Evaluation of the impact of intra-operative distractions on teamwork, stress and workload

Autor:	M Limam, S Chelbi, Thouraya Ajmi, H. Said Latiri, Manel Mallouli, M Ben Rejeb, M A Tlili, M. Ben Dhiab, M Snéne, W Aouicha
Rok vydání:	2020
Předmět:	Teamwork medicine.medical_specialty Intra operative business.industry media_common.quotation_subject Public Health Environmental and Occupational Health Workload Gastrointestinal system Workflow Emergency medicine Medicine Work teams business media_common
Zdroj:	European Journal of Public Health. 30
ISSN:	1464-360X 1101-1262
Popis:	Background Within the OR, distractions occur on a regular basis, which affects surgical workflow and results in discontinuation of urgent tasks. In addition, engaging into distractions in the OR may not only increase stress and workload, but also impair teamwork performance. This study aimed to observe the occurrence of intra-operative distractions in ORs and to evaluate associations between distractions, teamwork, workload and stress. Methods This observational cross-sectional study was conducted in Sahloul University Hospital; more specifically in four different surgical units: orthopedic, urology, emergency and digestive surgery and over a period of 3 months in 2018. Using validated observation sheets, distractions and teamwork were recorded and rated in real-time during the intraoperative phase of every case. Besides, stress and workload of OR team members were measured at the end of each operation. All ethical considerations were taken into account. Results Fifty cases were observed and 160 participants were included in this study. In total, we recorded 933 distractions that occurred once every 3 minutes, on average. The mean global teamwork score was 3.85 (SD = ±0,67) on a scale of 0 to 6, the mean workload score was 58.60 (±24,27) and the mean stress score was 15.29 (SD = ±4,00). The highest rate of distraction was significantly related to external staff entering or exiting the OR during non-teaching cases (M = 9.43, SD = 3.56; p = 0.006). Surgeons also experienced significantly higher workload with a mean of 66.88 (SD = 25.98,p Conclusions This study highlighted a serious problem which is, often, ignored or underestimated. Taking into consideration the results, we recommend the implementation of systemic interventions on a daily basis to reduce the number of distractions in the OR. Key messages Distractions happened in all of the included operations. Stress and workload among nurses got higher as work environment distractions increased.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::4fbd8728d1d7fc0ac6d7c4758188fcdc https://doi.org/10.1093/eurpub/ckaa166.500 Zobrazit plný text záznamu