Dealing with numbers: Nurses informing doctors and patients about test results

Kurhila, Salla; Lehtimaja, Inkeri

doi:10.1177/1461445618802662

Cited by 8 publications

(3 citation statements)

References 36 publications

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“…Thus, nurses can be essential informants for the doctors. According to Kurhila and Lehtimaja, transferring the information, especially the vital signs and test results, shows their competency because it needs linguistic-interactional choices, which involve the care and medical expertise [39]. Thus, doctors can make decisions faster with the proper information given by nurses [40].…”

Section: Discussionmentioning

confidence: 99%

Nurse’s Roles in Patient-Family Decision Making for Palliative Patients in Indonesia and Malaysia

Abdullah

Huriah

Arianti

et al. 2021

Open Access Maced J Med Sci

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BACKGROUND: The limited palliative care services can affect the late in palliative care management, such as late in decision making. Decision making is one of the crucial processes that every patient with life-threatening health life-limiting illness needs to overcome. Nurses can be the third party between the patients and physicians in helping them with decision making. AIM: The aim of this study was to explore the differences perspectives of palliative care decision making for palliative patients and families in Indonesia and Malaysia. METHODOLOGY: The study design used qualitative method with the phenomenology approach. The sample size of this study was 12 participants from two different study settings. They were three palliative nurses and three physicians from each country, selected by purposive sampling. The study was carried out at PKU Muhammadiyah Yogyakarta Hospital and Tuanku Fauziah Hospital Kangar, Perlis, Malaysia. Data collection used in-depth interview. The interpretative phenomenology analysis was used to analyze the data. RESULTS: There were differences in the perspectives of palliative care services in Indonesia and Malaysia based on the culture form each of the countries. Nurses played a supportive role in ensuring that the care delivered to the patients and families were effective and efficient. Lack of staff was one of the challenges for Indonesia and Malaysia palliative care services need to face. CONCLUSION: Three themes emerged from the collected data; there were views on palliative care, nurses’ supportive roles, and limited resources. To encounter the challenges and difficulties that interrupt the care delivery to the patients, nurses need to improve knowledge about palliative and their skills.

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Section: Discussionmentioning

confidence: 99%

Nurse’s Roles in Patient-Family Decision Making for Palliative Patients in Indonesia and Malaysia

Abdullah

Huriah

Arianti

et al. 2021

Open Access Maced J Med Sci

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“…The data used in this section come from a larger research project on hospital interaction (see e.g. Kurhila & Lehtimaja 2019). The data consist of 2 h 55 min of video-recorded supervision encounters gathered from an in-patient ward in a Finnish hospital.…”

Section: Case 2: Opportunities For Language Learning In Supervision Encountersmentioning

confidence: 99%

Finnish L2 proficiency for working life: towards research-based language education and supervision practices

Lehtimaja¹,

Virtanen²,

Suni³

2021

Nordand

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In all Nordic countries, the L2 proficiency needed at work has become a key area in the language education provided for adult immigrants. This paper is part of a series of articles that gives an overview of language policies and research activities in the Nordic countries related to L2 in working life, together with a presentation of novel empirical analyses. Here, the focus is on the Finnish perspective. The aims of this paper are twofold. First, it provides an overall picture of the policies and research findings underlying recent tendencies in Finnish L2 language education in/for working life. After this, the article presents two case studies of clinical supervision practices in health care. These studies illustrate how using detailed analysis to capture certain features of workplace interaction in L2 can promote pedagogical development work. The first study explores, in an ecological framework, the intersection of the requirements and the evaluation of international nursing students' performance during their practical training. The focus is on the narratives of clinical supervisors and head nurses. The second study uses conversation analysis to investigate language learning opportunities in authentic supervision encounters. The findings highlight the need for language-aware supervision practices and closer collaboration between education providers and work placements. Finally, the paper discusses pedagogical implications of the case studies and other research on Finnish L2 in/for work. Some future prospects for workrelated L2 studies and research-based pedagogical development are also outlined.

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“…This supports the findings of Kurhila et al, who used 7.5 hours of video-recorded interactions in a Finnish hospital to examine how nurses adapt their talk about numerical results depending on the recipient and activity. 26 They found nurses tend to provide patients with qualitative assessments of numerical results, yet they provide doctors with numerical information about results. A study of 212 video-recorded primary care consultations in England examined the degree to which doctors met their patients' preferences for involvement in decisions.…”

Section: Comparison With Existing Literaturementioning

confidence: 99%

Shared decision making about blood tests: secondary analysis of video-recorded primary care consultations

2020

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BackgroundAwareness of the importance of shared decision making (SDM) is widespread; however, little research has focused on discussions surrounding investigations, despite increasing laboratory testing in primary care.AimTo explore the discussion of blood tests in routine primary care consultations.Design and settingA secondary analysis of 50 video-recorded routine primary care consultations, linked surveys, and records data (all from the One in a Million [OiaM] archive). The consultations were taken by 22 GPs across 12 practices.MethodA coding scheme was developed, using qualitative content analysis, to explore discussion of blood tests in transcripts of recorded consultations. Codes focused on instigating testing, the extent of SDM, and how results were explained. Survey data were used to compare patients’ pre-visit expectations with consultation content. Medical records were reviewed to compare tests discussed with those ordered.ResultsIn 36 out of 50 consultations that discussed ordering blood tests, 11 patients (31%) hinted that they wanted a blood test; however, none asked explicitly. Only four patients (11%) were offered alternative options. In 29 cases (81%) the GP gave some explanation of the indication, but only in six cases (17%) were the limitations of testing explained. Only 10 out of 31 patients (32%) were informed about all blood tests ordered. Of the 23 out of 50 consultations in which results were conveyed, the GP gave no explanation of the results in six cases (26%). Thirteen patients (57%) were only informed of an assessment of the results (for example, ‘normal’), rather than the actual results.ConclusionA lack of information dissemination and SDM exists around ordering tests and conveying results. Promoting SDM could reduce unnecessary testing and improve patient-centred care.

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Dealing with numbers: Nurses informing doctors and patients about test results

Cited by 8 publications

References 36 publications

Nurse’s Roles in Patient-Family Decision Making for Palliative Patients in Indonesia and Malaysia

Nurse’s Roles in Patient-Family Decision Making for Palliative Patients in Indonesia and Malaysia

Finnish L2 proficiency for working life: towards research-based language education and supervision practices

Shared decision making about blood tests: secondary analysis of video-recorded primary care consultations

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