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Am J Surg. 2017 Jun;213(6):996-1002.e1. doi: 10.1016/j.amjsurg.2016.06.017. Epub 2016 Jul 29.

Surgeon-patient communication during awake procedures.

Author information

1
Pritzker School of Medicine, The University of Chicago, Chicago, IL, USA.
2
Department of Surgery, The University of Chicago, Chicago, IL, USA.
3
Department of Medicine, The University of Chicago, Chicago, IL, USA.
4
Department of Surgery, NorthShore University Health System, The University of Chicago, Chicago, IL, USA.
5
Department of Otolaryngology, Vanderbilt University Medical Center, Nashville, TN 37232, USA. Electronic address: alexander.langerman@vanderbilt.edu.

Abstract

BACKGROUND:

Surgeons are increasingly performing procedures on awake patients. Communication during such procedures is complex and underexplored in the literature.

METHODS:

Surgeons were recruited from the faculty of 2 hospitals to participate in an interview regarding their approaches to communication during awake procedures. Three researchers used the constant comparative method to transcribe, code, and review interviews until saturation was reached.

RESULTS:

Twenty-three surgeons described the advantages and disadvantages of awake procedures, their communication with the awake patient, their interactions with staff and with trainees, the environment of awake procedures, and how communication in this context is taught and learned.

CONCLUSIONS:

Surgeons recognized communication during awake procedures as important and reported varied strategies for ensuring patient comfort in this context. However, they also acknowledged challenges with multiparty communication during awake procedures, especially in balancing commitments to teaching with their duty to comfort the patient.

KEYWORDS:

Communication; Doctor–patient relationship; Ethics; Qualitative research; Surgery

PMID:
27567112
DOI:
10.1016/j.amjsurg.2016.06.017
[Indexed for MEDLINE]

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