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Differences in nurse and surgeon perceptions of teamwork: implications for use of a briefing checklist in the OR.
AORN J. 2010 Jun; 91(6):722-9.AJ

Abstract

The quality of teamwork among health care professionals is known to affect patient outcomes. In the OR, surgeons report more favorable perceptions of communication during procedures and of teamwork effectiveness than do nurses. We undertook a quality improvement project in the Veterans Health Administration to confirm reported teamwork differences between perioperative nurses and surgeons and to examine the implications of these differences for improving practice patterns in the OR. The Safety Attitudes Questionnaire, which measures safety culture, including the quality of communication and collaboration among health care providers who routinely work together, was administered in 34 hospitals. Perioperative nurses who participated in the survey rated teamwork higher with other nurses than with surgeons, but surgeons rated teamwork high with each other and with nurses. On five of six communication and collaboration items, surgeons had a significantly more favorable perception than did perioperative nurses. To increase the likelihood of success when implementing the use of checklist-based crew resource management tools, such as the World Health Organization's Surgical Safety Checklist, project leaders should anticipate differences in perception between members of the different professions that must be overcome if teamwork is to be improved.

Authors+Show Affiliations

Field Office, National Center for Patient Safety, White River Junction, VT, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

20510945

Citation

Carney, Brian T., et al. "Differences in Nurse and Surgeon Perceptions of Teamwork: Implications for Use of a Briefing Checklist in the OR." AORN Journal, vol. 91, no. 6, 2010, pp. 722-9.
Carney BT, West P, Neily J, et al. Differences in nurse and surgeon perceptions of teamwork: implications for use of a briefing checklist in the OR. AORN J. 2010;91(6):722-9.
Carney, B. T., West, P., Neily, J., Mills, P. D., & Bagian, J. P. (2010). Differences in nurse and surgeon perceptions of teamwork: implications for use of a briefing checklist in the OR. AORN Journal, 91(6), 722-9. https://doi.org/10.1016/j.aorn.2009.11.066
Carney BT, et al. Differences in Nurse and Surgeon Perceptions of Teamwork: Implications for Use of a Briefing Checklist in the OR. AORN J. 2010;91(6):722-9. PubMed PMID: 20510945.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Differences in nurse and surgeon perceptions of teamwork: implications for use of a briefing checklist in the OR. AU - Carney,Brian T, AU - West,Priscilla, AU - Neily,Julia, AU - Mills,Peter D, AU - Bagian,James P, PY - 2009/08/28/received PY - 2009/11/10/revised PY - 2009/11/14/accepted PY - 2010/6/1/entrez PY - 2010/6/1/pubmed PY - 2010/9/21/medline SP - 722 EP - 9 JF - AORN journal JO - AORN J VL - 91 IS - 6 N2 - The quality of teamwork among health care professionals is known to affect patient outcomes. In the OR, surgeons report more favorable perceptions of communication during procedures and of teamwork effectiveness than do nurses. We undertook a quality improvement project in the Veterans Health Administration to confirm reported teamwork differences between perioperative nurses and surgeons and to examine the implications of these differences for improving practice patterns in the OR. The Safety Attitudes Questionnaire, which measures safety culture, including the quality of communication and collaboration among health care providers who routinely work together, was administered in 34 hospitals. Perioperative nurses who participated in the survey rated teamwork higher with other nurses than with surgeons, but surgeons rated teamwork high with each other and with nurses. On five of six communication and collaboration items, surgeons had a significantly more favorable perception than did perioperative nurses. To increase the likelihood of success when implementing the use of checklist-based crew resource management tools, such as the World Health Organization's Surgical Safety Checklist, project leaders should anticipate differences in perception between members of the different professions that must be overcome if teamwork is to be improved. SN - 1878-0369 UR - https://wwww.unboundmedicine.com/medline/citation/20510945/Differences_in_nurse_and_surgeon_perceptions_of_teamwork:_implications_for_use_of_a_briefing_checklist_in_the_OR_ L2 - https://doi.org/10.1016/j.aorn.2009.11.066 DB - PRIME DP - Unbound Medicine ER -