‘Theatre Comm’ – optimising communication in surgical theatres during COVID-19

Mathews, John; Blencowe, Natalie S; Adcock, S.; Gane, Simon; Nangalia, Vishal; Patel, Anil; Blazeby, Jane M; Birchall, MA

doi:10.1002/bjs.11834

Cited by 6 publications

(4 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As well as influencing interactions with patients, participants commented on how the use of face masks, particularly FFP3 masks, made communication with colleagues challenging during the provision of clinical care. Similar difficulties have been reported in surgical theatres [39] and are likely to be experienced in other noisy hospital environments due to the impact of face masks on speech intelligibility [40]. When all staff are in full PPE, participants commented that it can be difficult to know who is in the room and their specific roles.…”

Section: Understanding Influences On Behaviourmentioning

confidence: 68%

Factors influencing uptake of protective behaviours by healthcare workers in England during the COVID-19 pandemic: A theory-based mixed-methods study

Meyer,

Crayton,

Wright

et al. 2024

PLoS ONE

View full text Add to dashboard Cite

Background Hospital infection control policies protect patients and healthcare workers (HCWs) and limit the spread of pathogens, but adherence to COVID-19 guidance varies. We examined hospital HCWs’ enactment of social distancing and use of personal protective equipment (PPE) during the COVID-19 pandemic, factors influencing these behaviours, and acceptability and feasibility of strategies to increase social distancing. Methods An online, cross-sectional survey (n = 86) and semi-structured interviews (n = 22) with HCWs in two English hospitals during the first wave of the COVID-19 pandemic (May-December 2020). The Capability, Opportunity, Motivation (COM-B) model of behaviour change underpinned survey and topic guide questions. Spearman Rho correlations examined associations between COM-B domains and behaviours. Interviews were analysed using inductive and deductive thematic analysis. Potential strategies to improve social distancing were selected using the Behaviour Change Wheel and discussed in a stakeholder workshop (n = 8 participants). Results Social distancing enactment was low, with 85% of participants reporting very frequently or always being in close contact with others in communal areas. PPE use was high (88% very frequently or always using PPE in typical working day). Social distancing was associated with Physical Opportunity (e.g., size of physical space), Psychological Capability (e.g., clarity of guidance), and Social Opportunity (e.g., support from managers). Use of PPE was associated with Psychological Capability (e.g., training), Physical Opportunity (e.g., availability), Social Opportunity (e.g., impact on interactions with patients), and Reflective Motivation (e.g., beliefs that PPE is effective). Local champions and team competition were viewed as feasible strategies to improve social distancing. Conclusions It is valuable to understand and compare the drivers of individual protective behaviours; when faced with the same level of perceived threat, PPE use was high whereas social distancing was rarely enacted. Identified influences represent targets for intervention strategies in response to future infectious disease outbreaks.

show abstract

Section: Understanding Influences On Behaviourmentioning

confidence: 68%

Factors influencing uptake of protective behaviours by healthcare workers in England during the COVID-19 pandemic: A theory-based mixed-methods study

Meyer,

Crayton,

Wright

et al. 2024

PLoS ONE

View full text Add to dashboard Cite

show abstract

“…These protocols could include non‐verbal and verbal communication strategies to maximize the quality of the communication process in order to overcome the communication and relational barriers generated by the implementation of face masks in the clinical setting (Mheidly et al, 2020; Schlögl et al, 2021). The strategies could include the use of photographs on the uniform which could help improve the relationship with patients and promote humanized care (Brown‐Johnson et al, 2020), or adopting a different way of speaking than usual by raising the tone of voice, repeating concepts, and checking that the information has been understood to ensure that both understood the information (Mathews et al, 2020). Likewise, non‐verbal communication such as using hand gestures more frequently and body movements should be encouraged to help increase speech understanding during communication (Mheidly et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

Effective communication between nursing professionals and patients after the implementation of mask‐wearing requirements in the clinical setting: A cross‐sectional study

Gutiérrez‐Puertas,

Márquez‐Hernández,

Ortíz‐Rodríguez

et al. 2023

Nursing & Health Sciences

View full text Add to dashboard Cite

This study aimed to evaluate staff nurses' perspectives on the use of face masks in effective communication and relationship management skills with patients in the hospital setting. The study surveyed registered nurses (RNs) who work with adult patients in different hospital units. An online survey was completed by RNs who were selected by convenience sampling. RNs' communication with patients was perceived as moderately affected by the use of face masks. Statistically significant differences were found when comparing communication with years of professional experience. Participants who had over 10 years of experience reported having greater difficulty in their communication with patients when using face masks. The effect of provider–patient relationship on effective nurse–patient face‐mask communication was statistically significant and negative. This study shows that some participants found face masks used in the clinical setting may affect nurse–patient communication, as well as the nurses' ability to manage their relationships with patients. The findings of this study support the need for targeted research into effective communication strategies when face mask use is needed in the healthcare setting.

show abstract

“…Furthermore, others have suggested that the use of some PPE may be associated with significant challenges during intra-operative communication between staff members. 18 As local, regional and national PPE recommendations evolve, careful evaluation will be required to ensure that patients and staff remain safe. Whilst it should be recognised that the local population incidence of COVID-19 will play a factor, we recommend that further evidence-based guidance from national and international professional societies be developed so that guidance can be updated.…”

Section: Discussionmentioning

confidence: 99%

Is Re-introducing Major Open and Minimally Invasive Surgery during COVID-19 Safe for Patients and Healthcare Workers? An International, Multi-centre Cohort Study in the Field of Oesophago-gastric Surgery

et al. 2021

View full text Add to dashboard Cite

Introduction The COVID-19 pandemic has resulted in unparalleled changes to patient care, including the suspension of cancer surgery. Concerns regarding COVID-19-related risks to patients and healthcare workers with the re-introduction of major complex minimally invasive and open surgery have been raised. This study examines the COVID-19 related risks to patients and healthcare workers following the re-introduction of major oesophago-gastric (EG) surgery. Patients and Methods This was an international, multi-centre, observational study of consecutive patients treated by open and minimally invasive oesophagectomy and gastrectomy for malignant or benign disease. Patients were recruited from nine European centres serving regions with a high population incidence of COVID-19 between 1 May and 1 July 2020. The primary endpoint was 30-day COVID-19-related mortality. All staff involved in the operative care of patients were invited to complete a health-related survey to assess the incidence of COVID-19 in this group. Results In total, 158 patients were included in the study (71 oesophagectomy, 82 gastrectomy). Overall, 87 patients (57%) underwent MIS (59 oesophagectomy, 28 gastrectomy). A total of 403 staff were eligible for inclusion, of whom 313 (78%) completed the health survey. Approaches to mitigate against the risks of COVID-19 for patients and staff varied amongst centres. No patients developed COVID-19 in the post-operative period. Two healthcare workers developed self-limiting COVID-19. Conclusions Precautions to minimise the risk of COVID-19 infection have enabled the safe re-introduction of minimally invasive and open EG surgery for both patients and staff. Further studies are necessary to determine the minimum requirements for mitigations against COVID-19.

show abstract

‘Theatre Comm’ – optimising communication in surgical theatres during COVID-19

Cited by 6 publications

References 5 publications

Factors influencing uptake of protective behaviours by healthcare workers in England during the COVID-19 pandemic: A theory-based mixed-methods study

Factors influencing uptake of protective behaviours by healthcare workers in England during the COVID-19 pandemic: A theory-based mixed-methods study

Effective communication between nursing professionals and patients after the implementation of mask‐wearing requirements in the clinical setting: A cross‐sectional study

Is Re-introducing Major Open and Minimally Invasive Surgery during COVID-19 Safe for Patients and Healthcare Workers? An International, Multi-centre Cohort Study in the Field of Oesophago-gastric Surgery

Contact Info

Product

Resources

About