![]() Across phases, frequency of work-related CIC was constant, whereas social CIC increased significantly. Workrelated CIC was significantly more frequent (2.49 per hour) than social CIC (1.42 per hour). In 125 surgeries, 1396 CIC events were observed. The third paper (More than talking about the weekend: content of case-irrelevant communication within the OR team) evaluated the content of case-irrelevant communication (CIC) of the team during surgeries and whether they regulate CIC according to different concentration demands (surgical phases and difficulty of surgery). The concentration of the other team members were not impaired. Second surgeons were more distracted by noise during the main phase and anesthetists more during the closing phase. Noise exposure was measured during 110 surgeries and related to self-report of distraction by main and secondary surgeons, scrub nurses and anesthetists participating in the surgeries. Phases of high complexity are related to specific characteristics of the tasks and can therefore be different for the different members of the surgical team. Especially during phases of high task complexity, noise can jeopardize concentration. An observational study) examined how noise pollution in operating rooms (OR) may distract members of the surgical team. The second paper (Noise in the Operating room distracts member of the surgical team. The extent to which the amount of administrative work was perceived as adequate was associated with job satisfaction. The higher the percentage of administrative work, the lower was its perceived adequacy. Performing surgery – a surgeon’s core activity- was rated as the most, and administration as the least attractive task. About one fifth each was spent on tasks directly related to surgery (21.2%) and to patients (21.7%) about ten percent (10.4%) on meetings and communicating about patients, and somewhat less than one fifth (18.6%) on documentation and administration. Surgeons worked a mean of 11.86 hours per day. For this, 105 surgeons responded to a general questionnaire regarding their working conditions, 87 of them also participated in a diary study. The first paper (The workday of hospital surgeons: What they do, what makes them satisfied, and the role of core tasks and administrative tasks a diary study) aimed to relate everyday work experiences of surgeons to felt stress. ![]() The manuscripts form the second main topic, introduction of a tool to facilitate good teamwork in the operating room. The papers form the first main topic of this thesis, identifying sources of stress. ![]() This dissertation is composed of three papers and four manuscripts. ![]()
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