SP8.11 - Conflict Resolution in Surgery

Abstract Aim In our study, we dive into perspectives gathered from academic and public investigations, shedding light on how patient safety is at risk when communication and professional behaviours crumble within surgical teams. Despite clear evidence, current educational paths for both undergraduates and postgraduates prioritise surgical knowledge and skills, sidelining the crucial aspects of effective teamwork and conflict resolution. The increasing diversity in the surgical workforce, paired with a spectrum of personalities, emphasises the urgency of evaluating the evidence base on how interpersonal conflict impacts and exploring effective interventions. This evaluation is pivotal for shaping the direction of future curricula. Methods We took a systematic approach, exploring databases using keywords like "conflict resolution," "surgery," and "healthcare professionals," and related terms. Following PRISMA guidelines, we analysed identified studies, resolving any discrepancies through collaborative discussions among reviewers. Results Sixty-three studies reveal the adverse effects of interpersonal conflict on healthcare professionals (HCPs), leading to stress, burnout, job dissatisfaction, and compromising team effectiveness and patient safety. Conflict causes were categorised into systemic and interpersonal factors, with resolution interventions focusing on improving communication skills, organising team-building workshops, and facilitating debriefing sessions. Despite recognising the value of conflict resolution, variations in strategies were noted across different surgical specialties. Conclusion This systematic review underlines interpersonal conflict within surgical teams as a significant threat to patient safety and the well-being of healthcare professionals. The literature exposes strategic diversity in reported educational interventions, advocating for the integration of formalised training in teamworking and conflict resolution—an often overlooked yet vital component in surgical curricula.