Diversity and ethics in trauma and acute care surgery teams: results from an international survey.



Cobianchi, Lorenzo, Dal Mas, Francesca, Massaro, Maurizio, Biffl, Walter, Catena, Fausto, Coccolini, Federico, Dionigi, Beatrice, Dionigi, Paolo, Di Saverio, Salomone, Fugazzola, Paola
et al (show 9 more authors) (2022) Diversity and ethics in trauma and acute care surgery teams: results from an international survey. World journal of emergency surgery : WJES, 17 (1). p. 44.

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Abstract

<h4>Background</h4>Investigating the context of trauma and acute care surgery, the article aims at understanding the factors that can enhance some ethical aspects, namely the importance of patient consent, the perceptiveness of the ethical role of the trauma leader, and the perceived importance of ethics as an educational subject.<h4>Methods</h4>The article employs an international questionnaire promoted by the World Society of Emergency Surgery.<h4>Results</h4>Through the analysis of 402 fully filled questionnaires by surgeons from 72 different countries, the three main ethical topics are investigated through the lens of gender, membership of an academic or non-academic institution, an official trauma team, and a diverse group. In general terms, results highlight greater attention paid by surgeons belonging to academic institutions, official trauma teams, and diverse groups.<h4>Conclusions</h4>Our results underline that some organizational factors (e.g., the fact that the team belongs to a university context or is more diverse) might lead to the development of a higher sensibility on ethical matters. Embracing cultural diversity forces trauma teams to deal with different mindsets. Organizations should, therefore, consider those elements in defining their organizational procedures.<h4>Level of evidence</h4>Trauma and acute care teams work under tremendous pressure and complex circumstances, with their members needing to make ethical decisions quickly. The international survey allowed to shed light on how team assembly decisions might represent an opportunity to coordinate team member actions and increase performance.

Item Type: Article
Uncontrolled Keywords: Team Dynamics Study Group
Divisions: Faculty of Health and Life Sciences
Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences
Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences > School of Medicine
Depositing User: Symplectic Admin
Date Deposited: 06 Mar 2024 10:36
Last Modified: 06 Mar 2024 10:36
DOI: 10.1186/s13017-022-00446-8
Open Access URL: https://doi.org/10.1186/s13017-022-00446-8
Related URLs:
URI: https://livrepository.liverpool.ac.uk/id/eprint/3179167