Please use this identifier to cite or link to this item: http://hdl.handle.net/10397/68613
Title: Contrasting discourse styles and barriers to patient participation in bedside nursing handovers
Authors: Eggins, S
Slade, D 
Keywords: Agency
Discourse analysis
Healthcare communication
Patient safety
Patient-centred care
Systemic linguistics
Issue Date: 2016
Publisher: Equinox Publishing Ltd.
Source: Communication and medicine, 2016, v. 13, no. 1, p. 71-83 How to cite?
Journal: Communication and medicine 
Abstract: This paper applies qualitative discourse analysis to 'shift-change handovers', events in which nurses hand over care for their patients to their colleagues. To improve patient safety, satisfaction and inclusion, hospitals increasingly require nursing staff to hand over at the patient's bedside, rather than in staff-only areas. However, bedside handover is for many a new and challenging communicative practice. To evaluate how effectively nurses achieve bedside handover, we observed, audio-recorded and transcribed nursing shift-change handovers in a short stay medical ward at an Australian public hospital. Drawing on discourse analysis influenced by systemic functional linguistics we identify four handover styles: exclusive vs inclusive and objectifying vs agentive. The styles capture interactional/interpersonal meaning choices associated with whether and how nurses include patients during handover, and informational/ideational meaning choices associated with whether or not nurses select and organise clinical information in ways that recognise patients' agency. We argue that the co-occurrence of inclusive with agentive and exclusive with objectifying styles demonstrates that how nurses talk about their patients is powerfully influenced by whether and how they also talk to them. In noting the continued dominance of exclusive objectifying styles in handover interactions, we suggest that institutional change needs to be supported by communication training.
URI: http://hdl.handle.net/10397/68613
ISSN: 1612-1783
EISSN: 1613-3625
DOI: 10.1558/cam.28467
Appears in Collections:Journal/Magazine Article

Access
View full-text via PolyU eLinks SFX Query
Show full item record

SCOPUSTM   
Citations

1
Last Week
0
Last month
Citations as of Feb 7, 2019

Page view(s)

87
Last Week
0
Last month
Citations as of Feb 17, 2019

Google ScholarTM

Check

Altmetric


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.