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Interpretation in Consultations With Immigrant Patients With Cancer: How Accurate Is It?
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| 2 |
Discourse research that intervenes in the quality and safety of care practices
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Emergency communication: the discursive challenges facing emergency clinicians and patients in hospital emergency departments
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Slade, D; Scheeres, H; Manidis, M; Iedema, R; Dunston, R; Stein-Parbury, J; Matthiessen, C; Herke, M; McGregor, J. - : Sage Publications Ltd., 2008
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Abstract:
Effective communication and interpersonal skills have long been recognized as fundamental to the delivery of quality health care. However, there is mounting evidence that the pressures of communication in high stress work areas such as hospital emergency departments (EDs) present particular challenges to the delivery of quality care. A recent report on incident management in the Australian health care system (NSW Health, 2005a) cites the main cause of critical incidents (that is, adverse events such as an incorrect procedure leading to patient harm), as being poor and inadequate communication between clinicians and patients. This article presents research that describes and analyses spoken interactions between health care practitioners and patients in one ED of a large, public teaching hospital in Sydney, Australia. The research aimed to address the challenges and critical incidents caused by breakdowns in communication that occur between health practitioners and patients and by refining and extending knowledge of discourse structures, to identify ways in which health care practitioners can enhance their communicative practices thereby improving the quality of the patient journey through the ED. The research used a qualitative ethnographic approach combined with discourse analysis of audio-recorded interactions. Some key findings from the analysis of data are outlined including how the absence of information about processes, the pressure of time within the ED, divergent goals of clinicians and patients, the delivery of diagnoses and professional roles impact on patient experiences. Finally, the article presents an in-depth linguistic analysis on interpersonal and experiential patterns in the discursive practices of patients, nurses and doctors.
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Keyword:
Communication and Culture; Communication and Culture not elsewhere classified; Language; Other Language
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URL: https://doi.org/10.1177/1750481308091910
http://ecite.utas.edu.au/94327
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Emergency communication: the discursive challenges facing emergency clinicians and patients in hospital emergency departments
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Trust, communication, theory of mind and the social brain hypothesis: Deep explanations for what goes wrong in health care
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On the multi-modality, materially and contingency of organization discourse
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Communication in institutions/Kommunikation in Institutionen.
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Constructing boundaries without being seen: the case of Jorg Haider, Politician
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| 10 |
'It's an Interesting Conversation I'm Hearing': The Doctor as Manager
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Speaking about dying in the intensive care unit, and its implications for multidisciplinary end-of-life care
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Multimodality, resemiotization: extending the analysis of discourse as multi-semiotic practice
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From Doing Work to Talking Work: Renegotiating Knowing, Doing, and Identity
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