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Interruptions in multidisciplinary tumor conferences with patient participation : a video interaction analysis

Title data

Schellenberger, Barbara ; Heuser, Christian ; Diekmann, Annika ; Krüger, Emily ; Schreiber, Leonie ; Ansmann, Lena ; Schnettler, Bernt ; Scholten, Nadine ; Ernstmann, Nicole:
Interruptions in multidisciplinary tumor conferences with patient participation : a video interaction analysis.
In: Patient Education and Counseling. (2024) . - 108550.
ISSN 1873-5134
DOI: https://doi.org/10.1016/j.pec.2024.108550

Abstract in another language

Objective
To identify a) interruptions (secondary activities disrupting the workflow of the main task) occurring during case discussions in multidisciplinary tumor conferences (MTCs) with patient participation, and b) observable reactions among patients and healthcare professionals (HCPs).
Methods
Within the non-interventional mixed-methods study PINTU, we video-recorded five case discussions during MTCs with patient participation at one breast and gynecological cancer center. A qualitative sequential video interaction analysis was used to identify interruptions and related interactions.
Results
Occurring interruptions resulted in reactions of patients and/or HCPs. Work organization and seating arrangement led to interruptions, e.g., turning around to face individuals. Some interruptions caused reactions only among patients and not among HCPs.
Conclusion
Interruptions occur regularly in case discussions during MTCs with patient participation. Certain interruptions, which did not cause observable reactions among HCPs and seem to be commonplace, attracted the patient’s attention. As interruptions can be associated with patients' unmet need for information, HCPs’ awareness of interruptions should be raised.
Practice Implications
When patients participate in MTCs, interruptions should be reduced to improve HCP–patient interactions. Our findings can lead to recommendations for improving organization of MTCs with patient participation aiming to cause fewer interruptions and thus better quality of patient care.

Further data

Item Type: Article in a journal
Refereed: Yes
Keywords: breast cancer; gynecological cancer; interruption; multidisciplinary tumor conference; multidisciplinary tumor board; oncology; video interaction analysis
Institutions of the University: Faculties > Faculty of Cultural Studies > Chair Sociology of Culture and Religion > Chair Sociology of Culture and Religion - Univ.-Prof. Dr. Bernt Schnettler
Result of work at the UBT: Yes
DDC Subjects: 300 Social sciences > 300 Social sciences, sociology and anthropology
Date Deposited: 28 Nov 2024 07:09
Last Modified: 28 Nov 2024 07:09
URI: https://eref.uni-bayreuth.de/id/eprint/91275