Department of Surgery and Cancer, Imperial College London, 5th Floor, Wright Fleming Building, Norfolk Place, London, W2 1PG, UK.
Am J Surg. 2011 Jan;201(1):24-30. doi: 10.1016/j.amjsurg.2010.07.039.
although effective teamwork is fundamental to patient safety in the operating room (OR), acute stress increasingly is recognized as detrimental for teamwork. This study concurrently assessed teamwork and stress levels experienced by OR team members.
data were collected in real time in 20 elective surgical cases. The validated Observational Teamwork Assessment for Surgery was used to assess teamwork, whereas stress was assessed using the validated State-Trait Anxiety Inventory.
teamwork was overall above the scale midpoint, with higher scores preoperatively than in subsequent phases of the procedure, and also higher ratings for anesthetic subteams compared with surgical and nursing subteams (all P < .01). Overall stress levels were low. Qualitative analyses revealed differences across team members: circulating staff preoperatively and assistant surgeons intraoperatively and postoperatively were most likely to be stressed.
the study offers a feasible method for concurrently assessing stress and teamwork in the OR and reveals differences across team members' stress levels as surgery unfolds. This methodology can be used to increase understanding of the impact of stress on team performance in the OR.
尽管有效的团队合作对于手术室（OR）的患者安全至关重要，但急性应激越来越被认为对团队合作有害。本研究同时评估了 OR 团队成员的团队合作和压力水平。
在 20 例择期手术中实时收集数据。使用经过验证的手术观察团队协作评估来评估团队合作，而使用经过验证的状态-特质焦虑量表评估压力。
团队合作总体上高于量表中点，术前得分高于手术过程的后续阶段，麻醉亚团队的评分也高于手术和护理亚团队（均 P <.01）。整体压力水平较低。定性分析显示团队成员之间存在差异：巡回护士在术前，助理外科医生在手术中和术后最有可能感到压力。
该研究提供了一种可行的方法，可同时评估 OR 中的压力和团队合作，并揭示了手术过程中团队成员压力水平的差异。这种方法可用于提高对 OR 中压力对团队绩效的影响的理解。
