Claire S Smith1, Kristina Guyton2, Joseph J Pariser2, Mark Siegler3, Nancy Schindler4, Alexander Langerman5. 1. Pritzker School of Medicine, The University of Chicago, Chicago, IL, USA. 2. Department of Surgery, The University of Chicago, Chicago, IL, USA. 3. Department of Medicine, The University of Chicago, Chicago, IL, USA. 4. Department of Surgery, NorthShore University Health System, The University of Chicago, Chicago, IL, USA. 5. Department of Otolaryngology, Vanderbilt University Medical Center, Nashville, TN 37232, USA. Electronic address: alexander.langerman@vanderbilt.edu.
Abstract
BACKGROUND: Surgeons are increasingly performing procedures on awake patients. Communication during such procedures is complex and underexplored in the literature. METHODS: Surgeons were recruited from the faculty of 2 hospitals to participate in an interview regarding their approaches to communication during awake procedures. Three researchers used the constant comparative method to transcribe, code, and review interviews until saturation was reached. RESULTS: Twenty-three surgeons described the advantages and disadvantages of awake procedures, their communication with the awake patient, their interactions with staff and with trainees, the environment of awake procedures, and how communication in this context is taught and learned. CONCLUSIONS: Surgeons recognized communication during awake procedures as important and reported varied strategies for ensuring patient comfort in this context. However, they also acknowledged challenges with multiparty communication during awake procedures, especially in balancing commitments to teaching with their duty to comfort the patient.
BACKGROUND: Surgeons are increasingly performing procedures on awake patients. Communication during such procedures is complex and underexplored in the literature. METHODS: Surgeons were recruited from the faculty of 2 hospitals to participate in an interview regarding their approaches to communication during awake procedures. Three researchers used the constant comparative method to transcribe, code, and review interviews until saturation was reached. RESULTS: Twenty-three surgeons described the advantages and disadvantages of awake procedures, their communication with the awake patient, their interactions with staff and with trainees, the environment of awake procedures, and how communication in this context is taught and learned. CONCLUSIONS: Surgeons recognized communication during awake procedures as important and reported varied strategies for ensuring patient comfort in this context. However, they also acknowledged challenges with multiparty communication during awake procedures, especially in balancing commitments to teaching with their duty to comfort the patient.
Authors: Tanika Kelay; Emmanuel Ako; Christopher Cook; Mohammad Yasin; Matthew Gold; Kah Leong Chan; Fernando Bello; Roger K Kneebone; Iqbal S Malik Journal: BMJ Simul Technol Enhanc Learn Date: 2018-11-29