Interprofessional Interactions at the Hospital: Nurses’ Requests and Reports of Problems in Calls with Physicians PDF
Preview Interprofessional Interactions at the Hospital: Nurses’ Requests and Reports of Problems in Calls with Physicians
li230 li230 The focus of this book is to investigate a routine yet li disruptive activity at the hospital – telephone inter- Linguistic Insights action – and to expose how nurses and physicians 230 Studies in Language and Communication coordinate at distance in view of delivering efficient patient care. Data consists of 130 audio-recorded calls between nurses and physicians at an acute care hospital in Switzerland. The main activity of these calls consists of the nurse requesting the physician’s intervention, namely, the physician designating a course of action to be undertaken in the future. s By adopting a conversation analytic approach, n o I identify the formats through which nurses imple- i t ment requests to physicians. I distinguish between c a requests that contain an explicit formulation of a r e candidate course of action (e.g. Can you do X), and t n less transparent formats, such as reports of prob- i lems. The latter consist of presenting a series of facts al that convey the existence of a situation portrayed as onal problematic and making relevant the physician’s siit intervention. To secure the interventionable charac- sp es ter of the report, nurses refer to facts remediable fo oconnlyt inbgy ean tm toe dtihcea l parouvthisoiorinty ,o fs uccahre a osr dae fipcaietinecnite’ss proe h rh medical status. et t nt a I • e i Anca-Cristina Sterie r e t Anca-Cristina Sterie is a sociologist, currently S working on doctor-patient communication at the a n Lausanne University Hospital. Her doctoral the- i Interprofessional interactions t sis in social sciences concerns interprofessional s i r hospital interaction; she holds a master’s degree C at the hospital in European studies on political symbolism. Dur- a- ing her previous employment, she was equally c n engaged in research regarding women’s empow- A erment in post-conflict zones. Nurses’ requests and reports of problems in calls with physicians ISBN 978-3-0343-2734-3 g n a L r e t 9 783034 327343 e www.peterlang.com P Interprofessional interactions at the hospital Linguistic Insights Studies in Language and Communication Edited by Maurizio Gotti, University of Bergamo Volume 230 ADVISORY BOARD Vijay Bhatia (Hong Kong) David Crystal (Bangor) Konrad Ehlich (Berlin / München) Jan Engberg (Aarhus) Norman Fairclough (Lancaster) John Flowerdew (Lancaster) Ken Hyland (East Anglia) Roger Lass (Cape Town) Matti Rissanen (Helsinki) Françoise Salager-Meyer (Mérida, Venezuela) Srikant Sarangi (Cardiff) Susan Šarcˇevi´c (Rijeka) Lawrence Solan (New York) Peter M. Tiersma (Los Angeles) PETER LANG Bern • Berlin • Bruxelles • Frankfurt am Main • New York • Oxford • Wien Linguistic Insights Anca-Cristina Sterie Studies in Language and Communication Interprofessional interactions at the hospital Edited by Maurizio Gotti, University of Bergamo Volume 230 Nurses’ requests and reports of problems in calls with physicians ADVISORY BOARD Vijay Bhatia (Hong Kong) David Crystal (Bangor) Konrad Ehlich (Berlin / München) Jan Engberg (Aarhus) Norman Fairclough (Lancaster) John Flowerdew (Hong Kong) Ken Hyland (Hong Kong) Roger Lass (Cape Town) Matti Rissanen (Helsinki) Françoise Salager-Meyer (Mérida, Venezuela) Srikant Sarangi (Cardiff) Susan Šarcˇevi´c (Rijeka) Lawrence Solan (New York) PETER LANG PETER LANG Bern • Bruxelles • Frankfurt am Main • New York • Oxford • Warszawa • Wien Bern • Bruxelles • Frankfurt am Main • New York • Oxford • Warszawa • Wien Bibliographic information published by die Deutsche Nationalbibliothek Die Deutsche Nationalbibliothek lists this publication in the Deutsche National- bibliografie; detailed bibliographic data is available on the Internet at ‹http://dnb.d-nb.de›. British Library Cataloguing-in-Publication Data: A catalogue record for this book is available from The British Library, Great Britain Library of Congress Control Number: 2017950379 This publication has been funded by: Swiss Academy of Medical Sciences Centenary Fund of the University of Fribourg Lausanne University Hospital Foundation ISSN 1424-8689 hb. ISSN 2235-6371 eBook ISBN 978-3-0343-2734-3 hb. ISBN 978-3-0343-2735-0 eBook ISBN 978-3-0343-2737-4 EPUB ISBN 978-3-0343-2736-7 MOBI This publication has been peer reviewed. © Peter Lang AG, International Academic Publishers, Bern 2017 Wabernstrasse 40, CH-3007 Bern, Switzerland [email protected], www.peterlang.com All rights reserved. All parts of this publication are protected by copyright. Any utilisation outside the strict limits of the copyright law, without the permission of the publisher, is forbidden and liable to prosecution. This applies in particular to reproductions, translations, microfilming, and storage and processing in electronic retrieval systems. Bibliographic information published by die Deutsche Nationalbibliothek Die Deutsche Nationalbibliothek lists this publication in the Deutsche National- bibliografie; detailed bibliographic data is available on the Internet at ‹http://dnb.d-nb.de›. British Library Cataloguing-in-Publication Data: A catalogue record for this book is available from The British Library, Great Britain. To my parents and Fabien Library of Congress Control Number: 2017950379 This publication has been funded by: Swiss Academy of Medical Sciences Centenary Fund of the University of Fribourg Lausanne University Hospital Foundation ISSN 1424-8689 hb. ISSN 2235-6371 eBook ISBN 978-3-0343-2734-3 hb. ISBN 978-3-0343-2735-0 eBook ISBN 978-3-0343-2737-4 MOBI ISBN 978-3-0343-2736-7 EPUB This publication has been peer reviewed. © Peter Lang AG, International Academic Publishers, Bern 2018 Wabernstrasse 40, CH-3007 Bern, Switzerland [email protected], www.peterlang.com All rights reserved. All parts of this publication are protected by copyright. Any utilisation outside the strict limits of the copyright law, without the permission of the publisher, is forbidden and liable to prosecution. This applies in particular to reproductions, translations, microfilming, and storage and processing in electronic retrieval systems. Printed in Germany «Au-dessus de tous ces efforts de la pensée clinique pour définir ses méthodes et ses normes scientifiques, plane le grand mythe d’un pur Regard qui serait pur Langage: œil qui parlerait. Il se porterait sur la totalité du champ hospitalier, accueillant et recueillant chacun des évènements singuliers qui se produisent en lui; et à mesure qu’il verrait, qu’il verrait plus et mieux, il se ferait parole qui énonce et enseigne». Michel Foucault, Naissance de la clinique (1963). Contents Acknowledgements .............................................................................15 List of Abbreviations ...........................................................................17 Research framework ............................................................................19 Setting .............................................................................................20 Data .................................................................................................22 Audio-recordings ............................................................................22 Ethnographic observations ..............................................................25 Analytical aims ...............................................................................26 Chapter I. Hospital interaction between nurses and physicians: a literature review ......................................................31 1. Forms of interprofessional communication at the hospital ...........................................................................32 1.1. Scheduled and unscheduled occasions of interaction ......32 1.2. Face-to-face and remote communication.......................33 2. Changes and challenges to nurses’ professional “jurisdiction” .....36 2.1. From a traditional model of nursing to a “rôle propre infirmier” ...................................................36 2.2. The case of newly employed nurses ..............................42 3. Nurse-physician verbal interaction ..........................................43 3.1. Nurses’ and physicians’ attitudes to their communication and collaboration .................................44 3.2. Verbal exchanges between nurses and physicians .........45 Conclusion ......................................................................................49
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