A study of the medical emergency team (MET) to explore communication within the team, leadership, handover, and MET resuscitation practice was performed using audiovisual recording in hospitals of Sydney South West Area Health Service, Sydney, Australia. In this article, we report on the process of data collection: the completion of 25 video recordings of MET calls across three of the six study hospitals. We describe how we gained entry into hospital environments to film events characterized by the unpredictability and uncertainties associated with resuscitating a patient and the strategies that we implemented during the fieldwork to develop and maintain rapport with both clinicians and managers. We describe how we addressed some of the practical constraints related to collecting audiovisual data at the point of acute care as well as their implications for the theoretical and methodological aspects of the study.
Benner, P. (1984). From novice to expert: Excellence and power in clinical nursing practice. Upper Saddle River, NJ: Prentice Hall.
2.
Blank-Reid, C.A., & Kaplan, L.J. (1996). Video recording trauma resuscitations: A guide to system set-up, personnel concerns, and legal issues. Journal of Trauma Nursing, 3, 9-12.
3.
Bottorff, J.L., & Morse, J.M. (1994). Identifying types of attending: Patterns of nurses' work. Image: Journal of Nursing Scholarship, 26, 53-60.
4.
Cao, C.G.L., MacKenzie, C.L., Ibbotson, J.A., Turner, L.J., Blair, N.P., & Nagy, A.G. (1999). Hierarchical decomposition of laparoscopic procedures . In J. D. Westwood, H. M. Hoffman, R. A. Robb, & D. Stredney (Eds.), Medicine meets virtual reality: 7. The convergence of physical & informational technologies: Options for a new era in healthcare (pp. 83-89). Amsterdam : IOS Press.
5.
Cooper, S., & Wakelam, A. (1999). Leadership of resuscitation teams: "Lighthouse Leadership." Resuscitation, 42, 27-45.
6.
Corsaro, W.A. (1982). Something old and something new: The new importance of prior ethnography in the collection and analysis of audiovisual data. Sociological Methods & Research, 11, 145-166.
7.
Cote, J.J., Morse, J.M., & James, S.G. (1991). The pain response of the postoperative newborn . Journal of Advanced Nursing, 16, 378-387.
8.
Cretikos, M., & Hillman, K. (2003). The medical emergency team: Does it really make a difference? Internal Medicine Journal, 33, 511-514.
9.
DuFon, M.A. (2002). Video recording in ethnographic SLA research: Some issues of validity in data collection. Language Learning & Technology, 6(1), 40-59.
10.
Fitzgerald, M.C., Bystrzycki, A.B., Farrow, N.C., Cameron, P.A., Kossmann, T., Sugrue, M.E., et al. (2006). Trauma reception and resuscitation. ANZ Journal of Surgery, 76, 725-728.
Gottdiener, M. (1989). Field research and video tape. Sociological Inquiry, 49(4), 59-66.
13.
Grimshaw, A. (1982). Sound-image data records for research on social interaction. Sociological Methods & Research, 11, 121-144.
14.
Hanson, B. (1994). The potential of videotape data: Emotional correlates of senile dementia in families as a case in point. Quality and Quantity, 28, 219-232.
15.
Harper, D. (2003). On the authority of the image: Visual methods at the crossroads. In N. K. Denzin & Y. S. Lincoln (Eds.), Collecting and interpreting qualitative materials (pp. 130-149). London: Sage.
16.
Harrison, B. (2002). Seeing health and illness worlds-Using visual methodologies in a sociology of health and illness: A methodological review . Sociology of Health & Illness, 24, 856-872.
17.
Helwigg, B. (2006). EUDICO Linguistic Annotator (ELAN) manual [Computer software manual]. Nijmegen, Netherlands: Max Planck Institute for Psycholinguistics.
18.
Hillman, K., Parr, M., Flabouris, A., Bishop, G., & Stewart, A. (2001). Redefining in-hospital resuscitation: The concept of the medical emergency team. Resuscitation, 48, 105-110.
19.
Howard, S.K., Gaba, D.M., Smith, B.E., Weinger, M.B., Herndon, C., Keshavacharya, S., et al. (2003). Simulation study of rested versus sleep-deprived anesthesiologists. Anesthesiology, 98, 1345-1355.
20.
Hoyt, D.B., Shackford, S.R., Fridland, P.H., Mackersie, R.C., Hansbrough, J.F., Wachtel, T.L., et al. (1988). Video recording trauma resuscitations: An effective teaching technique. Journal of Trauma: Injury, Infection, and Critical Care, 28, 435-440.
21.
Iedema, R., Long, D., Forsyth, R., & Lee, B.B. (2006). Visibilising clinical work: Video ethnography in the contemporary hospital. Health Sociology Review, 15, 156-168.
Kerosuo, H. (2007). Renegotiating disjunctions in interorganizationally provided care. In R. Iedema (Ed.), Discourse of hospital communication (pp. 138-160). New York: Palgrave.
24.
Larsen, K.M., & Smith, C.K. (1981). Assessment of nonverbal communication in the patient-physician interview. Journal of Family Practice, 12, 481-488.
25.
Lomax, H., & Casey, N. (1998). Recording social life: Reflexivity and video methodology . Sociological Research Online, 3(2). Available from http://www.socresonline.org.uk/3/2/1.html
26.
Lykkeslet, E., & Gjengedal, E. (2007). Methodological problems associated with practice-close research. Qualitative Health Research, 17, 699-704.
27.
Lynn, N., & Lea, S.J. (2005). Through the looking glass: Considering the challenges visual methodologies raise for qualitative research. Qualitative Research in Psychology, 2, 213.
28.
Mackenzie, C.F., Craig, G.R., Parr, M.J., & Horst, R. (1994). Video analysis of two emergency tracheal intubations identifies flawed decision-making. Anesthesiology, 81, 763-771.
29.
Mackenzie, C.F., & Xiao, Y. (2003). Video techniques and data compared with observation in emergency trauma care. Quality & Safety in Health Care , 12(Suppl. 2), 51-57.
30.
Mallet, J. (1990). Communication between nurses and post-anaesthetic patients. Intensive Care Nursing, 6(1), 45-53.
31.
Marco, C.A., Larkin, G.L., & Silbergleit, R. (2002). Filming of patients in academic emergency departments. Academic Emergency Medicine , 9, 248-250.
32.
Mason, P. (2005). Visual data in applied qualitative research: Lessons from experience. Qualitative Research, 5, 325-346.
33.
Morse, J.M., Penrod, J., Kassab, C., & Dellasega, C. (2000). Evaluating the efficiency and effectiveness of approaches to nasogastric tube insertion during trauma care. American Journal of Critical Care, 9, 325-333.
34.
Morse, J.M., & Pooler, C. (2002). Patient-family-nurse interactions in the trauma-resuscitation room. American Journal of Critical Care, 11, 240-249.
35.
Morse, J.M., & Proctor, A. (1998). Maintaining patient endurance: The comfort work of trauma nurses. Clinical Nursing Research, 7, 250-274.
36.
Nardi, B.A., Kuchinsky, A., & Whittaker, S. (1997). Video-as-data: Technical and social aspects of a collaborative multimedia application. In K. E. Finn, A. J. Sellen, & S. B. Wilber (Eds.), Video-mediated communication (Computers, cognition, and work) (pp. 487-517). Mahwah, NJ : Lawrence Erlbaum.
37.
Penrod, J., Morse, J.M., & Wilson, S. (1999). Comforting strategies used during nasogastric tube insertion. Journal of Clinical Nursing, 8, 31-38.
38.
Proctor, A., Morse, J.M., & Khonsari, E.S. (1996). Sounds of comfort in the trauma center: How nurses talk to patients in pain. Social Science & Medicine, 42, 1669-1680.
39.
Ratcliffe, D. (1994). Backgrounds, strengths, and limits. In Video and audio media in qualitative research. Unpublished manuscript. Available from http://qualitativeresearch.ratcliffs.net/video.htm
40.
Ruby, J. (1975). Is an ethnographic film a filmic ethnography?Studies in the Anthropology of Visual Communication, 2, 104-111.
41.
Slagle, J., Weinger, M.B., Dinh, M.-T. T, Brumer, V.V., & Williams, K. (2002). Assessment of the intrarater and interrater reliability of an established clinical task analysis methodology. Anesthesiology , 96, 1129-1139.
42.
Smith, C.K., & Larsen, K.M. (1984). Sequential nonverbal behavior in the patient-physician interview. Journal of Family Practice, 18, 257-261.
43.
Sobal, J. (2001). Sample extensiveness in qualitative nutrition education research. Journal of Nutrition Education and Behavior , 33, 184-192.
44.
Sparrman, A. (2005). Video recording as interaction: Participant observation of children's everyday life. Qualitative Research in Psychology , 2, 241-255.
45.
Spiers, J.A. (2004). Tech tips: Using video management/analysis technology in qualitative research. International Journal of Qualitative Methods, 3(1), Article 5. Available from http://www.ualberta.ca/~iiqm/backissues/3_1/html/spiersvideo.html
46.
Temple, M., & McVittie, C. (2005). Ethical and practical issues in using visual methodologies: The legacy of research-originating visual products. Qualitative Research in Psychology, 2, 227-239.
47.
Townsend, R.N., Clark, R., Ramenofsky, M.L., & Diamond, D.L. (1993). ATLS-based videotape trauma resuscitation review: Education and outcome. Journal of Trauma: Injury, Infection, and Critical Care, 34, 133-138.
48.
Van Der Geest, S., & Finkler, K. (2004). Hospital ethnography: Introduction. Social Science & Medicine, 59, 1995-2001.
49.
Van Olden, G.D.J., Van Vugt, A.B., Biert, J., & Goris, R.J.A. (2003). Trauma resuscitation time. Injury , 34, 191-195.
50.
Weimann, J.M. (1981). Effects of laboratory videotaping procedures on selected conversation behaviors. Human Communication Research , 7, 302-311.
51.
Weinger, M.B., Gonzales, D.C., Slagle, J., & Syeed, M. (2004). Video capture of clinical care to enhance patient safety. Quality & Safety in Health Care, 13, 136-144.
52.
Wen Hao, L., Kolkman, K., Seger, M., & Sugrue, M. (2000). An evaluation of trauma team response in a major trauma hospital in 100 patients with predominantly minor injuries. Australian & New Zealand Journal of Surgery, 70, 329-332.
