IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v69y2009i12p1757-1766.html
   My bibliography  Save this article

Uptake of a team briefing in the operating theatre: A Burkean dramatistic analysis

Author

Listed:
  • Whyte, Sarah
  • Cartmill, Carrie
  • Gardezi, Fauzia
  • Reznick, Richard
  • Orser, Beverley A.
  • Doran, Diane
  • Lingard, Lorelei

Abstract

Communication among healthcare professionals is a focus for research and policy interventions designed to improve patient safety, but the challenges of changing interprofessional communication patterns are rarely described. We present an analysis of 756 preoperative briefings conducted by general surgery teams (anesthesiologists, nurses, and surgeons) at four urban Canadian hospitals in the context of two research studies conducted between August 2004 and December 2007. We ask the questions: how and why did briefings succeed, how and why did they fail, and what did they mean for different participants? Ethnographic fieldnotes documenting the coordination and performance of team briefings were analyzed using Kenneth Burke's concepts of motive and attitude. The language and behaviour of participants were interpreted as purposive and situated actions which reveal perceptions, beliefs and values. Motives and attitudes varied both within and across sites, professions, individuals, and briefings. They were contingent on the organizational, medical and social scenes in which the briefings took place and on participants' multiple perceived purposes for participating (protecting patient safety, exchanging information, engaging with the team, fulfilling professional commitments, participating in research, and meeting social expectations). Participants' attitudes reflected their recognition (or rejection) of specific purposes, the briefings' perceived effectiveness in serving these purposes, and the briefings' perceived alignment (or conflict) with other priorities. Our findings illustrate the intrinsically rhetorical and variable nature of change.

Suggested Citation

  • Whyte, Sarah & Cartmill, Carrie & Gardezi, Fauzia & Reznick, Richard & Orser, Beverley A. & Doran, Diane & Lingard, Lorelei, 2009. "Uptake of a team briefing in the operating theatre: A Burkean dramatistic analysis," Social Science & Medicine, Elsevier, vol. 69(12), pages 1757-1766, December.
    • Handle: RePEc:eee:socmed:v:69:y:2009:i:12:p:1757-1766
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277-9536(09)00658-3
    Download Restriction: Full text for ScienceDirect subscribers only
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Ben D. MacArthur & Richard O. C. Oreffo, 2005. "Bridging the gap," Nature, Nature, vol. 433(7021), pages 19-19, January.
    2. N/A, 1989. "Editor's Introduction," Review of Radical Political Economics, Union for Radical Political Economics, vol. 21(3), pages 1-1, September.
    3. Glenda Riley, Robin & Manias, Elizabeth, 2006. "Governance in operating room nursing: Nurses' knowledge of individual surgeons," Social Science & Medicine, Elsevier, vol. 62(6), pages 1541-1551, March.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Ovretveit, John, 2009. "The contribution of new social science research to patient safety," Social Science & Medicine, Elsevier, vol. 69(12), pages 1780-1783, December.
    2. Iedema, Rick, 2009. "New approaches to researching patient safety," Social Science & Medicine, Elsevier, vol. 69(12), pages 1701-1704, December.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Ercan Tomakin, 2014. "Teaching English Tenses (grammar) in the Turkish Texts; A Case of Simple Present Tense: Is?l Maketi Iter," International Journal of Learning and Development, Macrothink Institute, vol. 4(1), pages 115-131, March.
    2. Peter Viggo Jakobsen, 2009. "Small States, Big Influence: The Overlooked Nordic Influence on the Civilian ESDP," Journal of Common Market Studies, Wiley Blackwell, vol. 47(1), pages 81-102, January.
    3. Grace Kite, 2014. "Linked in? Software and Information Technology Services in India’s Economic Development," Journal of South Asian Development, , vol. 9(2), pages 99-119, August.
    4. Spyros Arvanitis & Ursina Kubli & Martin Woerter, 2006. "University-Industry Knowledge Interaction in Switzerland: What University Scientists Think about Co-operation with Private Enterprises," KOF Working papers 06-132, KOF Swiss Economic Institute, ETH Zurich.
    5. Falco, Paolo & Zaccagni, Sarah, 2020. "Promoting social distancing in a pandemic: Beyond the good intentions," OSF Preprints a2nys, Center for Open Science.
    6. Stylos, Nikolaos & Vassiliadis, Chris A. & Bellou, Victoria & Andronikidis, Andreas, 2016. "Destination images, holistic images and personal normative beliefs: Predictors of intention to revisit a destination," Tourism Management, Elsevier, vol. 53(C), pages 40-60.
    7. Anesi, Vincent, 2012. "Secessionism and minority protection in an uncertain world," Journal of Public Economics, Elsevier, vol. 96(1), pages 53-61.
    8. Anesi, Vincent, 2012. "Secessionism and minority protection in an uncertain world," Journal of Public Economics, Elsevier, vol. 96(1), pages 53-61.
    9. Deribe Assefa Aga & N. Noorderhaven & B. Vallejo, 2018. "Project beneficiary participation and behavioural intentions promoting project sustainability: The mediating role of psychological ownership," Development Policy Review, Overseas Development Institute, vol. 36(5), pages 527-546, September.
    10. Alistair Ross, 2018. "Young Europeans: A New Political Generation?," Societies, MDPI, vol. 8(3), pages 1-24, August.
    11. Ori Haimanko & Michel Breton & Shlomo Weber, 2007. "The stability threshold and two facets of polarization," Economic Theory, Springer;Society for the Advancement of Economic Theory (SAET), vol. 30(3), pages 415-430, March.
    12. Rohner, Dominic & Esteban, Joan & Flamand, Sabine & Morelli, Massimo, 2018. "A Dynamic Theory of Secession," CEPR Discussion Papers 12398, C.E.P.R. Discussion Papers.
    13. Manel Jmal Derbel & Mohamed Ali Boujelbene, 2015. "La Conformite Comptabilite-Fiscalite Et La Gestion Des Resultats : Cas Des Entreprises Tunisiennes," Post-Print hal-01188533, HAL.
    14. Stephan Klasen & Janneke Pieters, 2015. "What Explains the Stagnation of Female Labor Force Participation in Urban India?," The World Bank Economic Review, World Bank, vol. 29(3), pages 449-478.
    15. Nenonen, Suvi & Storbacka, Kaj, 2013. "Finding market focus for solution business development," jbm - Journal of Business Market Management, Free University Berlin, Marketing Department, vol. 6(3), pages 123-142.
    16. Colatat, Phech, 2015. "An organizational perspective to funding science: Collaborator novelty at DARPA," Research Policy, Elsevier, vol. 44(4), pages 874-887.
    17. Forrester, Juanita Kimiyo & Neville, François, 2021. "An institutional perspective on borrowing discouragement among female-owned enterprises and the role of regional female empowerment," Journal of Business Venturing, Elsevier, vol. 36(6).
    18. Maria Lo Bue & Stephan Klasen, 2013. "Identifying Synergies and Complementarities Between MDGs: Results from Cluster Analysis," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 113(2), pages 647-670, September.
    19. Song, Xiaodong & Bryan, Brett A. & Almeida, Auro C. & Paul, Keryn I. & Zhao, Gang & Ren, Yin, 2013. "Time-dependent sensitivity of a process-based ecological model," Ecological Modelling, Elsevier, vol. 265(C), pages 114-123.
    20. Hjelkrem, Anne-Grete Roer & Eikemo, Håvard & Le, Vinh Hong & Hermansen, Arne & Nærstad, Ragnhild, 2021. "A process-based model to forecast risk of potato late blight in Norway (The Nærstad model): model development, sensitivity analysis and Bayesian calibration," Ecological Modelling, Elsevier, vol. 450(C).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:69:y:2009:i:12:p:1757-1766. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.