Disagreement and Agression

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Richard Coe

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Disagreement and aggression in the operating theatre
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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,

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