Perceived barriers to multiprofessional team briefings in operating theatres: a qualitative study
ObjectivesThis study investigates perceived barriers towards the implementation of multiprofessional team briefings (MPTB) in operating theatres, as well as ways to overcome these perceived barriers. Previous research shows that MPTB can enhance teamwork and communication, but are underused in opera...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2020-02-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/10/2/e032351.full |
| _version_ | 1818354482303467520 |
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| author | Laura Fruhen Joseph Alexandre Carpini Sharon K Parker Yee Leung Adrian F S Flemming |
| author_facet | Laura Fruhen Joseph Alexandre Carpini Sharon K Parker Yee Leung Adrian F S Flemming |
| author_sort | Laura Fruhen |
| collection | DOAJ |
| description | ObjectivesThis study investigates perceived barriers towards the implementation of multiprofessional team briefings (MPTB) in operating theatres, as well as ways to overcome these perceived barriers. Previous research shows that MPTB can enhance teamwork and communication, but are underused in operating theatres. By adopting a multilevel systems perspective, this study examines perceived barriers and solutions for MPTB implementation.DesignParticipants completed open-ended survey questions. Responses were coded via qualitative content analysis. The analysis focused on themes in the responses and the systems level at which each barrier and solution operates.SettingFour tertiary hospitals in Australia.Participants103 operating theatre staff, including nurses, surgeons, anaesthetists, technicians and administrators.ResultsParticipants identified barriers and solutions at the organisational (15.81% of barriers; 74.10% of solutions), work group (61.39% of barriers; 25.09% of solutions) and individual level (22.33% of barriers; 0% of solutions). Of all the perceived barriers to MPTB occurrence, a key one is getting everyone into the room at the same time . Matching of perceived barriers and solutions shows that higher systems-level solutions can address lower level barriers, thereby showing the relevance of implementing such wider reaching solutions to MPTB occurrence (including work practices at occupational level and above) as well as addressing more local issues.ConclusionsSuccessful MPTB implementation requires changes at various systems levels. Practitioners can strategically prepare and plan for systems-based strategies to overcome barriers to MPTB implementation. Future research can build on this study’s findings by directly examining higher systems-level barriers and solutions via detailed case analyses. |
| first_indexed | 2024-12-13T19:26:07Z |
| format | Article |
| id | doaj.art-3c41664c6d2242819f254860e18ced40 |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-12-13T19:26:07Z |
| publishDate | 2020-02-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-3c41664c6d2242819f254860e18ced402022-12-21T23:34:02ZengBMJ Publishing GroupBMJ Open2044-60552020-02-0110210.1136/bmjopen-2019-032351Perceived barriers to multiprofessional team briefings in operating theatres: a qualitative studyLaura Fruhen0Joseph Alexandre Carpini1Sharon K Parker2Yee Leung3Adrian F S Flemming41 School of Psychological Science, The University of Western Australia, Crawley, Western Australia, Australia2 Business School, The University of Western Australia, Crawley, Western Australia, Australia3 Future of Work Institute, Curtin University, Perth, Western Australia, AustraliaObstetrics and Gynaecology, The University of Western Australia Faculty of Health and Medical Sciences, Perth, Western Australia, Australia5 Faculty of Health and Medical Sciences, Surgery, The University of Western Australia, Crawley, Western Australia, AustraliaObjectivesThis study investigates perceived barriers towards the implementation of multiprofessional team briefings (MPTB) in operating theatres, as well as ways to overcome these perceived barriers. Previous research shows that MPTB can enhance teamwork and communication, but are underused in operating theatres. By adopting a multilevel systems perspective, this study examines perceived barriers and solutions for MPTB implementation.DesignParticipants completed open-ended survey questions. Responses were coded via qualitative content analysis. The analysis focused on themes in the responses and the systems level at which each barrier and solution operates.SettingFour tertiary hospitals in Australia.Participants103 operating theatre staff, including nurses, surgeons, anaesthetists, technicians and administrators.ResultsParticipants identified barriers and solutions at the organisational (15.81% of barriers; 74.10% of solutions), work group (61.39% of barriers; 25.09% of solutions) and individual level (22.33% of barriers; 0% of solutions). Of all the perceived barriers to MPTB occurrence, a key one is getting everyone into the room at the same time . Matching of perceived barriers and solutions shows that higher systems-level solutions can address lower level barriers, thereby showing the relevance of implementing such wider reaching solutions to MPTB occurrence (including work practices at occupational level and above) as well as addressing more local issues.ConclusionsSuccessful MPTB implementation requires changes at various systems levels. Practitioners can strategically prepare and plan for systems-based strategies to overcome barriers to MPTB implementation. Future research can build on this study’s findings by directly examining higher systems-level barriers and solutions via detailed case analyses.https://bmjopen.bmj.com/content/10/2/e032351.full |
| spellingShingle | Laura Fruhen Joseph Alexandre Carpini Sharon K Parker Yee Leung Adrian F S Flemming Perceived barriers to multiprofessional team briefings in operating theatres: a qualitative study BMJ Open |
| title | Perceived barriers to multiprofessional team briefings in operating theatres: a qualitative study |
| title_full | Perceived barriers to multiprofessional team briefings in operating theatres: a qualitative study |
| title_fullStr | Perceived barriers to multiprofessional team briefings in operating theatres: a qualitative study |
| title_full_unstemmed | Perceived barriers to multiprofessional team briefings in operating theatres: a qualitative study |
| title_short | Perceived barriers to multiprofessional team briefings in operating theatres: a qualitative study |
| title_sort | perceived barriers to multiprofessional team briefings in operating theatres a qualitative study |
| url | https://bmjopen.bmj.com/content/10/2/e032351.full |
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