An even more unsettling and new environment with its different
culture and dress code is the operating theatre. Here novices may
become so anxious about doing the wrong thing that meaningful
learning is unlikely. Lyon (2003) suggested that students have
to manage their learning across three domains, not only needing to
become familiar with the physical environment with attention
to sterility but also with new social relations while concentrating on
their own tasks and learning outcomes. Though modern operating
techniques make it unlikely that a student will have to stand
motionless with a retractor for several hours, they may have physical
discomfort from trying to observe, straining to listen and even not
being able to take notes. The skilful surgeon or nurse educator in
this situation will ensure that students are able to participate and
reflect on what is happening and make them feel part of the team
by suggesting tasks within their capabilities.