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IF 2.7 3区医学 Q1 SURGERY

American journal of surgery Pub Date : 2025-02-25 DOI:10.1016/j.amjsurg.2025.116277

Stefanie J Soelling, Emily Cummins, Robert D Sinyard, Max Riley, Yves Sonnay, Steven Yule, Steven J Fishman, Douglas S Smink

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引用次数: 0

摘要

背景：本研究旨在评估外科医生对术中 360 度评估（i360）的意见及其与外科医生非技术技能（NOTSS）的一致性：本研究旨在评估外科医生对术中 360 度评估（i360）的意见及其与外科医生非技术技能（NOTSS）的一致性：i360通过围手术期工作人员的反馈来评估外科医生的术中技能。88 名外科医生接受了 i360。归纳式主题分析确定了反馈主题及其与 NOTSS 类别（领导力、沟通与团队合作、决策、情境意识）的一致性：结果：699 份评估有定性评论，其中 589 份（84.3%）包含与 NOTSS 相关的概念。大部分属于领导力（n = 371，53.1%）和沟通与团队合作（n = 275，39.3%）范畴。值得注意的领导力主题包括导师制、专业精神和尊重同事。沟通和团队合作的主题是沟通病例需求、术中床旁态度和团队合作。围绕决策的主题（n = 157，22.5%）是病例预订和患者护理判断，而对情况的认识（n = 117，16.7%）包括耐心、匆忙和应激反应。结论：i360 外科医生反馈与非技术性技能一致，表明围手术期工作人员是可操作见解的宝贵来源。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Using 360-degree feedback to identify actionable strategies to improve surgeon intraoperative non-technical skills.

Background: This study aimed to evaluate comments received by surgeons on an intraoperative 360-degree evaluation (i360) and their alignment with Non-Technical Skills for Surgeons (NOTSS).

Methods: The i360 assesses surgeons' intraoperative skills via feedback from perioperative staff. 88 academic surgeons underwent i360s. Inductive thematic analysis identified feedback themes and their alignment with NOTSS categories (leadership, communication and teamwork, decision-making, situation awareness).

Results: 699 evaluations had qualitative comments and 589 (84.3 %) included NOTSS-related concepts. Most fell within leadership (n = 371, 53.1 %) and communication and teamwork (n = 275, 39.3 %). Notable leadership themes included mentorship, professionalism, and respect for colleagues. Communication and teamwork themes were communicating case needs, intraoperative bedside manner, and team collaboration. Themes surrounding decision-making (n = 157, 22.5 %) were case bookings and patient care judgements, while situation awareness (n = 117, 16.7 %) included patience, rushing, and stress response.

Conclusions: i360 surgeon feedback aligned with non-technical skills, indicating that perioperative staff are a valuable source of actionable insights.

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来源期刊

American journal of surgery 医学-外科

CiteScore

5.00

自引率

6.70%

发文量

570

审稿时长

56 days

期刊介绍： The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.