Event Title
Taking a Detour: Influences of Team Interactions on Information Sharing during CTU Case Review
Start Date
5-10-2011 10:45 AM
End Date
5-10-2011 11:45 AM
Abstract
Purpose
Research investigating the impact of supervisory interactions on patient care has been limited. This study explored supervisory interactions occurring during case review and examined their impact on information sharing during the case presentation.
Methods
Using a multiple case study approach, data were collected through observation and audio‐recording of 19 patient cases consisting of admitting case review discussions and extraction of chart documents. Using a constant comparative approach, data were analyzed for emerging themes.
Results
Similar to existing literatures on case review, seven supervisor‐trainee interaction types were identified: presenting the case, probing for further data, prompting for expected sequence of presentation, teaching around the case or related topics, thinking out loud, providing direction, and questioning of the supervisor by the learner. Additionally, we developed the term detour to describe the emerging theme of deviations from the usual progression of the case presentation. Five types of detours were identified: pausing the presentation, referring ahead to a section later in the presentation, presenting sections out of sequence, omitting a section, and truncating the presentation. These detour types varied in their potential to cause omissions of case details. These omissions could limit the team’s ability to address a patient’s medical problems. Factors contributing to and mitigating against the potential negative effects of detours were also identified.
Conclusions
Interactions between team members during case review have an impact on information sharing and subsequent patient discussion. Clinical supervisors and trainees can employ several strategies to support the communication of case details during the case presentation.
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Taking a Detour: Influences of Team Interactions on Information Sharing during CTU Case Review
Purpose
Research investigating the impact of supervisory interactions on patient care has been limited. This study explored supervisory interactions occurring during case review and examined their impact on information sharing during the case presentation.
Methods
Using a multiple case study approach, data were collected through observation and audio‐recording of 19 patient cases consisting of admitting case review discussions and extraction of chart documents. Using a constant comparative approach, data were analyzed for emerging themes.
Results
Similar to existing literatures on case review, seven supervisor‐trainee interaction types were identified: presenting the case, probing for further data, prompting for expected sequence of presentation, teaching around the case or related topics, thinking out loud, providing direction, and questioning of the supervisor by the learner. Additionally, we developed the term detour to describe the emerging theme of deviations from the usual progression of the case presentation. Five types of detours were identified: pausing the presentation, referring ahead to a section later in the presentation, presenting sections out of sequence, omitting a section, and truncating the presentation. These detour types varied in their potential to cause omissions of case details. These omissions could limit the team’s ability to address a patient’s medical problems. Factors contributing to and mitigating against the potential negative effects of detours were also identified.
Conclusions
Interactions between team members during case review have an impact on information sharing and subsequent patient discussion. Clinical supervisors and trainees can employ several strategies to support the communication of case details during the case presentation.