Discourse Studies ( IF 1.871 ) Pub Date : 2021-08-12 , DOI: 10.1177/14614456211037452 Inkeri Lehtimaja 1 , Salla Kurhila 1
Patient participation is a fundamental principle in modern Western health care, but not necessarily simple to achieve. During hospital ward rounds, patient participation is further hindered by the multi-party nature of the encounter: at times, members of the medical team talk with each other rather than with the patient. This article examines patients’ opportunities to participate in ward round conversations when the patient is not the addressed recipient. The data consist of 3 hours of video-recorded ward rounds in a Finnish hospital. Using conversation analysis, we study patients’ practices for getting a turn in different sequential environments. The patients monitor the ongoing conversation and exploit its sequential organisation by producing responsive turns and repair initiations, thus becoming active participants. They also produce their own initiatives, although sequential and multimodal constraints affect their possibilities for modifying the participation framework. The results of this study can be exploited to promote patient participation.
中文翻译:
患者参与的实践:在医院查房时轮流
患者参与是现代西方医疗保健的基本原则,但并不一定容易实现。在医院查房期间,会面的多方性质进一步阻碍了患者的参与:有时,医疗团队的成员相互交谈而不是与患者交谈。本文研究了当患者不是收件人时患者参与查房对话的机会。数据包括在芬兰医院进行的 3 小时录像查房。使用对话分析,我们研究了患者在不同顺序环境中转向的做法。患者监控正在进行的对话并通过产生响应性转身和修复启动来利用其顺序组织,从而成为积极的参与者。他们也制定了自己的倡议,尽管顺序和多模式限制会影响他们修改参与框架的可能性。可以利用这项研究的结果来促进患者的参与。