Factors that influence surgical team [[efficiency]] include [[staff]] availability, turnover time and teamwork. [[Teamwork]] is enhanced by effective [[communication]], [[collaboration]] and a sense of [[solidarity]] among surgical [[team]] members. Evidence supports that differences in culture, language, generation and discipline-specific role expectations can significantly and negatively influence teamwork and OR efficiency and are requisite in the design and planning strategies for [[perioperative]] services ((Clausing L, Kurtz DL, Prendeville J, Walt JL 2003 Generational diversity: The nexters AORN Journal 78 (3) 373–379)) ((Sherman RO 2006 Leading a multigenerational nursing workforce: Issues, challenges, and strategies Online Journal of Nursing Issues 11 (2) Manuscript 2)) ((Bell JA 2013 Five generations in the nursing workforce: Implications for nursing professional development Journal for Nurses in Professional Development 29 (4) 205–210)).