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在实践中解读手术室的氛围:借鉴文献来梳理脉络。

Contextualizing the tone of the operating room in practice: drawing on the literature to connect the dots.

作者信息

Lia Hillary, Hammond Mobilio Melanie, Rudzicz Frank, Moulton Carol-Anne

机构信息

The Wilson Centre, Toronto General Hospital, University Health Network, Toronto, ON, Canada.

Temerty Faculty of Medicine, Institute of Medical Science, University of Toronto, Toronto, ON, Canada.

出版信息

Front Psychol. 2023 Jun 2;14:1167098. doi: 10.3389/fpsyg.2023.1167098. eCollection 2023.

DOI:10.3389/fpsyg.2023.1167098
PMID:37333581
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10272790/
Abstract

The study of teamwork in the operating room has made significant strides in uncovering key constructs which shape safe and effective intraoperative care. However, in recent years, there have been calls to understand teamwork in the operating room more fully by embracing the complexity of the intraoperative environment. We propose the construct of tone as a useful lens through which to understand intraoperative teamwork. In this article, we review the literature on culture, shared mental models, and psychological safety, linking each to the construct of tone. By identifying tone as a theoretical orientation to demonstrate the overlap between these concepts, we aim to provide a starting point for new ways to understand intraoperative team dynamics.

摘要

手术室团队合作的研究在揭示塑造安全有效术中护理的关键要素方面取得了重大进展。然而,近年来,人们呼吁通过接受术中环境的复杂性来更全面地理解手术室中的团队合作。我们提出 “氛围” 这一要素,作为理解术中团队合作的有用视角。在本文中,我们回顾了关于文化、共享心智模型和心理安全的文献,并将每一项与 “氛围” 要素联系起来。通过将 “氛围” 确定为一种理论导向,以展示这些概念之间的重叠之处,我们旨在为理解术中团队动态的新方法提供一个起点。

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本文引用的文献

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Effects of shared mental models in teams performing video-assisted thoracoscopic surgery lobectomy.团队中共享心理模型对胸腔镜辅助肺叶切除术的影响。
Surg Endosc. 2022 Aug;36(8):6007-6015. doi: 10.1007/s00464-021-08972-3. Epub 2022 Jan 24.
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The presence and potential impact of psychological safety in the healthcare setting: an evidence synthesis.医疗环境中心理安全感的存在及其潜在影响:证据综合。
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BMJ Open. 2018 Dec 16;8(12):e022882. doi: 10.1136/bmjopen-2018-022882.
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Effective Leadership of Surgical Teams: A Mixed Methods Study of Surgeon Behaviors and Functions.手术团队的有效领导:一项关于外科医生行为与职能的混合方法研究
Ann Thorac Surg. 2017 Aug;104(2):530-537. doi: 10.1016/j.athoracsur.2017.01.021. Epub 2017 Apr 8.
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