@article{Bezemer:2015:10.1111/jan.12835,
author = {Bezemer, J and Korkiakangas, T and Weldon, S and Kress, G and Kneebone, R},
doi = {10.1111/jan.12835},
journal = {Journal of Advanced Nursing},
pages = {361--372},
title = {Unsettled teamwork: Communication and learning in the operating theatres of an urban hospital},
url = {http://dx.doi.org/10.1111/jan.12835},
volume = {72},
year = {2015}
}

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TY  - JOUR
AB  - AimTo explore the unsettling effects of increased mobility of nurses, surgeons and other healthcare professionals on communication and learning in the operating theatre.BackgroundIncreasingly, healthcare professionals step in and out of newly formed transient teams and work with colleagues they have not met before, unsettling previously relatively stable team work based on shared, local knowledge accumulated over significant periods of close collaboration.DesignAn ethnographic case study was conducted of the operating theatre department of a major teaching hospital in London.MethodVideo recordings were made of 20 operations, involving different teams. The recordings were systematically reviewed and coded. Instances where difficulties arose in the communication between scrub nurse and surgeons were identified and subjected to detailed, interactional analysis.FindingsInstrument requests frequently prompted clarification from the scrub nurse (e.g. ‘Sorry, what did you want?’). Such requests were either followed by a relatively elaborate clarification, designed to maximize learning opportunities, or a by a relatively minimal clarification, designed to achieve the immediate task at hand.ConclusionsSignificant variation exists in the degree of support given to scrub nurses requesting clarification. Some surgeons experience such requests as disruptions, while others treat them as opportunities to build shared knowledge.
AU  - Bezemer,J
AU  - Korkiakangas,T
AU  - Weldon,S
AU  - Kress,G
AU  - Kneebone,R
DO  - 10.1111/jan.12835
EP  - 372
PY  - 2015///
SN  - 0309-2402
SP  - 361
TI  - Unsettled teamwork: Communication and learning in the operating theatres of an urban hospital
T2  - Journal of Advanced Nursing
UR  - http://dx.doi.org/10.1111/jan.12835
VL  - 72
ER  - 

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