Exploring Shared Mental Models of Surgical Teams in Video-Assisted Thoracoscopic Surgery Lobectomy

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Exploring Shared Mental Models of Surgical Teams in Video-Assisted Thoracoscopic Surgery Lobectomy. / Gjeraa, Kirsten; Dieckmann, Peter; Spanager, Lene; Petersen, René H; Østergaard, Doris; Park, Yoon S; Konge, Lars.

In: The Annals of Thoracic Surgery, Vol. 107, No. 3, 2019, p. 954-961.

Research output: Contribution to journalJournal articleResearchpeer-review

Harvard

Gjeraa, K, Dieckmann, P, Spanager, L, Petersen, RH, Østergaard, D, Park, YS & Konge, L 2019, 'Exploring Shared Mental Models of Surgical Teams in Video-Assisted Thoracoscopic Surgery Lobectomy', The Annals of Thoracic Surgery, vol. 107, no. 3, pp. 954-961. https://doi.org/10.1016/j.athoracsur.2018.08.010

APA

Gjeraa, K., Dieckmann, P., Spanager, L., Petersen, R. H., Østergaard, D., Park, Y. S., & Konge, L. (2019). Exploring Shared Mental Models of Surgical Teams in Video-Assisted Thoracoscopic Surgery Lobectomy. The Annals of Thoracic Surgery, 107(3), 954-961. https://doi.org/10.1016/j.athoracsur.2018.08.010

Vancouver

Gjeraa K, Dieckmann P, Spanager L, Petersen RH, Østergaard D, Park YS et al. Exploring Shared Mental Models of Surgical Teams in Video-Assisted Thoracoscopic Surgery Lobectomy. The Annals of Thoracic Surgery. 2019;107(3):954-961. https://doi.org/10.1016/j.athoracsur.2018.08.010

Author

Gjeraa, Kirsten ; Dieckmann, Peter ; Spanager, Lene ; Petersen, René H ; Østergaard, Doris ; Park, Yoon S ; Konge, Lars. / Exploring Shared Mental Models of Surgical Teams in Video-Assisted Thoracoscopic Surgery Lobectomy. In: The Annals of Thoracic Surgery. 2019 ; Vol. 107, No. 3. pp. 954-961.

Bibtex

@article{a2ac01c9c06f4443a4867c9d7e9fa58d,
title = "Exploring Shared Mental Models of Surgical Teams in Video-Assisted Thoracoscopic Surgery Lobectomy",
abstract = "BACKGROUND: Nontechnical skills are important for safe and efficient surgery. Teams performing video-assisted thoracoscopic surgery (VATS) lobectomy express that it is of utmost importance to have a shared mental model (SMM) of the patient, current situation, and team resources. However, these SMMs have never been explored in a clinical setting. The aim of this observational study was to measure the similarity of SMMs within teams performing VATS lobectomy.METHODS: In this national, multicenter study, SMMs of teams performing VATS lobectomy (n = 64) were measured by preoperative and postoperative questionnaires that were completed by all team members (n = 172). Participants' responses were compared within each team to explore SMMs of risk assessment, familiarity, technical skills, nontechnical skills, and problems.RESULTS: Analysis showed poor agreement between team members with respect to risk assessment, but higher levels of agreement were found for assessments of familiarity, technical skills, and nontechnical skills within the team (Cronbach's alpha = 0.90), most notably for surgical subteams (ie, surgeon plus assistant surgeon plus surgical nurses). During the surgical procedure, the most frequent problems were related to anesthesia, and these were most often recognized by the surgeons. The operating room nurses were the least aware of each other's and the surgeons' problems.CONCLUSIONS: Significant variation exists in the SMMs among VATS team members, with poor agreement regarding the patient and current situation, but better agreement with respect to team resources. Focus on preoperative and perioperative team reflexivity, in addition to explicit communication within unfamiliar teams, may provide opportunities to enhance SMMs, with possible downstream effects on team performance.",
author = "Kirsten Gjeraa and Peter Dieckmann and Lene Spanager and Petersen, {Ren{\'e} H} and Doris {\O}stergaard and Park, {Yoon S} and Lars Konge",
note = "Copyright {\circledC} 2019 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.",
year = "2019",
doi = "10.1016/j.athoracsur.2018.08.010",
language = "English",
volume = "107",
pages = "954--961",
journal = "The Annals of Thoracic Surgery",
issn = "0003-4975",
publisher = "Elsevier",
number = "3",

}

RIS

TY - JOUR

T1 - Exploring Shared Mental Models of Surgical Teams in Video-Assisted Thoracoscopic Surgery Lobectomy

AU - Gjeraa, Kirsten

AU - Dieckmann, Peter

AU - Spanager, Lene

AU - Petersen, René H

AU - Østergaard, Doris

AU - Park, Yoon S

AU - Konge, Lars

N1 - Copyright © 2019 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

PY - 2019

Y1 - 2019

N2 - BACKGROUND: Nontechnical skills are important for safe and efficient surgery. Teams performing video-assisted thoracoscopic surgery (VATS) lobectomy express that it is of utmost importance to have a shared mental model (SMM) of the patient, current situation, and team resources. However, these SMMs have never been explored in a clinical setting. The aim of this observational study was to measure the similarity of SMMs within teams performing VATS lobectomy.METHODS: In this national, multicenter study, SMMs of teams performing VATS lobectomy (n = 64) were measured by preoperative and postoperative questionnaires that were completed by all team members (n = 172). Participants' responses were compared within each team to explore SMMs of risk assessment, familiarity, technical skills, nontechnical skills, and problems.RESULTS: Analysis showed poor agreement between team members with respect to risk assessment, but higher levels of agreement were found for assessments of familiarity, technical skills, and nontechnical skills within the team (Cronbach's alpha = 0.90), most notably for surgical subteams (ie, surgeon plus assistant surgeon plus surgical nurses). During the surgical procedure, the most frequent problems were related to anesthesia, and these were most often recognized by the surgeons. The operating room nurses were the least aware of each other's and the surgeons' problems.CONCLUSIONS: Significant variation exists in the SMMs among VATS team members, with poor agreement regarding the patient and current situation, but better agreement with respect to team resources. Focus on preoperative and perioperative team reflexivity, in addition to explicit communication within unfamiliar teams, may provide opportunities to enhance SMMs, with possible downstream effects on team performance.

AB - BACKGROUND: Nontechnical skills are important for safe and efficient surgery. Teams performing video-assisted thoracoscopic surgery (VATS) lobectomy express that it is of utmost importance to have a shared mental model (SMM) of the patient, current situation, and team resources. However, these SMMs have never been explored in a clinical setting. The aim of this observational study was to measure the similarity of SMMs within teams performing VATS lobectomy.METHODS: In this national, multicenter study, SMMs of teams performing VATS lobectomy (n = 64) were measured by preoperative and postoperative questionnaires that were completed by all team members (n = 172). Participants' responses were compared within each team to explore SMMs of risk assessment, familiarity, technical skills, nontechnical skills, and problems.RESULTS: Analysis showed poor agreement between team members with respect to risk assessment, but higher levels of agreement were found for assessments of familiarity, technical skills, and nontechnical skills within the team (Cronbach's alpha = 0.90), most notably for surgical subteams (ie, surgeon plus assistant surgeon plus surgical nurses). During the surgical procedure, the most frequent problems were related to anesthesia, and these were most often recognized by the surgeons. The operating room nurses were the least aware of each other's and the surgeons' problems.CONCLUSIONS: Significant variation exists in the SMMs among VATS team members, with poor agreement regarding the patient and current situation, but better agreement with respect to team resources. Focus on preoperative and perioperative team reflexivity, in addition to explicit communication within unfamiliar teams, may provide opportunities to enhance SMMs, with possible downstream effects on team performance.

U2 - 10.1016/j.athoracsur.2018.08.010

DO - 10.1016/j.athoracsur.2018.08.010

M3 - Journal article

VL - 107

SP - 954

EP - 961

JO - The Annals of Thoracic Surgery

JF - The Annals of Thoracic Surgery

SN - 0003-4975

IS - 3

ER -

ID: 225120782