How gender shapes interprofessional teamwork in the operating room: a qualitative secondary analysis

BMC Health Services Research

Joseph K. Burns¹  Cole Etherington²  Sylvain Boet³  Arija Birze⁴  Simon Kitto⁵  Sukhbir Singh⁶  Tracey L. Adams⁷  Meghan Britton⁸ 

[1] Clinical Epidemiology Program, Ottawa Hospital Research Institute, 501 Smyth Rd, K1H 8L6, Ottawa, ON, Canada;Clinical Epidemiology Program, Ottawa Hospital Research Institute, 501 Smyth Rd, K1H 8L6, Ottawa, ON, Canada;Department of Anesthesiology and Pain Medicine, The Ottawa Hospital, University of Ottawa, General Campus, 501 Smyth Rd, Critical Care Wing 1401, K1H 8L6, Ottawa, Ontario, Canada;Clinical Epidemiology Program, Ottawa Hospital Research Institute, 501 Smyth Rd, K1H 8L6, Ottawa, ON, Canada;Department of Anesthesiology and Pain Medicine, The Ottawa Hospital, University of Ottawa, General Campus, 501 Smyth Rd, Critical Care Wing 1401, K1H 8L6, Ottawa, Ontario, Canada;Department of Innovation in Medical Education, University of Ottawa, 451 Smyth Rd, K1H 8M5, Ottawa, ON, Canada;Francophone Affairs, Faculty of Medicine, University of Ottawa, 451 Smyth Rd, K1H 8M5, Ottawa, ON, Canada;Faculty of Education, University of Ottawa, 145 Jean-Jacques-Lussier Private, K1N 6N5, Ottawa, ON, Canada;Dalla Lana School of Public Health, University of Toronto, 155 College St, M5T 3M7, Toronto, ON, Canada;Department of Innovation in Medical Education, University of Ottawa, 451 Smyth Rd, K1H 8M5, Ottawa, ON, Canada;Department of Obstetrics, Gynecology & Newborn Care, University of Ottawa, 501 Smyth Rd, K1H 8L6, Ottawa, ON, Canada;Department of Sociology, Social Science Centre, Western University, N6A 5C2, London, ON, Canada;Main Operating Room, The Ottawa Hospital, 501 Smyth Rd, K1H 8L6, Ottawa, ON, Canada;

关键词: Gender role;    Health personnel;    Qualitative research;    Professional practice;    Operating rooms;    Social environment;   

DOI  :  10.1186/s12913-021-07403-2

来源: Springer

【 摘 要 】

BackgroundDespite substantial implications for healthcare provider practice and patient outcomes, gender has yet to be systematically explored with regard to interprofessional operating room (OR) teamwork. We aimed to explore and describe how gender and additional social identity factors shape experiences and perceptions of teamwork in the OR.MethodsThis study was a qualitative secondary analysis of semi-structured interviews with OR team members conducted between November 2018 and July 2019. Participants were recruited across hospitals in Ontario, Canada. We conducted both purposive and snowball sampling until data saturation was reached. Transcripts were analyzed thematically by two independent research team members, moving from open to axial coding.ResultsSixty-six interviews of OR healthcare professionals were completed: anesthesia (n=17), nursing (n=19), perfusion (n=2), and surgery (n=26). Traditional gender roles, norms, and stereotypes were perceived and experienced by both women and men, but with different consequences. Both women and men participants described challenges that women face in the OR, such as being perceived negatively for displaying leadership behaviours. Participants also reported that interactions and behaviours vary depending on the team gender composition, and that other social identities, such as age and race, often interact with gender. Nevertheless, participants indicated a belief that the influence of gender in the OR may be modified.ConclusionsThe highly gendered reality of the OR creates an environment conducive to breakdowns in communuication and patient safety risks in addition to diminishing team morale, psychological safety, and provider well-being. Consequently, until teamwork interventions adequately account for gender, they are unlikely to be optimally effective or sustainable.

【 授权许可】

CC BY