Correcting medical decisions : a study in nurses’ patient advocacy in (Finnish) hospital ward rounds

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http://hdl.handle.net/10138/320435

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Kurhila , S , Lehtimaja , I & Drew , P 2020 , ' Correcting medical decisions : a study in nurses’ patient advocacy in (Finnish) hospital ward rounds ' , Sociology of Health & Illness , vol. 42 , no. 7 , pp. 1709-1726 . https://doi.org/10.1111/1467-9566.13159

Title: Correcting medical decisions : a study in nurses’ patient advocacy in (Finnish) hospital ward rounds
Author: Kurhila, Salla; Lehtimaja, Inkeri; Drew, Paul
Contributor: University of Helsinki, Interactional Linguistics
University of Helsinki, Suomen kielen tilanteinen oppiminen
Date: 2020-09
Language: eng
Number of pages: 18
Belongs to series: Sociology of Health & Illness
ISSN: 0141-9889
URI: http://hdl.handle.net/10138/320435
Abstract: During daily hospital ward rounds, medical teams, led by doctors, assess the progress of an individual patient's health. It is widely reported in the research literature that nurses play a relatively passive role during these rounds, because although they may have valuable information about the patient's condition and progress, and indeed their role includes advocacy on behalf of their patients, nurses nevertheless can experience difficulties in participating during case constructions. Here we report an instance from a (gastro-surgical) ward round in a Finnish hospital, in which nurses played a key role in reversing a consultant's initial decision to discharge a patient. They did so not by directly challenging the consultant's opinion, but by employing indirect means to introduce their discrepant perspective: they provide descriptions and ask questions that draw attention to information that results in the doctor coming to a different assessment than theirs of the patient's condition, and a different decision about what should be done (the patient was not discharged from hospital). The encounter reported here is taken from a corpus of ward round discussions in a Finnish hospital. The method of our study is Conversation Analysis.
Subject: 6121 Languages
conversation Analysis
Interprofessional decision-making
Hospital ward rounds
CARE
CONVERSATION
COMMUNICATION
ORGANIZATION
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