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Interprofessional work in operating rooms: a qualitative study from Sri Lanka
BACKGROUND: A growing body of research shows links between poor teamwork and preventable surgical errors. Similar work has received little attention in the Global South, and in South Asia, in particular. This paper describes surgeons’ perception of teamwork, team members’ roles, and the team process...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5011874/ https://www.ncbi.nlm.nih.gov/pubmed/27596281 http://dx.doi.org/10.1186/s12893-016-0177-7 |
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author | Jayasuriya-Illesinghe, Vathsala Guruge, Sepali Gamage, Bawantha Espin, Sherry |
author_facet | Jayasuriya-Illesinghe, Vathsala Guruge, Sepali Gamage, Bawantha Espin, Sherry |
author_sort | Jayasuriya-Illesinghe, Vathsala |
collection | PubMed |
description | BACKGROUND: A growing body of research shows links between poor teamwork and preventable surgical errors. Similar work has received little attention in the Global South, and in South Asia, in particular. This paper describes surgeons’ perception of teamwork, team members’ roles, and the team processes in a teaching hospital in Sri Lanka to highlight the nature of interprofessional teamwork and the factors that influence teamwork in this setting. METHODS: Data gathered from interviews with 15 surgeons were analyzed using a conceptual framework for interprofessional teamwork. RESULTS: Interprofessional teamwork was characterized by low levels of interdependency and integration of work. The demarcation of roles and responsibilities for surgeons, nurses, and anesthetists appeared to be a strong element of interprofessional teamwork in this setting. Various relational factors, such as, professional power, hierarchy, and socialization, as well as contextual factors, such as, patriarchy and gender norms influenced interprofessional collaboration, and created barriers to communication between surgeons and nurses. Junior surgeons derived their understanding of appropriate practices mainly from observing senior surgeons, and there was a lack of formal training opportunities and motivation to develop non-technical skills that could improve interprofessional teamwork in operating rooms. CONCLUSIONS: A more nuanced view of interprofessional teamwork can highlight the different elements of such work suited for each specific setting. Understanding the relational and contextual factors related to and influencing interprofessional socialization and status hierarchies can help improve quality of teamwork, and the training and mentoring of junior members. |
format | Online Article Text |
id | pubmed-5011874 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-50118742016-09-07 Interprofessional work in operating rooms: a qualitative study from Sri Lanka Jayasuriya-Illesinghe, Vathsala Guruge, Sepali Gamage, Bawantha Espin, Sherry BMC Surg Research Article BACKGROUND: A growing body of research shows links between poor teamwork and preventable surgical errors. Similar work has received little attention in the Global South, and in South Asia, in particular. This paper describes surgeons’ perception of teamwork, team members’ roles, and the team processes in a teaching hospital in Sri Lanka to highlight the nature of interprofessional teamwork and the factors that influence teamwork in this setting. METHODS: Data gathered from interviews with 15 surgeons were analyzed using a conceptual framework for interprofessional teamwork. RESULTS: Interprofessional teamwork was characterized by low levels of interdependency and integration of work. The demarcation of roles and responsibilities for surgeons, nurses, and anesthetists appeared to be a strong element of interprofessional teamwork in this setting. Various relational factors, such as, professional power, hierarchy, and socialization, as well as contextual factors, such as, patriarchy and gender norms influenced interprofessional collaboration, and created barriers to communication between surgeons and nurses. Junior surgeons derived their understanding of appropriate practices mainly from observing senior surgeons, and there was a lack of formal training opportunities and motivation to develop non-technical skills that could improve interprofessional teamwork in operating rooms. CONCLUSIONS: A more nuanced view of interprofessional teamwork can highlight the different elements of such work suited for each specific setting. Understanding the relational and contextual factors related to and influencing interprofessional socialization and status hierarchies can help improve quality of teamwork, and the training and mentoring of junior members. BioMed Central 2016-09-05 /pmc/articles/PMC5011874/ /pubmed/27596281 http://dx.doi.org/10.1186/s12893-016-0177-7 Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Jayasuriya-Illesinghe, Vathsala Guruge, Sepali Gamage, Bawantha Espin, Sherry Interprofessional work in operating rooms: a qualitative study from Sri Lanka |
title | Interprofessional work in operating rooms: a qualitative study from Sri Lanka |
title_full | Interprofessional work in operating rooms: a qualitative study from Sri Lanka |
title_fullStr | Interprofessional work in operating rooms: a qualitative study from Sri Lanka |
title_full_unstemmed | Interprofessional work in operating rooms: a qualitative study from Sri Lanka |
title_short | Interprofessional work in operating rooms: a qualitative study from Sri Lanka |
title_sort | interprofessional work in operating rooms: a qualitative study from sri lanka |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5011874/ https://www.ncbi.nlm.nih.gov/pubmed/27596281 http://dx.doi.org/10.1186/s12893-016-0177-7 |
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