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

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). pp. 54-66. ISSN 1613-3625

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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.

Item Type: Article
Uncontrolled Keywords: losed-loop communication, ut-of-hospital cardiac arrest resuscitation, paramedic team communication, dialogue annotation/dialogue coding, unimas, university, universiti, Borneo, Malaysia, Sarawak, Kuching, Samarahan, ipta, education, research, Universiti Malaysia Sarawak
Subjects: P Language and Literature > P Philology. Linguistics
P Language and Literature > PR English literature
R Medicine > RZ Other systems of medicine
Divisions: Academic Faculties, Institutes and Centres > Faculty of Education, Language and Communication
Depositing User: Marzuki
Date Deposited: 21 Sep 2020 07:17
Last Modified: 11 Oct 2023 02:30

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