'It's learned on the job and it depends who you're with.':An observational qualitative study of how internal jugular cannulation is taught and learned

Shelton, Clifford L and Mort, Maggie M and Smith, Andrew F (2018) 'It's learned on the job and it depends who you're with.':An observational qualitative study of how internal jugular cannulation is taught and learned. Journal of the Intensive Care Society, 19 (1). pp. 26-34. ISSN 1751-1437

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Abstract

Internal jugular cannulation may lead to serious complications. Ultrasound guidance is advocated; however, procedural complications remain a concern. Inconsistent education may be in part responsible for this. This study examined how internal jugular cannulation is taught and learned. An ethnographic approach was used in two acute hospitals. Methods comprised interviews, observations and focus groups. An inductive thematic analysis was undertaken. Three themes were identified: apprenticeship, trust and reciprocity. In apprenticeship, a new form of apprenticeship learning, necessitated by the structure of training is described. In trust the strategies by which trainers assess trainees' competence in order to allow them to gain experience is explored. In reciprocity the beneficial influence of trainees is illustrated. This study demonstrates how high-stakes procedures are learned. It provides insights into under-investigated topics such as the use of 'permitted mistakes' to stimulate reflection and the role played by trainees in promoting good practice.

Item Type:
Journal Article
Journal or Publication Title:
Journal of the Intensive Care Society
Additional Information:
The final, definitive version of this article has been published in the Journal, Journal of the Intensive Care Society, 19 (1), 2018, © SAGE Publications Ltd, 2018 by SAGE Publications Ltd at the Journal of the Intensive Care Society page: http://journals.sagepub.com/home/inc on SAGE Journals Online: http://journals.sagepub.com/
Uncontrolled Keywords:
/dk/atira/pure/subjectarea/asjc/2900/2906
Subjects:
ID Code:
124580
Deposited By:
Deposited On:
02 May 2018 13:10
Refereed?:
Yes
Published?:
Published
Last Modified:
20 Sep 2020 04:45