Anesthesia Professionals’ Perspectives of Teamwork During Robotic‐Assisted Surgery

Myklebust, Monica Voilås; Storheim, Håkon; Hartvik, Mikaela; Dysvik, Elin

doi:10.1002/aorn.12897

Cited by 12 publications

(15 citation statements)

References 22 publications

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“…Eleven studies were conducted in the US, [ 15 , 17 , 27 – 35 ], six in the UK [ 18 , 36 – 40 ], and four in Western/Northern European countries [ 22 , 41 – 43 ]. Studies either examined one [ 18 , 22 , 28 , 32 , 41 ] or several OR professions [ 15 , 17 , 27 , 29 – 31 , 33 – 40 , 42 , 43 ]. The majority investigated only one surgical specialty [ 17 , 18 , 27 – 30 , 33 – 35 , 38 ].…”

Section: Resultsmentioning

confidence: 99%

“…In a study team’s internal consensus process (JS, AK, MW, KC), we further assigned all behavioural markers to respective NOTECHS II-dimensions and subteams, according to the definitions provided [ 14 , 21 ]. We excluded behaviours that were not specific (e.g., ‘effective communication is important’ [ 22 ]).…”

Section: Methodsmentioning

confidence: 99%

“…All were published between 2004 and 2020 (median: 2017). Eleven studies were conducted in the US, [15,17,[27][28][29][30][31][32][33][34][35], six in the UK [18,[36][37][38][39][40], and four in Western/Northern European countries [22,[41][42][43]. Studies either examined one [18,22,28,32,41] or several OR professions [15, 17, 27, 29-31, 33-40, 42, 43].…”

Section: Characteristics Of Included Articlesmentioning

confidence: 99%

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RAS-NOTECHS: validity and reliability of a tool for measuring non-technical skills in robotic-assisted surgery settings

et al. 2021

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Background Non-technical skills (NTS) are essential for safe surgical practice as they impact workflow and patient outcomes. Observational tools to measure operating room (OR) teams’ NTS have been introduced. However, there are none that account for the specific teamwork challenges introduced by robotic-assisted surgery (RAS). We set out to develop and content-validate a tool to assess multidisciplinary NTS in RAS. Methodology Stepwise, multi-method procedure. Observations in different surgical departments and a scoping literature review were first used to compile a set of RAS-specific teamwork behaviours. This list was refined and expert validated using a Delphi consensus approach consisting of qualitative interviews and a quantitative survey. Then, RAS-specific behaviours were merged with a well-established assessment tool on OR teamwork (NOTECHS II). Finally, the new tool—RAS-NOTECHS—was applied in standardized observations of real-world procedures to test its reliability (inter-rater agreement via intra-class correlations). Results Our scoping review revealed 5242 articles, of which 21 were included based on pre-established inclusion criteria. We elicited 16 RAS-specific behaviours from the literature base. These were synthesized with further 18 behavioural markers (obtained from 12 OR-observations) into a list of 26 behavioural markers. This list was reviewed by seven RAS experts and condensed to 15 expert-validated RAS-specific behavioural markers which were then merged into NOTECHS II. For five observations of urologic RAS procedures (duration: 13 h and 41 min), inter-rater agreement for identification of behavioural markers was strong. Agreement of RAS-NOTECHS scores indicated moderate to strong agreement. Conclusions RAS-NOTECHS is the first observational tool for multidisciplinary NTS in RAS. In preliminary application, it has been shown to be reliable. Since RAS is rapidly increasing and challenges for effective and safe teamwork remain at the forefront of quality and safety of surgical care, RAS-NOTECHS may contribute to training and improvement efforts in technology-facilitated surgeries.

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Characteristics Of Included Articlesmentioning

confidence: 99%

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RAS-NOTECHS: validity and reliability of a tool for measuring non-technical skills in robotic-assisted surgery settings

et al. 2021

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“…Furthermore, they should be able to contribute to the rapid rate of change in health-care systems. Already, several of these master's degree theses have been published in national (31,32) and international scientific journals (13,(33)(34)(35), contributing to the clinical field: e.g., pre-operative warming, hypothermia, non-technical skills, pediatric pre-medication, and teamwork. Such master's degrees prepare nurses for the future and empower students with the expertise required in today's health-care systems to improve the delivery of care (6).…”

Section: The Bridge Between Theory and Practicementioning

confidence: 99%

Value of research-based master’s degree theses

Hansen

Dysvik

2022

inspira

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Background: New types of expertise in advanced nursing is required to meet the rapid changes in health services and technologies. To meet these challenges, different master’s degree programs are evolving, which will provide systematic introductions to analytical thinking and research-based argumentation and will lay the foundation for evidence-based nursing. Aim: The aim of this study was to investigate topics and methods in research-based master’s degree theses in anesthesia, critical care, and operating room nursing (AIO) to explore their contribution to best practices within nursing specialization in anesthesia, intensive care, and operating theater nursing in Norway. Method: By using thematic analysis we examined 78 research-based master’s degree theses produced over 5 years, representing the entire period of a university program in anesthesia, intensive care, and operating theater nursing. Findings: The master’s theses covered different topics, ranging from topics within best practice, competence building and teamwork. A variety of methods were used to suggest improvements in the clinical field. This means that the value of the research topics chosen can be studied from different angles and help identify the complexity of the phenomena of interest. Conclusion: Master’s degree thesis represents new, updated, and valuable knowledge for educational institutions, career development, hospital management, and clinical practitioners to guide future advanced and best practice both nationally and internationally.

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“…The patient must be properly secured to avoid any movement during the surgery to prevent injuries (Kaye et al, 2013). Therefore, it is even more important to ensure safe patient positioning before the operation (Myklebust et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Positioning patients for robotic‐assisted surgery: A qualitative study of operating room nurses' experiences

et al. 2022

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During the last decades, the use of robotic-assisted surgery (RAS) has increased worldwide and especially in gynaecology and urology where it has become more common (Bouquet de Joliniere et al., 2016;Eswara & Ko, 2019). RAS is a type of 'minimally invasive surgery' where a computer is placed between the surgeon and the patient, and a camera with two 'eyes' provides both depth of vision and a stable three-dimensional picture. The surgeon directs the robotic arms using hand and foot controls on a console but is physically separated from the patient and the surgical team (Kadioglu et al., 2018; Zelhart & Kaiser, 2018). The introduction of RAS has several advantages when compared with conventional surgery. RAS enables more patients to have invasive surgery performed with less postoperative pain, reduced surgical trauma, shorter hospitalization, reduced blood loss and earlier return to daily activities (Bouquet de

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Anesthesia Professionals’ Perspectives of Teamwork During Robotic‐Assisted Surgery

Cited by 12 publications

References 22 publications

RAS-NOTECHS: validity and reliability of a tool for measuring non-technical skills in robotic-assisted surgery settings

RAS-NOTECHS: validity and reliability of a tool for measuring non-technical skills in robotic-assisted surgery settings

Value of research-based master’s degree theses

Positioning patients for robotic‐assisted surgery: A qualitative study of operating room nurses' experiences

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