Illustrative quotes and frequencies of each barrier
Theme | Example quotes | Frequency (f) | Frequency (% of total)* |
Organisational-level barriers | 34 | 15.81 | |
List attributes | Unexpected changes in lists due to emergency cases Having different surgeons throughout the day | 20 | 9.30 |
Organisational constraints | Organisations audit the start time/briefings not accommodated in schedule Inadequate staffing AM list overruns, affecting PM list start time | 14 | 6.51 |
Work group-level barriers | 132 | 61.39 | |
Not everyone present/conflicting tasks | Surgeon or anaesthetists finishing rounds Complex set ups Staff nurses busy locating equipment Late team members Team members are not available before or at 8am | 117 | 54.42 |
Miscommunication | Confusion over operating surgeon Junior doctors may not know enough of the patient but are the ones representing the consultants at the briefings | 15 | 7.00 |
Individual-level barriers | 48 | 22.33 | |
Negative attitudes | Briefings [are] done as a formality with steps missing and no space for questions Not interested, refuses to participate Not supportive of the process | 38 | 17.67 |
Lack of knowledge | Visiting surgeons not knowing procedures Staff present during the briefing may be different to ones involved in specific surgeries Junior staff not being aware of briefings | 10 | 4.65 |
*Total of 214 responses.