Nurse-surgeon object transfer: Video analysis of communication and situation awareness in the operating theatre
Nurse-surgeon object transfer: Video analysis of communication and situation awareness in the operating theatre
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DOI：
10.1016/j.ijnurstu.2014.01.007
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发表时间：
2014-09-01
影响因子：
8.1
通讯作者：
Kneebone, Roger
中科院分区：
文献类型：
--
作者：
Korkiakangas, Terhi;Weldon, Sharon-Marie;Kneebone, Roger
背景：外科手术中最核心的协作任务之一是物体的传递，包括器械的传递。护士和外科医生是如何做到这一点的，我们所知甚少。本研究的目的是探讨是什么因素影响了这种例行任务，导致物体的快速或缓慢转移。方法：定性视频研究，通过观察民族志方法通知，在英国的主要教学医院进行。共观察普通外科手术20例。总共审查了大约68小时的录像数据。使用社会科学内部开发的交互式视频分析详细分析了225分钟的子样本。结果：观察到影响物体转移的两个因素：(1)仪器台车的相对位置和(2)对中。擦洗护士的器械推车位置（靠近外科医生或远离外科医生）和对齐（视线方向）影响与外科医生的沟通，从而影响物体转移的速度。当清洁护士站在外科医生旁边，并“聚合”跟随外科医生的动作时，转移进行得更无缝、更快。
Background: One of the most central collaborative tasks during surgical operations is the passing of objects, including instruments. Little is known about how nurses and surgeons achieve this. The aim of the present study was to explore what factors affect this routine-like task, resulting in fast or slow transfer of objects.Methods: A qualitative video study, informed by an observational ethnographic approach, was conducted in a major teaching hospital in the UK. A total of 20 general surgical operations were observed. In total, approximately 68 h of video data have been reviewed. A subsample of 225 min has been analysed in detail using interactional video-analysis developed within the social sciences.Results: Two factors affecting object transfer were observed: (1) relative instrument trolley position and (2) alignment. The scrub nurse's instrument trolley position (close to vs. further back from the surgeon) and alignment (gaze direction) impacts on the communication with the surgeon, and consequently, on the speed of object transfer. When the scrub nurse was standing close to the surgeon, and "converged" to follow the surgeon's movements, the transfer occurred more seamlessly and faster (