@article{d0e4d46bc31f4e3dbf05ea8f7a132d26,
title = "Gaps and Overlaps in Cancer Multidisciplinary Team Communication: Analysis of Speech",
abstract = "Guided by the principles of conversation analysis, we examined the communication practices used to negotiate levels of participation in cancer multidisciplinary team meetings and their implications for patient safety. Three cancer teams participated. Thirty-six weekly meetings were video recorded, encompassing 822 case reviews. A cross-section was transcribed using Jefferson notation. We found a low frequency of gaps between speakers (3%), high frequency of overlaps (24%), and no-gaps-no-overlaps (73%), suggesting fast turn transitions. Securing a turn to speak is challenging due to a systematic reduction in turn-taking opportunities. We contribute to group research with the development of a microlevel methodology for studying multidisciplinary teams.",
keywords = "communication, decision-making, multidisciplinary team, team meetings, turn-taking",
author = "Tayana Soukup and Murtagh, {Ged M.} and Lamb, {Benjamin W.} and Anish Bali and Tasha Gandamihardja and Ara Darzi and Green, {James S.A.} and Nick Sevdalis",
note = "Funding Information: The authors thank the participating cancer teams and their members for their time and commitment. The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Financial support for this study was provided entirely by the UK?s National Institute for Health Research (NIHR) via the Imperial Patient Safety Translational Research Centre. Sevdalis research is funded by the NIHR via the ?Applied Research Collaboration South London? at King?s College Hospital NHS Foundation Trust, London, UK. Sevdalis is also a member of King?s Improvement Science, which is part of the NIHR CLAHRC South London and comprises a specialist team of improvement scientists and senior researchers based at King?s College London. Its work is funded by King?s Health Partners (Guy?s and St Thomas? NHS Foundation Trust, King?s College Hospital NHS Foundation Trust, King?s College London and South London and Maudsley NHS Foundation Trust), Guy?s and St Thomas? Charity, the Maudsley Charity and the Health Foundation. The funding agreement ensured the authors? independence in designing the study, interpreting the data, writing, and publishing the report. The views expressed are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health and Social Care. Publisher Copyright: {\textcopyright} The Author(s) 2020. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.",
year = "2021",
month = apr,
doi = "10.1177/1046496420948498",
language = "English",
volume = "52",
pages = "189--219",
journal = "SMALL GROUP RESEARCH",
issn = "1046-4964",
publisher = "SAGE Publications Inc.",
number = "2",
}
