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Examining communication in the operating theatre using video-analysis

Examining communication in the operating theatre using video-analysis

Weldon, Sharon Marie ORCID: 0000-0001-5487-5265, Korkiakangas, T, Bezemer, J and Kneebone, R (2013) Examining communication in the operating theatre using video-analysis. In: RCN 2013 international nursing research conference: Book of abstracts. Royal College of Nursing, p. 9. ISBN 978-1908782410

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Abstract

In this paper, we address an existing gap between clinical work in the operating theatres and the operating theatre simulation, by focusing on interprofessional communication involving theatre nurses and surgeons. Previous research suggests that communication failures occur routinely in the operating theatres, for example, in transmission of information from a colleague to another (Lingard et al., 2004). Aiding communication is central in order to minimise human errors that can have fatal consequences to patients (Bromiley, 2008), yet less is known about the actual communication practices that take place in the operating theatres on a daily basis. Thereby new methods are urgently needed to identify where errors and so called near-misses emerge or could emerge. We will propose a new approach by drawing on the methods developed within social sciences, namely conversation analysis of video-recorded interactions; such examination can ultimately enhance fidelity of simulation by mapping scenarios to real observations, as opposed to hypothetical cases of clinical work. We will first present (1) a close examination of thirty three hours of video recorded operations and subject data involving theatre nurses-at-work to a microscopic analysis of vocal and non-vocal (body movement and positioning, gaze, gestures) practices. The cases involve, for example, examination of how a scrub nurse’s body positioning impacts on communication with a surgeon during an operation; and how the seemingly simple question-answer, and request-response, sequences do not always occur seamlessly, especially when nurses and surgeons have no visual access to each other. Thereafter, we will show how such evidence enables us to develop (2) data-grounded operating theatre simulation by mapping training to detailed analysis of inter-professional communication. We will discuss how interactional video-analysis has significant implications to improving patient safety through addressing mundane practices that are overlooked. We will consider how simulation offers an environment for experimenting with inter-professional communication.

Item Type: Conference Proceedings
Title of Proceedings: RCN 2013 international nursing research conference: Book of abstracts
Additional Information: Presented at the 2013 RCN International Nursing Research Conference, Belfast, UK.
Uncontrolled Keywords: communication, operating theatre, operating room, video-analysis, conversation analysis, multimodality
Subjects: R Medicine > RT Nursing
Faculty / Department / Research Group: Faculty of Education, Health & Human Sciences
Faculty of Education, Health & Human Sciences > Institute for Lifecourse Development
Faculty of Education, Health & Human Sciences > Institute for Lifecourse Development > Centre for Professional Workforce Development
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Last Modified: 04 Feb 2021 15:23
Selected for GREAT 2016: None
Selected for GREAT 2017: None
Selected for GREAT 2018: None
Selected for GREAT 2019: None
Selected for REF2021: None
URI: http://gala.gre.ac.uk/id/eprint/30810

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