Alone Together: Is Strain Experienced Concurrently by Members of Operating Room Teams?: An Event-based Study
Objective:. To identify which strain episodes are concurrently reported by several team members; to identify triggers of strain experienced by operating room (OR) team members during the intraoperative phase. Summary:. OR teams are confronted with many sources of strain. However, most studies invest...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Health
2023-09-01
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| Series: | Annals of Surgery Open |
| Online Access: | http://journals.lww.com/10.1097/AS9.0000000000000333 |
| _version_ | 1797646889354526720 |
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| author | Sandra Keller, PhD Steven Yule, PhD Douglas S. Smink, MD, MPH Vivian Zagarese, BSc Shawn Safford, MD Fidel A. Valea, MD Guido Beldi, MD Sarah Henrickson Parker, PhD |
| author_facet | Sandra Keller, PhD Steven Yule, PhD Douglas S. Smink, MD, MPH Vivian Zagarese, BSc Shawn Safford, MD Fidel A. Valea, MD Guido Beldi, MD Sarah Henrickson Parker, PhD |
| author_sort | Sandra Keller, PhD |
| collection | DOAJ |
| description | Objective:. To identify which strain episodes are concurrently reported by several team members; to identify triggers of strain experienced by operating room (OR) team members during the intraoperative phase.
Summary:. OR teams are confronted with many sources of strain. However, most studies investigate strain on a general, rather than an event-based level, which does not allow to determine if strain episodes are experienced concurrently by different team members.
Methods:. We conducted an event-based, observational study, at an academic medical center in North America and included 113 operations performed in 5 surgical departments (general, vascular, pediatric, gynecology, and trauma/acute care). Strain episodes were assessed with a guided-recall method. Immediately after operations, participants mentally recalled the operation, described the strain episodes experienced and their content.
Results:. Based on 731 guided recalls, 461 strain episodes were reported; these refer to 312 unique strain episodes. Overall, 75% of strain episodes were experienced by a single team member only. Among different categories of unique strain episodes, those triggered by task complexity, issues with material, or others’ behaviors were typically experienced by 1 team member only. However, acute patient issues (n = 167) and observations of others’ strain (n = 12) (respectively, 58.5%; P < 0.001 and 83.3%; P < 0.001) were often experienced by 2 or more team members.
Conclusions and relevance:. OR team members are likely to experience strain alone, unless patient safety is at stake. This may jeopardize the building of a shared understanding among OR team members. |
| first_indexed | 2024-03-11T15:09:21Z |
| format | Article |
| id | doaj.art-f38fdaa09a4d41a9aecdda1c3c9bd707 |
| institution | Directory Open Access Journal |
| issn | 2691-3593 |
| language | English |
| last_indexed | 2024-03-11T15:09:21Z |
| publishDate | 2023-09-01 |
| publisher | Wolters Kluwer Health |
| record_format | Article |
| series | Annals of Surgery Open |
| spelling | doaj.art-f38fdaa09a4d41a9aecdda1c3c9bd7072023-10-30T03:37:09ZengWolters Kluwer HealthAnnals of Surgery Open2691-35932023-09-0143e33310.1097/AS9.0000000000000333202309000-00034Alone Together: Is Strain Experienced Concurrently by Members of Operating Room Teams?: An Event-based StudySandra Keller, PhD0Steven Yule, PhD1Douglas S. Smink, MD, MPH2Vivian Zagarese, BSc3Shawn Safford, MD4Fidel A. Valea, MD5Guido Beldi, MD6Sarah Henrickson Parker, PhD7From the * Fralin Biomedical Research Institute at Virginia Tech Carilion, Roanoke, VA‡ Center for Surgery and Public Health, Brigham and Women’s Hospital, Boston, MA‡ Center for Surgery and Public Health, Brigham and Women’s Hospital, Boston, MA# Department of Psychology, Virginia Tech, Blacksburg, VA** Division of Paediatric Surgery, Virginia Tech Carilion School of Medicine, Roanoke, VA‡‡ Department of Obstetrics and Gynecology, Carilion Clinic, Roanoke, VA.† Department of Visceral Surgery and Medicine, Bern University Hospital, University of Bern, SwitzerlandFrom the * Fralin Biomedical Research Institute at Virginia Tech Carilion, Roanoke, VAObjective:. To identify which strain episodes are concurrently reported by several team members; to identify triggers of strain experienced by operating room (OR) team members during the intraoperative phase. Summary:. OR teams are confronted with many sources of strain. However, most studies investigate strain on a general, rather than an event-based level, which does not allow to determine if strain episodes are experienced concurrently by different team members. Methods:. We conducted an event-based, observational study, at an academic medical center in North America and included 113 operations performed in 5 surgical departments (general, vascular, pediatric, gynecology, and trauma/acute care). Strain episodes were assessed with a guided-recall method. Immediately after operations, participants mentally recalled the operation, described the strain episodes experienced and their content. Results:. Based on 731 guided recalls, 461 strain episodes were reported; these refer to 312 unique strain episodes. Overall, 75% of strain episodes were experienced by a single team member only. Among different categories of unique strain episodes, those triggered by task complexity, issues with material, or others’ behaviors were typically experienced by 1 team member only. However, acute patient issues (n = 167) and observations of others’ strain (n = 12) (respectively, 58.5%; P < 0.001 and 83.3%; P < 0.001) were often experienced by 2 or more team members. Conclusions and relevance:. OR team members are likely to experience strain alone, unless patient safety is at stake. This may jeopardize the building of a shared understanding among OR team members.http://journals.lww.com/10.1097/AS9.0000000000000333 |
| spellingShingle | Sandra Keller, PhD Steven Yule, PhD Douglas S. Smink, MD, MPH Vivian Zagarese, BSc Shawn Safford, MD Fidel A. Valea, MD Guido Beldi, MD Sarah Henrickson Parker, PhD Alone Together: Is Strain Experienced Concurrently by Members of Operating Room Teams?: An Event-based Study Annals of Surgery Open |
| title | Alone Together: Is Strain Experienced Concurrently by Members of Operating Room Teams?: An Event-based Study |
| title_full | Alone Together: Is Strain Experienced Concurrently by Members of Operating Room Teams?: An Event-based Study |
| title_fullStr | Alone Together: Is Strain Experienced Concurrently by Members of Operating Room Teams?: An Event-based Study |
| title_full_unstemmed | Alone Together: Is Strain Experienced Concurrently by Members of Operating Room Teams?: An Event-based Study |
| title_short | Alone Together: Is Strain Experienced Concurrently by Members of Operating Room Teams?: An Event-based Study |
| title_sort | alone together is strain experienced concurrently by members of operating room teams an event based study |
| url | http://journals.lww.com/10.1097/AS9.0000000000000333 |
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