The impact of organisational and individual factors on team communication in surgery: A qualitative study

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Title The impact of organisational and individual factors on team communication in surgery: A qualitative study
Author Gillespie, Brigid Mary; Chaboyer, Wendy; Longbottom, Paula Lee; Wallis, Marianne
Journal Name International Journal of Nursing Studies
Editor Ian Norman
Year Published 2010
Place of publication United Kingdom
Publisher Elsevier
Abstract Background: Effective teamwork and communication is a crucial determinant of patient safety in the operating room. Communication failures are often underpinned by the inherent differences in professional practices across disciplines, and the ways in which they collaborate. Despite the overwhelming international support to improve team communication, progress has been slow. Objective: The aim of this paper is to extend understanding of the organisational and individual factors that influence teamwork in surgery. Design: A grounded theory approach was used. Setting and Participants: A purposive sample of 16 participants including surgeons, anaesthetists, and nurses who worked in an operating room of a large metropolitan hospital in south east Queensland, Australia, were selected. Methods: Participants were interviewed during 2008 using semi-structured individual and group interviews. All interviews were recorded and transcribed. Using a combination of inductive and deductive approaches, thematic analyses uncovered individual experiences in association with teamwork in surgery. Results: Analysis generated three themes which identified and described causal patterns of multidisciplinary teamwork practices; multidisciplinary diversity in teams contributes to complex interpersonal relations, the pervasive influence of the organisation on team cohesion, and, education is the panacea to improving team communications.
Peer Reviewed Yes
Published Yes
Alternative URI http://dx.doi.org/10.1016/j.ijnurstu.2009.11.001
Copyright Statement Copyright 2010 Elsevier. This is the author-manuscript version of this paper. Reproduced in accordance with the copyright policy of the publisher. Please refer to the journal's website for access to the definitive, published version.
Volume 47
Issue Number 6
Page from 732
Page to 741
ISSN 0020-7489
Date Accessioned 2010-07-02
Date Available 2011-06-07T06:57:15Z
Language en_AU
Research Centre Centre for Health Practice Innovation; Griffith Health Institute
Faculty Griffith Health Faculty
Subject Clinical Nursing: Secondary (Acute Care); Nursing
URI http://hdl.handle.net/10072/32265
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1

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