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  • Its Learned on the Job for PURE

    Rights statement: 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/

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    Available under license: CC BY-NC: Creative Commons Attribution-NonCommercial 4.0 International License

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'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

Research output: Contribution to journalJournal article

Published
<mark>Journal publication date</mark>1/02/2018
<mark>Journal</mark>Journal of the Intensive Care Society
Issue number1
Volume19
Number of pages9
Pages (from-to)26-34
Publication StatusPublished
Early online date6/09/17
<mark>Original language</mark>English

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.

Bibliographic note

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/