Strategies for using non-participatory video research methods in general practice

Abstract

Background Non-participatory video research is useful for observing and analysing interactions between clinicians, patients and technology. However, few clinical nursing studies have used non-participatory video observation and there is limited literature describing the approach. Aim To describe a study that used nonparticipatory video observation in general practice. Discussion The authors' experience of non-participatory video research methods indicates that the acceptability of the technique, workplace organisation and consultation space have implications for preparation and data collection. Strategies for success include engaging stakeholders early on, obtaining contextual knowledge and piloting the approach. Conclusion Nonparticipatory video observation is valuable in understanding interactions between nurses and patients in a naturalistic setting. Careful planning is essential to ensure alignment between research aims, context and technology. The methods for analysing data must be chosen carefully to ensure the research question is answered. Implications for practice Video observation provides rich data. Careful planning and engagement of participants is required for successful conduct of studies that use the technique. Abstract Background. Non-participatory video research is useful for observing and analysing interactions between clinicians, patients and technology. Few studies have used nonparticipatory video observation in clinical nursing research and there is limited literature describing the approach. Aim. To describe an experience of using non-participatory video observation in general practice nursing research. Discussion. Our experience of non-participatory video research methods indicates that acceptability of the technique, workplace organisation and consultation space have implications for preparation and data collection. Strategies for success include early stakeholder engagement, contextual knowledge, and piloting the approach. Conclusion. Non-participatory video observation is valuable for understanding interactions between nurses and patients in a naturalistic setting. Careful planning is essential to ensure alignment between research aims, context and technology selected. The choice of data analysis methods requires careful consideration to ensure that the research question is answered. Implications for practice. Video observation research provides rich data. Careful planning and engagement of participants is required for successful conduct of such studies.

Nonverbal communication between registered nurses and patients during chronic disease management consultations: Observations from general practice

“…However, increased computer use, including while talking, can negatively impact practitioner body posture, eye contact and patient information giving during consultations (Noordman et al, 2010; Street Jr et al, 2014). Strategies such as involving patients in viewing the computer screen are viewed positively by patients, but spatial constraints in some GPN work environments make this challenging (James, Desborough, et al, 2019; Sobral et al, 2015). This has implications for patients requiring support for lifestyle risk reduction where environmental barriers such as GPN workspace and computer placement may impact on patient engagement (Pearce et al, 2012; Sobral et al, 2015).…”

“…Using nonparticipatory video observation in general practice is a useful way of examining interactions in settings where spatial constraints exist (James, Desborough, et al, 2019). However, other nurse–patient interactions, such as informal greetings outside of the consultation room, were not captured due to the nonparticipatory method of video data collection (James, Desborough, et al, 2019). Video observation is known to produce large amounts of data for analysis, requiring careful consideration of research aims (Jewitt, 2012).…”

“…Nurses were eligible if they were baccalaureate, or equivalent, prepared registered nurses and provided CDM consultations. While there is no clear guide for sampling in video observation research (James, Desborough, McInnes, & Halcomb, 2019), a sample of 15 nurses and 40 patients was considered to represent a manageable data set that would likely yield a variety of practice patterns.…”

“…Participating nurses sought consent from patients and managed the video‐recording. Video data were recorded using two Go Pro Hero Session 4 cameras with micro SD cards (James, Desborough, et al, 2019). One camera faced the patient and the other, the nurse.…”

“…Video slicing for analysis was undertaken by SJ using Windows Movie Player Version 2012 (IBM Corp., 2012a). A detailed description of the video data collection methods is reported elsewhere (James, Desborough, et al, 2019).…”