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Framing trauma leaders’ request in emergency care interactions A multimodal analysis using eye-tracking glasses

Tsuchiya, Keiko; Coffey, Frank; Mackenzie, Andrew; Atkins, Sarah; Chalupnik, Malgorzata; Timmons, Stephen; Whitfield, Alison; Vernon, Mike; Crundall, David

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Authors

Keiko Tsuchiya

FRANK COFFEY frank.coffey@nottingham.ac.uk
Clinical Consultant To The Postgraduate Clinical Skills Prog

Andrew Mackenzie

Sarah Atkins

STEPHEN TIMMONS stephen.timmons@nottingham.ac.uk
Professor of Health Services Management

Alison Whitfield

Mike Vernon

David Crundall



Abstract

A team leader’s request is a crucial factor for successful team interaction to ensure patient safety in emergency care. This study examines how team leaders accomplish and frame immediate requests through language use and corresponding eye-movement patterns in emergency care simulation, focusing on when the team is led by a senior doctor (SD) and when it is led by a junior doctor (JD). The team included two foundation doctors, who are in their first two years in medical practice, two emergency department (ED) nurses and one ED expert. They were recorded undertaking separate simulated operations on a simulated patient, and the team leader wore eye-tracking glasses. Interactional linguistic and multimodal analyses of video, audio and eye-movement data revealed that SD made immediate requests to the team members with multimodal emphasis – i.e., gazed at the recipients and addressed them verbally, especially when asking for recipients’ actions – while JD often used only gaze in requesting such actions. Although our study has limitations in terms of the small size of the data, the findings nevertheless highlight that the leader’s requesting was framed and ascribed in the continuum from a question to an instruction through co-construction of joint action with recipients in the social interaction.

Citation

Tsuchiya, K., Coffey, F., Mackenzie, A., Atkins, S., Chalupnik, M., Timmons, S., …Crundall, D. (2021). Framing trauma leaders’ request in emergency care interactions A multimodal analysis using eye-tracking glasses. Communication and Medicine, 17(1), https://doi.org/10.1558/cam.18248

Journal Article Type Article
Acceptance Date Jan 27, 2021
Online Publication Date Sep 1, 2021
Publication Date Aug 4, 2021
Deposit Date Aug 18, 2021
Publicly Available Date Mar 29, 2024
Journal Communication and Medicine
Print ISSN 1612-1783
Electronic ISSN 1613-3625
Peer Reviewed Peer Reviewed
Volume 17
Issue 1
DOI https://doi.org/10.1558/cam.18248
Public URL https://nottingham-repository.worktribe.com/output/6055830
Publisher URL https://journal.equinoxpub.com/CAM/article/view/18248

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