Identifying Good and Poor Surgical Behaviour in the Danish Operating Room

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01334411
Recruitment Status : Completed
First Posted : April 13, 2011
Last Update Posted : April 13, 2011
Information provided by:
Herlev Hospital

Brief Summary:

Aim: To identify examples of surgeons good and poor intraoperative behaviours related to safe and efficient surgery.

Methods: Ten observations will undertaken in the operating theatres of Rigshospitalet and Herlev Hospital with the researchers taking field notes. This provides the Ph.d student with empirical background knowledge of observed surgical behaviour as well as an understanding of surgical culture. The knowledge will be used to qualify the interviewguide.

8 semi-structured group interviews and 3 individual interviews will be conducted and tape recorded. The interviews will be led by the Ph.d student with an anesthesia nurse present as a co-moderator. The groups will contain 4 - 12 participants.

The interview guide will be developed with a Scottish behavioural marker system as a framework, drawing upon the literature as well as the observations. It will contain questions regarding leadership, communication, teamwork, situation awareness and decision making to facilitate a discussion about surgeons' good and poor behaviours.

Material: Data will be collected in two hospitals in the capital Region of Denmark, Rigshospitalet and Herlev Hospital. Each hospital will provide four focus groups, one containing consultant surgeons in general surgery, one trainee surgeons, one scrub nurses and one containing a mixture of anesthetists and anesthesia nurses. The two latter focus groups is included to get the perspectives of the surgeons' team members since international studies have demonstrated differences of opinion regarding the perceived quality of teamwork amongst operating theatre staff. This study will be the first to build in the opinions of the team members into a behavioural marker system. 3 individual interviews with surgeons will afterwards conducted in one of the hospitals to get a more in-depth discussion.

Data analysis and statistics: The interviews will be fully transcribed and analysed using qualitative method of systematic text condensation. Power calculations are not relevant in this qualitative study. Accepted guidelines state that the number of participants in each group should range between 5 and 15 and the data are from two large university hospitals receiving different patient categories to ensure a certain representative sample of informants.

Condition or disease
Surgical Behaviour in the Operating Room

Study Type : Observational
Study Start Date : September 2010
Actual Study Completion Date : March 2011

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Ages Eligible for Study:   Child, Adult, Senior
Sexes Eligible for Study:   All
Sampling Method:   Non-Probability Sample
Study Population
The interview informants are health care personell in two Danish Hospitals as described in the project description

Inclusion Criteria:

  • medical professionals at Rigshospitalet and Herlev Hospital

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01334411

Danish Institute for Medical Simulation
Herlev, Denmark, 2730
Sponsors and Collaborators
Herlev Hospital
Study Chair: Doris Ostergaard, M.D Danish Institute for Medical Simulation

Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: Lene Spanager, Danish Institute for Medical Simulation, Herlev Hospital Identifier: NCT01334411     History of Changes
Other Study ID Numbers: NTS-1-LS
First Posted: April 13, 2011    Key Record Dates
Last Update Posted: April 13, 2011
Last Verified: April 2011