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American Journal of Surgery

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Understanding helping behaviors in an interprofessional surgical team: How do members engage? - 11/02/20

Doi : 10.1016/j.amjsurg.2019.12.014 
Erin Kennedy a, ⁎ , Lorelei Lingard b, c, d, Christopher J. Watling b, e, Roberto Hernandez Alejandro f, Jeanna Parsons Leigh g, Sayra M. Cristancho b, c, h
a Health Professions Education, Faculty of Health Sciences, Western University, London, Ontario, Canada 
b Centre for Education Research & Innovation, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada 
c Faculty of Education, Western University, London, Ontario, Canada 
d Department of Medicine, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada 
e Department of Clinical Neurological Sciences, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada 
f Division of Transplantation/Hepatobiliary Surgery, Department of Surgery, University of Rochester, New York, USA 
g Department of Epidemiology & Biostatistics, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada 
h Department of Surgery, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada 

∗Corresponding author. Center for Education Research & Innovation, Schulich School of Medicine and Dentistry, Health Sciences Addition, Rm 110, Western University, 1151 Richmond Street, London, Ontario, N6A 3K7, Canada.Center for Education Research & InnovationSchulich School of Medicine and DentistryHealth Sciences Addition, Rm 110Western University1151 Richmond StreetLondonOntarioN6A 3K7Canada

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.

El texto completo de este artículo está disponible en PDF.

Highlights

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Helping engagement, both the provision and receipt of help, is a complex and socially mediated process.
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There are specific aspects held internally by the individual that encourage engagement in helping behaviors, but there are also contextual elements that influence helping engagement.
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Helping engagement in the represented professions was influenced by power and hierarchy, although that influence varied as their interpretations varied.
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Co-located space suggests that the close proximity of IP team members may offer some assistance with respect to the engagement in helping behaviors, but does not remove all barriers to help-seeking.
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Participants described help as a type of currency that was accrued and exchanged within the IP team.

El texto completo de este artículo está disponible en PDF.

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Vol 219 - N° 2

P. 372-378 - février 2020 Regresar al número
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