A taxonomy of surgeons' guiding behaviors in the operating room.

Autor: Chen XP; Department of Surgery, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA. Electronic address: xpchen@partners.org., Williams RG; Department of Surgery, Indiana University, 545 Barnhill Drive, Indianapolis, IN 46202., Sanfey HA; Department of Surgery, Southern Illinois University, 747 N Rutledge Street, Springfield, IL 62794., Smink DS; Department of Surgery, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA.
Jazyk: angličtina
Zdroj: American journal of surgery [Am J Surg] 2015 Jan; Vol. 209 (1), pp. 15-20. Date of Electronic Publication: 2014 Nov 07.
DOI: 10.1016/j.amjsurg.2014.07.018
Abstrakt: Background: This study explores the nature and the intention of attending surgeons' guiding behaviors performed in the operating room (OR) in order to build taxonomy of OR guiding behavior.
Methods: Nine attending surgeons and 8 surgical residents were invited to observe 8 prerecorded surgical cases from 4 common procedures and completed semistructured interviews. All video-based observations were videotaped. Thematic analysis was applied to identify surgeons' OR guiding behavior.
Results: Seven hundred eighty minutes of video-based observations with interviews were conducted. Sixteen types of OR guiding behaviors in 3 intention-based categories were identified: 3 of the 16 was "teaching" (18.75%), 8 of the 16 was "directing" (50%), and 5 of the 16 was "assisting" (31.25%).
Conclusions: Surgeons' OR guiding behaviors were grounded in 3 behavioral intentions: teaching, directing, and assisting. This taxonomy of OR guiding behavior can be used as a basis for developing OR guiding strategy to improve residents' intraoperative competency, autonomy, and independence.
(Copyright © 2015 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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