TY - JOUR
T1 - Patient participation in discharge planning decisions in the frame of primary nursing approach
T2 - A conversation analytic study
AU - Riva, S.
AU - Schulz, P.
AU - Staffoni, L.
AU - Schoeb, V.
PY - 2014
Y1 - 2014
N2 - Primary Nursing (PN) is a model of care delivery which is described to favor patient participation, as a Primary Nurse is responsible for coordinating all aspects of care including discharge planning. The purpose of this paper is to explore patient-nurse interactions in a rehabilitation clinic in which PN is used. Twentyfive interactions of video-recorded data involving 12 patients with their primary nurse were included in this paper and analyzed using conversation analysis, an inductive data-driven approach. Our findings suggest that nurses use two different communicative styles - a "reciprocal" or a "individual" perspective - when discussing discharge decisions with patients. While the "reciprocal" style is a more collaborative approach, the "individual" communicative practice is more unilateral. Making those different approaches explicit might lead to refinement of Primary Nursing theories.
AB - Primary Nursing (PN) is a model of care delivery which is described to favor patient participation, as a Primary Nurse is responsible for coordinating all aspects of care including discharge planning. The purpose of this paper is to explore patient-nurse interactions in a rehabilitation clinic in which PN is used. Twentyfive interactions of video-recorded data involving 12 patients with their primary nurse were included in this paper and analyzed using conversation analysis, an inductive data-driven approach. Our findings suggest that nurses use two different communicative styles - a "reciprocal" or a "individual" perspective - when discussing discharge decisions with patients. While the "reciprocal" style is a more collaborative approach, the "individual" communicative practice is more unilateral. Making those different approaches explicit might lead to refinement of Primary Nursing theories.
KW - Decision making
KW - Discharge planning
KW - Interaction
KW - Interpersonal communication
KW - Patient-nurse communication
KW - Rehabilitation
UR - http://www.scopus.com/inward/record.url?scp=84930644174&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84930644174&partnerID=8YFLogxK
U2 - 10.1016/j.scoms.2014.03.002
DO - 10.1016/j.scoms.2014.03.002
M3 - Article
AN - SCOPUS:84930644174
VL - 14
SP - 61
EP - 67
JO - Studies in Communication Sciences
JF - Studies in Communication Sciences
SN - 1424-4896
IS - 1
ER -