Understanding helping behaviors in an interprofessional surgical team: How do members engage?


Journal

American journal of surgery
ISSN: 1879-1883
Titre abrégé: Am J Surg
Pays: United States
ID NLM: 0370473

Informations de publication

Date de publication:
02 2020
Historique:
received: 10 05 2019
revised: 01 11 2019
accepted: 09 12 2019
pubmed: 25 12 2019
medline: 30 4 2020
entrez: 25 12 2019
Statut: ppublish

Résumé

In surgical environments, work must be flexible, allowing practitioners to seek help when required. How surgeons navigate the complexity of interprofessional teams and collaborative care whilst attending to their own knowledge/skill gaps can be difficult. This study aims to understand helping behaviours in interprofessional surgical teams. Thirteen semi-structured interviews with participants were completed. Data collection and inductive analysis were conducted iteratively using thematic analysis. We found several intersecting features that influenced helping engagement. Work context, including nested and cross-sectional identities, physical and hierarchical environments, diversity, support for risk-taking and innovation and perceptions of a "speak up" culture shaped the way helping scenarios were approached. Intrinsic attributes influenced decisions to dis/engage. When united, these features shaped how helping behaviours became enacted. If we desire to create surgical teams that deliver quality care, we must consider not only individual attributes but the context in which teams are situated.

Identifiants

pubmed: 31870535
pii: S0002-9610(19)31566-1
doi: 10.1016/j.amjsurg.2019.12.014
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

372-378

Informations de copyright

Copyright © 2019 Elsevier Inc. All rights reserved.

Auteurs

Erin Kennedy (E)

Health Professions Education, Faculty of Health Sciences, Western University, London, Ontario, Canada. Electronic address: ekhollin@uwo.ca.

Lorelei Lingard (L)

Centre for Education Research & Innovation, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada; Faculty of Education, Western University, London, Ontario, Canada; Department of Medicine, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.

Christopher J Watling (CJ)

Centre for Education Research & Innovation, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada; Department of Clinical Neurological Sciences, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.

Roberto Hernandez Alejandro (R)

Division of Transplantation/Hepatobiliary Surgery, Department of Surgery, University of Rochester, New York, USA.

Jeanna Parsons Leigh (J)

Department of Epidemiology & Biostatistics, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.

Sayra M Cristancho (SM)

Centre for Education Research & Innovation, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada; Faculty of Education, Western University, London, Ontario, Canada; Department of Surgery, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.

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