Trauma team leaders' non-verbal communication: video registration during trauma team training

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Fältnamn	Indikatorer	Metadata
000		05323naa a2200493 4500
001		oai:DiVA.org:umu-108083
003		SwePub
008		150903s2016 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
009		oai:DiVA.org:uu-381729
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1080832 URI
024	7	a https://doi.org/10.1186/s13049-016-0230-72 DOI
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-3817292 URI
040		a (SwePub)umud (SwePub)uu
041		a engb eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Härgestam, Maria,d 1963-u Umeå universitet,Institutionen för omvårdnad,Anestesiologi och intensivvård,Umeå universitet, Institutionen för omvårdnad4 aut0 (Swepub:umu)maaham82
245	1 0	a Trauma team leaders' non-verbal communication :b video registration during trauma team training
264		c 2016-03-25
264	1	b BioMed Central,c 2016
338		a electronic2 rdacarrier
520		a BACKGROUND: There is widespread consensus on the importance of safe and secure communication in healthcare, especially in trauma care where time is a limiting factor. Although non-verbal communication has an impact on communication between individuals, there is only limited knowledge of how trauma team leaders communicate. The purpose of this study was to investigate how trauma team members are positioned in the emergency room, and how leaders communicate in terms of gaze direction, vocal nuances, and gestures during trauma team training.METHODS: Eighteen trauma teams were audio and video recorded during trauma team training in the emergency department of a hospital in northern Sweden. Quantitative content analysis was used to categorize the team members' positions and the leaders' non-verbal communication: gaze direction, vocal nuances, and gestures. The quantitative data were interpreted in relation to the specific context. Time sequences of the leaders' gaze direction, speech time, and gestures were identified separately and registered as time (seconds) and proportions (%) of the total training time.RESULTS: The team leaders who gained control over the most important area in the emergency room, the "inner circle", positioned themselves as heads over the team, using gaze direction, gestures, vocal nuances, and verbal commands that solidified their verbal message. Changes in position required both attention and collaboration. Leaders who spoke in a hesitant voice, or were silent, expressed ambiguity in their non-verbal communication: and other team members took over the leader's tasks.DISCUSSION:In teams where the leader had control over the inner circle, the members seemed to have an awareness of each other's roles and tasks, knowing when in time and where in space these tasks needed to be executed. Deviations in the leaders' communication increased the ambiguity in the communication, which had consequences for the teamwork. Communication cannot be taken for granted; it needs to be practiced regularly just as technical skills need to be trained. Simulation training provides healthcare professionals the opportunity to put both verbal and non-verbal communication in focus, in order to improve patient safety.CONCLUSIONS: Non-verbal communication plays a decisive role in the interaction between the trauma team members, and so both verbal and non-verbal communication should be in focus in trauma team training. This is even more important for inexperienced leaders, since vague non-verbal communication reinforces ambiguity and can lead to errors.
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Anestesi och intensivvård0 (SwePub)302012 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Anesthesiology and Intensive Care0 (SwePub)302012 hsv//eng
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Omvårdnad0 (SwePub)303052 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Nursing0 (SwePub)303052 hsv//eng
653		a Communication
653		a Coordination
653		a Leadership
653		a Non-verbal communication
653		a Time
653		a Trauma team
653		a Trauma team training
700	1	a Hultin, Magnusu Umeå universitet,Anestesiologi och intensivvård,Umeå universitet, Anestesiologi och intensivvård4 aut0 (Swepub:umu)mahu0016
700	1	a Brulin, Christine,d 1950-u Umeå universitet,Institutionen för omvårdnad,Umeå universitet, Institutionen för omvårdnad4 aut0 (Swepub:umu)chbr0002
700	1	a Jacobsson, Maritha,d 1960-u Umeå universitet,Institutionen för socialt arbete,Umeå universitet, Institutionen för socialt arbete4 aut0 (Swepub:uu)marja894
710	2	a Umeå universitetb Institutionen för omvårdnad4 org
773	0	t Scandinavian Journal of Trauma, Resuscitation and Emergency Medicined : BioMed Centralg 24q 24x 1757-7241
856	4	u https://umu.diva-portal.org/smash/get/diva2:851059/FULLTEXT02.pdfx primaryx Raw objecty fulltext:print
856	4	u https://sjtrem.biomedcentral.com/track/pdf/10.1186/s13049-016-0230-7
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-108083
856	4 8	u https://doi.org/10.1186/s13049-016-0230-7
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-381729

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Av författaren/redakt...: Härgestam, Maria ...; Hultin, Magnus; Brulin, Christin ...; Jacobsson, Marit ...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Anestesi och int ...

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