Preview

Disagreement and Agression

Good Essays
Open Document
Open Document
6560 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Disagreement and Agression
Essrt
I

r -

cfu-lQ$L rslel,:

I

JAI.[
Richard Coe

ORIGINAL

RE SEARCH

Disagreement and aggression in the operating theatre
&
Dinah Gould

Accepted for publication 16 November 2007

Correspondence to R. Coe:

coE R.6. GOULD D. (2008) Disagreement and aggression in the operating theatre. ! oumaL of Aduanced Nur sing 61(6 '), 609-578 doi: 10. 1 1 1 1/i.1365 -2648.2007.045 44.x

e-mail: richard.coe@uclh.nhs.uk Richard Coe MSc RN Senior Practice Facilitator (Thearres) Universiry College Hospital, London, UK Dinah Gould PhD RN RNT Professor of Applied Health St Bartholomew School of Nursing and Midwifery, Ciry University, London, UK

Abstract
Title. Disagreement and aggtession in the operating theatre Aim. This paper is a report of a study to determine the national spread of incidents of disagreement within and between professional groups in operadng 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 depanments, 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 (587o, n=227), srugeons (9 '7Yo, n = 38), anaesthetists (14 '32% , n = 56) and operating department practitioners (17 '9y", n = 70) of all grades ' Findings. Half of the respondents reported experiencing aggressive behaviour from consultant surgeons (53 '4y", n = 209), Daily



References: Audit Commission (2002) Operuting Theatres, a Bulletin fot Heabh Bodies. Audit Commission Publications, Vetherby, UK. Audit Commission (2003) Operuting Theatres, Reuiew of National Findings. Audit Commission Publications, ri0etherby, UK. Johnstone P.L. (19991 Occupational srress in the operating theatre suire: should employers be concerned] Anstrarian Hearth Reuiew 22,6U80. Lamben V.A., Lambert C.E. 6c lro M. (2004) Workplace srressors, ways of coping and demographic characterisdcs as predictors of physical and mental health of Japanese hospital nurses. lnternational lournal of Nursing Stadies 41, gS_92. Laschinger NHS Modernisadon Agency (20021 Theatre programme H.K., rDfong C., McMahon L. & Kaufmann C. (19991 Leader behaviour impact on staff nurse empowerment, iob tension and work effectivenex. Joumal of Nursing Administration Joumal 69,551-56d cago, IL. The Association of Anaesthetisrs of Great Britain and Ireland (2003) Theatre Effciency, Safety, euality of Care, and Optimal Resources Timmons S. & TannerJ. (2004) A disputed occuparional boundary: operadng rheaffe nurses, and operating depanment practitioners. Sociology of Health 6 lllness 26,645466. Timmons S. & Tanner J. (2005) Operating [heaffe nurses: emotional Practice 11, 85-91. in operating theatres of doctors, and nurses, viiws. euality (2005) Rules and guidelines in clinical pracrice: a qualitative srudy Boore J.R.p. (2000) Practice 72,782-799,

You May Also Find These Documents Helpful

  • Best Essays

    Kumar, B. (1998) Working in the operating department. 2nd edn. Edinburgh: Churchill Livingstone. Pp. 125 - 144.…

    • 3293 Words
    • 14 Pages
    Best Essays
  • Best Essays

    Person Centred Care

    • 4052 Words
    • 17 Pages

    In Order to Maintain Confidentiality the client has been provided a pseudonym (Nursing and Midwifery Council 2008). Permission was also granted from this client to use this information for the purposes of this essay.…

    • 4052 Words
    • 17 Pages
    Best Essays
  • Best Essays

    Hall, P. (2005) Interprofessional Teamwork: Professional Culture as Barriers, Journal of Interprofessional Care, Vol 1, pp188-196…

    • 3218 Words
    • 13 Pages
    Best Essays
  • Good Essays

    Teamwork that is efficient and effective is beneficial to the organization, the patient, and the healthcare workers. When a team is effective in the healthcare system, everyone job is made easier and the workplace becomes a more productive and enjoyable work environment. Being a part of a productive team of healthcare professionals can allow two things in the organization. Safety issues are reduced and the retention rates could go up. Teamwork overall is important to patient treatment, care and safety. Effective teamwork rarely happens where there is no collaboration. The responsibilities of professionals working as a team include not only activities they deliver because of their specialized skills or knowledge, but also those resulting from their commitment to monitor the activities performed by their teammates, including managing the conflicts that may result (Oandasan et…

    • 749 Words
    • 3 Pages
    Good Essays
  • Good Essays

    References: Glenn Williams & Pittu Laungani (1990), Analysis of teamwork in an NHS community trust: an empirical study. Journal of Interprofessional Care, 13 (1), 1999. Retrieved fromCINAHL with Full Text Database.…

    • 1159 Words
    • 5 Pages
    Good Essays
  • Good Essays

    Nurses care for patient is a very “demanding environment, hierarchies, prolonged work hours, multiple roles and emotional demands” (Waite et al., p. 126, 2014). When conflict arises, it can be emotionally stressful for the nurse, “which can lead to ineffective patient care compromising patient safety” (Klinkhamer, p.337, 2015) negatively impacting the healthcare organization’s reputation.…

    • 493 Words
    • 2 Pages
    Good Essays
  • Good Essays

    These incidents can drastically reduce if healthcare professionals would take the time to fully understand and thoroughly communication between one another. Health care professional must realize they are dealing with people’s lives within a hospital setting. In particular, a significant amount of decisions…

    • 323 Words
    • 2 Pages
    Good Essays
  • Powerful Essays

    Inequalities in Nursing

    • 5724 Words
    • 23 Pages

    Oulton, J.A (2003) Inside view. Patient safety concerns us all, International Nursing Review, 50 (4), 201.…

    • 5724 Words
    • 23 Pages
    Powerful Essays
  • Good Essays

    Having worked within two large London hospitals I appreciate the importance of managing patients efficiently. My previous work within the trauma setting taught me to work flexibly to best suit the needs of the patients I am presented with. It also helped me understand how to prioritize patients in order of clinical need. This has been of particular importance when vetting ultrasound requests and managing scan…

    • 419 Words
    • 2 Pages
    Good Essays
  • Satisfactory Essays

    Robotic Surgery Disposal

    • 391 Words
    • 2 Pages

    Two small studies have looked specifically at differences in communication between laparoscopic and robotic surgery. Both studies found a significant increase in oral communication between the surgeon and the rest of the team in robotic surgery, particularly in relation to the orientation and localization of organs and the manipulation of instruments, with the effect found to be more pronounced in teams that have less experience in robotic surgery. If use of robotic surgery interferes with standard practices of coordination among the OT team, the achievement of seamless, efficient, and timely teamwork may be hampered. It is important to understand any change in communication patterns because of the well-documented relationship between communication and patient safety, with failures in communication and teamwork being identified as key factors in adverse events in the OT. Communication and teamwork around robotic surgery are likely to be influenced by processes associated with the introduction of robotic surgery, such as training and changes in team structure, but equally the integration of robotic surgery in surgical practice may be dependent on the extent to which it is consistent with existing practices for coordination.…

    • 391 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Barbara faces a bewildering array of obstacles to success in the General Surgery Unit (GSU) at Eastern Massachusetts University Hospital. Based on reputation alone, it was clear that her new unit had serious issues long before she took her position as Nurse Manager of its 33 member nursing staff. Having held an informal, off site meeting with her nurses, she has identified 9 of their chief complaints. These complaints can be mostly categorized under three of the most common stressors: incivility, work overload, and lack of task control.…

    • 1924 Words
    • 8 Pages
    Good Essays
  • Satisfactory Essays

    As with any work place, the health care environment is no different. It has its ups and downs as well as it’s good times and bad times. Whenever you have people working together especially in a high stress environment like a hospital you are going to have conflict, now how you handle that stress/ conflict is the big question. According to Pawar, M. (2007, May) behaviors such as blame, accusation and finger-pointing rise up you need to deal with them in the following manner. It requires the development of three core competencies: These competencies are:…

    • 506 Words
    • 3 Pages
    Satisfactory Essays
  • Powerful Essays

    Interprofessional Working

    • 2337 Words
    • 10 Pages

    By using the right literature this assignment will examine an outpatient department, critically analysing and exploring how professionals in this setting work effectively together and what hinders their interprofessional working. Further more the essay will identify the key issues and concept of interprofessional working in health care as a whole. Lastly the essay will also conclude by drawing together the main points and principle argument.…

    • 2337 Words
    • 10 Pages
    Powerful Essays
  • Good Essays

    Wrong Site Surgery

    • 563 Words
    • 3 Pages

    References: Ezziane, Z., Maruthappu, M., Gawn, L., Thompson, E. A., Athanasiou, T., & Warren, O. J. (2012). Building effective clinical teams in healthcare. Journal of Health Organization and Management, 26(4), 428-436. doi: 10.1108/14777261211251508…

    • 563 Words
    • 3 Pages
    Good Essays
  • Better Essays

    Supportive organizations and exceptional individual contributions set the stage for effective teamwork. Healthcare teams require a clear purpose that integrates specific analytical groups and multiple facets of patient care. “Healthcare teams which have a clear purpose that is consistent with the organizations’ mission, can be more clearly integrated, resourced and supported. Healthcare teams generate commitment through a shared goal of comprehensive patient care and a common belief that the team is the best way to deliver coordinated care” (Proctor-Childs, 1998, pp 616-635). Transformational leadership creates an empowering environment where quality in clinical care is significant. Communicating a vision and influencing others to strive towards this ideal is the premiere responsibility of an effective leader.…

    • 2999 Words
    • 12 Pages
    Better Essays

Related Topics