In:
The Bulletin of the Royal College of Surgeons of England, Royal College of Surgeons of England, Vol. 103, No. 4 ( 2021-06), p. 186-191
Abstract:
The aim of this study was to determine surgical trainees’ perspectives on team environment, function, performance and trust. Methods A 44-point anonymous survey was distributed to all doctors working in surgery in a single UK statutory education body. Responses were received from 116 doctors (17 foundation year 1 [F1] doctors, 50 senior house officers [SHOs] , 49 specialist registrars [SpRs]). Results Psychological safety was associated with trainee grade, with SHOs showing the lowest results relating to perception of support (F1 88%, SHO 60%, SpR 82%, p=0.016) and ability to ask for help (F1 100%, SHO 71%, SpR 92%, p=0.043). Dependability among colleagues was perceived to be poorer by women than by men (70% vs 88%, p=0.009). Clarity of team structure was associated with grade and perceived to be poor by SHOs (F1 94%, SHO 60%, SpR 78%, p=0.014). Meaningfulness and impact of team achievement was also associated with grade (F1 77%, SHO 69%, SpR 94%, p=0.005). Inverse correlations were observed between the prevalence of harassment/bullying and markers of psychological safety (r s =-0.382, p 〈 0.001), dependability (r s =-0.270, p=0.003) and clarity of team structure (r s =0.355, p 〈 0.001). Conclusions Important deficiencies in psychological safety had an adverse effect on two in five SHOs. Countermeasures (enhanced stress resilience training) are needed to protect morale, patient safety and clinical out
Type of Medium:
Online Resource
ISSN:
1473-6357
,
1478-7075
DOI:
10.1308/rcsbull.2021.73
Language:
English
Publisher:
Royal College of Surgeons of England
Publication Date:
2021
detail.hit.zdb_id:
2106036-8
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