Reconstructing Gloria: A Narrative Analysis of Team Meetings

Crepeau, Elizabeth Blesedell

doi:10.1177/104973200129118813

Cited by 21 publications

(18 citation statements)

References 31 publications

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“…Many sociologists still operate with impoverished conceptions of categorisation, in which the emphasis remains on explicit labelling rather than processes of implicit categorisation of the kind described here. This paper adds to a body of more recent work that aims to develop more sophisticated perspectives on categorisation (see, for example: Snow and Anderson 1987, Ashforth and Humphrey 1995, Crepeau 2000. It suggests that such categorisation processes are closely implicated with selection decisions and have a crucial bearing on patient careers.…”

Section: Resultsmentioning

confidence: 98%

Categorising to exclude: the discursive construction of cases in community mental health teams

Griffiths

2001

Sociology Health & Illness

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This paper examines meetings in which community mental health teams (CMHTs) process referrals from psychiatrists and GPs, to determine whether or not patients should be`allocated' to caseloads. It focuses on the discursive construction of cases, and the way in which some patients are marked out as inappropriate referrals in a process of implicit categorisation that avoids open reference to pejorative or exclusionary labels. While team members do not present their actions as`rationing', references to inappropriateness occur in close proximity to references to resource pressures and claims that referrals are not subject to proper`gatekeeping'. Staff may channel such patients towards less intensive treatment options, request more information to delay acceptance on to caseloads, or reject referrals as inappropriate. Thus the care offered to patients not defined as`seriously mentally ill', but referred in the belief that they could benefit from CMHT input, was subject to de facto rationing.

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Section: Resultsmentioning

confidence: 98%

Categorising to exclude: the discursive construction of cases in community mental health teams

Griffiths

2001

Sociology Health & Illness

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“…TMs have been described as one way of developing the round and different contexts in which TMs occur are, for example, palliative care (Parker Oliver, Porock, Demiris, & Courtney, 2005; Wittenberg-Lyles, Parker Oliver, Demiris, & Courtney, 2007), care of older people (Blesedell Crepeau, 2000; Gair & Hartery, 2001; Jones & Jones, 2011) and psychiatric care (Fiddler et al, 2010; Vuokila-Oikkonen, Janhonen, & Nikkonen, 2002). The aim and frequency of a TM vary relating to its context and the persons involved in the meeting.…”

mentioning

confidence: 99%

“It made me feel human”—a phenomenological study of older patients’ experiences of participating in a team meeting

Lindberg

Hörberg

Persson

et al. 2013

International Journal of Qualitative Studies on Health and Well

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This study focused on older patients participating in a team meeting (TM) in a hospital ward in Sweden. A process had taken place on the ward, in which the traditional round had developed into a TM and understanding what participating in a TM means for the older patient is necessary for the development of care that facilitates older patient's participation. The aim of this study was to describe the caring, as experienced by the older patients on a ward for older persons, with a specific focus on the team meeting. A reflective lifeworld research (RLR) design was used. Fifteen patients, 12 women and three men (mean age of 82 years) were interviewed while they were hospitalized in a hospital ward for older people. In the essential meaning of the phenomenon, the TM is described as being a part of a wider context of both caring and life. The need for hospitalization is an emotional struggle to overcome vulnerability and regain everyday freedom. The way in which the professionals are able to confirm vulnerability and create a caring relationship affects both the struggle for well-being and the possibilities for maintaining dignity. The essence is further explicated through its constituents; Vulnerability limits life; Life is left in the hands of someone else; Life is a whole and Space for existence. The result raises concern about how the care needs to be adjusted to older people's needs as lived bodies. The encounter between the carer and the patient needs to be developed in order to get away from the view of the patient as object. An expanded vision may open up for existential dimensions of what brings meaning to life. One way, as described by the patients, is via the patient's life stories, through which the patients can be seen as a whole human being.

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“…Increasingly, however, communication is considered in the IP literature from a constructivist perspective similar to the one adopted here: as consequential social action (Sigman, 1995) through which social realities are enacted, contested, and maintained (e.g., Arber, 2008;Crepeau, 2000;Ellingson, 2002Ellingson, , 2003Rowland, 2011;Vuokila-Oikkonen, Janhonen, Saarento, & Harri, 2002). As ethnomethodologists and conversation analysts have pointed out, communication involves actors reciprocally paying attention to one another as well as to contextual cues and the topic at hand (Heritage, 1984;Leiter, 1980).…”

Section: Implications For Interprofessional Practicementioning

confidence: 99%

“…For instance, one charge nurse relied very little on the nursing notes and recounted moral tales about the patients or involved practitioners (Crepeau, 2000), but provided few consistent circumscribing details in the overviews. A second charge nurse tended to read directly from the nursing notes in nursing jargon and provided little psychosocial contextualizing information, speaking from an impersonal "tubes in and tubes out" focus (i.e., catheters, drains, epidurals, body fluids, vital signs) that was not necessarily meaningful to all the professionals present.…”

Section: Routineness and Comprehensiveness Of Overviewsmentioning

confidence: 99%

Mapping Collective Sensemaking in Communication: The Interprofessional Patient Case Review in Acute Care Rounds

Fox¹,

Gilbert²

2015

Health &Amp; Interprofessional Practice

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INTRODUCTION Observational studies of the actual practices of interprofessional collaborative practice (ICP) are needed to complement research on the determinants and consequences of collaboration. This naturalistic study of team communication maps a key practice: the patient case review in daily rounds. Here, ICP is conceptualized as collective sensemaking, or the joint description of the patient's situation and associated action planning-a fundamentally communicative practice.

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Reconstructing Gloria: A Narrative Analysis of Team Meetings

Cited by 21 publications

References 31 publications

Categorising to exclude: the discursive construction of cases in community mental health teams

Categorising to exclude: the discursive construction of cases in community mental health teams

“It made me feel human”—a phenomenological study of older patients’ experiences of participating in a team meeting

Mapping Collective Sensemaking in Communication: The Interprofessional Patient Case Review in Acute Care Rounds

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