Transient Teams in the Operating Theatre: A Case Study of Changing Social and Economic Contexts for Clinical Communication
Lead Research Organisation:
Imperial College London
Department Name: Surgery and Cancer
Abstract
Abstracts are not currently available in GtR for all funded research. This is normally because the abstract was not required at the time of proposal submission, but may be because it included sensitive information such as personal details.
Organisations
Publications
Bezemer J
(2016)
Surgical decision making in a teaching hospital: a linguistic analysis.
in ANZ journal of surgery
Bezemer J
(2013)
Holding the Scalpel Achieving Surgical Care in a Learning Environment
in Journal of Contemporary Ethnography
Bezemer J
(2016)
Unsettled teamwork: communication and learning in the operating theatres of an urban hospital.
in Journal of advanced nursing
Bezemer J
Unsettled teamwork: Communication and learning in the operating theaters of an urban hospital
in Qualitative Health Research
Bezemer J
(2017)
Microanalysis of video from the operating room: an underused approach to patient safety research.
in BMJ quality & safety
Cope A
(2017)
What Attitudes and Values Are Incorporated Into Self as Part of Professional Identity Construction When Becoming a Surgeon?
in Academic medicine : journal of the Association of American Medical Colleges
Cope AC
(2015)
Making meaning from sensory cues: a qualitative investigation of postgraduate learning in the operating room.
in Academic medicine : journal of the Association of American Medical Colleges
Korkiakangas T
(2014)
Nurse-surgeon object transfer: video analysis of communication and situation awareness in the operating theatre.
in International journal of nursing studies
Korkiakangas T
(2015)
Video-Supported Simulation for Interactions in the Operating Theatre (ViSIOT)
in Clinical Simulation in Nursing
Korkiakangas T
(2015)
Communication in Surgical Practice
| Title | Improving Communication in the Operating Theatre through Research and Training |
| Description | A short film showcasing our ongoing research and impact activity for the Transient Teams in the Operating Theatre project. It highlights a number of important issues that have come out of our research and shows how we are working with healthcare professionals towards improvement of clinical communication and, ultimately, patient-safety. The film arises from a simulation day organised for trainee nurses and operating theatre practitioners at the Bucks New University. |
| Type Of Art | Film/Video/Animation |
| Year Produced | 2013 |
| Impact | The film has raised the profile of our research and shows how we work together with the medical professionals and students. |
| Description | We have engaged in collaboration with healthcare professionals, and we are using our research findings to improve communication between surgeons and nurses in practice. |
| Exploitation Route | We will develop a simulation-based training programme for communication that can be incorporated by universities and NHS Trusts. We are also exploring the potential of simulation-based training for operating theatre teams in a collaborative project with colleagues in the USA. This is currently being developed. |
| Sectors | Education,Healthcare |
| URL | http://transientteams.wordpress.com/2014/01/31/nurse-and-odp-simulated-training-day-at-buckinghamshire-new-university/ |
| Description | Through a series of 15 impact activities we have addressed the pressing issue of patient safety and clinical communication in the National Health Service. The activities were designed to improve the quality, safety and efficiency of surgical care and enhance the well being of health care professionals working in a complex and highly demanding work place. We have worked closely with 100+ practising and in-training nurses, operating department practitioners and surgeons, in conference workshops, local round-table discussions and seminars, and simulation based training. Beyond that, we have reached out through contributions to professional nursing and surgery media. Impact activities for clinicians focused on raising awareness of the implications of increasing mobility of staff and transience of teams. We have identified and demonstrated strategies for effective inter-professional communication under these changing social conditions, and highlighted the effects of a range of other factors, such as playing music in the operating theatre. Participants have reported that they have already adopted the suggested communication strategies in their professional routines. Margaret Sneddon, Chair of one panel 'highly commended' our contribution to a major nursing conference, stating, "Fantastic presentation that generated loads of discussion. It raised issues of patient safety, lack of respect for colleagues and potential costs and rises of playing loud music in the theatre. This was for me the biggest and most far reaching presentation of the conference that must have further exposure." We have addressed the general public, rendering visible communication practices that often remain hidden to them. Highlights include an event at the Cheltenham Science Festival, and a professional film documenting our findings. These activities were far reaching: for instance, the film has been watched 1,900 times (and counting) since it was first published on YouTube. Activities were aimed at redressing popular media images of surgeons and other health care professionals, while at the same time collecting the perspectives of outsiders on the operating theatre and facilitating dialogue between clinicians and the general public. Issues raised by the general public, such as their concern about the impact of music on the communication, were taken up in the research and have been raised with clinicians. Extensive coverage at the time of publication (August 2015) included a feature on BBC Radio 4 Today programme, numerous media outlets and subsequent online discussion. Lastly, we have sought to influence the health care policy agenda, by discussing our findings with heads of surgery and nursing, the Director of the Centre for Patient Safety at Imperial College London, the former Chief Medical Officer, and HRH Princess Anne. |
| Sector | Education,Healthcare,Culture, Heritage, Museums and Collections |
| Impact Types | Cultural,Societal |
| Description | ESRC Impact Acceleration Award funding |
| Amount | £35,000 (GBP) |
| Organisation | Imperial College London |
| Sector | Academic/University |
| Country | United Kingdom |
| Start | 03/2017 |
| End | 03/2018 |
| Description | Art, Image & Politics Symposium held at John Hansard Gallery, University of Southampton, March 2012. |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | The group contributed as audience members and as speakers in the first interdisciplinary event - enabled sharing of information and insights into one another's professional worlds A progressive series of discussions has highlighted the boundary-crossing nature of each of these domains of expertise, and the value of mapping new territories of engagement. |
| Year(s) Of Engagement Activity | 2012 |
| Description | Discussion panel/presentation at Cheltenham LIterature Festival |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Public/other audiences |
| Results and Impact | Cotterrell and Kneebone presented at the Cheltenham Literature festival and led a panel and public discussion on the relationship between surgery and art and the way in which surgery can be informed by external observers. This sparked questions and discussion between audience and panel. Good feedback from audience who expressed an insight into worlds/parallels never seen before. |
| Year(s) Of Engagement Activity | 2013 |
| Description | Presentation at Design4Health exhibition at SHU in June 2013 |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Other academic audiences (collaborators, peers etc.) |
| Results and Impact | A prototype display based on the trial recordings was presented at this event allowing sharing of information and further discussion. In addition to discussions within and beyond our core group, we explored the affordances of new visualisation and haptic technologies. For example, 360 degree video capture allowed us to capture multiple perspectives on both open surgery and interventional cardiology. |
| Year(s) Of Engagement Activity | 2013 |
| Description | Presentation at an AHRC hosted RCUK parliamentary event on Health and Wellbeing in June 2013. |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Policymakers/politicians |
| Results and Impact | The project was selected to be presented at an AHRC hosted RCUK parliamentary event on Health and Wellbeing in June 2013. Documentation of the project was been selected for inclusion within an associated publication to be produced and circulated within and beyond the event. Documentation of the project was been selected for inclusion within an associated publication to be produced and circulated within and beyond the event |
| Year(s) Of Engagement Activity | 2013 |
| Description | Presentation for HRH Princess Anne |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Public/other audiences |
| Results and Impact | HRH Princess Anne visited the Institute of Education in order to hear about the cutting-edge research conducted at the London Knowledge Lab (the home institution of Jeff Bezemer and Terhi Korkiakangas). HRH Princess Anne learned about the use of video to research communication in the operating theatre and asked many questions about our research findings. |
| Year(s) Of Engagement Activity | 2014 |
| Description | Project website |
| Form Of Engagement Activity | A magazine, newsletter or online publication |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Public/other audiences |
| Results and Impact | The project website showcases the research progression and findings for general public, academics, and healthcare professionals (available to anyone): www.transientteams.wordpress.com The website has attracted 4,000+ views, and we have received many referrals to our publications from this site. |
| Year(s) Of Engagement Activity | 2012,2013,2014 |
| Description | Research/Simulation presentation at Imperial College NHS Trust (Hammersmith) |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Health professionals |
| Results and Impact | The Head of Nursing and clinical educators at Imperial College NHS trust were met with a research presentation and an offer for simulation-based training. The Head of Nursing invited the simulation-based training to commence at the Hammersmith site. She was astonished at the level of detail in our research approach to communication (i.e. using video to examine talk, body movement, gaze, gesture, interaction with objects). |
| Year(s) Of Engagement Activity | 2014 |
| Description | Simulation Training at Bucks New University |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Undergraduate students |
| Results and Impact | Student nurses and operating theatre practitioners participated in a day of simulation training and video-based debriefing about communication strategies in the operating theatre. Participants experienced 'hands-on' training and reflective discussion. Participants commented on having gained new insight into the importance of communication and reported afterwards that they have put the new strategies in practice when working in the operating theatre. |
| Year(s) Of Engagement Activity | 2013 |
| Description | The Big Bang Fair 2013, London, ExCeL, 14 - 17 March 2013. |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Schools |
| Results and Impact | This event was used to prototype visual arts and sound-based research methodologies. It facilitated the experimental collection of content to be used in creative responses for further use. |
| Year(s) Of Engagement Activity | 2013 |
| Description | Transient Teams in the Operating Theatre |
| Form Of Engagement Activity | A magazine, newsletter or online publication |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Health professionals |
| Results and Impact | An article was written to showcase the research project in a professional newsletter widely distributed kong healthcare professionals: Operating Theatre Journal, 261, p.2. The newsletter is feely available for example in hospital tearooms. Therefore our article reached frontline professionals, who might not have access to academic publications. We received further invitations from similar outlets. |
| Year(s) Of Engagement Activity | 2012 |
| Description | VISIOT operating theatre training programme for surgical communication |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Professional Practitioners |
| Results and Impact | A focused simulation-based activity involved surgical team members (surgeons, anaesthetists, nurses and others) in a realistic recreation of surgical procedures, aiming to explore routine communication practices. This has developed into a formal training programme with significant potential for scaling up. |
| Year(s) Of Engagement Activity | 2015 |
| Description | ViSIOT training activities |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Professional Practitioners |
| Results and Impact | A progressive educational programme for surgical team members continues to develop within Chelsea & Westminster Hospital |
| Year(s) Of Engagement Activity | 2016,2017 |
| Description | Who holds the scalpel? |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Public/other audiences |
| Results and Impact | Public engagement event at the Cheltenham Science Festival, which involved simulation and discussion. General public gained new insight into the surgical work in the operating theatre and were provided an opportunity to ask questions from researchers and professionals in the field. |
| Year(s) Of Engagement Activity | 2013 |