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首页> 外文期刊>BMC Surgery >Interprofessional work in operating rooms: a qualitative study from Sri Lanka
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Interprofessional work in operating rooms: a qualitative study from Sri Lanka

机译：手术室的跨专业工作：来自斯里兰卡的定性研究

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Background A growing body of research shows links between poor teamwork and preventable surgical errors. Similar work has received little attention in the Global South, and in South Asia, in particular. This paper describes surgeons’ perception of teamwork, team members’ roles, and the team processes in a teaching hospital in Sri Lanka to highlight the nature of interprofessional teamwork and the factors that influence teamwork in this setting. Methods Data gathered from interviews with 15 surgeons were analyzed using a conceptual framework for interprofessional teamwork. Results Interprofessional teamwork was characterized by low levels of interdependency and integration of work. The demarcation of roles and responsibilities for surgeons, nurses, and anesthetists appeared to be a strong element of interprofessional teamwork in this setting. Various relational factors, such as, professional power, hierarchy, and socialization, as well as contextual factors, such as, patriarchy and gender norms influenced interprofessional collaboration, and created barriers to communication between surgeons and nurses. Junior surgeons derived their understanding of appropriate practices mainly from observing senior surgeons, and there was a lack of formal training opportunities and motivation to develop non-technical skills that could improve interprofessional teamwork in operating rooms. Conclusions A more nuanced view of interprofessional teamwork can highlight the different elements of such work suited for each specific setting. Understanding the relational and contextual factors related to and influencing interprofessional socialization and status hierarchies can help improve quality of teamwork, and the training and mentoring of junior members.
机译：背景技术越来越多的研究表明，团队合作不佳与可预防的手术失误之间存在联系。在全球南方，特别是南亚，类似的工作很少受到关注。本文介绍了外科医生在斯里兰卡的一家教学医院中对团队合作，团队成员的角色以及团队流程的看法，以强调跨专业团队合作的性质以及在这种情况下影响团队合作的因素。方法使用专业团队间合作的概念框架，对从15位外科医生的访谈中收集的数据进行分析。结果专业间团队合作的特点是相互依存度和工作整合度较低。在这种情况下，对外科医生，护士和麻醉师的角色和职责的划分似乎是跨专业团队合作的重要组成部分。各种关系因素（例如，专业权力，等级和社会化程度）以及上下文因素（例如，父权制和性别规范）影响着专业间的合作，并为外科医生与护士之间的交流创造了障碍。初级外科医生主要通过观察高级外科医生来获得对适当做法的理解，并且缺乏正规的培训机会和动力来发展非技术技能，以改善手术室的跨专业团队合作。结论对跨行业团队合作的更细致入微的看法可以突出显示适合于每个特定环境的此类工作的不同要素。了解与职业间社会化和地位等级相关并影响职业之间的关联和上下文的因素，可以帮助提高团队合作的质量以及初级成员的培训和指导。

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