Understanding helping behaviors in an interprofessional surgical team: How do members engage?

Am J Surg. 2020 Feb;219(2):372-378. doi: 10.1016/j.amjsurg.2019.12.014. Epub 2019 Dec 17.

Abstract

Objective: In surgical environments, work must be flexible, allowing practitioners to seek help when required. How surgeons navigate the complexity of interprofessional teams and collaborative care whilst attending to their own knowledge/skill gaps can be difficult. This study aims to understand helping behaviours in interprofessional surgical teams.

Design: Thirteen semi-structured interviews with participants were completed. Data collection and inductive analysis were conducted iteratively using thematic analysis.

Results: We found several intersecting features that influenced helping engagement. Work context, including nested and cross-sectional identities, physical and hierarchical environments, diversity, support for risk-taking and innovation and perceptions of a "speak up" culture shaped the way helping scenarios were approached. Intrinsic attributes influenced decisions to dis/engage. When united, these features shaped how helping behaviours became enacted.

Conclusion: If we desire to create surgical teams that deliver quality care, we must consider not only individual attributes but the context in which teams are situated.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Academic Medical Centers / organization & administration
  • Adult
  • Attitude of Health Personnel
  • Comprehension
  • Cross-Sectional Studies
  • Female
  • General Surgery / organization & administration*
  • Helping Behavior*
  • Humans
  • Interprofessional Relations / ethics*
  • Interviews as Topic
  • Male
  • North America
  • Patient Care Team / organization & administration*
  • Quality of Health Care*