,9,12,15,18,19] .…”

Section: Introductionmentioning

confidence: 99%

“…A team is a small group of people with complementary skills who work towards the same goal(s), have mutual models of objectives and operations, and share responsibility for their actions [8,9] . The deployment of such teams for service provision is both common and necessary in public health settings, because merging diverse skills, experience and know-how is essential for effective operation [10][11][12] .…”

Section: Introductionmentioning

confidence: 99%

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Together we are more effective: Nursing team members’ experiences of development work on patient education

Lipponen

Kyngäs

Kanste

2013

JNEP

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Objective: Evaluating care pathways, strengthening patient education, developing staff's patient education skills, and improving collaboration between healthcare workers in hospitals and health centers are all topical challenges in the field of healthcare. Successful patient education requires seamless co-operation across organizational boundaries throughout the whole nursing process. The aim of this study was to assess personnel's experiences of a developmental nursing project, involving networking between Finnish primary (health centers) and special (hospitals) healthcare organizations, and the significance of development work on patient education in terms of strengthening information flow, co-operation and know-how. The aim of the study was to explore the healthcare personnel's experiences of development work in the context of networking between organizations, specifically focusing on the impact of development work with regard to information flow, co-operation and strengthening know-how. The specific research question was addressed: What is the impact of development work in this context in relation to information flow, co-operation and readiness for patient education?Methods: Data were collected from theme interviews (n=24) with primary and special healthcare team members who participated in a collaborative project, then analyzed by qualitative content analysis. Results:The findings indicate that development work on patient education improves collective expertise, key components of which are learning as a patients' counselor, collective know-how, and the exchange of knowledge.Conclusions: Development work can strengthen individual and collective know-how and nursing expertise. In the examined project, enhanced network co-operation increased collaboration between organizations and improved information flow throughout the nursing process. In addition, promotion of development on nursing and provision of feedback to the participants by the nurse manager appear to be crucial for successful development work on patient education. Workplaces and the nurse managers need to provide adequate resources' to develop nursing processes as well as motivate employees to improve nursing. Additionally, nurse managers should support and guide the healthcare workers in development work toward this goal. Well planned and executed development project can improve nursing practices across organizational boundaries.

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Section: Resultssupporting

confidence: 78%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Together we are more effective: Nursing team members’ experiences of development work on patient education

Lipponen

Kyngäs

Kanste

2013

JNEP

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“…This is in agreement with a previous study (Cronqvist et al, 2001). Additional findings show that professional discussions and disagreements within an operating room team result in stress and could compromise patient safety (Silèn-Lipponen et al, 2005).…”

Section: Discussionsupporting

confidence: 82%

Patient safety and job-related stress: A focus group study

Berland¹,

Natvig²,

Gundersen

2008

Intensive and Critical Care Nursing

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Summary This study focused on work-related stress among nurses working with critically ill patients. The aim of the study was to examine the effects of workrelated stress with regard to patient safety. The study uses a qualitative design based on focus group interviews with nurses who work with acute, critically ill patients in hospitals. Two regional hospitals were chosen. Inclusion criteria for the focus group panels included the following: nurses with advanced training in anesthesiology, intensive care, or operating-room nursing. Twenty-three nurses were chosen and they were divided into four groups. This study shows that a demanding work environment together with minimal control and social support from colleagues results in increased stress that can often have an effect on patient safety.

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“…In larger operating units, participants may not be so familiar with the other team members. Silén -Lipponen et al (38), found in their study that familiarity with team members and stability of teams, helped to combine the team members skills and fostered advanced planning, thus promoting safety. It is possible that surgical teams who are more familiar with each other, have a higher level of interdisciplinary cooperation and therefore may increase patient safety.…”

Section: Interaction Between Team Members In the Operating Theatrementioning

confidence: 99%

Respecting as a basic teamwork process in the operating theatre - A qualitative study of theatre nurses who work in interdisciplinary surgical teams of what they see as important factors in this collaboration

Kaldheim¹,

Slettebø²

2016

NSF

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Background: Studies show that working as a team in the operating theatre can be a challenge, and that surgical teams are not so cohesive as might be expected.Methods: A qualitative approach with exploratory design was used, inspired by grounded theory (GT) as a methodology. The data are from semi-structured, open questions, interviews with eight female theatre nurses from four Norwegian operational units.Results: The study shows that the most important factor in the social process between theatre nurses co-operating with other team members, is respecting. This includes interactions where: the attitudes expressed make team members feel valued; team members show an understanding for each other; team members communicate constructively. The leader's role is to encourage the right attitudes, focusing on respect for one another.Conclusion: The study shows that cooperation is an inter-human process, which requires the presence of multiple factors in the relations between professionals. Organizational factors also play a decisive role in enhancing the quality of inter-disciplinary work. Strengthening teamwork can be a complex task in a multidisciplinary surgical team where conflicting professional identities exist. Here, organisational factors play a crucial role in improving the quality of interdisciplinary collaboration.Key words: Professions, social structure, team communication, interdisciplinary collaboration and respect. INTERACTION BETWEEN TEAM MEMBERS IN THE OPERATING THEATRE IntroductionOperating theatres are high-intensity, often high-stress, environments where team members must work together to provide patient-centered care. The working day for interdisciplinary surgical teams is often characterized by heavy workloads and demanding requirements for efficient use of time and resources (1 -4). An interdisciplinary surgical team is composed of a selection of specialized nurses (one to two nurse anaesthetists and two theatre nurses), physicians (one anaesthetist physician), and surgeons (one to two operators) (5). These teams are typically put together ad-hoc. Team memberships do not carry over from day to day (5).Salas et al. (6) define a team as "a distinguishable set of two or more people who interact dynamically, interdependently, and adaptively toward a common and valued goal, objective or mission, who have each been assigned specific roles or functions to perform, and who have limited life span of membership" (6, p. 4). Team members perform dynamic and interdependent tasks, sharing and adapting to common goals and carrying out specified roles and functions (7). Teamwork is an essential component of patient safety (1,8). Collaboration happens when multiple health workers from different professional backgrounds work together to deliver the highest quality of health care (9). Studies show that collaboration as an interdisciplinary surgical team in the operating theatre can be a challenge. "Group norms, roles, and the way one treats each other says something about how well the group works" (10, p. 92). ...

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Potential errors and their prevention in operating room teamwork as experienced by Finnish, British and American nurses

Cited by 70 publications

References 50 publications

Together we are more effective: Nursing team members’ experiences of development work on patient education

Together we are more effective: Nursing team members’ experiences of development work on patient education

Patient safety and job-related stress: A focus group study

Respecting as a basic teamwork process in the operating theatre - A qualitative study of theatre nurses who work in interdisciplinary surgical teams of what they see as important factors in this collaboration

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