Diversity and ethics in trauma and acute care surgery teams: results from an international survey.
Acute care surgery
Diversity
Ethics
Team dynamics
Trauma surgery
Journal
World journal of emergency surgery : WJES
ISSN: 1749-7922
Titre abrégé: World J Emerg Surg
Pays: England
ID NLM: 101266603
Informations de publication
Date de publication:
10 08 2022
10 08 2022
Historique:
received:
11
01
2022
accepted:
11
07
2022
entrez:
10
8
2022
pubmed:
11
8
2022
medline:
13
8
2022
Statut:
epublish
Résumé
Investigating the context of trauma and acute care surgery, the article aims at understanding the factors that can enhance some ethical aspects, namely the importance of patient consent, the perceptiveness of the ethical role of the trauma leader, and the perceived importance of ethics as an educational subject. The article employs an international questionnaire promoted by the World Society of Emergency Surgery. Through the analysis of 402 fully filled questionnaires by surgeons from 72 different countries, the three main ethical topics are investigated through the lens of gender, membership of an academic or non-academic institution, an official trauma team, and a diverse group. In general terms, results highlight greater attention paid by surgeons belonging to academic institutions, official trauma teams, and diverse groups. Our results underline that some organizational factors (e.g., the fact that the team belongs to a university context or is more diverse) might lead to the development of a higher sensibility on ethical matters. Embracing cultural diversity forces trauma teams to deal with different mindsets. Organizations should, therefore, consider those elements in defining their organizational procedures. Trauma and acute care teams work under tremendous pressure and complex circumstances, with their members needing to make ethical decisions quickly. The international survey allowed to shed light on how team assembly decisions might represent an opportunity to coordinate team member actions and increase performance.
Sections du résumé
BACKGROUND
Investigating the context of trauma and acute care surgery, the article aims at understanding the factors that can enhance some ethical aspects, namely the importance of patient consent, the perceptiveness of the ethical role of the trauma leader, and the perceived importance of ethics as an educational subject.
METHODS
The article employs an international questionnaire promoted by the World Society of Emergency Surgery.
RESULTS
Through the analysis of 402 fully filled questionnaires by surgeons from 72 different countries, the three main ethical topics are investigated through the lens of gender, membership of an academic or non-academic institution, an official trauma team, and a diverse group. In general terms, results highlight greater attention paid by surgeons belonging to academic institutions, official trauma teams, and diverse groups.
CONCLUSIONS
Our results underline that some organizational factors (e.g., the fact that the team belongs to a university context or is more diverse) might lead to the development of a higher sensibility on ethical matters. Embracing cultural diversity forces trauma teams to deal with different mindsets. Organizations should, therefore, consider those elements in defining their organizational procedures.
LEVEL OF EVIDENCE
Trauma and acute care teams work under tremendous pressure and complex circumstances, with their members needing to make ethical decisions quickly. The international survey allowed to shed light on how team assembly decisions might represent an opportunity to coordinate team member actions and increase performance.
Identifiants
pubmed: 35948947
doi: 10.1186/s13017-022-00446-8
pii: 10.1186/s13017-022-00446-8
pmc: PMC9364511
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
44Investigateurs
Abubaker Abdelmalik
(A)
Nebyou Seyoum Abebe
(NS)
Fikri M Abu-Zidan
(FM)
Yousif Abdallah Yousif Adam
(YAY)
Harissou Adamou
(H)
Antonino Agrusa
(A)
Emrah Akin
(E)
Henrique Alexandrino
(H)
Syed Muhammad Ali
(SM)
Pedro Miguel Almeida
(PM)
Francesco Amico
(F)
Michele Ammendola
(M)
Jacopo Andreuccetti
(J)
Daniel Aparicio-Sanchez
(D)
Antonella Ardito
(A)
Giulio Argenio
(G)
Ingolf Harald Askevold
(IH)
Boyko Tchavdarov Atanasov
(BT)
Goran Augustin
(G)
Selmy Sabry Awad
(SS)
Carlo Bagnoli
(C)
Lovenish Bains
(L)
Dimitrios Balalis
(D)
Edoardo Baldini
(E)
Oussama Baraket
(O)
Mirko Barone
(M)
Jorge Arturo Barreras
(JA)
Giovanni Bellanova
(G)
Helena Biancuzzi
(H)
Mark Brian Bignell
(MB)
Roberto Bini
(R)
Daniele Bissacco
(D)
Paoll Boati
(P)
Andrea Bottari
(A)
Konstantinos Bouliaris
(K)
Antonio Brillantino
(A)
Luis Antonio Buonomo
(LA)
Salvatore Buscemi
(S)
Valentin Calu
(V)
Riccardo Campo Dall'Orto
(R)
Stefano Campostrini
(S)
Joao Miguel Carvas
(JM)
Gianmaria Casoni Pattacini
(G)
Valerio Celentano
(V)
Marco Ceresoli
(M)
Mircea Chirica
(M)
Pasquale Cianci
(P)
Nicola Cillara
(N)
Stefania Cimbanassi
(S)
Stefano Piero Bernardo Cioffi
(SPB)
Elif Colak
(E)
Luigi Conti
(L)
Silvia Dantas Costa
(S)
Fabrizio D'Acapito
(F)
Dimitrios Damaskos
(D)
Koray Das
(K)
Richard Justin Davies
(RJ)
Andrew Charles De Beaux
(AC)
Belinda De Simone
(B)
Zaza Demetrashvili
(Z)
Andreas Kyriacou Demetriades
(AK)
Stefano Denicolai
(S)
Giuseppe Di Buono
(G)
Isidoro Di Carlo
(I)
Bogdan Diaconescu
(B)
Rigers Dibra
(R)
Sandra Dios-Barbeito
(S)
Agron Dogjani
(A)
Maurizio Domanin
(M)
Mario D'Oria
(M)
Virginia Duran Munoz-Cruzado
(V)
Barbora East
(B)
Gerald Takem Ekwen
(GT)
Adel Hamed Elbaih
(AH)
Juan Pablo Escalera-Antezana
(JP)
Giuseppe Esposito
(G)
Roser Farre
(R)
Antonjacopo Ferrario di Tor Vajana
(A)
Vinicius Cordeiro Fonseca
(V)
Francesco Forfori
(F)
Laura Fortuna
(L)
Evangelos Fradelos
(E)
Gustavo P Fraga
(GP)
Pietro Fransvea
(P)
Mahir Gachabayov
(M)
Alain A Garcia Vazquez
(AA)
Wagih Mommtaz Ghannam
(WM)
Rossella Gioco
(R)
Giorgio Giraudo
(G)
Mario Giuffrida
(M)
Michela Giulii Capponi
(M)
Carlos Augusto Gomes
(CA)
Ricardo Alessandro Teixeira Gonsaga
(RA)
Emre Gonullu
(E)
Jacques Goosen
(J)
Tatjana Goranovic
(T)
Ewen Alexander Griffiths
(EA)
Muad Gamil Haidar
(MG)
Hytham K S Hamid
(HKS)
Timothy Craig Harddastle
(TC)
Andrew J Healey
(AJ)
Matthias Hecker
(M)
Edgar Fernando Hernandez Garcia
(EF)
Eduardo Cancio Huaman
(EC)
Martin Hutan
(M)
Orestis Ioannidis
(O)
Arda Isik
(A)
Azzain Mahadi Hamid Ismail
(AMH)
Nizar Ismail
(N)
Ji Young Jang
(JY)
Haytham M A Kaafarani
(HMA)
Sujala Niatarika Rajsain Kalipershad
(SNR)
Lewis J Kaplan
(LJ)
Yasin Kara
(Y)
Evika Karamagioli
(E)
Aleksandar Karamarkovia
(A)
Alfie J Kavalakat
(AJ)
Aristotelis Kechagias
(A)
Jakub Kenig
(J)
Jim S Khan
(JS)
Vladimir Khokha
(V)
Roberto Klappenbach
(R)
Yoshiro Kobe
(Y)
Victor Kong
(V)
Dimitrios Korkolis
(D)
Hayato Kurihara
(H)
Akira Kuriyama
(A)
Aitor Landaluce-Olavarria
(A)
Leo Licari
(L)
Andrey Litvin
(A)
Tyler J Loftus
(TJ)
Varut Lohsiriwat
(V)
Claudia Cristina Lopes Moreira
(CC)
Eftychios Lostoridis
(E)
Agustín Tovar Luna
(AT)
Davide Luppi
(D)
Gustavo Miguel Machain
(GM)
Marc Maegele
(M)
Daniele Maggiore
(D)
Ronald V Maier
(RV)
Mallikarjuna Manangi
(M)
Andrea Manetti
(A)
Baris Mantoglu
(B)
Federico Mariani
(F)
Athanasios Marinis
(A)
Evandro Antonio Sbalcheiro Mariot
(EA)
Giuseppe Roberto Marseglia
(GR)
Jacopo Martellucci
(J)
Gennaro Martines
(G)
Aleix Martinez Perez
(A)
Pietro Mascagni
(P)
Damien Massalou
(D)
Renato Bessa Melo
(RB)
Luca Miceli
(L)
Andrea Mingoli
(A)
Tushar S Mishra
(TS)
Ali Yasen Y Mohamedahmed
(AYY)
Rajashekar Mohan
(R)
Dieter Morales-Garcia
(D)
Sami Mohamed Siddig Mustafa
(SMS)
Mukhammad David Naimzada
(MD)
Ionut Negoi
(I)
Christine Nguyen
(C)
Melkamu Kibret Nidaw
(MK)
Giuseppe Nigri
(G)
Habeeb Damilola Ogundipe
(HD)
Cristina Oliveri
(C)
Stefano Olmi
(S)
Leonardo Pagani
(L)
Giuseppe Palomba
(G)
Desire Pantalone
(D)
Arpad Panyko
(A)
Ciro Paolillo
(C)
Davide Papis
(D)
Nikolaos Pararas
(N)
Francesco Pata
(F)
Simon Paterson-Brown
(S)
Giovanna Pavone
(G)
Francesca Pecchini
(F)
Gianluca Pellino
(G)
Maria Pelloni
(M)
Andrea Peloso
(A)
Eduardo Perea Del Pozo
(E)
Rita Goncalves Pereira
(R)
Bruno Monteiro Pereira
(B)
Aintzane Lizarazu Perez
(A)
Gennaro Perrone
(G)
Antonio Pesce
(A)
Giovanni Petracca
(G)
Micaela Piccoli
(M)
Daniele Piccolo
(D)
Edoardo Picetti
(E)
Emmanouil Pikoulis
(E)
Tadeja Pintar
(T)
Giovanni Pirozzolo
(G)
Mauro Podda
(M)
Pietro Previtali
(P)
Francesca Privitera
(F)
Clelia Punzo
(C)
Martha Alexa Quiodettis
(MA)
Niels Qvist
(N)
Razrim Rahim
(R)
Alexander Reinisch-Liese
(A)
Maria Rita Rodriguez-Luna
(MR)
Daniel Roizblatt
(D)
Francesco Pietro Maria Roscio
(FPM)
Stefano Rossi
(S)
Federico Ruta
(F)
Boris Evgeniev Sakakushev
(BE)
Juan Carlos Salamea
(JC)
Ibrahima Sall
(I)
Fabrizio Sammartano
(F)
Alejandro Sanchez Arteaga
(A)
Sergio Sanchez-Cordero
(S)
Diego Sasia
(D)
Robert G Sawyer
(RG)
Charalampos Seretis
(C)
Mario Serradilla-Martin
(M)
Vishal G Shelat
(VG)
Sergei Shlyapnikov
(S)
Romeo Lages Simoes
(RL)
Boonying Siribumrungwong
(B)
Mihail Slavchev
(M)
Leonardo Solaini
(L)
Gabriele Soldini
(G)
Kjetil Soreide
(K)
Florian Spada
(F)
Philip Stahel
(P)
Larysa Sydorchuk
(L)
Ruslan Sydorchuk
(R)
Ali Muhammad Syed
(AM)
Luis Tallon-Aguilar
(L)
Jih Huei Tan
(JH)
Edward Tan
(E)
Antonio Tarasconi
(A)
Dario Tartaglia
(D)
Nicola Tartaglia
(N)
John Taylor
(J)
Giovanni Domenico Tebala
(GD)
Ricardo Alessandro Teixeira Gonsaga
(RA)
Michel Teuben
(M)
Matti Tolonen
(M)
Giovanni Tomasicchio
(G)
Tania Triantafyllou
(T)
Giuseppe Trigiante
(G)
Victor Turrado-Rodriguez
(V)
Roberta Tutino
(R)
Matteo Uccelli
(M)
Bakarne Ugarte-Sierra
(B)
Mika Ukkonen
(M)
Panteleimon G Vassiliu
(PG)
Juan Manuel Verde
(JM)
Massimiliano Veroux
(M)
Ramon Vilallonga
(R)
Diego Visconti
(D)
Maciej Waledziak
(M)
Tongporn Wannatoop
(T)
Lukas Werner Widmer
(LW)
Michael Samuel James Wilson
(MSJ)
Ting Hway Wong
(TH)
Sofia Xenaki
(S)
Byungchul Yu
(B)
Steven Yule
(S)
Andee Dzulkarnaen Zakaria
(AD)
Diego A Zambrano
(DA)
Monica Zese
(M)
Informations de copyright
© 2022. The Author(s).
Références
Ann Surg. 2020 Aug;272(2):e161-e162
pubmed: 32675526
Ann Surg. 2020 Dec;272(6):e296-e299
pubmed: 32941268
Scand J Trauma Resusc Emerg Med. 2010 Dec 13;18:66
pubmed: 21144035
Patient Saf Surg. 2022 Feb 8;16(1):8
pubmed: 35135584
AMA J Ethics. 2018 May 1;20(5):425-430
pubmed: 29763388
Ann Surg. 2020 Sep 1;272(3):e213-e215
pubmed: 32452953
Ann Surg. 2020 Mar;271(3):425-426
pubmed: 31348042
Future Cardiol. 2017 Nov;13(6):567-578
pubmed: 29052454
Ann Surg. 2021 Feb 1;273(2):e34-e36
pubmed: 33201134
J Surg Educ. 2018 Mar - Apr;75(2):358-369
pubmed: 28756147
AMA J Ethics. 2018 May 1;20(5):492-500
pubmed: 29763396
Patient Educ Couns. 2018 Oct;101(10):1748-1752
pubmed: 29908865
J Surg Educ. 2015 Jul-Aug;72(4):732-9
pubmed: 25817012
Health Care Manage Rev. 2012 Jul-Sep;37(3):200-13
pubmed: 21934512
World J Emerg Surg. 2020 Dec 9;15(1):64
pubmed: 33298131
Ann Surg. 2021 Feb 1;273(2):e46-e49
pubmed: 33196491
World J Emerg Surg. 2021 Sep 16;16(1):47
pubmed: 34530891
Ann Surg. 2018 Sep;268(3):403-407
pubmed: 30004923
JAMA Surg. 2020 Jan 1;155(1):13-14
pubmed: 31664425
J Med Internet Res. 2004 Sep 29;6(3):e34
pubmed: 15471760