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 | |