Hospitalk: Politeness and hierarchical structures in interdisciplinary discharge rounds

Graham, Sage L.

doi:10.1515/jplr.2009.002

Cited by 40 publications

(25 citation statements)

References 7 publications

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“…Researchers found that shared leadership, importance of hierarchy, and multispecialty medical teams contribute to miscommunication and conflict among physicians (Brinkert, 2011;Graham, 2009;Sarcevic et al, 2011;Zweibel et al, 2008). These conflicting cultural systems are acute among physicians in the operating room where patient care needs rapidly change, and competition for the decision-making role is common.…”

Section: Medical Culturementioning

confidence: 99%

“…Silence characterizes avoidant conflict style, and is associated with attempts to protect self-image within strong hierarchical structures. Graham (2009) observed and analyzed dialogue between medical students, nurses, and physician and found that avoidance and nonparticipatory communication, or silence, resulted from adherence to rigid hierarchal structures. Specifically, nurses relied on their superior professional rank to exert dominance and silence medical students.…”

Section: Medical Culturementioning

confidence: 99%

“…Specifically, nurses relied on their superior professional rank to exert dominance and silence medical students. However, nurses rarely challenged physicians and more frequently remained silent during dialogue with physicians, unless directly questioned (Graham, 2009). Relative rank of medical student, nurse, and physician are clear, but physicians share a similar position within the cultural hierarchy of medicine.…”

Section: Medical Culturementioning

confidence: 99%

“…Graham (2009) found that communication among nurses, physicians, and medical students resulted in dominance and consequent silence. However, anesthesiologists, surgeons, and obgyns are all physicians.…”

Section: Limitations Strengths and Implications Of The Studymentioning

confidence: 99%

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Physician Communication in the Operating Room

Kirschbaum

Rask

Fortner

et al. 2014

Health Communication

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In this study, communication research was conducted with multidisciplinary groups of operating-room physicians. Theoretical frameworks from intercultural communication and rhetoric were used to (a) measure latent cultural communication variables and (b) conduct communication training with the physicians. A six-step protocol guided the research with teams of physicians from different surgical specialties: anesthesiologists, general surgeons, and obstetrician-gynecologists (n = 85). Latent cultural communication variables were measured by surveys administered to physicians before and after completion of the protocol. The centerpiece of the 2-hour research protocol was an instructional session that informed the surgical physicians about rhetorical choices that support participatory communication. Post-training results demonstrated scores increased on communication variables that contribute to collaborative communication and teamwork among the physicians. This study expands health communication research through application of combined intercultural and rhetorical frameworks, and establishes new ways communication theory can contribute to medical education.

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Section: Medical Culturementioning

confidence: 99%

Section: Medical Culturementioning

confidence: 99%

Section: Medical Culturementioning

confidence: 99%

Section: Limitations Strengths and Implications Of The Studymentioning

confidence: 99%

See 2 more Smart Citations

Physician Communication in the Operating Room

Kirschbaum

Rask

Fortner

et al. 2014

Health Communication

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“…In this light, researchers have discussed issues around politeness and hierarchical structures in interdisciplinary discharge rounds (Graham, 2009), the negotiation of politic behaviour in an L2 prenatal genetic counselling setting (Zayts & Kang, 2009), the role of politeness in institutional elderly care from a cross-cultural perspective (Backhaus, 2009), politeness norms as health professionals interact with patients' family members (Matsuoka & Poole, 2015), and unwanted instances of support in cancer diagnosis (Ray & Veluscek, 2016), among others.…”

Section: Introductionmentioning

confidence: 99%

Ingroups and Outgroups in Complaints: Exploring Politic Behaviour in Nurses’ Discourse

Lazzaro-Salazar

2017

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Abstract:The relevance of social norms for understanding appropriate behaviour in context has taken central stage in (im)politeness research in recent years, and particularly in studies of workplace interaction (Holmes, 2012). As an example of this research, this paper explores the way in which a group of nurses interacting with their colleagues negotiates complaints. The data were collected in a ward of a public healthcare institution in New Zealand and consist of audio and video recordings of four roster meetings involving nurses and nurse managers. Instances of nurses' complaints are explored from an interactional sociolinguistic point of view, allowing the researcher to investigate emergent facework (drawing on Locher and Watts, 2005). The findings suggest that multiple ingroup and outgroup memberships, achieved through the dynamic use of personal pronouns, enact preferred politic behaviour for both, transactional and relational goals. In addition, nurses' convergence in their display of socio-pragmatic norms governing their complaining practices suggests that this group of nurses belongs to the same workplace community. Finally, strong emphasis is placed on the role that complaining plays in the positive presentation of nurses' identities. Keywords: Complaints -group memberships -identity -politeness theory Mariana Virginia Lazzaro-Salazar

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Hospital Staff Communication

Jameson

2015

The International Encyclopedia of Interpersonal Communication

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Hospital staff communication refers to the interaction among healthcare providers: nurses, doctors, pharmacists, social workers, psychologists, and other specialists who share information and coordinate activities to ensure the safety and care of patients. Due to the importance of effective hospital staff communication, medical schools require communication skills training. This need has led to a robust subdiscipline of health communication, and interpersonal communication research in this area includes communication among nurses, communication between doctors, nurses, and other specialists, and communication within cross‐disciplinary medical teams.

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Hospitalk: Politeness and hierarchical structures in interdisciplinary discharge rounds

Cited by 40 publications

References 7 publications

Physician Communication in the Operating Room

Physician Communication in the Operating Room

Ingroups and Outgroups in Complaints: Exploring Politic Behaviour in Nurses’ Discourse

Hospital Staff Communication

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