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Creating history: documents and patient participation in nurse-patient interview

Jones, Aled 2009. Creating history: documents and patient participation in nurse-patient interview. Sociology of Health & Illness 31 (6) , pp. 907-923. 10.1111/j.1467-9566.2009.01190.x

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Strongly worded directives regarding the need for increased patient participation during nursing interaction with patients have recently appeared in a range of ‘best-practice’ documents. This paper focuses on one area of nurse-patient communication, the hospital admission interview, which has been put forward as an ideal arena for increased patient participation. It uses data from a total of 27 admission interviews, extensive periods of participant observation and analysis of nursing records to examine how hospital admission interviews are performed by nurses and patients. Analysis shows that topics discussed during admission closely follow the layout of the admission document which nurses complete during the interview. Whilst it is tempting to describe the admission document as a ‘super technological power’ in influencing the interaction and restricting patient participation, this analysis attempts a more rounded reading of the data. Findings demonstrate that, whilst opportunities for patient participation were rare, admission interviews are complex interactional episodes that often belie simplistic or prescriptive guidance regarding interaction between nurses and patients. In particular, issue is taken with the lack of contextual and conceptual clarity with which best-practice guidelines are written.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Healthcare Sciences
Subjects: R Medicine > RA Public aspects of medicine
R Medicine > RT Nursing
Uncontrolled Keywords: nurse-patient interaction; acute hospital care; technology; conversation analysis
Publisher: Wiley-Blackwell
ISSN: 0141-9889
Date of First Compliant Deposit: 30 March 2016
Last Modified: 04 Jun 2017 06:43

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