Effect of Organizational and Environmental Stressors on Surgical Team Performance and Patient Safety in a Northwest Nigerian Tertiary Hospital: A Cross-sectional Study.


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Article DOI: https://doi.org/10.64573/torgj2508002

Authors: Danjuma Aliyu1,3*, Emmanuel Ejembi Anyebe2, Dalhat Khalid Sani3, Salihu Abdulrahman Kombo3, Sani Mohammad Sani4, Adewumi Segun Igbinlade5, Madinat Shola Mohammed6, Funke Sulyman7, Bashir Abdulmumini4, Silas Kolo2

 1Department Of Perioperative Nursing, College of Nursing Sciences, Ahmadu Bello University Teaching Hospital Zaria, Kaduna State, Nigeria.
2Department Of Nursing Science, Faculty of Clinical Sciences, University of Ilorin, Ilorin, Nigeria.
3Department Of Nursing Science, Ahmadu Bello University, Zaria.
4Nursing Science Programme, Ahmadu Bello University Distance Learning Center, Zaria
5Faculty Of Health Sciences, Department of Nursing Sciences, National Open University of Nigeria.
6Department Of Nursing Services, Ahmadu Bello University Teaching Hospital, Tudun Wada Zaria, Kaduna State, Nigeria.
7School Of Nursing, Babcock University, Ilishan Remo, Ogun State, Nigeria.

Cite:

  • APA (7th edition): Aliyu, D., Anyebe, E. E., Sani, D. K., Kombo, S. A., Sani, S. M., Igbinlade, A. S., Mohammed, M. S., Sulyman, F., Abdulmumini, B., & Kolo, S. (2025). Effect of organizational and environmental stressors on surgical team performance and patient safety in a Northwest Nigerian tertiary hospital: A cross-sectional study. The Operating Room Global Journal (TORGJ), 1(1). https://doi.org/10.64573/torgj2508002
  • Harvard: Aliyu, D., Anyebe, E.E., Sani, D.K., Kombo, S.A., Sani, S.M., Igbinlade, A.S., Mohammed, M.S., Sulyman, F., Abdulmumini, B. and Kolo, S., 2025. Effect of organizational and environmental stressors on surgical team performance and patient safety in a Northwest Nigerian tertiary hospital: A cross-sectional study. The Operating Room Global Journal (TORGJ), 1(1). Available at: https://doi.org/10.64573/torgj2508002.
  • Vancouver: Aliyu D, Anyebe EE, Sani DK, Kombo SA, Sani SM, Igbinlade AS, Mohammed MS, Sulyman F, Abdulmumini B, Kolo S. Effect of organizational and environmental stressors on surgical team performance and patient safety in a Northwest Nigerian tertiary hospital: A cross-sectional study. The Operating Room Global Journal (TORGJ). 2025;1(1). https://doi.org/10.64573/torgj2508002
  • MLA (9th edition): Aliyu, Danjuma, et al. “Effect of Organizational and Environmental Stressors on Surgical Team Performance and Patient Safety in a Northwest Nigerian Tertiary Hospital: A Cross-sectional Study.” The Operating Room Global Journal (TORGJ), vol. 1, no. 1, 2025, https://doi.org/10.64573/torgj2508002
  • Chicago (Author–Date): Aliyu, Danjuma, Emmanuel Ejembi Anyebe, Dalhat Khalid Sani, Salihu Abdulrahman Kombo, Sani Mohammad Sani, Adewumi Segun Igbinlade, Madinat Shola Mohammed, Funke Sulyman, Bashir Abdulmumini, and Silas Kolo. 2025. “Effect of Organizational and Environmental Stressors on Surgical Team Performance and Patient Safety in a Northwest Nigerian Tertiary Hospital: A Cross-sectional Study.” The Operating Room Global Journal (TORGJ) 1 (1). https://doi.org/10.64573/torgj2508002
ABSTRACT
Background: Organizational and environmental stress has a significant impact on the job performance and patient’s safety in a high-demand healthcare setting like operating theatre. This study aimed to assess effect of organizational and environmental stressors on surgical team member’s performance and patient safety in a Northwest Nigerian tertiary hospital. Methods: A secondary analysis of a cross-sectional study was conducted among 177 surgical healthcare professionals. Data were collected using the National Institute for Occupational Safety and Health (NIOSH) Generic Job Stress adopted questionnaire and the Perceived Stress Scale. Both descriptive (mean and standard deviation) and inferential (chi-square tests, t-test and regression) statistical analyses were performed with statistical significance set at p< 0.05.                                
Results: The majority of the surgical team members reported experiencing moderate stress (65.0%) while 20.3% reported severe stress levels. Organizational stressors was ranked highest with overall mean score of 4.038, this was followed by environmental (3.981) and interpersonal (3.945) related. Common stress-related outcomes reported are musculoskeletal pains and fatigue (4.09 ± 0.79), poor job satisfaction (4.02 ± 0.78) and low motivation (4.01 ± 0.79). No statistically significant associated were found between stress levels and the years of experience (β = –0.100, p = 0.254) and weekly call hours    (β = 0.067, p = 0.385).                    
Conclusion: The findings indicate that organizational and environmental factors have a greater impact on team stress compared to demographic variables. Implementing targeted interventions to improve workplace policies, environmental conditions, and support systems is critical for reducing stress, enhancing team performance, and maintaining patient safety.
Keywords: Stress, Surgical team, Patient safety, Organizational stressors, Nigeria, Job Demand-Control model.

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