The Discourse of Nurse-Patient Interactions
Contrasting the communicative styles of U.S. and international nurses
1st Edition
Published on 16. December 2015
XIV, 263 pages
978-90-272-6791-7 (ISBN)
Description
The Discourse of Nurse-Patient Interactions: Contrasting the communicative styles of U.S. and international nurses is the first book to quantitatively examine a wide range of linguistic features in a corpus of interactions between nurses and standardized patients. The main goal of this book is to compare the discourse of U.S. (L1 English speaking) and international (L2 English speaking) nurses. The research design relies on a mixed method approach, including both quantitative and qualitative discourse analysis of lexico-grammatical, interactional, prosodic, fluency, and non-verbal features; assessments of interactional effectiveness; and qualitative interviews with nurses. The book offers a detailed description of the situational characteristics of the interactions and compares the discourse of nurses and patients in order to contextualize differences in the communicative styles of the two nurse groups. The results provide new insight into the way that sociocultural and linguistic aspects of nurse discourse contribute to the delivery of patient-centered care.
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Shelley Staples
The Discourse of Nurse-Patient Interactions
Contrasting the communicative styles of U.S. and international nurses
Book
12/2015
John Benjamins Publishing Co
€104.94
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Content
- Intro
- The Discourse of Nurse-Patient Interactions
- Editorial page
- Title page
- LCC data
- Table of contents
- Acknowledgments
- Preface
- Introduction
- International nurses in the U.S. workforce
- Discourse analysis of provider-patient interactions
- Discourse analysis of communicative style and register
- Overview of the study and the book
- Background
- Introduction
- Phases of provider-patient interactions
- Linguistic and nonverbal features
- Interactional features
- Lexico-grammatical features of involvement
- Narrative features
- Stance features
- Fluency features
- Prosodic features
- Non-verbal behavior
- Effectiveness of provider-patient interactions
- Relationship between effectiveness and linguistic/nonverbal features
- Summary
- Corpus and data analysis
- Introduction
- Description of the hospitals involved in this study
- Description of the speech event
- Corpus data collection
- Corpus description
- Phases of the interaction
- Linguistic variables
- Effectiveness ratings
- Corpus processing and data coding
- Coding and processing of the phases
- Coding, norming, and calculation of the interactional features
- Coding, norming, and calculation of lexico-grammatical variables
- Coding and calculation of the fluency features
- Coding and calculation of the prosodic features.
- Rating of the non-verbal behaviors
- Semi-structured interviews with nurses
- Statistical analysis
- Qualitative analysis
- Summary
- Situational characteristics of nurse-patient interactions
- Introduction
- Nurse-patient interactions in this study
- Distinctive features of nurse-patient interactions
- Participants
- Addressors/addressees and interactivity
- Social roles
- Power and asymmetry
- Patient-centered care
- Relationship between participants
- Shared knowledge
- Channel
- Production circumstances
- Setting
- Communicative purposes
- General purposes
- Specific purposes (phases)
- Expression of stance
- Topic
- General topical "domain"
- Specific topic (case)
- Summary
- Interactional and lexico-grammatical characteristics of nurse- patient discourse
- Introduction
- Overall differences across the four groups and the five phases
- Amount of speech used
- Other interactional variables
- Personal pronouns (and possessive determiners)
- Narrative features
- Conditionals
- Stance features
- Summary
- Interactional characteristics of usn and ien communicative style
- Introduction
- Amount of speech used
- Discourse markers
- Questions
- Other interactional features
- Summary
- Lexico-grammatical characteristics of usn and ien communicative style
- Introduction
- Personal pronouns and possessive determiners
- Past tense
- Stance features
- Possibility and prediction modals
- Stance complement clauses
- Stance adverbs
- Summary
- Fluency, Prosody, And Non-Verbal Characteristics Of Usn And Ien Communicative Style
- Introduction
- Methods
- Fluency features
- Prosodic variables
- Pitch range and paratone
- Tone choice
- Prominence
- Non-verbal features
- Results
- Fluency features
- Prosodic features
- Pitch range
- Tone choice
- Paratone
- Prominence
- Non-verbal features
- Summary
- Relationship between USN and IEN communicative styles and patient discourse
- Introduction
- Differences in the counsel phase
- Differences in other interactional features: Overlap and hesitation
- Possible other factors influencing variation in the patient groups
- Summary
- Effectiveness of IEN and USN interactions
- Introduction
- Methods
- Patient satisfaction
- Interpersonal Skills Assessment
- Data analysis
- Results
- Results for effectiveness measures
- Demographic differences in the results for effectiveness
- Relationship between interactional features and effectiveness
- Phase length, number of turns, and turn length
- Backchannels and yes/no questions
- Relationship between lexico-grammatical features and effectiveness
- 1st person pronouns
- Prediction modals
- Past tense
- To complement clauses
- Relationship between fluency, prosody, and non-verbal features and effectiveness
- Pitch range
- Speech rate
- Prominence
- Non-verbal behavior
- Summary
- Synthesis and directions for future research
- Overview
- Differences in nurse-patient discourse
- Similarities in IEN-USN discourse
- Differences in IEN-USN discourse
- Differences in patient discourse
- Relationship between linguistic features and effectiveness of interactions
- Demographic factors influencing use of linguistic features
- Implications for the analysis of provider-patient interactions
- Implications for health care providers and educators
- Policy implications
- Implications for training
- Limitations
- Additional research directions
- References
- A model of phases within the medical encounter and its application
- Introduction
- Previous research on phase structure
- Phase structure found in the present study
- Identifying phases
- Segmentation of the phases in the interactions
- Transitions
- Opening phase
- Complaint phase
- Examination phase
- History taking
- Physical exam
- Counsel phase
- Closing phase
- Two examples of entire nurse-patient interactions
- Summary
- Index
