Laurimar Garcia
Communication Design Workshop 2014
Tomoko Ichikawa, instructor
Over the course of 12 weeks,
our team strove to understand
not only the types of information
communicated during an operation,
but how it was delivered.
In preparing for observing live
surgeries and live interaction, a
fieldtool was created to help us
document the more detailed and
granular pieces of information.
OR Communication Goals
understanding
connections
Each separate interaction from the
participants such as a surgeon, to
another participant (scrub nurse),
was taken as one piece of data.
After coding they were separated
into most frequently used goals,
subgroups with relationships and
higher goals for communication.
nurturing
relationsips
respecting
colleagues
comfort
socialize
learn
frequent goals
review to:
understand
show
links between subgroups
grouping of higher goals
instruct
demonstrate
set context
mentor
encourage
caution
guide
alert
anticipate
document
respond
training
practitioners
respecting
colleagues
The message between sender and
receiver is better understood when
there are numberous connections
and shared understanding the
people invovled.
Anticipation in an environment is
an accumulation of experiences
and knowledge about the situation
and possible outcomes. In the
OR, anticipation leads to smooth
transitions between cases,
handing of information, tools and
overall operation.
Respect in any work environment
is essential for keeping the
peace and being professional.
In environments where levels
of education, experience,
relationships and roles are not
always clearn, being polite will
foster better communication.
Through various observations we
have participated in, anticipation
seems to be not only an ideal but a
goal for all invovled.
Successful teams understand
these dynamics of cordiality. By
framing commands as requests,
one can accomplish tasks without
losing respect for coworkers.
How might you learn
anticipation?
announce
check
ask to confirm
direct
teach
nurturing
relationships
How might creating new
relationships improve
communication?
command
shoot the breeze
converse
complain
exclaim
plan
prepare
monitor
By creating and establishing
informal relationships such as
socializing and mentoring, shared
language and experience is
established and with it trust.
This analysis is based on the data
in order to understand the higher
goals for communication beyond the
wellness of the patient.
calm
reassure
empathize
training
practitioners
subgroup goal
As a result we were able to code
and categorize what whas being
communicated, mode employed and
for what reason.
spurring
action
request
ask status
ask to fix
inquire
notify
inform
record
report
following
protocol
update
confirm
show evdience
review
spurring
action
following
protocol
Alerting versus requesting implies
urgency creating a connection with
an implied and needed response.
Although a bit more regimented,
documenting process, tools and
debriefing at the end of a case
are part of an interesting dynamic.
Where although one is to know
what to do and when, many aspects
are anticipated in order to follow
protocol, while other are possibly not
even followed.
Inciting a response is about getting
things done. With the numerous
amounts of information that has
to be understood quickly, cutting
through and demonstrating priority
is valuable.
How might tone and vocabulary
help in establishing different
types of responses?
How might we teach and
understand how to aniticpate
documentation while keeping
everyone informed?
How might we leverage
reframing syntax?
Visualizing Information
Reasons for communication differ by case and by need. In these two
examples we see how similar the communication goas are between the
surgeon and the resident, as well as the surgeon and the patient.
Although at different parts of the process, both the resident and
patient are performing the same roles and receiving the similar types of
information, comfort, mentoring and requesting because they’re receiving
goals are the same: to understand and learn.
sender
surgeon
goal
monitor
anticipate
set context
teach
guide
circulating
nurse
comfort
shoot the breeze
converse
complain
announce
anasthesiologist
check
anasthesiologist
resident
ask to fix
ask status
inquire
record
report
patient and
family
alert
request
confirm
show
evidence
review
circulating
nurse
converse
socialize
announce
check
ask to confirm
direct
notify
inform
anasthesiologist
resident
command
alert
ask to fix
ask status
inquire
record
report
patient and
family
respond
comfort
shoot the breeze
exclaim
document
update
mentor
spurring
action
inform
empathize
spurring
action
notify
guide
reassure
anasthesiologist
command
caution
complain
ask to confirm
direct
encourage
respecting
colleagues
socialize
teach
calm
respecting
colleagues
exclaim
instruct
nurturing
relationships
nurturing
relationships
empathize
learn
demonstrate
scrub
nurse
mentor
calm
reassure
review to:
understand
show
set context
encourage
caution
resident
anticipate
following
protocol
demonstrate
resident
monitor
training
practitioners
instruct
following
protocol
learn
plan
prepare
training
practitioners
review to:
understand
show
scrub
nurse
surgeon
plan
prepare
resident
receiver
request
document
patient and
family
update
confirm
show
evidence
review
respond