Background Investigating the context of trauma and acute care surgery, the article aims at understanding the factors that can enhance some ethical aspects, namely the importance of patient consent, the perceptiveness of the ethical role of the trauma leader, and the perceived importance of ethics as an educational subject. Methods The article employs an international questionnaire promoted by the World Society of Emergency Surgery. Results Through the analysis of 402 fully filled questionnaires by surgeons from 72 different countries, the three main ethical topics are investigated through the lens of gender, membership of an academic or non-academic institution, an official trauma team, and a diverse group. In general terms, results highlight greater attention paid by surgeons belonging to academic institutions, official trauma teams, and diverse groups. Conclusions Our results underline that some organizational factors (e.g., the fact that the team belongs to a university context or is more diverse) might lead to the development of a higher sensibility on ethical matters. Embracing cultural diversity forces trauma teams to deal with different mindsets. Organizations should, therefore, consider those elements in defining their organizational procedures.

Diversity and ethics in trauma and acute care surgery teams: results from an international survey / L. Cobianchi, F. Dal Mas, M. Massaro, W. Biffl, F. Catena, F. Coccolini, B. Dionigi, P. Dionigi, S. Di Saverio, P. Fugazzola, Y. Kluger, A. Leppaniemi, E.E. Moore, M. Sartelli, G. Velmahos, S. Woltz, P. Angelos, L. Ansaloni, A. Abdelmalik, N.S. Abebe, F.M. Abu-Zidan, Y.A.Y. Adam, H. Adamou, A. Agrusa, E. Akin, H. Alexandrino, S.M. Ali, P.M. Almeida, F. Amico, M. Ammendola, J. Andreuccetti, D. Aparicio-Sanchez, A. Ardito, G. Argenio, I.H. Askevold, B.T. Atanasov, G. Augustin, S.S. Awad, C. Bagnoli, L. Bains, D. Balalis, E. Baldini, O. Baraket, M. Barone, J.A. Barreras, G. Bellanova, H. Biancuzzi, M.B. Bignell, R. Bini, D. Bissacco, P. Boati, A. Bottari, K. Bouliaris, A. Brillantino, L.A. Buonomo, S. Buscemi, V. Calu, R. Campo Dall'Orto, S. Campostrini, J.M. Carvas, G. Casoni Pattacini, V. Celentano, M. Ceresoli, M. Chirica, P. Cianci, N. Cillara, S. Cimbanassi, S.P.B. Cioffi, E. Colak, L. Conti, S. Dantas Costa, F. D'Acapito, D. Damaskos, K. Das, R.J. Davies, A.C. De Beaux, B. De Simone, Z. Demetrashvili, A.K. Demetriades, S. Denicolai, G. Di Buono, I. Di Carlo, B. Diaconescu, R. Dibra, S. Dios-Barbeito, A. Dogjani, M. Domanin, M. D'Oria, V. Duran Munoz-Cruzado, B. East, G.T. Ekwen, A.H. Elbaih, J.P. Escalera-Antezana, G. Esposito, R. Farre, A. Ferrario di Tor Vajana, V. Cordeiro Fonseca, F. Forfori, L. Fortuna, E. Fradelos, G.P. Fraga, P. Fransvea, M. Gachabayov, A.A. Garcia Vazquez, W.M. Ghannam, R. Gioco, G. Giraudo, M. Giuffrida, M. Giulii Capponi, C.A. Gomes, R.A. Teixeira Gonsaga, E. Gonullu, J. Goosen, T. Goranovic, E.A. Griffiths, M.G. Haidar, H.K.S. Hamid, T.C. Harddastle, A.J. Healey, M. Hecker, E.F. Hernandez Garcia, E.C. Huaman, M. Hutan, O. Ioannidis, A. Isik, A.M.H. Ismail, N. Ismail, J.Y. Jang, H.M.A. Kaafarani, S.N.R. Kalipershad, L.J. Kaplan, Y. Kara, E. Karamagioli, A. Karamarkovia, A.J. Kavalakat, A. Kechagias, J. Kenig, J.S. Khan, V. Khokha, R. Klappenbach, Y. Kobe, V. Kong, D. Korkolis, H. Kurihara, A. Kuriyama, A. Landaluce-Olavarria, L. Licari, A. Litvin, T.J. Loftus, V. Lohsiriwat, C.C. Lopes Moreira, E. Lostoridis, A.T. Luna, D. Luppi, G.M. Machain, M. Maegele, D. Maggiore, R.V. Maier, M. Manangi, A. Manetti, B. Mantoglu, F. Mariani, A. Marinis, E.A. Sbalcheiro Mariot, G.R. Marseglia, J. Martellucci, G. Martines, A. Martinez Perez, P. Mascagni, D. Massalou, R.B. Melo, L. Miceli, A. Mingoli, T.S. Mishra, A.Y.Y. Mohamedahmed, R. Mohan, D. Morales-Garcia, S.M.S. Mustafa, M.D. Naimzada, I. Negoi, C. Nguyen, M.K. Nidaw, G. Nigri, H.D. Ogundipe, C. Oliveri, S. Olmi, L. Pagani, G. Palomba, D. Pantalone, A. Panyko, C. Paolillo, D. Papis, N. Pararas, F. Pata, S. Paterson-Brown, G. Pavone, F. Pecchini, G. Pellino, M. Pelloni, A. Peloso, E. Perea del Pozo, R. Goncalves Pereira, B. Monteiro Pereira, A. Lizarazu Perez, G. Perrone, A. Pesce, G. Petracca, M. Piccoli, D. Piccolo, E. Picetti, E. Pikoulis, T. Pintar, G. Pirozzolo, M. Podda, P. Previtali, F. Privitera, C. Punzo, M.A. Quiodettis, N. Qvist, R. Rahim, A. Reinisch-Liese, M.R. Rodriguez-Luna, D. Roizblatt, F.P.M. Roscio, S. Rossi, F. Ruta, B.E. Sakakushev, J.C. Salamea, I. Sall, F. Sammartano, A. Sanchez Arteaga, S. Sanchez-Cordero, D. Sasia, R.G. Sawyer, C. Seretis, M. Serradilla-Martin, V.G. Shelat, S. Shlyapnikov, R.L. Simoes, B. Siribumrungwong, M. Slavchev, L. Solaini, G. Soldini, K. Soreide, F. Spada, P. Stahel, L. Sydorchuk, R. Sydorchuk, A.M. Syed, L. Tallon-Aguilar, J.H. Tan, E. Tan, A. Tarasconi, D. Tartaglia, N. Tartaglia, J. Taylor, G.D. Tebala, R.A. Teixeira Gonsaga, M. Teuben, M. Tolonen, G. Tomasicchio, T. Triantafyllou, G. Trigiante, V. Turrado-Rodriguez, R. Tutino, M. Uccelli, B. Ugarte-Sierra, M. Ukkonen, P.G. Vassiliu, J.M. Verde, M. Veroux, R. Vilallonga, D. Visconti, M. Waledziak, T. Wannatoop, L.W. Widmer, M.S.J. Wilson, T.H. Wong, S. Xenaki, B. Yu, S. Yule, A.D. Zakaria, D.A. Zambrano, M. Zese. - In: WORLD JOURNAL OF EMERGENCY SURGERY. - ISSN 1749-7922. - 17:1(2022 Aug 10), pp. 44.1-44.11. [10.1186/s13017-022-00446-8]

Diversity and ethics in trauma and acute care surgery teams: results from an international survey

P. Boati
Membro del Collaboration Group
;
S. Cimbanassi
Membro del Collaboration Group
;
S.P.B. Cioffi
Membro del Collaboration Group
;
M. Domanin
Membro del Collaboration Group
;
D. Papis
Membro del Collaboration Group
;
F. Ruta
Membro del Collaboration Group
;
F. Sammartano
Membro del Collaboration Group
;
M. Uccelli
Membro del Collaboration Group
;
2022

Abstract

Background Investigating the context of trauma and acute care surgery, the article aims at understanding the factors that can enhance some ethical aspects, namely the importance of patient consent, the perceptiveness of the ethical role of the trauma leader, and the perceived importance of ethics as an educational subject. Methods The article employs an international questionnaire promoted by the World Society of Emergency Surgery. Results Through the analysis of 402 fully filled questionnaires by surgeons from 72 different countries, the three main ethical topics are investigated through the lens of gender, membership of an academic or non-academic institution, an official trauma team, and a diverse group. In general terms, results highlight greater attention paid by surgeons belonging to academic institutions, official trauma teams, and diverse groups. Conclusions Our results underline that some organizational factors (e.g., the fact that the team belongs to a university context or is more diverse) might lead to the development of a higher sensibility on ethical matters. Embracing cultural diversity forces trauma teams to deal with different mindsets. Organizations should, therefore, consider those elements in defining their organizational procedures.
Acute care surgery; Diversity; Ethics; Team dynamics; Trauma surgery; Humans; Surveys and Questionnaires; Patient Care Team
Settore MED/18 - Chirurgia Generale
10-ago-2022
Article (author)
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/938821
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