Video ethnography during and after caesarean sections: methodological challenges

Stevens, Jeni; Schmied, Virginia; Burns, Elaine; Dahlen, Hannah

doi:10.1111/jocn.13677

Cited by 7 publications

(3 citation statements)

References 42 publications

(71 reference statements)

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“…The reviewed studies suggested that video ethnography can support healthcare improvement at a team level. For example, Stevens et al [ 43 ] promoted video ethnography as a way to capture in-depth data on intimate interactions, in their study of elective caesareans. The video data allowed them to make use of timing data (e.g.…”

Section: Resultsmentioning

confidence: 99%

Ethnographic research as an evolving method for supporting healthcare improvement skills: a scoping review

Black¹,

Os²,

Machen³

et al. 2021

BMC Med Res Methodol

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Background The relationship between ethnography and healthcare improvement has been the subject of methodological concern. We conducted a scoping review of ethnographic literature on healthcare improvement topics, with two aims: (1) to describe current ethnographic methods and practices in healthcare improvement research and (2) to consider how these may affect habit and skill formation in the service of healthcare improvement. Methods We used a scoping review methodology drawing on Arksey and O’Malley’s methods and more recent guidance. We systematically searched electronic databases including Medline, PsychINFO, EMBASE and CINAHL for papers published between April 2013 – April 2018, with an update in September 2019. Information about study aims, methodology and recommendations for improvement were extracted. We used a theoretical framework outlining the habits and skills required for healthcare improvement to consider how ethnographic research may foster improvement skills. Results We included 283 studies covering a wide range of healthcare topics and methods. Ethnography was commonly used for healthcare improvement research about vulnerable populations, e.g. elderly, psychiatry. Focussed ethnography was a prominent method, using a rapid feedback loop into improvement through focus and insider status. Ethnographic approaches such as the use of theory and focus on every day practices can foster improvement skills and habits such as creativity, learning and systems thinking. Conclusions We have identified that a variety of ethnographic approaches can be relevant to improvement. The skills and habits we identified may help ethnographers reflect on their approaches in planning healthcare improvement studies and guide peer-review in this field. An important area of future research will be to understand how ethnographic findings are received by decision-makers.

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Section: Resultsmentioning

confidence: 99%

Ethnographic research as an evolving method for supporting healthcare improvement skills: a scoping review

Black¹,

Os²,

Machen³

et al. 2021

BMC Med Res Methodol

View full text Add to dashboard Cite

show abstract

“…As far as the operating theatre staff is concerned, authors recommend that theatre staff, including medical students, are asked formally, upon embarking on such a quality initiative, to volunteer to work with the innovation. An official informed consent stating the purpose of the data recordings, where the data recordings are analysed, what the expected benefits for the participants are, and how the data are stored securely may help in gaining support and momentum for the MDR initiative. It should be emphasized that their safety and personal privacy is protected, ensuring full transparency of the methods used.…”

Section: Discussionmentioning

confidence: 99%

Legal perspectives on black box recording devices in the operating environment

Dalen

Legemaate

Schlack

et al. 2019

British Journal of Surgery

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Background A video and medical data recorder in the operating theatre is possible, but concerns over privacy, data use and litigation have limited widespread implementation. The literature on legal considerations and challenges to overcome, and guidelines related to use of data recording in the surgical environment, are presented in this narrative review. Methods A review of PubMed and Embase databases and Cochrane Library was undertaken. International jurisprudence on the topic was searched. Practice recommendations and legal perspectives were acquired based on experience with implementation and use of a video and medical data recorder in the operating theatre. Results After removing duplicates, 116 citations were retrieved and abstracts screened; 31 articles were assessed for eligibility and 20 papers were finally included. According to the European General Data Protection Regulation and US Health Insurance Portability and Accountability Act, researchers are required to make sure that personal data collected from patients and healthcare professionals are used fairly and lawfully, for limited and specifically stated purposes, in an adequate and relevant manner, kept safe and secure, and stored for no longer than is absolutely necessary. Data collected for the sole purpose of healthcare quality improvement are not required to be added to the patient's medical record. Conclusion Transparency on the use and purpose of recorded data should be ensured to both staff and patients. The recorded video data do not need to be used as evidence in court if patient medical records are well maintained. Clear legislation on data responsibility is needed to use the medical recorder optimally for quality improvement initiatives.

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“…Video ethnography has been used in the maternity services to capture footage of care during and after caesarean section. This enabled multiple viewing for in-depth analysis [18] but presented challenges such as the "inability of the researcher and camcorder to blend into the environment" and remain unnoticed [19]. Pink and Mackley [20] explained how ethnographic research using the "video tour" method provided insights into "how the sensory aesthetic of home is experienced, produced and maintained" in everyday domestic life.…”

Section: Methodsmentioning

confidence: 99%

Commercialisation and commodification of breastfeeding: video diaries by first-time mothers

et al. 2020

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Background: Many of aspects of our lives became increasingly commercialised in post-modern society. Although breastfeeding is perhaps a late comer to this process in recent years, it too has seen significant commercialisation facilitated by social media and our obsession with celebrity culture. This paper explores how the commercialisation and commodification of breastfeeding impacts mothers' experiences of breastfeeding. Methods: In a qualitative study, five mothers in the United Kingdom recorded their real-time breastfeeding experiences in video diaries. Using a multi-modal method of analysis, incorporating both visual and audio data, a thematic approach was applied. Findings: Women preparing for breastfeeding are exposed to increasing commercialisation. When things do not go to plan, women are even more exposed to commercial solutions. The impact of online marketing strategies fuelled their need for paraphernalia so that their dependence on such items became important aspects of their parenting and breastfeeding experiences. Conclusions: The audiovisual data demonstrated the extent to which "essential" paraphernalia was used, offering new insights into how advertising influenced mothers' need for specialist equipment and services. Observing mothers in their video diaries, provided valuable insights into their parenting styles and how this affected their breastfeeding experience.

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Video ethnography during and after caesarean sections: methodological challenges

Abstract: Video ethnographic data are beneficial as it provides exceptionally rich data for in-depth analysis of interactions between the environment, equipment and people in the hospital environment. The analysis of this type of data can then be used to inform improvements for future care.

Cited by 7 publications

References 42 publications

Ethnographic research as an evolving method for supporting healthcare improvement skills: a scoping review

Ethnographic research as an evolving method for supporting healthcare improvement skills: a scoping review

Legal perspectives on black box recording devices in the operating environment

Commercialisation and commodification of breastfeeding: video diaries by first-time mothers

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