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. 2019 Mar 14;14(3):e0213840. doi: 10.1371/journal.pone.0213840

Table 2. Staff attitude towards the implementation of robotic surgery categorised according to specialty.

Staff attitude Nursing Staff, n (%) Medical Staff, n (%) Support Staff, n (%) P value
Agree Neutral Disagree Agree Neutral Disagree Agree Neutral Disagree
Benefits to patients (n = 162)
    Reduce length of hospital stay 34 (44.2) 41 (53.2) 2 (2.6) 26 (55.3) 13 (27.7) 8 (17.0) 11 (28.9) 26 (68.4) 1 (2.6) <0.001
    Less postoperative pain 26 (33.8) 49 (63.6) 2 (2.6) 19 (40.4) 21 (44.7) 7 (14.9) 11 (28.9) 26 (68.4) 1 (2.6) 0.022
    Less intraoperative complications 23 (29.9) 51 (66.2) 3 (3.9) 7 (14.9) 31 (66.0) 9 (19.1) 15 (39.5) 22 (57.9) 1 (2.6) 0.004
Benefits to Staff (n = 160)
    Increase value of staff role 25 (32.9) 42 (55.3) 9 (11.8) 19 (40.4) 18 (38.3) 10 (21.3) 13 (35.1) 22 (59.5) 2 (5.4) 0.142
    Increase job satisfaction 25 (32.9) 41 (53.9) 10 (13.2) 19 (40.4) 17 (36.2) 11 (23.4) 14 (37.8) 22 (59.5) 1 (2.7) 0.051
    Enhances staff knowledgea 50 (66.7) 21 (28.0) 4 (5.3) 37 (78.7) 9 (19.1) 1 (2.1) 19 (52.8) 16 (44.4) 1 (2.8) 0.112
Concerns (n = 160)
    Work Health and Safetyb 43 (55.8) 29 (37.7) 5 (6.5) 18 (38.3) 16 (34.0) 13 (27.7) 17 (45.9) 12 (32.4) 8 (21.6) 0.025
    Care and handlingb 43 (55.8) 17 (22.1) 17 (22.1) 18 (38.3) 11 (23.4) 18 (38.3) 19 (51.4) 13 (35.1) 5 (13.5) 0.056
    Maintenance of sterile field 29 (38.2) 35 (46.1) 12 (15.8) 7 (14.9) 17 (36.2) 23 (48.9) 10 (27.0) 23 (62.2) 4 (10.8) <0.001
    Decrease in direct involvement 30 (39.5) 34 (44.7) 12 (15.8) 9 (19.1) 12 (25.5) 26 (55.3) 1 (2.7) 28 (75.7) 8 (21.6) <0.001
    Increase operation timec 33 (42.9) 36 (46.8) 8 (10.4) 38 (80.9) 7 (14.9) 2 (4.3) 9 (23.7) 23 (60.5) 6 (15.8) <0.001
    Space and locationd 45 (60.0) 27 (36.0) 3 (4.0) 15 (31.9) 15 (31.9) 17 (36.2) 11 (29.7) 21 (56.8) 5 (13.5) <0.001
    Negatively affect team dynamics 11 (14.5) 45 (59.2) 20 (26.3) 6 (12.8) 12 (25.5) 29 (61.7) 5 (13.5) 25 (67.6) 7 (18.9) <0.001
    Add cost and financial pressure 40 (52.6) 31 (40.8) 5 (6.6) 28 (59.6) 12 (25.5) 7 (14.9) 11 (29.7) 22 (59.5) 4 (10.8) 0.018
Facilitators (n = 161)
    Theoretical training 72 (94.7) 4 (5.3) 0 (0.0) 43 (93.5) 2 (4.3) 1 (2.2) 28 (71.8) 11 (28.2) 0 (0.0) 0.001
    Practical training 72 (94.7) 4 (5.3) 0 (0.0) 45 (97.8) 1 (2.2) 0 (0.0) 27 (69.2) 12 (30.8) 0 (0.0) <0.001
    Educational guides 69 (90.8) 7 (9.2) 0 (0.0) 44 (95.7) 2 (4.3) 0 (0.0) 29 (74.4) 10 (25.6) 0 (0.0) 0.011
    Support staff when required 71 (93.4) 5 (6.6) 0 (0.0) 45 (97.8) 1 (2.2) 0 (0.0) 28 (71.8) 11 (28.2) 0 (0.0) 0.001

an = 158

bn = 161

cn = 162

dn = 159.

Medical staff: included consultant surgeon, consultant anaesthetist, fellow, surgical registrar, anaesthetics registrar, resident and intern. Support staff: included radiographer, operations assistant, administrative officer and theatre technician.