We examined the impact of a team leader coaching intervention on episodic team processes (transition, action, interpersonal) and subsequent team performance outcomes within a surgical context. Specifically, we tested whether coaching team leaders (i.e., surgeons) on promoting effective teamwork facilitates team processes and two important outcomes-delays and distractions. Team processes were indexed using detailed observational protocols by subject-matter experts before and during surgeries. We employed an interrupted time series design whereby half of our participants received coaching midway through the longitudinal period and the remaining served as a quasi-control group. Team processes and outcomes were collected from multiple surgeries, per surgeon, both before and after the coaching intervention (N ϭ 223 surgeries total). Results from a multilevel mixed-model (treatment vs. control, over time) structural equation model suggest that teams where the surgeon (team leader) received the coaching intervention exhibited higher-quality team transition processes. Transition processes related positively to subsequent action and interpersonal processes, which in turn yielded improvements in two different surgical team performance outcomes. Theoretical and applied implications are discussed.
The Perioperative Nursing Data Set (PNDS) is a nursing language that provides standardized terminology to support perioperative nursing practice. The PNDS represents perioperative nursing knowledge and comprises data elements and definitions that demonstrate the nurse's influence on patient outcomes. Emerging issues and changes in practice associated with the PNDS standardized terminology require ongoing maintenance and periodic in-depth review of its content. Like each new edition of the Perioperative Nursing Data Set, the third edition, published in 2010, underwent content validation by numerous experts in clinical practice, vocabulary development, and informatics. The goal of this most recent edition is to enable the perioperative nurse to use the PNDS in a meaningful manner, as well as to promote standardization of PNDS implementation in practice, both in written documentation and the electronic health record.
This research study established the data elements for the health system domain in the Perioperative Nursing Data Set. A sample of AORN members were asked to confirm the clarity, necessity, measurability, and accuracy of each proposed data element. As a result of this study, the health system domain contains 114 data elements with definitions. When integrated into an electronic health record, data elements can be used to identify, compare, and evaluate the context in which patient care is delivered across settings.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.