Team dynamics in emergency surgery teams: results from a first international survey

Leo Licari, Antonino Agrusa, Ida Di Carlo, Roberta Tutino, Salvatore Buscemi, Giuseppe Di Buono, Antonina Ardito, Federico Privitera, Giuseppe Esposito, Giuseppe Pavone

Risultato della ricerca: Articlepeer review

11 Citazioni (Scopus)

Abstract

Background: Emergency surgery represents a unique context. Trauma teams are often multidisciplinary and need to operate under extreme stress and time constraints, sometimes with no awareness of the trauma’s causes or the patient’s personal and clinical information. In this perspective, the dynamics of how trauma teams function is fundamental to ensuring the best performance and outcomes. Methods: An online survey was conducted among the World Society of Emergency Surgery members in early 2021. 402 fully filled questionnaires on the topics of knowledge translation dynamics and tools, non-technical skills, and difficulties in teamwork were collected. Data were analyzed using the software R, and reported following the Checklist for Reporting Results of Internet E-Surveys (CHERRIES). Results: Findings highlight how several surgeons are still unsure about the meaning and potential of knowledge translation and its mechanisms. Tools like training, clinical guidelines, and non-technical skills are recognized and used in clinical practice. Others, like patients’ and stakeholders’ engagement, are hardly implemented, despite their increasing importance in the modern healthcare scenario. Several difficulties in working as a team are described, including the lack of time, communication, training, trust, and ego. Discussion: Scientific societies should take the lead in offering training and support about the abovementioned topics. Dedicated educational initiatives, practical cases and experiences, workshops and symposia may allow mitigating the difficulties highlighted by the survey’s participants, boosting the performance of emergency teams. Additional investigation of the survey results and its characteristics may lead to more further specific suggestions and potential solutions.
Lingua originaleEnglish
pagine (da-a)47-
Numero di pagine13
RivistaWorld Journal of Emergency Surgery
Volume16
Stato di pubblicazionePublished - 2021

All Science Journal Classification (ASJC) codes

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