Visibilising clinical work: Video ethnography in the contemporary hospital

Iedema, Rick; Long, Debbi; Forsyth, Rowena; Lee, Bonne Bonsan

doi:10.5172/hesr.2006.15.2.156

Cited by 92 publications

(99 citation statements)

References 3 publications

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“…Heterogeneous communication can lead to uncertainty. 4 Methods to improve clinical communication have been studied extensively in the intensive care setting but there are limited studies looking at the impact on medical ward rounds. 5…”

Section: Quantitative Results: How Long Does a Ward Round Take?mentioning

confidence: 99%

Quality and safety at the point of care: how long should a ward round take?

2011

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-In April 2009 a 'considerative checklist' was developed to ensure that all important aspects of care on a team's routine and post-take general internal medicine ward rounds had been addressed and in order to answer the question: How long should a ward round take, when conducted to high standards of quality and safety at the point of care? The checklist has been used on 120 ward rounds: 90 routine ward rounds and 30 post-take ward rounds. Overall, the average time per patient was 12 minutes (10 minutes on routine rounds and 14 minutes on post-take rounds). The considerative checklist has encouraged and enabled documented evidence of high quality and safe medical care, and anecdotally improved team working, communication with patients, and team and patient satisfaction.

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Section: Quantitative Results: How Long Does a Ward Round Take?mentioning

confidence: 99%

Quality and safety at the point of care: how long should a ward round take?

2011

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“…The study was designed as a video-reflexive ethnographic study16 made up of six distinct phases, including conducting focus groups, feedback of video footage and collaborating on the design of practice solutions (see table 1). …”

Section: Methodsmentioning

confidence: 99%

Design and trial of a new ambulance-to-emergency department handover protocol: ‘IMIST-AMBO’

et al. 2012

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“…Amongst organizations that are being studied spatially through empirical research is the hospital, to better understand the discourse of practitioner communication. For example, the work of Rick Iedema and colleagues (Iedema et al, 2010;Long, Forsyth, Iedema, & Carroll, 2006;Long, Iedema, & Lee, 2007), using video ethnography (Iedema, Long, Forsyth, & Lee, 2006), has developed a spatially sensitive theoretical frame for understanding complex collaboration across professions. In attempting to make sense of non-linear hospital discourse, this work defers the temptation to develop linear and reductive educational interventions to ''improve'' communication between professions, a point that is developed later in this article.…”

Section: Introductionmentioning

confidence: 98%

The dislocation of medical dominance: making space for interprofessional care

Bleakley

2013

Journal of Interprofessional Care

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The historical transition of modern medicine from an autonomous profession to a team-based interprofessional practice can be described in terms of space rather than time, with "place" as the unit of analysis. Imagining modern medicine spatially was instigated by Foucault, who described medical dominance as a territorializing of both individual body spaces and public spaces--the former through the diagnostic medical gaze, the latter in a gaze of health surveillance. However, much has happened since Foucault's (1963) analysis. The diagnostic gaze has been dispersed to develop a collaborative gaze including patients and healthcare professionals; political interests have appropriated the public health gaze; and the medical profession is subject to democratic processes of accountability. Medicine has lost its territorial imperative as new "liquid" and "nomadic" work practices emerge, making space for interprofessional care. Such dislocation of medical dominance and its multiple relocations are poorly theorised. Deleuze and Guattari distinguish between "striated" and "smooth" spaces. Striated space is associated with hierarchies and boundaries, where smooth space includes boundary crossing and democratic collaboration. Smooth or liminal spaces in hospitals, such as corridors, can paradoxically act as catalysts for collaboration or assembly democracy, affording opportunities for improvised interprofessional encounters. Such encounters can act as an antidote to planned protocols or imperatives for interprofessional collaboration.

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Visibilising clinical work: Video ethnography in the contemporary hospital

Cited by 92 publications

References 3 publications

Quality and safety at the point of care: how long should a ward round take?

Quality and safety at the point of care: how long should a ward round take?

Design and trial of a new ambulance-to-emergency department handover protocol: ‘IMIST-AMBO’

The dislocation of medical dominance: making space for interprofessional care

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