Absence or presence: Silent discourse in the operating room and impact on surgical team action - 04/05/21
Abstract |
Background |
Our objective was to examine the influence of silence on team action in the operating room.
Methods |
We conducted a constructed grounded theory study with semi-structured interviews with 25 interprofessional surgical team members. Using a framework of silence as communication and performance, transcripts were iteratively team-coded to develop themes and a conceptual model.
Results |
OR silence is expressed verbally and nonverbally. Two contexts of silence were identified: homogenous as collective action, and disparate, as disengagement. Complex and dynamic, two primary themes emerged, Power that often shuts down communication, and Focus during critical moments. Five additional sub-themes included critical moments, respect, self-reflection, personal preference, and, bad mood.
Conclusion |
OR silence is not an absence of communication and requires a response. Whether homogenous through cohesiveness, or desperate as a solitary act, OR silence is a call to action. Examining silence as a part discourse has important implications on surgical team function.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Silence is an important part of communication. |
• | In the operating room silence is complex and contains meaning. |
• | During surgery silence can alter team perceptions of time and space. |
• | Operating room silences require a response and inform team member action. |
• | Silence as discourse during surgery has multiple purposes and interpretations. |
Keywords : Surgery, Operating room, Silence, Communication, Teamwork, Education
Plan
Vol 221 - N° 5
P. 980-986 - mai 2021 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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