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  • Evaluation of a Brief Team Training Intervention in Surgery: A Mixed-Methods Study

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    GillespiePUB5238.pdf (396.9Kb)
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    Author(s)
    Gillespie, Brigid M
    Steel, Catherine
    Kang, Evelyn
    Harbeck, Emma
    Nikolic, Kristina
    Fairweather, Nicole
    Chaboyer, Wendy
    Griffith University Author(s)
    Chaboyer, Wendy
    Gillespie, Brigid M.
    Year published
    2017
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    Abstract
    The aim of this study was to evaluate a brief team training program in relation to teams’ observed nontechnical skills (NTSs) in surgery, teams’ perceptions of safety culture, and the training implementation. We used mixed methods to analyze structured observations of 179 surgeries, semistructured interviews with surgical team members from four selected surgical specialties, and a survey. There were significant (P < .001) improvements in surgical teams’ observed NTSs and in the use of the World Health Organization's Surgical Safety Checklist after participation in the training program. Nonsignificant results included increased ...
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    The aim of this study was to evaluate a brief team training program in relation to teams’ observed nontechnical skills (NTSs) in surgery, teams’ perceptions of safety culture, and the training implementation. We used mixed methods to analyze structured observations of 179 surgeries, semistructured interviews with surgical team members from four selected surgical specialties, and a survey. There were significant (P < .001) improvements in surgical teams’ observed NTSs and in the use of the World Health Organization's Surgical Safety Checklist after participation in the training program. Nonsignificant results included increased perceived safety climate and decreased perceived teamwork climate. From participant interviews, we identified that production pressure and time constraints were the biggest barriers to implementation and the greatest enabler was the organization's support for staff education initiatives. Most participants perceived the content of the program to be useful. These results highlight the complexities inherent in the development and evaluation of interdisciplinary patient safety interventions.
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    Journal Title
    AORN Journal
    Volume
    106
    Issue
    6
    DOI
    https://doi.org/10.1016/j.aorn.2017.09.013
    Copyright Statement
    © 2017 Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence (http://creativecommons.org/licenses/by-nc-nd/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited.
    Subject
    Nursing
    Nursing not elsewhere classified
    Publication URI
    http://hdl.handle.net/10072/378092
    Collection
    • Journal articles

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