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Exploring team situation awareness among operating room staff
Azam Shirinabadi Farahani1, Manijeh Nourian2, Chiman Ghaderi3
1Department of Pediatric Nursing, School of Nursing & Midwifery, Pediatric Gastroenterology, Hepatology and Nutrition Research Center, Research Institute for Children's Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Scientific Reports
|July 18, 2026
Summary
Team situation awareness in operating rooms involves understanding the environment, analyzing real-time data, and predicting future scenarios. Enhancing these cognitive skills improves patient safety and resource allocation.
Area of Science:
- Healthcare Management
- Cognitive Science
- Surgical Safety
Background:
- Team situation awareness is crucial for healthcare provider performance and high-quality patient care.
- Understanding team situation awareness in operating rooms is vital for optimizing surgical outcomes.
Purpose of the Study:
- To elucidate the concept and dimensions of team situation awareness among operating room staff.
- To explore the perceptions of Iranian operating room staff regarding team situation awareness.
Main Methods:
- Qualitative, directed content analysis of semi-structured interviews with operating room staff.
- Purposive sampling for maximum demographic variation across Iranian centers.
- Data analysis using a deductive approach, adhering to COREQ guidelines.
Main Results:
- Team situation awareness in operating rooms comprises perceiving environmental elements, conducting real-time analysis, and projecting future scenarios.
- Identified components include equipment awareness, team member recognition, patient assessment, risk identification, collaborative decision-making, consequence prediction, and crisis management.
- These elements are structured into three main, eight general, and eighteen specific subcategories.
Conclusions:
- Team situation awareness dimensions in operating rooms are procedural and can enhance patient safety and reduce risks.
- Promoting these dimensions optimizes clinical resource allocation and surgical team performance.
- Assessing team situation awareness status can guide improvements in intraoperative safety and policy decisions.
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