Staff Experiences in Robotic Theatres

NCT03453736 | Completed

• 2 other identifiers: 0647237227
• Study Type: observational
• Target: 54
• Locations: 1 country
• Sites: 1

Brief Summary

Studies have shown that team work impacts patients safety. This is particularly the case in surgical theatres where individuals from different backgrounds (surgeon, anaesthetists, nurses, ..etc) work together to achieve a common goal which is looking after the patient. The robotic theatre set up is different due to the physical separation of the surgeon from the patient and the rest of the team. This may represent a communication challenge. The Study investigators aim to study theatre staff experiences and practices of communication and teamwork in this special setup, investigating any challenges participants may be facing and possible ways of adapting to them. Staff opinions and suggestions for improvement will be explored for utmost surgical performance and patient safety. The study will involve two parts:1) individual staff interviews and 2) teamwork observations during real life surgery. The two parts should complement each other giving an overall picture of the teamwork in the robotic theatre setup.

Conditions

Robotic Staff Experiences

Keywords

Robotic surgery; theatre staff; teamwork; patient safety

Outcome Measures

Primary Outcomes (2)

• Robotic staff experiences.

  This will be explored using individual interviews and team observations. Textual data of interview transcripts and observation field notes will be analysed using constant comparative method.

  1 year

• Robotic staff practices

  This will be explored using individual interviews and team observations. Textual data of interview transcripts and observation field notes will be analysed using constant comparative method.

  1 year

Secondary Outcomes (2)

• Staff communication in robotic theatres.

  1 year

• Staff teamwork

  1 year

Study Arms (2)

Robotic procedures

Experiences and practices in Robotic theatres will be studied via semi-structured interviews with staff as well as team observations during real time robotic surgery. As the study is a qualitative one, data collection will continue till we reach saturation of theoretical categories. We expect 20 interviews and 10 observations to suffice.

Other: No intervention

Non-Robotic procedures

Staff involved in robotic surgery will have almost definitely worked in non-robotic theatres ie major abdominal and laparoscopic. Staff interviews will explore differences in experiences and practices between these different theatre setups. In addition, we aim to observe further 5 non-robotic procedures to evaluate staff teamwork and communication within the more regular theatre setup.

Other: No intervention

Interventions

No intervention OTHER

This is a qualitative study involving staff interviews and observations. No intervention is being applied.

Non-Robotic procedures; Robotic procedures

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Participants will be theatre staff, from any surgical discipline, who are involved in robotic surgery practice at University Hospitals of Leicester and Cambridge University Hospital. This includes, but not limited to surgeons (primary and assistants), nurses (scrub, circulating, or student), anaesthetists (including trainees) and operating department practitioners (ODP).

You may qualify if:

• Robotic theatre staff as above.
• Willing and able to participate.
• Good command of the English language.

You may not qualify if:

• Theatre staff not involved in robotic surgery.
• Participants not willing / unable to participate.
• Staff that have not worked in a conventional theatre setup before.
• Inability to read/speak/understand English.
• Lack of capacity for consent.

Sponsors & Collaborators

• University of Leicester: lead

Study Sites (1)

University Hospitals of Leicester NHS Trust

Leicester, United Kingdom

Location

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 19, 2018
• First Posted: March 5, 2018
• Study Start: July 8, 2018
• Primary Completion: March 21, 2019
• Study Completion: March 21, 2019
• Last Updated: May 3, 2021

Record last verified: 2021-04

Data Sharing

• IPD Sharing: Will not share

Locations

GB (1)