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Disagreement and aggression in the operating theatre
Author(s) -
Coe Richard,
Gould Dinah
Publication year - 2008
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/j.1365-2648.2007.04544.x
Subject(s) - excellence , aggression , teamwork , health care , nursing , psychology , operating theatres , sample (material) , medicine , medical education , family medicine , medical emergency , social psychology , management , chemistry , chromatography , political science , law , economics , economic growth
Title. Disagreement and aggression in the operating theatreAim. This paper is a report of a study to determine the national spread of incidents of disagreement within and between professional groups in operating departments and the frequency of perceived aggressive behaviour demonstrated by operating department personnel. Background. There is both anecdotal and empirical evidence supporting the idea of the operating team as the ultimate example of teamworking in health care. At the same time, international concern is expressed over the level of interprofessional conflict and aggression reported in operating departments. Such reports do not sit well with notions of excellence in teamwork as conceptualized by theorists. Method. A questionnaire survey was designed, and sent to a random sample of National Health Service operating departments in England ( n = 62) in 2002. Usable survey questionnaires were returned from 37 departments (response rate 59·6) and yielded 391 individual responses. Respondents included nurses (58%, n = 227), surgeons (9·7%, n = 38), anaesthetists (14·32%, n = 56) and operating department practitioners (17·9%, n = 70) of all grades. Findings. Half of the respondents reported experiencing aggressive behaviour from consultant surgeons (53·4%, n = 209). Daily disagreements between nurses and consultants about list management were reported. Perceptions of lack of understanding of roles and shared goals for patient care between the professional groups were also reported. Similar reports were received from all geographical locations in the sample. Conclusion. Further research is needed to conceptualize the complex nature of interprofessional working in operating theatres before steps can be taken to develop a less stressful and more efficient working environment.