Laura K Jones1, Bonnie Mowinski Jennings2, Ryan M Goelz3,4, Kent W Haythorn5, Joel B Zivot6,7, Frans B M de Waal8. 1. Emory University, Atlanta, GA, USA. lkjones@emory.edu. 2. Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA. 3. Emory Healthcare Surgical Services, Atlanta, GA, USA. 4. South University Anesthesiologist Assistant Program, Savannah, GA, USA. 5. Emory Healthcare Surgical Services, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA. 6. Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA. 7. Department of Anesthesiology, Emory University School of Medicine, Atlanta, GA, USA. 8. Living Links, Yerkes National Primate Research Center and Professor at Emory University, Atlanta, GA, USA.
Abstract
BACKGROUND: The operating room (OR) is a highly social and hierarchical setting where interprofessional team members must work interdependently under pressure. Due primarily to methodological challenges, the social and behavioral sciences have had trouble offering insight into OR dynamics. PURPOSE: We adopted a method from the field of ethology for observing and quantifying the interpersonal interactions of OR team members. METHODS: We created and refined an ethogram, a catalog of all our subjects' observable social behaviors. The ethogram was then assessed for its feasibility and interobserver reliability. RESULTS: It was feasible to use an ethogram to gather data in the OR. The high interobserver reliability (Cohen's Kappa coefficients of 81 % and higher) indicates its utility for yielding largely objective, descriptive, quantitative data on OR behavior. CONCLUSIONS: The method we propose has potential for social research conducted in healthcare settings as complex as the OR.
BACKGROUND: The operating room (OR) is a highly social and hierarchical setting where interprofessional team members must work interdependently under pressure. Due primarily to methodological challenges, the social and behavioral sciences have had trouble offering insight into OR dynamics. PURPOSE: We adopted a method from the field of ethology for observing and quantifying the interpersonal interactions of OR team members. METHODS: We created and refined an ethogram, a catalog of all our subjects' observable social behaviors. The ethogram was then assessed for its feasibility and interobserver reliability. RESULTS: It was feasible to use an ethogram to gather data in the OR. The high interobserver reliability (Cohen's Kappa coefficients of 81 % and higher) indicates its utility for yielding largely objective, descriptive, quantitative data on OR behavior. CONCLUSIONS: The method we propose has potential for social research conducted in healthcare settings as complex as the OR.
Entities:
Keywords:
Health communication; Health services research; Worksite health
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