Formative evaluation of the video reflexive ethnography method, as applied to the physician-nurse dyad

BMJ Quality & Safety
Milisa ManojlovichSarah Krein

Abstract

Despite decades of research and interventions, poor communication between physicians and nurses continues to be a primary contributor to adverse events in the hospital setting and a major challenge to improving patient safety. The lack of progress suggests that it is time to consider alternative approaches with greater potential to identify and improve communication than those used to date. We conducted a formative evaluation to assess the feasibility, acceptability and utility of using video reflexive ethnography (VRE) to examine, and potentially improve, communication between nurses and physicians. We begin with a brief description of the institutional review boardapproval process and recruitment activities, then explain how we conducted the formative evaluation by describing (1) the VRE process itself; (2) our assessment of the exposure to the VRE process; and (3) challenges encountered and lessons learnt as a result of the process, along with suggestions for change. Our formative evaluation demonstrates that it is feasible and acceptable to video-record communication between physicians and nurses during patient care rounds across many units at a large, academic medical centre. The lessons that we learnt helped to identify p...Continue Reading

References

Sep 1, 1994·Journal of General Internal Medicine·H B Beckman, R M Frankel
Feb 7, 2003·Quality & Safety in Health Care·M E J L HulscherR P T M Grol
May 19, 2005·JAMA : the Journal of the American Medical Association·Lucian L Leape, Donald M Berwick
Dec 8, 2005·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·Richard M FrankelJohn T Hsu
Jan 11, 2007·Medical Education·Christian HeathMarcus Sanchez Svensson
Feb 8, 2007·Joint Commission Journal on Quality and Patient Safety·Elizabeth Dayton, Kerm Henriksen
Dec 20, 2007·Nursing Research·Lauren M BroylesMary Beth Happ
Feb 1, 2008·Qualitative Health Research·Katherine CarrollRoss Kerridge
Dec 4, 2009·Quality & Safety in Health Care·L LeapeUNKNOWN Lucian Leape Institute at the National Patient Safety Foundation
Mar 14, 2012·Annals of Family Medicine·Stephen G Henry, Michael D Fetters
May 26, 2012·BMJ Quality & Safety·Rick IedemaDaniel Comerford
Nov 28, 2012·BMJ Quality & Safety·Richard M FrankelJason J Saleem
Jan 1, 2017·Advances in Health Sciences Education : Theory and Practice·Lisi GordonJennifer Cleland

❮ Previous
Next ❯

Citations

Nov 28, 2019·Annals of the American Thoracic Society·Deena Kelly Costa
Sep 1, 2020·AACN Advanced Critical Care·Scherolyn A Leggett, Deborah M Price
Feb 11, 2021·BMJ Quality & Safety·Candice BonaconsaUNKNOWN Groote Schuur Hospital Antimicrobial Stewardship and Surgical Study Group

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.