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Framing trauma leaders' request in emergency care interactions
Keiko Tsuchiya1, Frank Coffey2, Andrew Mackenzie3
1Yokohama City University.
Communication & Medicine
|February 7, 2025
Summary
Senior doctors use more verbal and visual cues when making requests during emergency care simulations compared to junior doctors. This communication difference impacts team interaction and patient safety.
Area of Science:
- Medical Communication
- Human Factors in Healthcare
- Emergency Medicine
Background:
- Effective team leadership is vital for patient safety in emergency care.
- Communication strategies of team leaders influence team interaction and performance.
- Understanding how requests are made can optimize emergency medical team dynamics.
Purpose of the Study:
- To analyze how senior doctors (SD) and junior doctors (JD) frame immediate requests during simulated emergency care.
- To investigate the role of language and eye-movement patterns in team leader communication.
- To explore differences in requesting behaviors between SD and JD in emergency teams.
Main Methods:
- Utilized interactional linguistic and multimodal analysis of video, audio, and eye-movement data.
- Recorded simulated emergency care scenarios with a team comprising doctors, nurses, and an expert.
- Employed eye-tracking technology on team leaders to capture gaze patterns during requests.
Main Results:
- Senior doctors (SD) employed multimodal emphasis (verbal address and gaze) for immediate requests, particularly for actions.
- Junior doctors (JD) more frequently relied on gaze alone when making requests.
- Request framing existed on a continuum from question to instruction, co-constructed with team members.
Conclusions:
- Leadership communication styles, specifically in requesting actions, differ between senior and junior doctors in emergency settings.
- Multimodal communication enhances the clarity and framing of requests, potentially improving patient safety.
- Future research should consider larger datasets to further elucidate these communication dynamics.
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