Prospective sensemaking in the operating theatre

Rosness, Ragnar; Evjemo, Tor Erik; Haavik, Torgeir K.; Wærø, Irene

doi:10.1007/s10111-015-0346-y

Cited by 21 publications

(26 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Previous research has highlighted how much of a scrub nurse's actions can be described as anticipatory movements, where the scrub nurse undertakes an action without the surgeon having to request it (Zheng et al 2009). Here, we can draw on the notion of prospective sensemaking (Rosness et al 2015), which builds on Weick's (1995) theory of organisational sensemaking. Prospective sensemaking is defined as 'sensemaking processes where the attention and concern of people is primarily directed at events that may occur in the future' (Rosness et al 2015, p.55).…”

Section: How Does Robotic Surgery Impact Communication?mentioning

confidence: 99%

Embedding robotic surgery into routine practice and impacts on communication and decision making: a review of the experience of surgical teams

et al. 2016

View full text Add to dashboard Cite

While an increasing number of healthcare providers are purchasing surgical robots because of anticipated improvements in patient outcomes, their implementation into practice is highly variable. In robotic surgery, the surgeon is physically separated from the patient and the rest of the team with the potential to impact communication and decision making in the operating theatre and subsequently patient safety. Drawing on the approach of realist evaluation, in this article we review reports of the experience of surgical teams that have introduced robotic surgery to identify how and in what contexts robotic surgery is successfully integrated into practice and how and in what contexts it affects communication and decision making. Our analysis indicates that, while robotic surgery might bring about a number of benefits, it also creates new challenges. Robotic surgery is associated with increased operation duration, which has implications for patient safety, but strategies to reduce it can be effective with appropriate support from hospital administration and nursing management. The separation of the surgeon from the team can compromise communication but may be overcome through use of standardised communication. While surgeon situation awareness may be affected by the separation, the ergonomic benefits of robotic surgery may reduce stress and tiredness and enhance surgeon decision making. Our review adds to the existing literature by revealing strategies to support the introduction of robotic surgery and contextual factors that need to be in place for these to be effective.

show abstract

Section: How Does Robotic Surgery Impact Communication?mentioning

confidence: 99%

Embedding robotic surgery into routine practice and impacts on communication and decision making: a review of the experience of surgical teams

et al. 2016

View full text Add to dashboard Cite

show abstract

“…In contrast to Stigliani and Ravasi (2012) who found that prospective sensemaking occurred through interrelated cycles of retrospection in the creative setting of a design consultancy, our study indicates that prospective sensemaking expands progressively over time in the post-inquiry setting where recommendations are being implemented. It also questions whether prospective sensemaking necessarily 'interrupts' retrospective sensemaking as proposed in some studies (e.g., Rosness et al, 2016). We found that it initially complements retrospective sensemaking but will, eventually, displace it through a process of 'progressive approximations' (cf.…”

Section: Discussionmentioning

confidence: 55%

Post-Inquiry Sensemaking: The Case of the ‘Black Saturday’ Bushfires

Dwyer

Hardy

Maguire

2020

Organization Studies

View full text Add to dashboard Cite

We examine post-inquiry sensemaking by emergency management practitioners following an inquiry into the most damaging bushfire disaster in Australia’s history. We theorize a model of post-inquiry sensemaking with four distinct but overlapping phases during which sensemaking becomes more prospective over time. In addition to providing important insights into what has, hitherto, been a neglected arena for sensemaking studies, i.e. post-inquiry sensemaking, we contribute to the understanding of sensemaking more generally. Specifically, we show the complex nature of the relationship between sensemaking and equivocality, explain how multiple frames enhance sensemaking, and explore temporality in sensemaking over time.

show abstract

“…We chose to use the data frame theory because chronic pain management is a classic sensemaking activity, characterized by uncertainty, complexity, and changing conditions. Sensemaking theory has been used to characterize key aspects of performance in surgical teams (Rosness, Evjemo, Haavik, Waerø 2016), air traffic control (Malakis and Kontogiannis 2014), military command and control (Jensen 2009), pilots (Rankin, Woltjer, Field 2016), and rail signal operators (Siegel and Schraagen 2017). PCCs must make choices about a patient's pain management plan, often without a clear understanding of the cause of the patient's pain, and with the presence of complicating factors such as a mental health diagnosis, and the patient's lack of social support.…”

Section: Data Frame Theory Of Sensemakingmentioning

confidence: 99%

Understanding how primary care clinicians make sense of chronic pain

et al. 2018

View full text Add to dashboard Cite

Chronic pain leads to reduced quality of life for patients, and strains health systems worldwide. In the U.S. and some other countries, the complexities of caring for chronic pain are exacerbated by individual and public health risks associated with commonly used opioid analgesics. To help understand and improve pain care, this article uses the data-frame theory of sensemaking to explore how primary care clinicians in the U.S. manage their patients with chronic noncancer pain. We conducted Critical Decision Method interviews with 10 primary care clinicians about 30 individual patients with chronic pain. In these interviews, we identified several patient, social/ environmental, and clinician factors that influence the frames clinicians use to assess their patients and determine a pain management plan. Findings suggest significant ambiguity and uncertainty in clinical pain management decision making. Therefore, interventions to improve pain care might focus on supporting sensemaking in the context of clinical evidence rather than attempting to provide clinicians with decontextualized and/or algorithm-based decision rules. Interventions might focus on delivering convenient and easily interpreted patient and social/environmental information in the context of clinical practice guidelines.

show abstract

Prospective sensemaking in the operating theatre

Cited by 21 publications

References 30 publications

Embedding robotic surgery into routine practice and impacts on communication and decision making: a review of the experience of surgical teams

Embedding robotic surgery into routine practice and impacts on communication and decision making: a review of the experience of surgical teams

Post-Inquiry Sensemaking: The Case of the ‘Black Saturday’ Bushfires

Understanding how primary care clinicians make sense of chronic pain

Contact Info

Product

Resources

About