Table 1.
Summary of attitudinal responses (responses range from 1 ‘strongly disagree’ to 5 (strongly agree’)
|
Sub-scale |
Attitudinal items |
Surgeon (n=41) |
Anaesthetist (n= 33) |
Nurse (n=33) |
|||
|---|---|---|---|---|---|---|---|
| Mode | IQR | Mode | IQR | Mode | IQR | ||
| |
There is little difference between the surgical checklist at GUH and the WHO surgical checklist. |
3 |
2 |
1 |
3.25 |
2 |
2.75 |
|
Norms |
The complete checklist is used for every procedure in every theatre at UHG. |
2 |
3 |
1 |
3 |
5 |
1 |
| |
The complete checklist is used for every procedure in which I am involved in theatre. |
5 |
1.5 |
1 |
3 |
5 |
1 |
| |
When the checklist is being carried out, everyone in theatre stops what they are doing and listens until it is completed. |
1 |
3 |
1 |
1 |
1 |
1.5 |
| |
Sometimes sections of the checklist are not completed.* |
4 |
2 |
4 |
2 |
4 |
1 |
| |
The individual who signs the checklist personally ensures that the relevant steps have been completed. |
5 |
1.5 |
4 |
2 |
4 |
1 |
|
Impact on teamwork & safety |
I believe that failing to use the checklist is poor professional practice. |
5 |
1 |
5 |
1 |
5 |
0 |
| |
I believe using the checklist reduces the likelihood of human error. |
5 |
0.75 |
5 |
1 |
5 |
0 |
| |
I believe using the checklist improves patient safety. |
5 |
0.5 |
5 |
1 |
5 |
0 |
| |
I believe using the checklist improves teamwork in theatre. |
5 |
1 |
5 |
1 |
5 |
1 |
| |
The use of the checklist should be mandatory for every case. |
5 |
1 |
5 |
1 |
5 |
0 |
|
Support |
Surgical personnel support the use of the checklist. |
5 |
1 |
4 |
1 |
5 |
5 |
| |
Anaesthetic personnel support the use of the checklist. |
4 |
2 |
4 |
1 |
5 |
4 |
| |
Nursing staff support the use of the checklist. |
5 |
0 |
4 |
1 |
5 |
5 |
| |
Senior theatre personnel support the use of the checklist. |
5 |
2 |
4 |
1 |
5 |
5 |
| |
Junior theatre personnel support the use of the checklist. |
5 |
1 |
4 |
1 |
5 |
5 |
| |
Management support the use of the checklist. |
5 |
2 |
5 |
1 |
5 |
5 |
|
Initiate |
I have initiated the use of the checklist in the past. |
5 |
2 |
1 |
3 |
5 |
0 |
| |
I intend to initiate the use of the checklist in the future. |
5 |
1 |
3 |
1.75 |
5 |
0 |
|
Barriers |
The requirement for signatures. |
4 |
2.5 |
5 |
3 |
5 |
1 |
| |
Lack of assertiveness of staff. |
4 |
2 |
4 |
2.5 |
4 |
1 |
| |
Lack of time. |
4 |
2 |
4 |
2.75 |
4 |
1 |
| |
Lack of training. |
4 |
2 |
4 |
2 |
4 |
1.5 |
| The lack of an electronic version of the checklist. | 3 | 2 | 5 | 3 | 3 | 2 | |
*reverse worded item.