Bogdanovic Jasmina, Perry Juliana, Guggenheim Merlin, Manser Tanja
Industrial Psychology and Human Factors Group, Department of Psychology, University of Fribourg, Fribourg, Switzerland.
Division of Plastic Surgery and Hand Surgery, University Hospital Zurich, Zurich, Switzerland.
BMC Health Serv Res. 2015 Apr 1;15:128. doi: 10.1186/s12913-015-0792-5.
Effective teamwork has been recognised as a major contributor to safe patient care in surgery. Previous research has highlighted the importance of adaptive coordination for effective performance in acute care settings. Expanding this line of research this study explores the coordination behaviours and adaptive coordination strategies employed by surgical teams and identifies relevant situational characteristics influencing those coordination processes.
We conducted a qualitative content analysis of semi-structured interviews with 33 surgical team members (nurses and physicians) from different specialties and hospitals.
We identified coordination behaviours (i.e. task management, information management, teaching and leadership) and adaptive coordination strategies triggered by varying requirements due to non-routine events, intraoperative complications and differing level of experience among operating room staff. Interviewees highlighted the importance of effectively managing challenging moments and the supporting effect of positive climate on teamwork.
This study complements previous research on the non-technical skills underpinning safe performance in surgical teams. It highlights the central role of coordination and points out the ways in which situational variability requires the team to behave adaptively.
有效的团队合作已被公认为是手术中保障患者安全护理的主要因素。先前的研究强调了适应性协调对于急症护理环境中有效表现的重要性。本研究拓展了这一研究方向，探讨了手术团队所采用的协调行为和适应性协调策略，并确定了影响这些协调过程的相关情境特征。
我们对来自不同专科和医院的33名手术团队成员（护士和医生）进行了半结构化访谈，并进行了定性内容分析。
我们确定了协调行为（即任务管理、信息管理、教学和领导）以及因非常规事件、术中并发症和手术室工作人员经验水平不同而产生的各种需求所引发的适应性协调策略。受访者强调了有效应对挑战时刻的重要性以及积极氛围对团队合作的支持作用。
本研究补充了先前关于支撑手术团队安全表现的非技术技能的研究。它突出了协调的核心作用，并指出了情境变化要求团队进行适应性行为的方式。
