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Okay, let's talk - short debriefings in the operating room

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@article{46886e54d64b4c85b7d36c1588e3ad35,
title = "Okay, let's talk - short debriefings in the operating room",
abstract = "Introduction: Debriefing is increasingly used to enhance learning and reflection in clinical practice. Nevertheless, barriers to implementing debriefings in the operating room (OR) include lack of time, the availability of trained facilitators, and difficulty gathering the full team after surgery. Spending five minutes on a debriefing during skin closure or between procedures may enhance learning and reflection on practice, generating to improve patient safety. The aim of this study was to explore characteristics, feasibility and content of short debriefings in the OR.Methods: This was a mixed-method study of short debriefings, analyzing audio-recordings, field notes and relevance ratings from multi-professional teams, that conducted short debriefings in the OR at two University Hospitals in Denmark.Results: A total of 135 debriefings were conducted, with a median duration of five minutes (range 1:19 min-12:05 min). A total of 477 team members participated in the debriefings. The teams' median rating of relevance was 6 (range 1-10). The rating was higher following challenging events and in debriefings where the surgeon actively participated in the conversation. The teams discussed non-technical skills in all the debriefings and verbalized reflections on practice in 75 percent of the debriefings.Conclusion: It was feasible to conduct short debriefings in a production-focused, complex work environment. In all the debriefings, the teams discussed various non-technical skills (NTS) and reflected on practice. The majority of team members rated the debriefings as relevant for their task management.",
keywords = "Abdominal surgery, Cognitive psychology, Debriefing, Educational development, Health profession, Learning, Medical education, Non-technical skills, Operating room, Orthopedics, Pedagogy, Surgery, Teamwork",
author = "Mundt, {Anna Sofie} and Kirsten Gjeraa and Lene Spanager and Petersen, {Susanne Skovs{\o}} and Peter Dieckmann and Doris {\O}stergaard",
note = "{\circledC} 2020 CAMES, Center for Human Resources and Education, Capital Region, Denmark.",
year = "2020",
month = "7",
day = "1",
doi = "10.1016/j.heliyon.2020.e04386",
language = "English",
volume = "6",
pages = "e04386",
journal = "Heliyon",
issn = "2405-8440",
publisher = "Elsevier Ltd",
number = "7",

}

RIS

TY - JOUR

T1 - Okay, let's talk - short debriefings in the operating room

AU - Mundt, Anna Sofie

AU - Gjeraa, Kirsten

AU - Spanager, Lene

AU - Petersen, Susanne Skovsø

AU - Dieckmann, Peter

AU - Østergaard, Doris

N1 - © 2020 CAMES, Center for Human Resources and Education, Capital Region, Denmark.

PY - 2020/7/1

Y1 - 2020/7/1

N2 - Introduction: Debriefing is increasingly used to enhance learning and reflection in clinical practice. Nevertheless, barriers to implementing debriefings in the operating room (OR) include lack of time, the availability of trained facilitators, and difficulty gathering the full team after surgery. Spending five minutes on a debriefing during skin closure or between procedures may enhance learning and reflection on practice, generating to improve patient safety. The aim of this study was to explore characteristics, feasibility and content of short debriefings in the OR.Methods: This was a mixed-method study of short debriefings, analyzing audio-recordings, field notes and relevance ratings from multi-professional teams, that conducted short debriefings in the OR at two University Hospitals in Denmark.Results: A total of 135 debriefings were conducted, with a median duration of five minutes (range 1:19 min-12:05 min). A total of 477 team members participated in the debriefings. The teams' median rating of relevance was 6 (range 1-10). The rating was higher following challenging events and in debriefings where the surgeon actively participated in the conversation. The teams discussed non-technical skills in all the debriefings and verbalized reflections on practice in 75 percent of the debriefings.Conclusion: It was feasible to conduct short debriefings in a production-focused, complex work environment. In all the debriefings, the teams discussed various non-technical skills (NTS) and reflected on practice. The majority of team members rated the debriefings as relevant for their task management.

AB - Introduction: Debriefing is increasingly used to enhance learning and reflection in clinical practice. Nevertheless, barriers to implementing debriefings in the operating room (OR) include lack of time, the availability of trained facilitators, and difficulty gathering the full team after surgery. Spending five minutes on a debriefing during skin closure or between procedures may enhance learning and reflection on practice, generating to improve patient safety. The aim of this study was to explore characteristics, feasibility and content of short debriefings in the OR.Methods: This was a mixed-method study of short debriefings, analyzing audio-recordings, field notes and relevance ratings from multi-professional teams, that conducted short debriefings in the OR at two University Hospitals in Denmark.Results: A total of 135 debriefings were conducted, with a median duration of five minutes (range 1:19 min-12:05 min). A total of 477 team members participated in the debriefings. The teams' median rating of relevance was 6 (range 1-10). The rating was higher following challenging events and in debriefings where the surgeon actively participated in the conversation. The teams discussed non-technical skills in all the debriefings and verbalized reflections on practice in 75 percent of the debriefings.Conclusion: It was feasible to conduct short debriefings in a production-focused, complex work environment. In all the debriefings, the teams discussed various non-technical skills (NTS) and reflected on practice. The majority of team members rated the debriefings as relevant for their task management.

KW - Abdominal surgery

KW - Cognitive psychology

KW - Debriefing

KW - Educational development

KW - Health profession

KW - Learning

KW - Medical education

KW - Non-technical skills

KW - Operating room

KW - Orthopedics

KW - Pedagogy

KW - Surgery

KW - Teamwork

UR - http://www.scopus.com/inward/record.url?scp=85087366940&partnerID=8YFLogxK

U2 - 10.1016/j.heliyon.2020.e04386

DO - 10.1016/j.heliyon.2020.e04386

M3 - Journal article

VL - 6

SP - e04386

JO - Heliyon

JF - Heliyon

SN - 2405-8440

IS - 7

M1 - e04386

ER -

ID: 60379520