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Interprofessional work in operating rooms: a qualitative study from Sri Lanka.

Vathsala Jayasuriya-Illesinghe1, Sepali Guruge2, Bawantha Gamage3

  • 1Daphne Cockwell School of Nursing, Ryerson University, 350 Victoria St, Toronto, ON, M5B 2K3, Canada. vathsalai@ryerson.ca.

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|September 7, 2016
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Summary

Teamwork in Sri Lankan operating rooms showed low interdependence but clear roles. Relational and contextual factors, like hierarchy and gender, created communication barriers, impacting surgical patient safety.

Keywords:
Interprofessional workSri LankaSurgical errorsTeamwork

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Area of Science:

  • Healthcare Management
  • Surgical Team Dynamics
  • Global Health

Background:

  • Poor teamwork is linked to surgical errors, yet understudied in South Asia.
  • This study examines teamwork perceptions in a Sri Lankan teaching hospital.

Purpose of the Study:

  • To describe surgeons' perceptions of teamwork, roles, and processes.
  • To identify factors influencing interprofessional teamwork in Sri Lanka.

Main Methods:

  • Qualitative study involving interviews with 15 surgeons.
  • Analysis guided by a conceptual framework for interprofessional teamwork.

Main Results:

  • Teamwork characterized by low interdependency and integration.
  • Clear role demarcation was observed among surgeons, nurses, and anesthetists.
  • Hierarchy, power, gender norms, and patriarchy created communication barriers.
  • Junior surgeons learned through observation, lacking formal non-technical skills training.

Conclusions:

  • Interprofessional teamwork varies by setting; a nuanced view is essential.
  • Addressing relational and contextual factors can improve teamwork quality.
  • Enhanced training and mentoring for junior staff are crucial for better collaboration.