Okay, let's talk - short debriefings in the operating room
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. S...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2020-07-01
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| Series: | Heliyon |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844020312305 |
| _version_ | 1828871739209154560 |
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| author | Anna Sofie Mundt Kirsten Gjeraa Lene Spanager Susanne Skovsø Petersen Peter Dieckmann Doris Østergaard |
| author_facet | Anna Sofie Mundt Kirsten Gjeraa Lene Spanager Susanne Skovsø Petersen Peter Dieckmann Doris Østergaard |
| author_sort | Anna Sofie Mundt |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-13T06:39:34Z |
| format | Article |
| id | doaj.art-36a0d3c05d074e84833b50975bf10b7c |
| institution | Directory Open Access Journal |
| issn | 2405-8440 |
| language | English |
| last_indexed | 2024-12-13T06:39:34Z |
| publishDate | 2020-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj.art-36a0d3c05d074e84833b50975bf10b7c2022-12-21T23:56:27ZengElsevierHeliyon2405-84402020-07-0167e04386Okay, let's talk - short debriefings in the operating roomAnna Sofie Mundt0Kirsten Gjeraa1Lene Spanager2Susanne Skovsø Petersen3Peter Dieckmann4Doris Østergaard5Copenhagen Academy for Medical Education and Simulation (CAMES), Center for Human Resources and Education, Capital Region of Denmark, Denmark; Corresponding author.Copenhagen Academy for Medical Education and Simulation (CAMES), Center for Human Resources and Education, Capital Region of Denmark, DenmarkDepartment of Surgery, Hospital of North Sealand, Hilleroed, DenmarkDepartment of Orthopedic Surgery, Hvidovre Hospital, DenmarkCopenhagen Academy for Medical Education and Simulation (CAMES), Center for Human Resources and Education, Capital Region of Denmark, Denmark; Institute for Clinical Medicine, University of Copenhagen, Denmark; Department of Quality and Health Technology, Faculty of Health Sciences, University of Stavanger, NorwayCopenhagen Academy for Medical Education and Simulation (CAMES), Center for Human Resources and Education, Capital Region of Denmark, Denmark; Institute for Clinical Medicine, University of Copenhagen, DenmarkIntroduction: 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.http://www.sciencedirect.com/science/article/pii/S2405844020312305SurgeryAbdominal surgeryOrthopedicsEducational developmentHealth professionMedical education |
| spellingShingle | Anna Sofie Mundt Kirsten Gjeraa Lene Spanager Susanne Skovsø Petersen Peter Dieckmann Doris Østergaard Okay, let's talk - short debriefings in the operating room Heliyon Surgery Abdominal surgery Orthopedics Educational development Health profession Medical education |
| title | Okay, let's talk - short debriefings in the operating room |
| title_full | Okay, let's talk - short debriefings in the operating room |
| title_fullStr | Okay, let's talk - short debriefings in the operating room |
| title_full_unstemmed | Okay, let's talk - short debriefings in the operating room |
| title_short | Okay, let's talk - short debriefings in the operating room |
| title_sort | okay let s talk short debriefings in the operating room |
| topic | Surgery Abdominal surgery Orthopedics Educational development Health profession Medical education |
| url | http://www.sciencedirect.com/science/article/pii/S2405844020312305 |
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