Residents’ reluctance to challenge negative hierarchy in the operating room: a qualitative study

Conclusions Study results showed that hierarchy played a dominant role in the functioning of the operating room. Participants spoke of both the positive and negative effects of such a hierarchical learning environment. The majority of participants described a negative perception of hierarchy as the norm, and they employed many coping strategies. This study provides insight into how a negative hierarchical culture can adversely impact patient safety, resident learning, and team functioning. We propose a theoretical model to describe challenging authority in this context.
Source: Canadian Journal of Anesthesia - Category: Anesthesiology Source Type: research