title: Exploring varieties of knowledge in safe work practices - an ethnographic study of surgical teams.
abstract: BACKGROUND
  Within existing research in health and medicine, the nature of knowledge on how teams conduct safe work practices has yet to be properly explored.
  
  
  METHODS
  We address this concern by exploring the varieties in which knowledge is expressed during interdisciplinary surgical operations. Specifically, the study was conducted in a surgical section of a Norwegian regional general hospital, between January and April of 2010, by means of an ethnographic design combining detailed non-participant observations, conversations and semi-structured interviews.
  
  
  RESULTS
  Based on an analysis of the gathered data, we identify three particular themes in how knowledge is expressed by operating room personnel: (i) the ability and variety individuals demonstrate in handling multiple sources of information, before reaching a particular decision, (ii) the variety of ways awareness or anticipation of future events is expressed, and (iii) the different ways sudden and unexpected situations are handled by the individual team members.
  
  
  CONCLUSIONS
  We conclude that these facets of knowledge bring different insights into how safe work practices are achieved at an individual and team level in surgical operations, thus adding to the existing understanding of the nature of knowledge in safe work practices in surgical operations. Future research should focus on exploring and documenting the relationships between various elements of knowledge and safe work practices, in different surgical settings and countries.
authors.affiliation: Department of Health Studies, Faculty of Social Sciences, University of Stavanger, Stavanger, Norway. sindre.hoyland@uis.no.
authors.forename: Sindre
authors.initials: S
authors.lastname: Høyland
authors.forename: Karina
authors.initials: K
authors.lastname: Aase
authors.forename: Jan Gustav
authors.initials: JG
authors.lastname: Hollund