Todd Angela L, Roberts Lynette, Foster Kirsty
Women and Babies Research, Northern Clinical School, Faculty of Medicine and Health, The University of Sydney, The Douglas Building, Royal North Shore Hospital, St Leonards, NSW, 2065, Australia.
Northern Sydney Local Health District, The Kolling Institute, St Leonards, NSW, 2065, Australia.
Pilot Feasibility Stud. 2022 Apr 29;8(1):96. doi: 10.1186/s40814-022-01052-w.
Video-reflexive ethnography (VRE) has been used to record aspects of patient care which are then shared with staff to drive self-identified improvements. Interpersonal interactions between patients and hospital staff are key to high-quality, patient-centred care and mostly occur randomly throughout a patient's hospital stay. One of the most common types of hospital admission is for women giving birth.
To assess the feasibility of adapting the VRE methodology to capture naturally occurring interactions between patients and health staff over an extended period during hospital admission, and to assess whether the approach would yield useful interaction data.
Twelve women, who had a planned caesarean section at 37+ weeks, were considered low risk (no known medical or obstetric complication) and were admitted to a postnatal unit after giving birth, and the staff who attended them.
This study took place in a large hospital in Sydney, Australia, where approximately 2200 women give birth each year. Continuous unattended video recordings were made during each woman's hospital stay to capture interactions with hospital staff. The recordings were reviewed to determine what kinds of interaction data could be obtained.
In order to recruit 12 eligible women, we needed to invite 45 to participate. The estimated recruitment period of 3-4 months had to be extended to 8 months. A fixed video camera was successfully installed in the hospital room of each woman and a remote control provided. A total of 246.5 h of video recordings was obtained, of which 38 h (15.5%) involved interpersonal interactions with staff. Two women reported negative responses from staff about being video recorded. Both quantitative and qualitative data could be obtained from the recordings.
Video recordings of interpersonal interactions between patients and staff in an in patient hospital care setting can be obtained and can provide unique insights into the complexity of healthcare delivery. However, significant contextual barriers can exist to engaging staff in quality improvement initiatives that are not part of their usual healthcare activities.
视频反思民族志（VRE）已被用于记录患者护理的各个方面，随后与工作人员分享这些记录，以推动自我识别的改进。患者与医院工作人员之间的人际互动是高质量、以患者为中心的护理的关键，且大多随机发生在患者住院期间。最常见的住院类型之一是女性分娩。
评估采用VRE方法在患者住院期间长时间捕捉患者与医护人员自然发生的互动的可行性，并评估该方法是否能产生有用的互动数据。
12名计划在37 +周时进行剖宫产的女性，她们被认为风险较低（无已知医疗或产科并发症），产后入住产后病房，以及照顾她们的工作人员。
本研究在澳大利亚悉尼的一家大型医院进行，该医院每年约有2200名女性分娩。在每位女性住院期间进行持续无人值守的视频录制，以捕捉与医院工作人员的互动。对录制内容进行审查，以确定可以获得哪些类型的互动数据。
为了招募12名符合条件的女性，我们需要邀请45人参与。预计3 - 4个月的招募期不得不延长至8个月。在每位女性的病房中成功安装了固定摄像机并提供了遥控器。共获得246.5小时的视频录制内容，其中38小时（15.5%）涉及与工作人员的人际互动。两名女性报告工作人员对被录像有负面反应。从录制内容中可以获得定量和定性数据。
在住院患者护理环境中，可以获得患者与工作人员之间人际互动的视频记录，这些记录可以为医疗服务提供的复杂性提供独特见解。然而，在让工作人员参与不属于其日常医疗活动的质量改进举措方面可能存在重大的背景障碍。
