Perioperative practice
more information, this can lead to something different, which is the ability to compromise, to bend, flex and adapt, so that we get the best outcome. But that’s not what I see happening. What I see is that many people confuse proving themselves right with doing the right thing. We are seduced by proving ourselves right; it feels good to prove other people wrong,” he commented.
A contributing factor, he believes, is an educational system that tells people they have to be right, which leads to argumentative situations, where people try to dominate each other.
He went on to describe the theory of “the
pool of information”. The empty swimming pool represents a complex problem. We can invite people to “stand around the pool of information to fill the pool”. But if you invite people who look like you, talk like you, think like you, and have the same educational background as you, you will only fill the pool of information with the same information over and over again. If we want high quality information, we need to invite people to stand around the pool who represent different perspectives, sexes, sexuality, races, religion, jobs and roles.
“It is important that we include people who
represent other jobs, and also patients and relatives when that’s appropriate – then we have the potential for much richer information. This is clearly an argument for equality and diversity. “However, at this point, it is still an illusion of
equality, diversity, and inclusivity. The reason for this illusion is because every person around the pool has their own ‘tap’, and they can choose to either turn on or turn off their flow of information,” Dr. Turner explained. “The single most important factor to
determine whether or not we are going to turn on our flow of information is: “do I feel valued and respected around here?” And the single most important thing that determines whether you feel valued and respected, when you first join a team, is civility. Are you treated in a way that makes you feel that you’re important within this team and that you are seen?” Dr. Turner added that when people treat us in an uncivil way, we have on average a 61% reduction in cognitive ability. Furthermore, there is a 20% reduction in cognitive ability for those who simply witness other people behaving in an uncivil fashion. When people are at the top end of the “empathy spectrum”, they are even more impacted by witnessing incivility between other people. In healthcare we want individuals who are empathetic. However, Dr. Turner added that being around people who are treating each other in an uncivil fashion also makes us less kind. “If we witness other people being uncivil to
Dr. David Hamilton discussed “kindfulness”
Dr. Chris Turner highlighted how the ‘pool of information’ is impacted by incivility.
each other and we walk around the corner and somebody asks us for help, we are 50% less likely to help that person,” he commented. Effective leaders ask their team what
they are thinking and create an environment where that is possible. They fill up the pool of information and then they make better decisions. By choosing to behave in ways that value and respect the people around us, we help them to perform. When we do that together as teams, and create environments where people are prepared to share information, we get better outcomes for patients, for staff, and for organisations. In other words, civility saves lives.
Getting awesome perioperative care Professor Scarlett McNally, a Consultant Orthopaedic Surgeon, from Eastbourne, UK, gave a presentation on ‘how to get awesome perioperative care’. President of the Medical Women’s Federation, deputy director of the Centre for Perioperative Care and Honorary Clinical Professor at Brighton and Sussex Medical School, Prof. McNally covered a wide variety of topics with great energy and insight – from key aspects of safe perioperative practice, the importance of prevention and patient preparation for surgery, strategies to avoid complications, and bullying and sexism within surgical teams.
Ruth Collins described AfPP members as ‘diamonds’.
The need to standardise, harmonise and educate During this comprehensive session, she highlighted the updated National Safety Standards for Invasive Procedures (NatSSIPs2),
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