Do we really collaborate effectively in the operating theatre? A cross- sectional study in two hospitals in Greece

  • Authors

    • Athina Patelarou RN, MPH, Department of Anaesthesiology, University Hospital of Heraklion, Crete, Greece
    • Aggelos Laliotis
    • Dimitra Sifaki Pistola Statistician, MPH, Department of Social Medicine, University of Crete, Crete, Greece
    • Sofia Marinaki RN, Independent researcher, Crete, Greece
    • Zacharenia Androulaki RN, PhD, Department of Nursing, Technological Institute of Crete, School of Health Science, Crete, Greece
    • Chrysoula Tsiou RN, PhD, Department of Nursing, Technological Institute of Nursing, School of Health Science, Athens, Greece
    • Hero Brokalaki RN, PhD, Department of Nursing, University of Athens, Athens, Greece
    2014-11-24
    https://doi.org/10.14419/ijans.v3i2.3278
  • Aggression, Disagreement, Nurse, Operating Theatre, Teamwork.

  • Abstract

    The aim of this study was to translate the Disagreement and Aggression in the Operating Theatre Scale (DAOTS) into Greek and investigate the frequency of perceived conflicts, the sources of disagreement and the suggested methods of coping with them within and among professional groups in operating theatres in Greece. The results of this study support the reliability and validity of the DAOTS. The majority of the respondents had witnessed episodes of aggressive behaviour and/or disagreement during the last six months. Physicians more frequently revealed an aggressive behaviour towards a colleague, while nurses were found to be witnesses of a conflict between different professional teams. Daily/weekly disagreements among respondents about availability of equipment, theatre time, changes in the list order and availability of surgical staff were reported. Additionally, hospital type and years of professional experience are considered to affect the prevalence of exposure to a disagreement.

  • References

    1. AIHW (2007) Sentinel Events in Australian Public Hospitals 2004–05. Australian Institute of Health & Welfare. 1–35.
    2. Almost J (2006) Conflict within nursing work environments: concept analysis. Journal of Advanced Nursing 53, 444–53. http://dx.doi.org/10.1111/j.1365-2648.2006.03738.x.
    3. Beardwood B, Walters V, Eyles J & French C (1999) Complaints against nurses: a reflection of the 'new managerialism' and consumerism in health care? Social Science and Medicine 48, 363–74. http://dx.doi.org/10.1016/S0277-9536 (98)00340-2.
    4. Bleakley A, Boyden J, Hobbs A, Walsh L & Allard J (2006) Improving teamwork climate in operating theatres: the shift from multiprofesisonalism to interprofessionalism. Journal of Interprofessional Care 20, 461–70. http://dx.doi.org/10.1080/13561820600921915.
    5. Borrill C, West M, Shapiro D & Rees A (2000) Team working and effectiveness in health care. British Journal of Health Care Management 6, 364–71. http://dx.doi.org/10.12968/bjhc.2000.6.8.19300.
    6. Brannick MT & Prince C (1997) an overview of team performance measurement. In: M.T. Brannick, E. Salas & C. Prince (Eds.) Team performance Assessment and Measurement: Theory, methods, and Applications (pp 3-16) (Mahwah, NJ: Lawrence Erlbaum Associates).
    7. Cashman SB, Reidy P, Cody K, & Lemay CA (2004) Developing and measuring progress toward collaborative, integrated, interdisciplinary health care teams. Journal of Interprofessional Care 18, 184–96. http://dx.doi.org/10.1080/13561820410001686936.
    8. Coe R & Gould D (2008) Disagreement and aggression in the operating theatre. J Adv Nurs 61, 609-18. http://dx.doi.org/10.1111/j.1365-2648.2007.04544.x.
    9. Collins H (1994) Dissecting surgery: forms of life depersonalized. Social Studies of Science 24, 311–33. http://dx.doi.org/10.1177/030631279402400205.
    10. Corder GW & Foreman DI (2009) Nonparametric Statistics for Non-Statisticians: A Step-by-Step Approach Wiley.
    11. Cronbach LJ & Shavelson RJ (2004) My Current Thoughts on Coefficient Alpha and Successor Procedures. Educational and Psychological Measurement 64, 391–418. http://dx.doi.org/10.1177/0013164404266386.
    12. Dieleman SL, Farris KB, Feeny D. Johnson JA, Tsuyuki RT & Brilliant S (2004) Primary health care teams: team members' perceptions of the collaborative process. Journal of Interprofessional Care 18, 75–8. http://dx.doi.org/10.1080/13561820410001639370.
    13. Flin R, Burns C, Mearns K, Yule S & Robertson EM (2006) Measuring safety climate in health care. Qual Saf Health Care 15, 109–15. http://dx.doi.org/10.1136/qshc.2005.014761.
    14. Gawande AA, Studdert DM, Orav EJ, Brennan TA & Zinner MJ (2003) Risk factors for retained instruments and sponges after surgery N Engl J Med 348, 229–35. http://dx.doi.org/10.1056/NEJMsa021721.
    15. Gillespie BM & Kermode S (2003) how do perioperative nurses cope with stress? Contemporary Nurse: A Journal for the Australian Nursing Profession 16, 20–9. http://dx.doi.org/10.5172/conu.16.1-2.20.
    16. Hudson B (2002) Interprofessionality in health and social care: the Achilles' heel of partnership? Journal of Interprofessional Care 16, 7–17. http://dx.doi.org/10.1080/13561820220104122.
    17. Kohn LT, Corrigan JM & Donaldson MS (1999) to err is human: building a safer health system. Washington, DC: National Academy Press.
    18. Lambert VA, Lambert CE & Ito M (2004) Workplace stressors, ways of coping and demographic characteristics as predictors of physical and mental health of Japanese hospital nurses. International Journal of Nursing Studies 41, 85–97. http://dx.doi.org/10.1016/S0020-7489 (03)00080-4.
    19. Leathard A. 2003 (ed.) Interprofessional Collaboration: From Policy to Practice in Health and Social Care. Hove: Brunner-Routledge.
    20. Lingard L, Espin S, Whyte S, Regehr G, Baker GR, Reznick R, Bohnen J, Orser B, Doran D, Grober E. (2004) Communication failures in the operating room: an observational classification of recurrent types and effects. Quality & Safety in Healthcare 13, 330–4. http://dx.doi.org/10.1136/qshc.2003.008425.
    21. Makary MA, Sexton JB, Freischlag JA, Holzmueller CG, Millman EA, Rowen L. Pronovost PJ. (2006) Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder. J Am Coll Surg 202, 746-52. http://dx.doi.org/10.1016/j.jamcollsurg.2006.01.017.
    22. Moss J & Xiao Y (2004) Improving operating room coordination: communication pattern assessment. Journal of Nursing Administration 34, 93–100. http://dx.doi.org/10.1097/00005110-200402000-00008.
    23. O'Connor P, Ryan S & Keogh I (2012) A comparison of the teamwork attitudes and knowledge of Irish surgeons and U.S Naval aviators. Surgeon 10(5), 278-82. http://dx.doi.org/10.1016/j.surge.2011.09.001.
    24. Patelarou E, Vardavas CI, Ntzilepi P & Sourtzi P (2009) Nursing education and practice in a changing environment: the case of Greece. Nurse Educ Today 29, 840-4. http://dx.doi.org/10.1016/j.nedt.2009.04.005.
    25. Polit DF & Beck CT (2012) Nursing Research: Generating and Assessing Evidence for Nursing Practice, 9th ed. Philadelphia, USA: Wolters Klower Health, Lippincott Williams & Wilkins.
    26. Pope C (2002) Contingency in everyday surgical work. Sociology of Health and Illness 24, 369–84. http://dx.doi.org/10.1111/1467-9566.00300.
    27. Posner B & Randolph W (1979) Perceived situation moderators of the relationship between role ambiguity, job satisfaction, and effectiveness. J Soc Psychol 109, 237- 44. http://dx.doi.org/10.1080/00224545.1979.9924199.
    28. Rowe MM & Sherlock H (2005) Stress and verbal abuse in nursing: do burned out nurses eat their young? J Nurs Manag 13, 242-8. http://dx.doi.org/10.1111/j.1365-2834.2004.00533.x
    29. Rutherford J & McArthur M (2004) A qualitative account of the factors affecting team learning in primary care. Education for Primary Care 15, 352–60.
    30. Schaefer HG, R Helmreich RL & Scheidegger D (1995) Safety in the operating theatre – Part 1: interpersonal relationships and team performance. Current Anaesthesia and Critical Care 6, 48–53. http://dx.doi.org/10.1016/S0953-7112 (05)80198-X.
    31. Svensson R (1996) the interplay between doctors and nurses: a negotiated order perspective. Sociology of Health and Illness 18, 379–98. http://dx.doi.org/10.1111/1467-9566.ep10934735.
    32. Timmons S & Tanner J (2005) Operating theatre nurses: emotional labour and the hostess role. International Journal of Nursing Practice 11, 85–91. http://dx.doi.org/10.1111/j.1440-172X.2005.00507.x.
    33. Walby S, Greenwell J with Mackay L & Soothill K. (1994) Medicine and Nursing: Professions in a Changing Health Service. London: Sage.
    34. Weinberg a & Creed F (2000) Stress and psychiatric disorder in healthcare professionals and hospital staff. The Lancet 355, 533– 7. http://dx.doi.org/10.1016/S0140-6736 (99)07366-3.
    35. Wiegmann DA, ElBardissi AW, Dearani JA, Daly RC & Sundt TM. (2007) Disruptions in surgical flow and their relationship to surgical errors: an exploratory investigation. Surgery 142, 658–65. http://dx.doi.org/10.1016/j.surg.2007.07.034.
    36. Wicks D (1998) Nurses and Doctors at Work Rethinking Professional Boundaries. Open University Press, Buckingham.
    37. Wiles R & Robinson J (1994) Teamwork in primary care: the views and experiences of nurses, midwives and health visitors. Journal of Advanced Nursing 20, 324–30. http://dx.doi.org/10.1046/j.1365-2648.1994.20020324.x.

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  • How to Cite

    Patelarou, A., Laliotis, A., Sifaki Pistola, D., Marinaki, S., Androulaki, Z., Tsiou, C., & Brokalaki, H. (2014). Do we really collaborate effectively in the operating theatre? A cross- sectional study in two hospitals in Greece. International Journal of Advanced Nursing Studies, 3(2), 113-121. https://doi.org/10.14419/ijans.v3i2.3278

    Received date: 2014-07-26

    Accepted date: 2014-10-05

    Published date: 2014-11-24