Challenges and opportunities of undertaking a video ethnographic study to understand medication communication

Liu, Wei, Gerdtz, Marie and Manias, Elizabeth 2015, Challenges and opportunities of undertaking a video ethnographic study to understand medication communication, Journal of clinical nursing, vol. 24, no. 23-24, pp. 3707-3715, doi: 10.1111/jocn.12948.

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Title Challenges and opportunities of undertaking a video ethnographic study to understand medication communication
Author(s) Liu, Wei
Gerdtz, Marie
Manias, ElizabethORCID iD for Manias, Elizabeth
Journal name Journal of clinical nursing
Volume number 24
Issue number 23-24
Start page 3707
End page 3715
Total pages 9
Publisher Wiley
Place of publication London, Eng
Publication date 2015-12
ISSN 1365-2702
Keyword(s) ethical issues
hospital access
medication communication
video ethnography
Summary AIMS AND OBJECTIVES: To examine the challenges and opportunities of undertaking a video ethnographic study on medication communication among nurses, doctors, pharmacists and patients. BACKGROUND: Video ethnography has proved to be a dynamic and useful method to explore clinical communication activities. This approach involves filming actual behaviours and activities of clinicians to develop new knowledge and to stimulate reflections of clinicians on their behaviours and activities. However, there is limited information about the complex negotiations required to use video ethnography in actual clinical practice. DESIGN: Discursive paper. METHOD: A video ethnographic approach was used to gain better understanding of medication communication processes in two general medical wards of a metropolitan hospital in Melbourne, Australia. This paper presents the arduous and delicate process of gaining access into hospital wards to video-record actual clinical practice and the methodological and ethical issues associated with video-recording. CONCLUSIONS: Obtaining access to clinical settings and clinician consent are the first hurdles of conducting a video ethnographic study. Clinicians may still feel intimidated or self-conscious in being video recorded about their medication communication practices, which they could perceive as judgements being passed about their clinical competence. By thoughtful and strategic planning, video ethnography can provide in-depth understandings of medication communication in acute care hospital settings. Ethical issues of informed consent, patient safety and respect for the confidentiality of patients and clinicians need to be carefully addressed to build up and maintain trusting relationships between researchers and participants in the clinical environment. RELEVANCE TO CLINICAL PRACTICE: By prudently considering the complex ethical and methodological concerns of using video ethnography, this approach can help to reveal the unpredictability and messiness of clinical practice. The visual data generated can stimulate clinicians' reflexivity about their norms of practice and bring about improved communication about managing medications.
Language eng
DOI 10.1111/jocn.12948
Field of Research 1110 Nursing
1701 Psychology
111099 Nursing not elsewhere classified
Socio Economic Objective 920210 Nursing
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, Wiley
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