Perioperative medicine & outcomes

Real-world activities of clinician-researchers in perioperative medicine: an ethnographic qualitative case study embedded in a single-centre clinical trial

BJA OpenPublished Ethnographic qualitative case study

Authors' conclusion

Clinician-researchers undertook a wide range of activities that extended beyond protocol-driven research tasks encompassing significant coordination and relational work. These activities were perceived by patient-participants to positively influence their perioperative experience in this specific context.

Study context

Population
Clinician-researchers (physicians and nurses) and patient-participants in a perioperative clinical trial7 clinician-researchers · 8 patient-participants
Outcome
Range of activities undertaken by clinician-researchers and how these are experienced by patient-participants
Methodological detailsembedded in an RCT, single-centre, tertiary hospital, shadowing and time-motion analysis, interviews, abductive analysis informed by activity theory, Observation over 10 days; conducted October–November 2021
  • Embedded in an RCT
  • Single-centre
  • Tertiary hospital
  • Shadowing and time-motion analysis
  • Interviews
  • Abductive analysis informed by activity theory
  • Observation over 10 days; conducted October–November 2021

Main finding

As reported in the abstract

Clinician-researcher activities
Time on supportive tasks vs core RCT activities
nearly three times as much
Non-RCT activities, share of observed time
one-third

Further findings

Patient-participant experience

Interactions with clinician-researchers contributed to perioperative experience through alleviation of boredom and a perceived sense of safety

Original publication

Real-world activities of clinician-researchers in perioperative medicine: an ethnographic qualitative case study embedded in a single-centre clinical trial. BJA Open. Published 15 September 2026. doi:10.1016/j.bjao.2026.100862

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