有无之间：手术室中的静默话语及其对手术团队行动的影响。
Absence or presence: Silent discourse in the operating room and impact on surgical team action.
机构信息
University of Missouri-Kansas City School of Nursing & Health Studies, University of Missouri-Kansas City School of Medicine, Director of Interprofessional Education Health Sciences Schools, 2464 Charlotte Street, Kansas City, MO, 64108, USA.
University of Missouri-Kansas City School of Medicine, 2411 Homes Street, Kansas City, MO, 64108, USA.
出版信息
Am J Surg. 2021 May;221(5):980-986. doi: 10.1016/j.amjsurg.2020.09.017. Epub 2020 Sep 19.
BACKGROUND
Our objective was to examine the influence of silence on team action in the operating room.
METHODS
We conducted a constructed grounded theory study with semi-structured interviews with 25 interprofessional surgical team members. Using a framework of silence as communication and performance, transcripts were iteratively team-coded to develop themes and a conceptual model.
RESULTS
OR silence is expressed verbally and nonverbally. Two contexts of silence were identified: homogenous as collective action, and disparate, as disengagement. Complex and dynamic, two primary themes emerged, Power that often shuts down communication, and Focus during critical moments. Five additional sub-themes included critical moments, respect, self-reflection, personal preference, and, bad mood.
CONCLUSION
OR silence is not an absence of communication and requires a response. Whether homogenous through cohesiveness, or desperate as a solitary act, OR silence is a call to action. Examining silence as a part discourse has important implications on surgical team function.
背景
我们的目的是研究手术室中沉默对团队行动的影响。
方法
我们进行了一项构建性 grounded theory 研究，对 25 名跨专业手术团队成员进行了半结构化访谈。使用沉默作为沟通和绩效的框架，对转录本进行了迭代团队编码，以开发主题和概念模型。
结果
手术室中的沉默是通过言语和非言语表达的。确定了两种沉默的情境：同质的沉默是集体行动，而异质的沉默是脱离。复杂而动态的环境下，出现了两个主要主题：权力常常会阻碍沟通，以及在关键时刻集中注意力。另外五个子主题包括关键时刻、尊重、自我反思、个人偏好和不良情绪。
结论
手术室中的沉默并不是没有沟通，而是需要回应。无论是通过凝聚力形成的同质沉默，还是作为孤独行为的绝望沉默，手术室中的沉默都是一种行动的呼吁。将沉默作为一种话语来研究对手术团队的功能有重要意义。
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