Cent Eur J Nurs Midw 2021, 12(3):430-440 | DOI: 10.15452/cejnm.2021.12.0018
Teamwork: a perspective of perioperative nurses
- 1 Department of Development, Social Services and Health Care, The City of Tampere, Finland
- 2 Department of Gastroenterology, Surgery and Ochology, Tampere University Hospital, Finland
- 3 Health Sciences, Faculty of Social Sciences, Tampere University, Finland
Aim: This paper aims to analyse perioperative nurses’ views of teamwork through team membership, team functionality, team cohesion, and team members’ professionalism.
Design: A descriptive, cross-sectional study.
Methods: A questionnaire was sent to perioperative nurses working in one hospital district in Finland (n = 96). Data was collected by the Teamwork Scale and statistically analysed.
Results: Perioperative nurses experienced teamwork positively. Team membership was associated with primary operating room (OR) role, engagement in the workplace, and perceived work empowerment. Team functionality was associated with combined OR role, working experience in healthcare, working experience as a perioperative nurse, and working shift. Team cohesion was associated with working shift and engagement in the workplace. Team members’ professionalism was associated with engagement in the workplace, employment, and perceived work empowerment.
Conclusion: Perioperative nurses’ primary OR role and working shift had several connections to teamwork. This should be taken into careful consideration by OR managers in their daily work.
Keywords: operating room, perioperative nurse, questionnaire, teamwork
Received: December 19, 2020; Revised: April 10, 2021; Accepted: April 18, 2021; Prepublished online: June 27, 2021; Published: September 7, 2021 Show citation
References
- Aveling, E. L., Stone, J., Sundt, T., Wright, C., Gino, F., & Singer, S. (2018). Factors influencing team behaviors in surgery: a qualitative study to inform teamwork interventions. The Annals of Thoracic Surgery, 106(1), 115-120. https://doi.org/10.1016/j.athoracsur.2017.12.045
Go to original source...
Go to PubMed...
- Bezemer, J., Korkiakangas, T., Weldon, S. M., Kress, G., & Kneebone, R. (2016). Unsettled teamwork: communication and learning in the operating theatres of an urban hospital. Journal of Advanced Nursing, 72(2), 361-372. https://doi.org/10.1111/jan.12835
Go to original source...
Go to PubMed...
- Bogdanovic, J., Perry, J., Guggenheim, M., & Manser, T. (2015). Adaptive coordination in surgical teams: an interview study. BMC Health Services Research, 15, 128. https://doi.org/10.1186/s12913-015-0792-5
Go to original source...
Go to PubMed...
- Brunges, M. & Foley-Brinza, C. (2014). Projects for increasing job satisfaction and creating a healthy work environment. AORN Journal, 100(6), 670-681. https://doi.org/10.1016/j.aorn.2014.01.029
Go to original source...
Go to PubMed...
- Buttigieg, S. C., West, M. A., & Dawson, J. F. (2011). Well-structured teams and the buffering of hospital employees from stress. Health Services Management Research, 24(4), 203-212. https://doi.org/10.1258/hsmr.2011.011013
Go to original source...
Go to PubMed...
- Casey-Campbell, M., & Martens, M. L. (2009). Sticking it all together: a critical assessment of the group cohesion-performance literature. International Journal of Management Reviews, 11(2), 223-246. https://doi.org/10.1111/j.1468-2370.2008.00239.x
Go to original source...
- Catchpole, K. (2010). Errors in the operating theatre - how to spot and stop them. Journal of Health Services Research & Policy, 15(Suppl 1), 48-51. https://doi.org/10.1258/jhsrp.2009.09s105
Go to original source...
Go to PubMed...
- Cumin, D., Skilton, C., & Weller, J. (2017). Information transfer in multidisciplinary operating room teams: a simulation-based observational study. BMJ Quality & Safety, 26(3), 209-216. https://doi.org/10.1136/bmjqs-2015-005130
Go to original source...
Go to PubMed...
- Eldor, L., & Vigoda-Gadot, E. (2017). The nature of employee engagement: rethinking the employee-organization relationship. The International Journal of Human Resource Management, 28(3), 526-552. https://doi.org/10.1080/09585192.2016.1180312
Go to original source...
- Eskola, S., Roos, M., McCormack, B., Slater, P., Hahtela, N., & Suominen, T. (2016). Workplace culture among operating room nurses. Journal of Nursing Management, 24(6), 725-734. https://doi.org/10.1111/jonm.12376
Go to original source...
Go to PubMed...
- Fasoi, G., Bourazani, M., & Kelesi, M. (2019). Non-technical skills for nurse-anesthetists: learning and evaluation. World Journal of Pharmaceutical and Medical Research, 5(9), 18.
- Gillespie, B. M., Chaboyer, W., Longbottom, P., & Wallis, M. (2010). The impact of organisational and individual factors on team communication in surgery: a qualitative study. International Journal of Nursing Studies, 47(6), 732-741. https://doi.org/10.1016/j.ijnurstu.2009.11.001
Go to original source...
Go to PubMed...
- Gillespie, B. M., Chaboyer, W., Wallis, M., Chang, H. Y. A., & Werder, H. (2009). Operating theatre nurses' perceptions of competence: a focus group study. Journal of Advanced Nursing, 65(5), 1019-1028. https://doi.org/10.1111/j.1365-2648.2008.04955.x
Go to original source...
Go to PubMed...
- Gillespie, B. M., Gwinner, K., Chaboyer, W., & Fairweather, N. (2013). Team communications in surgery: creating a culture of safety. Journal of Interprofessional Care, 27(5), 387-393. https://doi.org/10.3109/13561820.2013.784243
Go to original source...
Go to PubMed...
- Goodare, P. (2017). Literature review: Why do we continue to lose our nurses? Australian Journal of Advanced Nursing, 34(4), 50-56.
- Gray, J. R., Grove, S. K., & Sutherland, S. (2017). Burns and grove's the practice of nursing research: appraisal, synthesis, and generation of evidence. Elsevier.
- Gregory, M. E., Hughes, A. M., Benishek, L. E., Sonesh, S. C., Lazzara, E. H., Woodard, L. D., & Salas, E. (2021). Toward the development of the perfect medical team: critical components for adaptation. Journal of Patient Safety, 17(2), 47-70. https://doi.org/10.1097/pts.0000000000000598
Go to original source...
Go to PubMed...
- He, W., Ni, S., Chen, G., Jiang, X., & Zheng, B. (2014). The composition of surgical teams in the operating room and its impact on surgical team performance in China. Surgical Endoscopy, 28, 1473-1478. https://doi.org/10.1007/s00464-013-3318-4
Go to original source...
Go to PubMed...
- Huq, R. (2015). The psychology of employee empowerment: concepts, critical themes and a framework for implementation. Routledge.
- Kang, E., Massey, D., & Gillespie, B. M. (2015). Factors that influence the non-technical skills performance of scrub nurses: a prospective study. Journal of Advanced Nursing, 71(12), 2846-2857. https://doi.org/10.1111/jan.12743
Go to original source...
Go to PubMed...
- Katzenbach, J. R., & Smith, D. K. (2005). The wisdom of teams: Creating the high-performance organization. McGraw-Hill.
- Kennedy, E., Lingard, L., Watling, C. J., Hernandez Alejandro, R., Parsons Leigh, J., & Cristancho, S. M. (2020). Understanding helping behaviors in an interprofessional surgical team: How do members engage? The American Journal of Surgery, 219(2), 372-378. https://doi.org/10.1016/j.amjsurg.2019.12.014
Go to original source...
Go to PubMed...
- Kirschbaum, K., McAuliffe, M. S., & Swanson, M. (2018). Team communication in the operating room: a measure of latent factors from a national sample of nurse anesthetists. AANA Journal, 86(1), 11-18.
Go to PubMed...
- Kurmann, A., Keller, S., Tschan-Semmer, F., Seelandt, J., Semmer, N. K., Candinas, D., & Beldi, G. (2014). Impact of team familiarity in the operating room on surgical complications. World Journal of Surgery, 38(12), 3047-3052. https://doi.org/10.1007/s00268-014-2680-2
Go to original source...
Go to PubMed...
- McClurg, C. E., Chen, J. L., Petruzzelli. A., & Thayer, A. L. (2017). Chalenges and new directions in examing team cohesion over time. In E. Salas, W. B. Vessey, & L. B. London (Eds.), Team dynamics over time (18th ed., pp. 261-286). Emerald Publishing Limited. https://doi.org/10.1108/S1534-085620160000018011
Go to original source...
- McGarry, J. R., Pope, C., & Green, S. M. (2018). Perioperative nursing: maintaining momentum and staying safe. Journal of Research in Nursing, 23(8), 727-739. https://doi.org/10.1177/1744987118808835
Go to original source...
Go to PubMed...
- Merriam-Webster. (n.d.). Functionality. Retrieved November, 28, 2020 from https://www.merriam-webster.com/dictionary/functionality
- Nakarada-Kordic, I., Weller, J. M., Webster, C. S., Cumin, D., Frampton, C., Boyd, M., & Merry, A. F. (2016). Assessing the similarity of mental models of operating room team members and implications for patient safety: a prospective, replicated study. BMC Medical Education, 16, 229. https://doi.org/10.1186/s12909-016-0752-8
Go to original source...
Go to PubMed...
- Pellerin, S., & Cloutier, J. (2018). The effects of rewards on psychological health in the workplace: underlying mechanisms. Canadian Journal of Administrative Sciences, 35(3), 361-372. https://doi.org/10.1002/cjas.1456
Go to original source...
- Rydenfält, C., Odenrick, P., & Larsson, P. A. (2017). Organizing for teamwork in healthcare: an alternative to team training? Journal of Health Organisation and Management, 31(3), 347-362. https://doi.org/10.1108/JHOM-12-2016-0233
Go to original source...
Go to PubMed...
- Salas, E. (2012). Improving patient safety through teamwork and team training. Oxford University Press.
- Salas, E., DiazGranados, D., Weaver, S. J., & King, H. (2008). Does team training work? Principles for health care. Academic Emergency Medicine, 15(11), 1002-1009. https://doi.org/10.1111/j.1553-2712.2008.00254.x
Go to original source...
Go to PubMed...
- Salas, E., Sims, D. E., & Shawn Burke, C. (2005). Is there a "Big Five" in Teamwork? Small Group Research, 36(5), 555-599. https://doi.org/10.1177/1046496405277134
Go to original source...
- Sandelin, A., Kalman, S., & Gustafsson, B. Å. (2019). Prerequisites for safe intraoperative nursing care and teamwork-Operating theatre nurses' perspectives: A qualitative interview study. Journal of Clinical Nursing, 28(13-14), 2635-2643. https://doi.org/10.1111/jocn.14850
Go to original source...
Go to PubMed...
- Sonoda, Y., Onozuka, D., & Hagihara, A. (2018). Factors related to teamwork performance and stress of operating room nurses. Journal of Nursing Management, 26(1), 66-73. https://doi.org/10.1111/jonm.12522
Go to original source...
Go to PubMed...
- Sudhakar, G. P. (2013). Different dimensions of teams. Ecoforum Journal, 2(2), 29-35.
- Summers, J. K., Humphrey S. E. & Ferris G. R. (2012). Team member change, flux in coordination, and performance: Effects of strategic core roles, information transfer, and cognitive ability. Academy of Management Journal, 55(2), 314-338. https://doi.org/10.5465/amj.2010.0175
Go to original source...
- Sykes, M., Gillespie, B. M., Chaboyer, W., & Kang, E. (2015). Surgical Team Mapping: Implications for Staff Allocation and Coordination. AORN Journal, 101(2), 238-248. https://doi.org/10.1016/j.aorn.2014.03.018
Go to original source...
Go to PubMed...
- Tavakol, M., & Dennick, R. (2011). Making sense of Cronbach's alpha. International Journal of Medical Education, 2, 53-55. https://doi.org/10.5116/ijme.4dfb.8dfd
Go to original source...
Go to PubMed...
- Villafranca, A., Fast, I., & Jacobsohn, E. (2018). Disruptive behavior in the operating room: prevalence, consequences, prevention, and management. Current Opinion in Anesthesiology, 31(3), 366-374. https://doi.org/10.1097/ACO.0000000000000592
Go to original source...
Go to PubMed...
- Walker, K., Duff, J., Di Staso, R., Cobbe, K. A., Bailey, K., Pager, P., & Leathwick, S. (2011). Perioperative nursing shines! Magnet designation reflected in staffengagement, empowerment and excellence. ACORN: The Journal of Perioperative Nursing in Australia, 24(3), 34-42.
- World Health Organisation. (2009). WHO guidelines for safe surgery.https://www.who.int/patientsafety/safesurgery/tools_resources/9789241598552/en/
- World Medical Assosiation. (2018). Declaration of Helsinki - Ethical principles for medical research involving human subjects. Retrieved November, 28, 2020, from https://www.wma.net/policies-post/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects/
- Xyrichis, A., & Ream, E. (2008). Teamwork: A concept analysis. Journal of Advanced Nursing, 61(2), 232-241. https://doi.org/10.1111/j.1365-2648.2007.04496.x
Go to original source...
Go to PubMed...
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