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Chapter 10 “Coming Up!”: Why Verbal Acknowledgement Matters in the Operating Theatre

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1. Title Title of document Chapter 10 “Coming Up!”: Why Verbal Acknowledgement Matters in the Operating Theatre - Communication in Surgical Practice
2. Creator Author's name, affiliation, country Terhi Korkiakangas; Department of Surgery and Cancer, Imperial College London; United Kingdom
2. Creator Author's name, affiliation, country Sharon-Marie Weldon
2. Creator Author's name, affiliation, country Jeff Bezemer
2. Creator Author's name, affiliation, country Roger Kneebone
3. Subject Discipline(s) Communication Studies; Linguistics
4. Subject Keyword(s) operating theatre; communication; video analysis; verbal acknowledgement; response
5. Subject Subject classification Sociolinguistics (CFB); Medical sociology (MBS); Medical ethics & professional conduct (MBDC)
6. Description Abstract In the operating theatre, communication problems are the leading cause of patient harm. Yet, relatively little is known about the actual interactions that take place in surgical operations between surgeons and nurses. The aim of the present study was to examine, in detail, nurses’ responses to surgeon’s requests, and to identify what kinds issues occur in these exchanges. A video-based study examining team communication was conducted in a major UK teaching hospital. A total of 20 general surgical operations were observed and video-recorded. In total, approximately 68 hours of video data were reviewed. A subsample of 9 operations (13 h 40 mins in total) has been analysed using interactional analysis developed within the social sciences. Distributional analysis of the response practices was also conducted. Theatre nurses responded to surgeons’ requests/questions either through (1) “action” (i.e. physical activity) or (2) “talk+action” (i.e. verbal acknowledgement + physical activity). Scrub nurses responded to requests significantly more through action only, and circulators used significantly more talk+action responses. Occasionally, nurses did not respond verbally and it became interactionally problematic. The conditions affecting the effectiveness of these responses were the immediacy and visual noticeability of responding. A verbal acknowledgement has an important role when a request cannot be fulfilled immediately, and when a surgeon has no visual access to the addressee of their request, such as a circulating nurse. The study has practical implications for training of simple communication practices that can impact on situational awareness and patient safety.
7. Publisher Organizing agency, location Equinox Publishing Ltd
8. Contributor Sponsor(s)
9. Date (YYYY-MM-DD) 15-Mar-2016
10. Type Status & genre Peer-reviewed Article
11. Type Type
12. Format File format PDF
13. Identifier Uniform Resource Identifier
14. Identifier Digital Object Identifier 10.1558/equinox.26854
15. Source Journal/conference title; vol., no. (year) Equinox eBooks Publishing; Communication in Surgical Practice
16. Language English=en en
18. Coverage Geo-spatial location, chronological period, research sample (gender, age, etc.) international,
19. Rights Copyright and permissions Copyright 2014 Equinox Publishing Ltd