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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 Psychology
- 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 essential for optimizing surgical team dynamics.
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.
- Purposive sampling with maximum variation for participant selection.
- Deductive analysis approach, adhering to COREQ guidelines.
Main Results:
- Team situation awareness in operating rooms comprises perceiving environmental elements, real-time situation analysis, and projecting future scenarios.
- Identified components include equipment awareness, team member recognition, patient assessment, risk identification, decision-making, consequence prediction, and crisis management.
- These elements are structured into three main, eight general, and eighteen specific subcategories.
Conclusions:
- Promoting team situation awareness dimensions enhances patient safety and reduces intraoperative risks.
- Assessing team situation awareness status can guide improvements in intraoperative safety and policy decisions.
- Optimizing clinical resource allocation is a key benefit of effective team situation awareness.
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