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Communication and Contextual Factors in Robotic-Assisted Surgical Teams: Protocol for Developing a Taxonomy
Kyi Phyu Nyein1, Claire Condron1
1SIM Centre for Simulation Education and Research, Royal College of Surgeons in Ireland, University of Medicine and Health Sciences, Dublin, Ireland.
JMIR Research Protocols
|June 17, 2024
Summary
This study develops a taxonomy of communication behaviors and contextual factors in robotic-assisted surgery (RAS) teams. Findings will enhance team communication, training, and patient safety in robotic surgery.
Area of Science:
- Surgical Innovation
- Human Factors Engineering
- Medical Communication
Background:
- Robotic-assisted surgery (RAS) alters operating room dynamics, impacting team communication due to physical separation and equipment barriers.
- Factors influencing effective communication in RAS teams remain largely unknown.
- Understanding these factors is crucial for optimizing surgical team performance.
Purpose of the Study:
- To develop a comprehensive taxonomy of communication behaviors and contextual factors in RAS teams.
- To examine communication patterns based on gender.
- To provide actionable insights for improving RAS team collaboration.
Main Methods:
- Scoping review to establish a preliminary communication taxonomy.
- Semistructured interviews with diverse RAS team members (surgeons, nurses, anesthetists).
- Observation of live robotic surgeries to capture real-world communication dynamics and refine the taxonomy.
Main Results:
- A taxonomy detailing actionable communication behaviors and contextual factors will be produced.
- Data collection is ongoing, with findings anticipated in 2024-2025.
- The study is approved by the RCSI Research and Ethics Committee and commenced in June 2024.
Conclusions:
- The developed taxonomy will inform training programs to improve RAS team communication and prevent breakdowns.
- Findings will contribute to understanding gender's role in surgical communication.
- This research aims to enhance surgical team skills, ultimately improving patient care quality and safety.

