The feasibility and acceptability of implementing video reflexive ethnography (VRE) as an improvement tool in acute maternity services
Abstract Background Video-reflexive ethnography (VRE) has been argued to be an alternative approach to collaborative learning in healthcare teams, more able to capture the complexities of the healthcare environment than simulation. This study aims to explore the feasibility and acceptability of empl...
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| Format: | Article |
| Language: | English |
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BMC
2022-11-01
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| Series: | BMC Health Services Research |
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| Online Access: | https://doi.org/10.1186/s12913-022-08713-9 |
| _version_ | 1797865198796668928 |
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| author | Siobhan McHugh Laura Sheard Jane O’Hara Rebecca Lawton |
| author_facet | Siobhan McHugh Laura Sheard Jane O’Hara Rebecca Lawton |
| author_sort | Siobhan McHugh |
| collection | DOAJ |
| description | Abstract Background Video-reflexive ethnography (VRE) has been argued to be an alternative approach to collaborative learning in healthcare teams, more able to capture the complexities of the healthcare environment than simulation. This study aims to explore the feasibility and acceptability of employing VRE as an improvement tool in acute maternity services. Method Focused ethnography and semi-structured interviews (n = 17) explored the feasibility of employing VRE from the perspective of the researcher-facilitator, and that of the healthcare staff participants. Reflexive thematic analysis was used to generate key themes. Results We identified four themes related to feasibility of employing VRE as an improvement approach: laying the groundwork; challenges of capturing in-situ video footage; effective facilitation of reflexive feedback; and, power to change. Of note was the central role of the facilitator in building and maintaining staff trust in the process, particularly in being able to guide collaborative, non-punitive discussion during reflexive feedback sessions. Interestingly, when considering implementation of change, structural hierarchies were evident with more senior staff better able to develop and effect ideas. Two themes related to acceptability of VRE among healthcare staff were identified: staff response to the role of VRE in improvement; and the power of a different perspective. Staff were overwhelmingly positive about their experience of VRE, particularly appreciating the time, space and autonomy it afforded them to navigate and articulate ideas for change and improvement. Conclusion VRE is both feasible and acceptable as an improvement tool with acute, multi-disciplinary maternity staff teams. It is an important healthcare improvement tool that could prompt the development and maintenance of team resilience factors in the face of increasing stress and burn-out of healthcare staff in maternity services. |
| first_indexed | 2024-04-09T23:05:18Z |
| format | Article |
| id | doaj.art-7ae991d168bb40a6ad343cd8c2de1eae |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-04-09T23:05:18Z |
| publishDate | 2022-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-7ae991d168bb40a6ad343cd8c2de1eae2023-03-22T10:46:34ZengBMCBMC Health Services Research1472-69632022-11-0122111310.1186/s12913-022-08713-9The feasibility and acceptability of implementing video reflexive ethnography (VRE) as an improvement tool in acute maternity servicesSiobhan McHugh0Laura Sheard1Jane O’Hara2Rebecca Lawton3School of Healthcare, University of LeedsDepartment of Health Sciences, University of YorkSchool of Healthcare, University of LeedsSchool of Psychology, University of LeedsAbstract Background Video-reflexive ethnography (VRE) has been argued to be an alternative approach to collaborative learning in healthcare teams, more able to capture the complexities of the healthcare environment than simulation. This study aims to explore the feasibility and acceptability of employing VRE as an improvement tool in acute maternity services. Method Focused ethnography and semi-structured interviews (n = 17) explored the feasibility of employing VRE from the perspective of the researcher-facilitator, and that of the healthcare staff participants. Reflexive thematic analysis was used to generate key themes. Results We identified four themes related to feasibility of employing VRE as an improvement approach: laying the groundwork; challenges of capturing in-situ video footage; effective facilitation of reflexive feedback; and, power to change. Of note was the central role of the facilitator in building and maintaining staff trust in the process, particularly in being able to guide collaborative, non-punitive discussion during reflexive feedback sessions. Interestingly, when considering implementation of change, structural hierarchies were evident with more senior staff better able to develop and effect ideas. Two themes related to acceptability of VRE among healthcare staff were identified: staff response to the role of VRE in improvement; and the power of a different perspective. Staff were overwhelmingly positive about their experience of VRE, particularly appreciating the time, space and autonomy it afforded them to navigate and articulate ideas for change and improvement. Conclusion VRE is both feasible and acceptable as an improvement tool with acute, multi-disciplinary maternity staff teams. It is an important healthcare improvement tool that could prompt the development and maintenance of team resilience factors in the face of increasing stress and burn-out of healthcare staff in maternity services.https://doi.org/10.1186/s12913-022-08713-9Healthcare improvementVideo reflexive ethnographyMaternityCommunicationTeamworkMulti-disciplinary healthcare teams |
| spellingShingle | Siobhan McHugh Laura Sheard Jane O’Hara Rebecca Lawton The feasibility and acceptability of implementing video reflexive ethnography (VRE) as an improvement tool in acute maternity services BMC Health Services Research Healthcare improvement Video reflexive ethnography Maternity Communication Teamwork Multi-disciplinary healthcare teams |
| title | The feasibility and acceptability of implementing video reflexive ethnography (VRE) as an improvement tool in acute maternity services |
| title_full | The feasibility and acceptability of implementing video reflexive ethnography (VRE) as an improvement tool in acute maternity services |
| title_fullStr | The feasibility and acceptability of implementing video reflexive ethnography (VRE) as an improvement tool in acute maternity services |
| title_full_unstemmed | The feasibility and acceptability of implementing video reflexive ethnography (VRE) as an improvement tool in acute maternity services |
| title_short | The feasibility and acceptability of implementing video reflexive ethnography (VRE) as an improvement tool in acute maternity services |
| title_sort | feasibility and acceptability of implementing video reflexive ethnography vre as an improvement tool in acute maternity services |
| topic | Healthcare improvement Video reflexive ethnography Maternity Communication Teamwork Multi-disciplinary healthcare teams |
| url | https://doi.org/10.1186/s12913-022-08713-9 |
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