scholarly journals Interprofessional work in operating rooms: a qualitative study from Sri Lanka

2021 ◽  
Author(s):  
Vathsala Jayasuriya-Illesinghe ◽  
Sepali Guruge ◽  
Bawantha Gamage ◽  
Sherry Espin
Keyword(s):  
Sri Lanka ◽  
Interprofessional Collaboration ◽  
Contextual Factors ◽  
Operating Rooms ◽  
Team Members ◽  
Interprofessional Teamwork ◽  
Similar Work ◽  
Surgical Errors ◽  
Relational Factors ◽  
And Gender

Background A growing body of research shows links between poor teamwork and preventable surgical errors. Similar work has received little attention in the Global South, and in South Asia, in particular. This paper describes surgeons’ perception of teamwork, team members’ roles, and the team processes in a teaching hospital in Sri Lanka to highlight the nature of interprofessional teamwork and the factors that influence teamwork in this setting. Methods Data gathered from interviews with 15 surgeons were analyzed using a conceptual framework for interprofessional teamwork. Results Interprofessional teamwork was characterized by low levels of interdependency and integration of work. The demarcation of roles and responsibilities for surgeons, nurses, and anesthetists appeared to be a strong element of interprofessional teamwork in this setting. Various relational factors, such as, professional power, hierarchy, and socialization, as well as contextual factors, such as, patriarchy and gender norms influenced interprofessional collaboration, and created barriers to communication between surgeons and nurses. Junior surgeons derived their understanding of appropriate practices mainly from observing senior surgeons, and there was a lack of formal training opportunities and motivation to develop non-technical skills that could improve interprofessional teamwork in operating rooms. Conclusions A more nuanced view of interprofessional teamwork can highlight the different elements of such work suited for each specific setting. Understanding the relational and contextual factors related to and influencing interprofessional socialization and status hierarchies can help improve quality of teamwork, and the training and mentoring of junior members.

scholarly journals Interprofessional work in operating rooms: a qualitative study from Sri Lanka

2021 ◽  
Author(s):  
Vathsala Jayasuriya-Illesinghe ◽  
Sepali Guruge ◽  
Bawantha Gamage ◽  
Sherry Espin
Keyword(s):  
Sri Lanka ◽  
Interprofessional Collaboration ◽  
Contextual Factors ◽  
Operating Rooms ◽  
Team Members ◽  
Interprofessional Teamwork ◽  
Similar Work ◽  
Surgical Errors ◽  
Relational Factors ◽  
And Gender

Background A growing body of research shows links between poor teamwork and preventable surgical errors. Similar work has received little attention in the Global South, and in South Asia, in particular. This paper describes surgeons’ perception of teamwork, team members’ roles, and the team processes in a teaching hospital in Sri Lanka to highlight the nature of interprofessional teamwork and the factors that influence teamwork in this setting. Methods Data gathered from interviews with 15 surgeons were analyzed using a conceptual framework for interprofessional teamwork. Results Interprofessional teamwork was characterized by low levels of interdependency and integration of work. The demarcation of roles and responsibilities for surgeons, nurses, and anesthetists appeared to be a strong element of interprofessional teamwork in this setting. Various relational factors, such as, professional power, hierarchy, and socialization, as well as contextual factors, such as, patriarchy and gender norms influenced interprofessional collaboration, and created barriers to communication between surgeons and nurses. Junior surgeons derived their understanding of appropriate practices mainly from observing senior surgeons, and there was a lack of formal training opportunities and motivation to develop non-technical skills that could improve interprofessional teamwork in operating rooms. Conclusions A more nuanced view of interprofessional teamwork can highlight the different elements of such work suited for each specific setting. Understanding the relational and contextual factors related to and influencing interprofessional socialization and status hierarchies can help improve quality of teamwork, and the training and mentoring of junior members.

scholarly journals Addressing the information deficit in global health: lessons from a digital acute care platform in Sri Lanka

2019 ◽  
Vol 4 (1) ◽  
pp. e001134 ◽  
Author(s):  
Abi Beane ◽  
Ambepitiyawaduge Pubudu De Silva ◽  
Priyantha Lakmini Athapattu ◽  
Saroj Jayasinghe ◽  
Anuja Unnathie Abayadeera ◽  
...  
Keyword(s):  
Sri Lanka ◽  
Acute Care ◽  
Low Income ◽  
National Level ◽  
Digital Information ◽  
Collaborative Approach ◽  
Frontline Staff ◽  
Middle Income ◽  
Team Members ◽  
Similar Work

Lack of investment in low-income and middle-income countries (LMICs) in systems capturing continuous information regarding care of the acutely unwell patient is hindering global efforts to address inequalities, both at facility and national level. Furthermore, this of lack of data is disempowering frontline staff and those seeking to support them, from progressing setting-relevant research and quality improvement. In contrast to high-income country (HIC) settings, where electronic surveillance has boosted the capability of governments, clinicians and researchers to engage in service-wide healthcare evaluation, healthcare information in resource-limited settings remains almost exclusively paper based. In this practice paper, we describe the efforts of a collaboration of clinicians, administrators, researchers and healthcare informaticians working in South Asia, in addressing the inequality in access to patient information in acute care. Harnessing a clinician-led collaborative approach to design and evaluation, we have implemented a national acute care information platform in Sri Lanka that is tailored to priorities of frontline staff. Iterative adaptation has ensured the platform has the flexibility to integrate with legacy paper systems, support junior team members in advocating for acutely unwell patients and has made information captured accessible to diverse stakeholders to improve service delivery. The same platform is now empowering clinicians to participate in international research and drive forwards improvements in care. During this journey, we have also gained insights on how to overcome well-described barriers to implementation of digital information tools in LMIC. We anticipate that this north–south collaborative approach to addressing the challenges of health system implementation in acute care may provide learning and inspiration to other partnerships seeking to engage in similar work.

scholarly journals Interprofessional Teamwork: Are we ready for skills assessment?

2018 ◽  
Author(s):  
Sandrijn van Schaik ◽  
Christy Kim Boscardin ◽  
Bridget O'Brien ◽  
Shelley Adler
Keyword(s):  
Interprofessional Collaboration ◽  
Cultural Barriers ◽  
Skills Assessment ◽  
Assessment Instruments ◽  
Point Scale ◽  
Team Members ◽  
Effective Feedback ◽  
Interprofessional Teamwork ◽  
Qualitative Work ◽  
Competency Based

Increasing focus on interprofessional collaboration and competency-based assessment requires adequate instruments to assess collaborative practice competencies. We aimed to develop and validate an instrument to assess individual interprofessional teamwork skills among healthcare teams across low-acuity settings. Based on prior qualitative work, we created a 25-item instrument which we pilot tested among 3 sets of interprofessional teams (including learner teams and teams of experienced providers). We collected 397 completed instruments, from 143 raters rating 170 team members across the different teams. Unfortunately, team members consistently assigned their team members high ratings (means of 4.5-4.9 on 5-point scale), prohibiting further meaningful analysis to establish validity. As an explanation of our findings, we postulate that generosity bias and complex interprofessional dynamics played a role. We conclude that cultural barriers that impede effective feedback across professions need to be addressed before development of additional assessment instruments will be of use.

Nonclinical Core Competencies and Effects of Interprofessional Teamwork in Disaster and Emergency Response Training and Practice: A Pilot Study

2013 ◽  
Vol 7 (4) ◽  
pp. 395-402 ◽  
Author(s):  
Jennifer Peller ◽  
Brian Schwartz ◽  
Simon Kitto
Keyword(s):  
Cognitive Skills ◽  
Disaster Response ◽  
Interprofessional Collaboration ◽  
Core Competencies ◽  
Evidence Base ◽  
Response Data ◽  
Competency Training ◽  
Interprofessional Teamwork ◽  
The Relationship ◽  
Depth Interviews

AbstractObjectiveTo define and delineate the nontechnical core competencies required for disaster response, Disaster Medical Assistance Team (DMAT) members were interviewed regarding their perspectives and experiences in disaster management. Also explored was the relationship between nontechnical competencies and interprofessional collaboration.MethodsIn-depth interviews were conducted with 10 Canadian DMAT members to explore how they viewed nontechnical core competencies and how their experiences influenced their perceptions toward interprofessonalism in disaster response. Data were examined using thematic analysis.ResultsNontechnical core competencies were categorized under austere skills, interpersonal skills, and cognitive skills. Research participants defined interprofessionalism and discussed the importance of specific nontechnical core competencies to interprofessional collaboration.ConclusionsThe findings of this study established a connection between nontechnical core competencies and interprofessional collaboration in DMAT activities. It also provided preliminary insights into the importance of context in developing an evidence base for competency training in disaster response and management. (Disaster Med Public Health Preparedness. 2013;0:1–8)

Handling Ethical Dilemmas in Multidisciplinary Teams

2014 ◽  
Author(s):  
Jill Thistlethwaite ◽  
Wendy Hawksworth
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Mental Health Problems ◽  
Ethical Issues ◽  
Interprofessional Collaboration ◽  
Ethical Dilemmas ◽  
Multidisciplinary Teams ◽  
Team Members ◽  
Secondary Health Care

This chapter explores the concept and practice of teamwork and interprofessional collaboration in the support and treatment of clients with mental health problems. Mental health care provision is complex, ethically challenging, and frequently delivered via mental health care teams (MHCT) in both primary and secondary health care settings. We consider how such teams may work together optimally using values-based and client-centered approaches. We discuss the nature of and reasons for conflict arising in multidisciplinary MHCTs, focusing on ethical dilemmas that occur where there is diversity amongst team members in respect of personal, professional, and/or organizational values. The specific ethical issues discussed are: boundary issues; receiving gifts; confidentiality, and involuntary treatment and restraint. Three case studies are used to provide examples of values in action.

scholarly journals Associations Between Lifestyle Factors And Parkinson’s Disease In An Urban Sri Lankan Clinic Study

10.3823/2516 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Ruwani Wijeyekoon ◽  
Vindika Suriyakumara ◽  
Ranjanie Gamage ◽  
Tharushi Fernando ◽  
Amila Jayasuriya ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Sri Lanka ◽  
South Asia ◽  
Lifestyle Factors ◽  
Background Information ◽  
Lifestyle Factor ◽  
Coffee Drinking ◽  
And Gender ◽  
Tea Drinking

Background- Information on lifestyle factors (eg. coffee /tea drinking, smoking) and Parkinson’s Disease(PD) in South Asia is limited. The objective of this study was to determine associations between lifestyle factors and PD in a clinic-based study in Sri Lanka. Methods–Demographic and lifestyle factor data was collected from an unselected cohort of PD patients and age and gender-matched controls attending clinics in Greater Colombo, Sri Lanka. Findings–Of 229 patients with parkinsonism, 144 had Idiopathic PD. Controls numbered 102. Coffee drinkers and smokers were significantly less likely to have PD (coffee, p<0.001; OR=0.264; smoking, p=0.043; OR=0.394). Coffee drinkers were older at PD onset(p<0.001). Similar trends seen with tea drinking were not statistically significant. Conclusions -This is the first formal study of PD and these lifestyle factors in South Asia. It demonstrates an association between coffee drinking, smoking and a decreased prevalence of PD, and coffee drinking and later age of PD onset.  This is in line with other studies done worldwide, suggesting biological associations with global relevance.

Religion, nationalism, and gender: Perspective from South Asia

2020 ◽  
pp. 205789111989852
Author(s):  
Nandini Deo
Keyword(s):  
Sri Lanka ◽  
South Asia ◽  
Religious Community ◽  
Religious Fundamentalism ◽  
Woman Question ◽  
Review Of The Literature ◽  
The Creation ◽  
And Gender ◽  
British Colonies

Religious mobilization often takes the form of engagement with “the woman question”: how should women as carriers of culture comport themselves? This article shows that many of the debates over the role of women and religion in South Asia are misunderstood when they are seen as instances of religious fundamentalism. Rather, the theoretical framework to make sense of public religion and gender debates should be through the lens of postcolonial nationalism. The creation and consolidation of the nation is what is at stake—not the creation of the religious community as such. In order to make this argument, the article offers both a review of the literature on secularism and gender as well as short case studies from India, Pakistan, and Sri Lanka. These three former British colonies have each struggled to arrive at a secular settlement and often the contestation over the place of religion has centered on the rules and roles of women in these societies.

scholarly journals The Impact of Team Identity and Gender on Free-Riding Responses to Fear and Cooperation Sustainability

2020 ◽  
Vol 12 (19) ◽  
pp. 8175 ◽  
Author(s):  
Laura Gomez-Ruiz ◽  
María J. Sánchez-Expósito
Keyword(s):  
Interaction Effect ◽  
Risk Preferences ◽  
Social Dilemma ◽  
Free Riding ◽  
Team Identity ◽  
Men And Women ◽  
Team Members ◽  
Free Ride ◽  
And Gender ◽  
The Impact

This study explores the interaction effect of team identity and gender on free-riding responses to fear and cooperation sustainability in a social dilemma situation. Based on differences in inequity aversion, risk preferences, and reaction to competition between men and women, we predict that team identity reduces free-riding behaviors among men when they feel fear to be exploited by others teammates that free-ride, but that it does not affect women in this way. Consequently, we also predict that the effect of team identity on cooperation sustainability differs between the two genders. We conducted an experiment in which dominant incentives to free-ride were held constant over 30 periods and where agents had to make a decision between cooperation and free-riding in each period. After each decision, agents received teammates’ contribution and earnings, which facilitates that agents identify whether their team members free-ride. Our findings show no effect for team identity on free-riding response to fear among women. However, team identity affects free-riding response to fear among men, which positively impacts cooperation sustainability.

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