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How gender shapes interprofessional teamwork in the operating room: a qualitative secondary analysis

ABSTRACT: BACKGROUND: Despite substantial implications for healthcare provider practice and patient outcomes, gender has yet to be systematically explored with regard to interprofessional operating room (OR) teamwork. We aimed to explore and describe how gender and additional social identity factors...

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Autores principales: Etherington, Cole, Kitto, Simon, Burns, Joseph K., Adams, Tracey L., Birze, Arija, Britton, Meghan, Singh, Sukhbir, Boet, Sylvain
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8684702/
https://www.ncbi.nlm.nih.gov/pubmed/34923992
http://dx.doi.org/10.1186/s12913-021-07403-2
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author Etherington, Cole
Kitto, Simon
Burns, Joseph K.
Adams, Tracey L.
Birze, Arija
Britton, Meghan
Singh, Sukhbir
Boet, Sylvain
author_facet Etherington, Cole
Kitto, Simon
Burns, Joseph K.
Adams, Tracey L.
Birze, Arija
Britton, Meghan
Singh, Sukhbir
Boet, Sylvain
author_sort Etherington, Cole
collection PubMed
description ABSTRACT: BACKGROUND: Despite substantial implications for healthcare provider practice and patient outcomes, gender has yet to be systematically explored with regard to interprofessional operating room (OR) teamwork. We aimed to explore and describe how gender and additional social identity factors shape experiences and perceptions of teamwork in the OR. METHODS: This study was a qualitative secondary analysis of semi-structured interviews with OR team members conducted between November 2018 and July 2019. Participants were recruited across hospitals in Ontario, Canada. We conducted both purposive and snowball sampling until data saturation was reached. Transcripts were analyzed thematically by two independent research team members, moving from open to axial coding. RESULTS: Sixty-six interviews of OR healthcare professionals were completed: anesthesia (n=17), nursing (n=19), perfusion (n=2), and surgery (n=26). Traditional gender roles, norms, and stereotypes were perceived and experienced by both women and men, but with different consequences. Both women and men participants described challenges that women face in the OR, such as being perceived negatively for displaying leadership behaviours. Participants also reported that interactions and behaviours vary depending on the team gender composition, and that other social identities, such as age and race, often interact with gender. Nevertheless, participants indicated a belief that the influence of gender in the OR may be modified. CONCLUSIONS: The highly gendered reality of the OR creates an environment conducive to breakdowns in communuication and patient safety risks in addition to diminishing team morale, psychological safety, and provider well-being. Consequently, until teamwork interventions adequately account for gender, they are unlikely to be optimally effective or sustainable.
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spelling pubmed-86847022021-12-20 How gender shapes interprofessional teamwork in the operating room: a qualitative secondary analysis Etherington, Cole Kitto, Simon Burns, Joseph K. Adams, Tracey L. Birze, Arija Britton, Meghan Singh, Sukhbir Boet, Sylvain BMC Health Serv Res Research ABSTRACT: BACKGROUND: Despite substantial implications for healthcare provider practice and patient outcomes, gender has yet to be systematically explored with regard to interprofessional operating room (OR) teamwork. We aimed to explore and describe how gender and additional social identity factors shape experiences and perceptions of teamwork in the OR. METHODS: This study was a qualitative secondary analysis of semi-structured interviews with OR team members conducted between November 2018 and July 2019. Participants were recruited across hospitals in Ontario, Canada. We conducted both purposive and snowball sampling until data saturation was reached. Transcripts were analyzed thematically by two independent research team members, moving from open to axial coding. RESULTS: Sixty-six interviews of OR healthcare professionals were completed: anesthesia (n=17), nursing (n=19), perfusion (n=2), and surgery (n=26). Traditional gender roles, norms, and stereotypes were perceived and experienced by both women and men, but with different consequences. Both women and men participants described challenges that women face in the OR, such as being perceived negatively for displaying leadership behaviours. Participants also reported that interactions and behaviours vary depending on the team gender composition, and that other social identities, such as age and race, often interact with gender. Nevertheless, participants indicated a belief that the influence of gender in the OR may be modified. CONCLUSIONS: The highly gendered reality of the OR creates an environment conducive to breakdowns in communuication and patient safety risks in addition to diminishing team morale, psychological safety, and provider well-being. Consequently, until teamwork interventions adequately account for gender, they are unlikely to be optimally effective or sustainable. BioMed Central 2021-12-19 /pmc/articles/PMC8684702/ /pubmed/34923992 http://dx.doi.org/10.1186/s12913-021-07403-2 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Etherington, Cole
Kitto, Simon
Burns, Joseph K.
Adams, Tracey L.
Birze, Arija
Britton, Meghan
Singh, Sukhbir
Boet, Sylvain
How gender shapes interprofessional teamwork in the operating room: a qualitative secondary analysis
title How gender shapes interprofessional teamwork in the operating room: a qualitative secondary analysis
title_full How gender shapes interprofessional teamwork in the operating room: a qualitative secondary analysis
title_fullStr How gender shapes interprofessional teamwork in the operating room: a qualitative secondary analysis
title_full_unstemmed How gender shapes interprofessional teamwork in the operating room: a qualitative secondary analysis
title_short How gender shapes interprofessional teamwork in the operating room: a qualitative secondary analysis
title_sort how gender shapes interprofessional teamwork in the operating room: a qualitative secondary analysis
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8684702/
https://www.ncbi.nlm.nih.gov/pubmed/34923992
http://dx.doi.org/10.1186/s12913-021-07403-2
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