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Gaps and Overlaps in Cancer Multidisciplinary Team Communication: Analysis of Speech

Authors
  • Soukup, Tayana
  • Murtagh, Ged M.
  • Lamb, Benjamin W.
  • Bali, Anish
  • Gandamihardja, Tasha
  • Darzi, Ara
  • Green, James S. A.
  • Sevdalis, Nick
Publication Date
Sep 13, 2020
Source
Apollo - University of Cambridge Repository
Keywords
Language
English
License
Unknown
External links

Abstract

Funder: Health Services and Delivery Research Programme; FundRef: https://doi.org/10.13039/501100002001 / 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.

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