Your participation in NetworkZ research

Key research activities

In order to investigate the effect that NetworkZ has on processes within your DHB, we will:

  1. Administer staff surveys prior to the start of NetworkZ training
  2. Conduct in-theatre observations prior to the start of NetworkZ training
  3. Conduct qualitative interviews during NetworkZ roll-out
  4. Administer staff surveys once NetworkZ training has been embedded
  5. Conduct in-theatre observations once NetworkZ training has been embedded

Cohort 1 Timeline

- Pre-NetworkZ data collected within a three month period before training starts

- Post-NetworkZ data collected approximately fifteen months after the start of training

- Interviews conducted six - twelve months after the start of NetworkZ training


We anticipate administering two surveys to all operating theatre staff in each DHB:

1. The Surgical Culture Safety Survey was developed by the Harvard University School of Public Health, and adapted by the Health Quality and Safety Commission to evaluate the recent Safe Surgery NZ programme. We are working with the Mobius Research & Strategy group to coordinate the administration of this survey.

2. The Teamwork Perceptions Survey has been designed by the NetworkZ team in an attempt to investigate the aspects of teamwork and communication that are taught on the NetworkZ course.


By observing actual behaviour in the operating theatre we can gain a first-hand measure of teamwork. To achieve this we will utilise a tool that our group have previously developed. The World Health Organisation (WHO) Behaviourally Anchored Rating Scale (BARS) as an observational tool for measuring the quality of administration of the WHO Surgical Safety Checklist.

A trained WHOBARS rater will observe 5 -10 surgical cases with a variety of teams in your DHB.

Improvement Science

We will conduct a series of semi-structured interviews with managers, who direct and oversee the implementation of NetworkZ, and project teams and instructors, who are responsible for implementation of processes and training OR staff. 

Findings from these interviews will provide an in-depth understanding of unique organisational change processes. We plan to share our learning about the challenges of implementing NetworkZ into everyday practice in distinct contexts, and use it to collaboratively inform the development of strategy in each DHB.

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