Dr Suyin Hor is a transdisciplinary social scientist working with clinicians, patients and managers to make healthcare services safer. With a research background in psychology, education, and sociology, she specialises in visual and learning-based research methods that grapple with the complexity of healthcare at the frontline. She is a specialist in patient safety, across topics including accountability, incident reporting, patient involvement, communication, space, infection prevention and control, and video-reflexive ethnography. In both her teaching and research, Suyin is dedicated to bringing theory and practice together, to equip healthcare practitioners, managers, students and consumers with the skills, knowledge and understanding to successfully navigate, manage and improve the complex and changing contexts of healthcare.
Can supervise: YES
- Health services management;
- patient safety;
- quality/practice improvement;
- qualitative research methods;
- video-reflexive methods;
- participatory research methods
Iedema, R, Carroll, K, Collier, A, Hor, S-Y, Mesman, J & Wyer, M 2019, Video-Reflexive Ethnography in Health Research and Healthcare Improvement Theory and Application, CRC Press.
This innovative, practical guide introduces researchers to the use of the video reflexive ethnography in health and health services research.
Iedema, R, Jorm, C, Hooker, C, Hor, S, Wyer, M & Gilbert, GL 2019, 'To follow a rule? On frontline clinicians' understandings and embodiments of hospital-acquired infection prevention and control rules', Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine.View/Download from: UTS OPUS or Publisher's site
This article reports on a study of clinicians' responses to footage of their enactments of infection prevention and control. The study's approach was to elicit clinicians' reflections on and clarifications about the connections among infection control activities and infection control rules, taking into account their awareness, interpretation and in situ application of those rules. The findings of the study are that clinicians responded to footage of their own infection prevention and control practices by articulating previously unheeded tensions and constraints including infection control rules that were incomplete, undergoing change, and conflicting; material obstructions limiting infection control efforts; and habituated and divergent rule enactments and rule interpretations that were problematic but disregarded. The reflexive process is shown to elicit clinicians' learning about these complexities as they affect the accomplishment of effective infection control. The process is further shown to strengthen clinicians' appreciation of infection control as necessitating deliberation to decide what are locally appropriate standards, interpretations, assumptions, habituations and enactments of infection control. The article concludes that clinicians' 'practical wisdom' is unlikely to reach its full potential without video-assisted scrutiny of and deliberation about in situ clinical work. This enables clinicians to anchor their in situ enactments, reasonings and interpretations to local agreements about the intent, applicability, limits and practical enactment of rules.
Hor, S-Y, Hooker, C, Iedema, R, Wyer, M, Gilbert, GL, Jorm, C & O'Sullivan, MVN 2017, 'Beyond hand hygiene: a qualitative study of the everyday work of preventing cross-contamination on hospital wards', BMJ QUALITY & SAFETY, vol. 26, no. 7, pp. 552-558.View/Download from: UTS OPUS or Publisher's site
Wyer, M, Iedema, R, Hor, S-Y, Jorm, C, Hooker, C & Gilbert, GL 2017, 'Patient Involvement Can Affect Clinicians' Perspectives and Practices of Infection Prevention and Control: A "Post-Qualitative" Study Using Video-Reflexive Ethnography', INTERNATIONAL JOURNAL OF QUALITATIVE METHODS, vol. 16, no. 1.View/Download from: UTS OPUS or Publisher's site
Wyer, M, Iedema, R, Jorm, C, Armstrong, G, Hor, S-Y, Hooker, C, Jackson, D, Hughes, C, O Sullivan, MVN & Gilbert, GL 2015, 'Should I stay or should I go? Patient understandings of and responses to source-isolation practices', Patient Experience Journal, vol. 2, pp. 60-68.
Iedema, R, Hor, SY, Wyer, M, Gilbert, GL, Jorm, C, Hooker, C & O'Sullivan, MVN 2015, 'An innovative approach to strengthening health professionals' infection control and limiting hospital-acquired infection: Video-reflexive ethnography', BMJ Innovations, vol. 1, no. 4, pp. 157-162.View/Download from: Publisher's site
© 2015, BMJ Publishing Group. All rights reserved. Objective To strengthen clinicians' infection control awareness and risk realisation by engaging them in scrutinising footage of their own infection control practices and enabling them to articulate challenges and design improvements. Design and participants Clinicians and patients from selected wards of 2 hospitals in western Sydney. Main outcome measures Evidence of risk realisation and new insights into infection control as articulated during video-reflexive feedback meetings. Results Frontline clinicians identified previously unrecognised infection risks in their own practices and in their team's practices. They also formulated safer ways of dealing with, for example, charts and patient transfers. Conclusions Video-reflexive ethnography enables frontline clinicians to identify infection risks and to design locally tailored solutions for existing risks and emerging ones.
Wyer, M, Jackson, D, Iedema, R, Hor, S-Y, Gilbert, GL, Jorm, C, Hooker, C, O Sullivan, MVN & Carroll, K 2015, 'Involving patients in understanding hospital infection control using visual methods', Journal of clinical nursing, vol. 24, pp. 1718-1729.View/Download from: UTS OPUS
Hor, S-Y, Iedema, R & Manias, E 2014, 'Creating spaces in intensive care for safe communication: a video-reflexive ethnographic study', BMJ Qual Saf, vol. 23, pp. 1007-1013.
Wyer, M, Iedema, R & Hor, S-Y 2014, 'Editorial: Patients: passive subjects or active participants in reducing the spread of infection?', JOURNAL OF CLINICAL NURSING, vol. 23, no. 17-18, pp. 2385-2386.View/Download from: Publisher's site
Iedema, RA, Allen, SL, Britton, KL & Hor, S 2013, 'Out Of The Frying Pan? Streamlining The Ethics Review Process Of Multisite Qualitative Research Projects', Australian Health Review, vol. 37, no. 2, pp. 137-139.View/Download from: UTS OPUS or Publisher's site
This paper describes the ethics approval processes for two multicentre, nationwide, qualitative health service research projects. The paper explains that the advent of the National Ethics Application Form has brought many improvements, but that attendant processes put in place at local health network and Human Research Ethics Committee levels may have become significantly more complicated, particularly for innovative qualitative research projects. The paper raises several questions based on its analysis of ethics application processes currently in place.
Hor, S, Godbold, NJ, Collier, A & Iedema, RA 2013, 'Finding the patient in patient safety', Health: an interdisciplinary journal for the social study of health, illness and medicine, vol. 17, no. 6, pp. 567-583.View/Download from: UTS OPUS or Publisher's site
In the last decade, the field of patient safety has grappled with the complexity of health-care systems by attending to the activity of frontline clinicians. This article extends the field by highlighting the activity of patients and their carers in determining the safety of these systems. We draw on data from three studies exploring patients accounts of their health-care experiences in Australia and internationally, to show how patients and carers are currently contributing to the safety of their own care. Furthermore, we emphasise the importance of patientclinician collaboration in ensuring the success of these activities. We argue that it is no longer sufficient to discuss if patients should be involved with ensuring their own safety. Given that patients are already involved, we propose a new conceptualisation of safety and systems that acknowledges their involvement and supports patientprovider collaboration to achieve safer care.
In the last decade, the field of patient safety has grappled with the complexity of health-care systems by attending to the activity of frontline clinicians. This article extends the field by highlighting the activity of patients and their carers in determining the safety of these systems. We draw on data from three studies exploring patients' accounts of their health-care experiences in Australia and internationally, to show how patients and carers are currently contributing to the safety of their own care. Furthermore, we emphasise the importance of patient-clinician collaboration in ensuring the success of these activities. We argue that it is no longer sufficient to discuss if patients should be involved with ensuring their own safety. Given that patients are already involved, we propose a new conceptualisation of safety and systems that acknowledges their involvement and supports patient-provider collaboration to achieve safer care. © The Author(s) 2013.
Hor, S, Iedema, RA, Williams, K, White, L, Kennedy, P & Day, A 2010, 'Multiple Accountabilities in Incident Reporting and Management', Qualitative Health Research, vol. 20, no. 8, pp. 1091-1100.View/Download from: UTS OPUS or Publisher's site
In this article, we examine the current and increasing emphasis on accountability and patient safety in health care, focusing on practices of incident reporting and management in New South Wales, Australia. We describe the frames of accountability associated with an incident reporting system, and explore how this system manifests in practice. In contrast to literature that situates incident reporting and local practices as oppositional, we used ethnographic methods to observe the incident management practices of clinical staff in a hospital, and found evidence to characterize this relationship differently. We found that accountability has multiple conceptualizations, and we present three findings that demonstrate how the reporting system and incident management policy are interwoven with local enactments of accountability. We suggest that systematic efforts toward improvement cannot be divorced from the local context, and emphasize the importance of local ecologies of practice in facilitating the meaningful utilization of such incident reporting systems.
Iedema, RA, Mallock, NA, Sorensen, R, Manias, E, Tuckett, A, Perrott, B, Brownhill, S, Piper, DA, Hor, S, Hegney, D, Scheeres, HB & Jorm, CM 2008, 'The National Open Disclosure Pilot: Evaluation of a policy implementation initiative', The Medical Journal of Australia, vol. 188, no. 7, pp. 397-400.View/Download from: UTS OPUS
Objective: To determine which aspects of open disclosure work for patients and health care staff, based on an evaluation of the National Open Disclosure Pilot. Design, setting and participants: Qualitative analysis of semi-structured and open-ended interviews conducted between March and October 2007 with 131 clinical staff and 23 patients and family members who had participated in one or more open disclosure meetings. 21 of 40 pilot hospital sites, in New South Wales, South Australia, Victoria and Queensland, were included in the evaluation. Participating health care staff comprised 49 doctors, 20 nurses, and 62 managerial and support staff. In-depth qualitative data analysis involved mapping of discursive themes and subthemes across the interview transcripts. Results: Interviewees broadly supported open disclosure; they expressed uncertainty about its deployment and consequences, and made detailed suggestions of ways to optimise the experience, including careful pre-planning, participation by senior medical staff, and attentiveness to consumers experience of the adverse event. Conclusion: Despite some uncertainties, the national evaluation indicates strong support for open disclosure from both health care staff and consumers, as well as a need to resource this new practice.
Iedema, R, Piper, D, Beitat, K, Allen, S, Bower, K & Hor, S-Y 2016, 'Risk and Clinical Incident Disclosure: Navigating between Morality and Liability' in Communicating Risk, Palgrave Macmillan UK, pp. 17-35.
Hor, S-Y 2011, 'Accountability and patient safety: A study of mess and multiplicities'.
Hor, S-Y 2006, 'Exploring Gifted Primary Students' Perceptions of the Characteristics of Their Effective Teachers'.