کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4279505 1611522 2013 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
When surgeons face intraoperative challenges: a naturalistic model of surgical decision making
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
پیش نمایش صفحه اول مقاله
When surgeons face intraoperative challenges: a naturalistic model of surgical decision making
چکیده انگلیسی

BackgroundSurgery is an environment in which being an expert requires the ability to manage the unexpected. This feature has necessitated a shift in surgical decision-making research. The present study explores the processes by which surgeons assess and respond to nonroutine challenges in the operating room.MethodsWe used a grounded theory methodology supported on intraoperative observations and postoperative interviews with 7 faculty surgeons from various specialties. A total of 32 cases were purposively sampled to compile a dataset of challenging situations.ResultsThematic data analysis yielded 3 main themes that were linked in a cyclic model: assessing the situation, the reconciliation cycle, and implementing the planned course of action. These elements were connected through 2 points of transition (ie, active and confirmatory reconciliation), during which time the surgeons continue to act although they may change the course of their action.ConclusionsThe proposed model builds on existing theories of naturalistic decision making from other high-stakes environments. This model elaborates on a theoretic language that accounts for the unique aspects of surgery, making it useful for teaching in the operating room.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The American Journal of Surgery - Volume 205, Issue 2, February 2013, Pages 156–162
نویسندگان
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