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Closed-loop communication during out-of-hospital cardiac arrest resuscitation: Are the loops really closed?

Training for effective communication in high-stakes environments actively promotes targeted communicative strategies. One oft-recommended strategy is closed-loop communication (CLC), which emphasises three components – call-out, checkback, and closing of the loop – to signal understanding. Using CLC...

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Main Authors: Ernisa, Marzuki, Rohde, Hannah, Cummins, Chris, Branigan, Holly, Clegg, Gareth, Crawford, Anna, McInnes, Lisa
Format: Article
Language:English
Published: Equinox 2020
Subjects:
P Philology. Linguistics
PR English literature
RZ Other systems of medicine
Online Access:http://ir.unimas.my/id/eprint/31651/1/CAM
http://ir.unimas.my/id/eprint/31651/
https://journals.equinoxpub.com/index.php/CAM
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spelling my.unimas.ir.316512020-09-07T12:42:46Z http://ir.unimas.my/id/eprint/31651/ Closed-loop communication during out-of-hospital cardiac arrest resuscitation: Are the loops really closed? Ernisa, Marzuki Rohde, Hannah Cummins, Chris Branigan, Holly Clegg, Gareth Crawford, Anna McInnes, Lisa P Philology. Linguistics PR English literature RZ Other systems of medicine Training for effective communication in high-stakes environments actively promotes targeted communicative strategies. One oft-recommended strategy is closed-loop communication (CLC), which emphasises three components – call-out, checkback, and closing of the loop – to signal understanding. Using CLC is suggested to improve clinical outcomes, but research indicates that medical practitioners do not always apply CLC in team communication. Our paper analyses a context in which speakers’ linguistic choices are guided by explicit recommendations during training, namely out-of-hospital cardiac arrest (OHCA) resuscitation. We examined 20 real-life OHCA resuscitations to determine whether paramedics adopt CLC in the critical first five minutes after the arrival of the designated team leader (a paramedic specially trained in handling OHCA resuscitation), and what other related communication strategies may be used. Results revealed that standard form CLC was not consistently present in any of the resuscitations despite opportunities to use it. Instead, we found evidence of non-standard forms of CLC and closed-ended communication (containing the first two components of standard CLC). These findings may be representative of what happens when medical practitioners communicate in time-critical, real-life contexts where responses to directives can be immediately observed, and suggest that CLC may not always be necessary for effective communication in these contexts. Equinox 2020 Article PeerReviewed other en http://ir.unimas.my/id/eprint/31651/1/CAM Ernisa, Marzuki and Rohde, Hannah and Cummins, Chris and Branigan, Holly and Clegg, Gareth and Crawford, Anna and McInnes, Lisa (2020) Closed-loop communication during out-of-hospital cardiac arrest resuscitation: Are the loops really closed? Communication and Medicine, 16 (1). ISSN 1613-3625 (In Press) https://journals.equinoxpub.com/index.php/CAM
institution Universiti Malaysia Sarawak
building Centre for Academic Information Services (CAIS)
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaysia Sarawak
content_source UNIMAS Institutional Repository
url_provider http://ir.unimas.my/
language English
topic P Philology. Linguistics
PR English literature
RZ Other systems of medicine
spellingShingle P Philology. Linguistics
PR English literature
RZ Other systems of medicine
Ernisa, Marzuki
Rohde, Hannah
Cummins, Chris
Branigan, Holly
Clegg, Gareth
Crawford, Anna
McInnes, Lisa
Closed-loop communication during out-of-hospital cardiac arrest resuscitation: Are the loops really closed?
description Training for effective communication in high-stakes environments actively promotes targeted communicative strategies. One oft-recommended strategy is closed-loop communication (CLC), which emphasises three components – call-out, checkback, and closing of the loop – to signal understanding. Using CLC is suggested to improve clinical outcomes, but research indicates that medical practitioners do not always apply CLC in team communication. Our paper analyses a context in which speakers’ linguistic choices are guided by explicit recommendations during training, namely out-of-hospital cardiac arrest (OHCA) resuscitation. We examined 20 real-life OHCA resuscitations to determine whether paramedics adopt CLC in the critical first five minutes after the arrival of the designated team leader (a paramedic specially trained in handling OHCA resuscitation), and what other related communication strategies may be used. Results revealed that standard form CLC was not consistently present in any of the resuscitations despite opportunities to use it. Instead, we found evidence of non-standard forms of CLC and closed-ended communication (containing the first two components of standard CLC). These findings may be representative of what happens when medical practitioners communicate in time-critical, real-life contexts where responses to directives can be immediately observed, and suggest that CLC may not always be necessary for effective communication in these contexts.
format Article
author Ernisa, Marzuki
Rohde, Hannah
Cummins, Chris
Branigan, Holly
Clegg, Gareth
Crawford, Anna
McInnes, Lisa
author_facet Ernisa, Marzuki
Rohde, Hannah
Cummins, Chris
Branigan, Holly
Clegg, Gareth
Crawford, Anna
McInnes, Lisa
author_sort Ernisa, Marzuki
title Closed-loop communication during out-of-hospital cardiac arrest resuscitation: Are the loops really closed?
title_short Closed-loop communication during out-of-hospital cardiac arrest resuscitation: Are the loops really closed?
title_full Closed-loop communication during out-of-hospital cardiac arrest resuscitation: Are the loops really closed?
title_fullStr Closed-loop communication during out-of-hospital cardiac arrest resuscitation: Are the loops really closed?
title_full_unstemmed Closed-loop communication during out-of-hospital cardiac arrest resuscitation: Are the loops really closed?
title_sort closed-loop communication during out-of-hospital cardiac arrest resuscitation: are the loops really closed?
publisher Equinox
publishDate 2020
url http://ir.unimas.my/id/eprint/31651/1/CAM
http://ir.unimas.my/id/eprint/31651/
https://journals.equinoxpub.com/index.php/CAM
_version_ 1677785545709715456
score 13.211869

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