Browsing by Subject "Instructions"

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  • Mäkinen, M.; Castren, M.; Huttunen, K.; Sundell, S.; Kaartinen, J.; Ben-Meir, M.; Renholm, M. (2019)
    Objective: The objective of the study is to assess how well the emergency department (ED) personnel succeed in instructing the patient at discharge. Methods: In November and December 2016 at Peijas Hospital ED, Finland, a structured questionnaire was conducted during a phone interview on patients the day after discharge. Results: A total of 132 patients interviewed. Ninety percent had received discharge instructions from the ED staff, most of them (75%) about medication. Almost half of the patients (45%) were satisfied with the communication at discharge, those not satisfied (47%) felt that the staff did not know enough of their background to give discharge instructions. Of the patients, 20% thought that they did not have the opportunity to ask questions during the guidance session, and 41% thought that the session was too short and restricted. Some patients (20%) felt that the instructions were ambiguous, but 63% (83/132) felt they were able to follow them well or very well. Conclusion: The pace of care in the ED is fast and duration of the stay is short. The patients must be able to take responsibility of their self-care. Failure to follow medical discharge instructions could lead to non-compliance. Attention should be paid to enhancing the quality of discharge instructing and the instructions provided by the ED personnel, as recurring visits and inquiry calls add to the ED workload.
  • Lindström, Jan; Lindholm, Camilla; Grahn, Inga-Lill; Huhtamäki, Martina (John Benjamins, 2020)
    Studies in language an social interaction
    This chapter investigates the formatting of instructions in physical training with personal trainers or physiotherapists. Instructions occur in multimodal activities where invitations to action, compliances with them, and accounts for them emerge through grammatical, prosodic and embodied resources. We identified a two-part pattern [directive & account] that accomplishes a complex structural and pragmatic unit in trainers’ instructions. The instructions are grammatically formed of consecutive clause combinations in which the directive part is a declarative or an imperative. These combinations emerge in interactive sequences and are a designed, rather than a contingent feature in the making of instructions. Nevertheless, there is variation in their sequential emergence and grammatical and prosodic composition, from tight packages to projected or expanded clause/action combinations.
  • Harjunpää, Katariina; Deppermann, Arnulf; Sorjonen, Marja-Leena (2021)
    Using video-recordings from one day of a theater project for young adults, this paper investigates how the meaning of novel verbal expressions is interactionally constituted and elaborated over the interactional history of a series of activities. We examine how the theater director introduces and instructs the group in the Chekhovian technique of acting, which is based on "imagining with the body," and how the imaginary elements of the technique are "brought into existence" in the language of the instructions. By tracking shifts in the instructor's use of the key expressions invisible/imaginary/inner body or movement through a series of exercises, we demonstrate how they are increasingly treated as real and perceivable bodily conduct. The analyses focus on the instructor's attribution of factual and agentive properties to these expressions, and the changes that these properties undergo over the series of instructions. This case demonstrates the significance of longitudinal processes for the establishment of shared meaning in social interaction. The study thereby contributes to the field of interactional semantics and to longitudinal studies of social interaction.