Ambiguous discursive practices in health-care project plans: a keyword-assisted critical discourse analysis of the term “patient”

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Nina Lunkka ◽  
Pirjo Lukkarila ◽  
Sanna Laulainen ◽  
Marjo Suhonen
Keyword(s):  
Public Health ◽  
Health Care ◽  
Discourse Analysis ◽  
Critical Discourse Analysis ◽  
Critical Discourse ◽  
Public Health Care ◽  
Discursive Practices ◽  
Content Type ◽  
Health Care Context ◽  
Care Project

PurposeThe purpose of the paper is to investigate ambiguous language use in health-care project plans in a manner that accounts for the wider, institutional, public health-care context.Design/methodology/approachThe article deployed a case study approach and drew from Fairclough's critical discourse analysis (CDA) as well as a keyword analysis to investigate two time-sequenced versions of the same project planning document for a health-care project in Finland.FindingsIn the project plans investigated, the study identified patient as a keyword possessing various meanings within the public health-care context. By examining the discursive practices around the keyword patient, the study demonstrated their role in constituting the institutional context as well as the function of this context in constraining these practices.Originality/valueBy looking at the potential of the CDA to investigate discursive practices of the keyword in two sequential versions of a project plan within the broader context of public health care, the study adds to the scant existing literature on critically oriented health-care project communication studies.

The boss and daddy’s little girl: on the construction of gender in Swedish business media

2019 ◽  
Vol 34 (1) ◽  
pp. 59-76
Author(s):  
Magnus Hansson ◽  
Hanna Gottfridsson ◽  
Sandra Raanaes
Keyword(s):  
Discourse Analysis ◽  
Critical Discourse Analysis ◽  
Critical Discourse ◽  
Gender Inequalities ◽  
Discursive Practices ◽  
Men And Women ◽  
Content Type ◽  
Media Texts ◽  
And Gender ◽  
Business Media

Purpose This paper aims to analyse the construction of gender in business media through identification of media discourses in terms of vocabulary and vocabulary structures. Design/methodology/approach The authors conduct critical discourse analysis and linguistic text analysis of media articles in two Swedish business magazines, focussing on vocabulary and vocabulary structures used to describe men and women as managers. Findings Media texts fall into traditional, gender-stereotyped patterns. The use of metaphors, choice of words and sentence structures construct and maintain stereotyped models of gender. The linguistic practices and use of specific and gender-biased vocabulary shape discursive practices, contributing to the construction and reconstruction of institutionalised gender-stereotyped patterns of behaviour and established social norms. Research limitations/implications The focus on vocabulary and vocabulary structures extends the technique and application of critical discourse analysis, enabling fine-grained analyses, in this case of media texts. This research also indicates a need for future studies that adopt a critical discourse analysis to take into account analytical procedures that shed light on micro-mechanisms that support the materialisations of gender inequalities. Social implications Texts that portray both men and women show gender bias that is deeply rooted in the vocabulary and vocabulary structures and thus help to reinforce established discursive practices and gender inequalities. Therefore, there is a need for a fundamental change in the media reports on managers. Originality/value The research contributes to the analysis of media texts and representations of men and women as managers by providing a detailed analysis of discursive practices that takes into account vocabulary and vocabulary structures. The findings show the deeply rooted structure of gender-stereotyped patterns in media texts.

scholarly journals An exploratory study into the use of Lean Six Sigma to reduce medication errors in the Norwegian public healthcare context

2019 ◽  
Vol 32 (4) ◽  
pp. 509-524 ◽  
Author(s):  
Jiju Antony ◽  
Shirin Charlotte Forthun ◽  
Yaifa Trakulsunti ◽  
Thomas Farrington ◽  
Julie McFarlane ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Medication Errors ◽  
Six Sigma ◽  
Lean Six Sigma ◽  
Public Health Care ◽  
Public Healthcare ◽  
Content Type ◽  
Health Care Practitioners ◽  
Health Care Context

Purpose Medication errors are a significant cause of injury in Norwegian hospitals. The purpose of this study is to explore how Lean Six Sigma (LSS) has been used in the Norwegian public health-care context to reduce medication errors. Design/methodology/approach A mixed method approach was used to gather data from participants working in the four regions served by the Norway health authorities. A survey questionnaire was distributed to 38 health-care practitioners and semi-structured interviews were conducted with 12 health-care practitioners. Findings The study finds that the implementation of LSS in the Norwegian public health-care context is still in its infancy. This is amidst several challenges faced by Norwegian hospitals such as the lack of top-management support, lack of LSS training and coaching and a lack of awareness around the benefits of LSS in health care. Research limitations/implications Because of the large geographical area, it was difficult to reach participants from all health regions in Norway. However, the study managed to assess the current status of LSS implementation through the participants’ perspectives. This is a fruitful area for future research whereby an action research methodology could be used. Originality/value To the best of the authors’ knowledge, this is the first empirical study into the use of LSS methodology in reducing medication errors. In addition, this study is valuable for health-care practitioners and professionals as a guideline to achieve the optimal benefit of LSS implementation to reduce medication errors.

The relationships between obesity-increasing risk factors for public health, environmental impacts, and health expenditures worldwide

2018 ◽  
Vol 29 (1) ◽  
pp. 131-147 ◽  
Author(s):  
Eduardo Botti Abbade
Keyword(s):  
Public Health ◽  
Health Care ◽  
Environmental Impact ◽  
Environmental Impacts ◽  
Health Care Cost ◽  
Health Care Systems ◽  
Health Expenditures ◽  
Health Care Expenditures ◽  
Public Health Care ◽  
Content Type

Purpose The purpose of this paper is to investigate the associations between obesogenic severity, the public health situation, environmental impacts, and health care expenditures in populations worldwide. Design/methodology/approach This ecological study is based on official data available for approximately 140 countries worldwide. This study defines four main variables: obesogenic severity, environmental impact, public health implications (PHI), and health expenditures, all measured through specific indicators. Data were obtained mainly from the WHO, World Bank, and IDF. The indicators were reduced to the main variables through factorial reduction and multiple regression analyses were used to test the main hypotheses. Findings Obesogenic severity strongly and positively affects environmental impacts (β=0.6578; p<0.001), PHI-1 (cardiovascular risk factor) (β=0.3137; p<0.001) and PHI-2 (blood glucose and diabetes diagnoses) (β=0.3170; p<0.001). Additionally, environmental impacts strongly and positively affect PHI-1 (β=0.4978; p<0.001) but not PHI-2. Thus, results suggest that environmental impact, PHI-1, and PHI-2 strongly affect health expenditures (β=0.3154; p<0.001, β=0.5745; p<0.001, and β=−0.4843; p<0.001, respectively), with PHI-2 negatively affecting the health expenditures. Practical implications This study presents evidence that can aid in decision making regarding public and private efforts to better align budgets and resources as well as predict the needs and expenditures of public health care systems. Originality/value This investigation finds that the main variables addressed are strongly associated at the worldwide level. Thus, these analytical procedures can be used to predict public health and health care cost scenarios at the global level.

“Sharia on a Plate?” A critical discourse analysis of halal food in two Norwegian newspapers

2015 ◽  
Vol 6 (3) ◽  
pp. 331-353 ◽  
Author(s):  
Paul Thomas ◽  
Amina Selimovic
Keyword(s):  
Discourse Analysis ◽  
Critical Discourse Analysis ◽  
Media Coverage ◽  
Critical Discourse ◽  
Fundamental Aspect ◽  
Future Research ◽  
Content Type ◽  
Online Newspapers ◽  
Halal Food ◽  
The Media

Purpose – This study aims to explore how two Norwegian national online newspapers, Dagbladet and Aftenposten, have framed halal food in the past 6 years (2008-2014), a period conflating with a rise in Muslim demographics in Norway. Design/methodology/approach – A mixed-methods approach is used. Employing among others a Hallidayan transitivity analysis and other approaches from critical discourse analysis (CDA), clausal semantic structures, collocations and nominalizations were explored with a view toward fleshing out ideological significance. Particular attention was given to the neologism – “covert-Islamization” – popularized by the populist right-wing Progress Party. Findings – The findings reveal that Dagbladet refracts halal food through a discourse of crime and other dubious frames tapping into topoi of Islamophobia. Halal is, in this manner, transformed into a synecdoche for deviance. This is contrasted with Aftenposten’s more “halal-friendly” gaze which inter alia is attributed to greater access for Muslim contributors (over 40 per cent), with nearly all authorship penned in the aftermath of the Breivik massacre of July 22, 2011. Research limitations/implications – As a comparative research that explores two newspapers – albeit with substantial national circulation – there are obvious limitations. Future research could explore the contents of Verdens Gang, the biggest newspaper in Norway, and perhaps incorporate iconic semiotic content. Social implications – The prevalent media discourse on halal in Norway casts a shadow over a fundamental aspect of the identity construction of Norwegians who adhere to Islam, thus highlighting issues of belonging and citizenry in the “new” Norway. National discourses of identity and belonging impact upon the Muslim consumer’s perception of self and ethnicity, and how these perceptions are negotiated in the interstices of a skewed media coverage of halal certainly serves to undermine this self-perception. Originality/value – Several recent studies have broached the subject of the manifold representations of Muslims and Islam in the media using a CDA, but there is a dearth in studies with a specific focus on halal food. This study contributes to the lacuna in the literature in an area of growing importance, not just as a socio-political and religious phenomenon, but a lucrative commercial project in a Scandinavian context.

Fighting the virus, “hunting the witches” – moralizing in public discourses during the coronavirus pandemic in Croatia

Kybernetes ◽  
2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Krešimir Žažar
Keyword(s):  
Discourse Analysis ◽  
Critical Discourse Analysis ◽  
Public Debate ◽  
Mitigation Strategies ◽  
Critical Discourse ◽  
Content Type ◽  
Social Actors ◽  
The Public ◽  
Moral Communication ◽  
Moral Discourses

Purpose The purpose of the paper is to discuss particular features of the public debate around the COVID-19 pandemic and its mitigation strategies in Croatian media from the beginning of 2020 to mid-September of the same year. Design/methodology/approach The discussion is theoretically grounded on Luhmann’s concept of moral communication combined with the key assumption of critical discourse analysis that language reflects a position of power of social actors. Based on these premises, the analysis of a sample of articles in a chosen online media was conducted to uncover the moral codes in the public debate concerning the corona outbreak and connect them with specific moral discourses of particular social actors. Findings The findings clearly indicate that the communication about the pandemic is considerably imbued with moralization and that moral coding is profoundly used to generate preferred types of behaviour of citizens and their compliance with the imposed epidemiologic measures. In conclusion, Luhmann’s claim of moralization as a contentious form of communication is confirmed as the examined public discussion fosters confrontations and generates disruptions rather than contributing to a productive dialogue among diverse social actors. Originality/value The novelty of the approach lies in the combination of Luhman’s conceiving of moral communication with critical discourse analysis that, taken together, entails a pertinent research tool for analysing relevant attributes of the ongoing vibrant debate on the coronavirus outbreak.

Facilities technology management framework for public health-care institutions in a developing country

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ramiro Z. Dela Cruz ◽  
Ruth A. Ortega-Dela Cruz
Keyword(s):  
Public Health ◽  
Health Care ◽  
Technology Management ◽  
Developing Country ◽  
The Philippines ◽  
Public Health Care ◽  
Content Type ◽  
Management Framework ◽  
The Public ◽  
Health Care Institutions

Purpose This study aims to develop a Facilities technology management framework for public health-care institutions in a developing country. Design/methodology/approach The study used descriptive research design to identify the specifications of the framework via strategic initiatives anchored on efficiency, sustainability, ecological-friendliness and technological innovation. These measures are wrapped into a facilities TM framework which incorporates concepts and practices on risk management, facility management (FM) and TM. Findings Results of the survey of the public HCIs in the Philippines, show high levels of acceptability of proposed measures which identify the technologies, innovations and materials which are in the viable context of public hospital circumstances in the country. Research limitations/implications The findings of this study are limited to the public HCIs in a developing country, and thus cannot be generalized to other HCIs particularly the private institutions. Practical implications The framework seeks to help improve the operational efficiency and sustainability of public HCIs in a developing country like the Philippines. The discussions on TM revolve around the application of TM approaches. Also, the study incorporates discussions on sustainability, technology innovation and the conformity of these with HCI standards, best practices and government requirements. Social implications The study takes into consideration the identification of FM principles and practices that are deemed suitable and applicable for public HCIs in a developing country. This study is intended to develop a TM framework for FM services which is cost-effective but not sacrificing safety, security, employees and the environment. Then the foremost consideration is the perceived suitability of the framework in the public HCI environment. Originality/value This is an original study. It has as its scope the fusion of FM and TM approaches that would help in the identification of challenges, requirements for manpower, processes and technologies (especially, information and communications technolog-based technologies), and a corresponding TM system framework for public HCI facilities in a developing country.

Confidentiality and security of information in the public health-care facilities to curb HIV/AIDS trauma among patients in Africa

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ngoako Solomon Marutha ◽  
Olefhile Mosweu
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Facilities ◽  
Public Health Care ◽  
Chronic Patients ◽  
Aids Patients ◽  
Content Type ◽  
The Public ◽  
Care Facilities ◽  
Hiv Aids

Purpose This study sought to investigate a framework for ensuring the confidentiality and security of information at the public health-care facilities to curb HIV/AIDS trauma among patients in Africa. In most instances, trauma to HIV/AIDS patients accelerate because of their personal information relating to the state of illness leaks to public people. Design/methodology/approach This qualitative study used literature to study confidentiality and security of information at the public health-care facilities to curb HIV/AIDS trauma among patients in Africa. Findings The study revealed that confidentiality and security of information has been neglected, in most instances, at the health-care facilities, and this has, to some extent, affected HIV/AIDS patients negatively, leading to trauma, stigma and skipping of treatment by patients resulting in accelerated mortality among chronic patients. The study recommends that patients’ information be always strictly controlled and kept confidential and secured at all the times, especially that of HIV/AIDS patients. Practical implications The proposed framework can be used by health-care facilities to guide the management and promotion of the confidentiality and security of information in the public health-care facilities to curb additional trauma to HIV/AIDS patients in the context of Africa, and even beyond. Originality/value The study provides a framework to ensure the confidentiality and security of information at the public health-care facilities to curb additional trauma to HIV/AIDS patients.

scholarly journals An integrative discourse perspective on positive leadership in public health care

2017 ◽  
Vol 30 (1) ◽  
pp. 44-58 ◽  
Author(s):  
Ville Pietiläinen ◽  
Ilkka Salmi
Keyword(s):  
Public Health ◽  
Health Care ◽  
Organizational Context ◽  
Social Process ◽  
Public Health Care ◽  
Organization Studies ◽  
Role Taking ◽  
Content Type ◽  
Positive Leadership ◽  
The Public

Purpose This study aims to take a discursive view on positive leadership (PL). A positive approach has gained momentum in recent years as appropriate leadership practices are implemented in organizations. Despite the turn toward discursive approaches in organization studies, there is insufficient evidence supporting PL as a socially constructed experience. Design/methodology/approach The present study addresses an integrative discourse perspective for capturing the PL concept as a social process within the public health-care context. Findings Four meanings of PL are highlighted: role-taking, servicing, balancing and deciphering. Research limitations/implications The meanings shift the emphasis of certain PL definitions to a contextual interpretation. For scholars, the perspective demonstrates a multidimensional process approach in the desired organizational context as a counterbalance to one unanimously agreed-upon PL definition. Practical implications For leaders, an integrative discourse perspective offers tools for comprehending PL as a process: how to identify, negotiate and reconcile various PL meanings. Originality/value An integrative discourse perspective provides a novel perspective capturing the PL concept within the public health-care field.

Counter-discourse corpora, ethical subjectivity and critique of argument

2014 ◽  
Vol 13 (4) ◽  
pp. 781-813 ◽  
Author(s):  
Kieran O’Halloran
Keyword(s):  
Discourse Analysis ◽  
Critical Discourse Analysis ◽  
Political Change ◽  
The Other ◽  
Critical Discourse ◽  
Web Based ◽  
Content Type ◽  
Argument Evaluation ◽  
Corpus Linguistic ◽  
Ethical Subjectivity

In the article, I model an alternative critical discourse analysis (CDA) pedagogy which is based on an ethical subjectivity instead of a political subjectivity. Aimed at undergraduates, it facilitates critical purchase on arguments which attack the standpoint of relatively powerless groups/organizations (who seek political change). Via corpus linguistic analysis of appropriate web-based data, I show how the analyst can rigorously find out at scale the recurrent key concerns of a relatively powerless Other with whom they were previously unfamiliar. They use this counter-discourse information as a lens on an argument which criticises the relatively powerless group, ascertaining whether or not the argument has distorted the group’s key concerns. Should this be the case, I highlight how the analyst can go on to explore whether any mischaracterisation has implications for the argument’s credibility because it loses coherence relative to the outlook of the Other. The approach is grounded in Jacques Derrida’s ‘ethics of hospitality to the Other’. It is in being hospitable to the outlook of a relatively powerless Other, and adopting it for purposes of argument evaluation, that the analyst effectively creates an ethical subjectivity. That said, the ethical and political are, in principle, relatable with this method as I indicate.

Owners vs. non-owners?

2016 ◽  
Vol 4 (2) ◽  
pp. 255-273
Author(s):  
Ebuka Elias Igwebuike
Keyword(s):  
Discourse Analysis ◽  
Critical Discourse Analysis ◽  
Cognitive Model ◽  
Critical Discourse ◽  
Discursive Practices ◽  
Economic Interests ◽  
News Reports ◽  
Psychological Dimensions

This study investigated lexical labelling of people and their actions in terms of ownership and non-ownership of territories by the Nigerian and Cameroonian newspaper reports on the Bakassi Peninsula border conflict, with a view to uncovering ideologies underlying the representations. Van Dijk’s socio-cognitive model of Critical Discourse Analysis which relates discursive practices to social and psychological dimensions was used to analyse instances of labelling in three Nigerian and three Cameroonian English-medium national newspapers. The analyses revealed that the newspapers generally labelled Nigerians in Bakassi as both owners (natives and indigenes) and non-owners (inhabitants and residents). Specifically, the Cameroonian news reports deployed more labels of non-ownership to project Nigerians in Bakassi as mere tenants and occupants of the region while the Nigerian news reports employed more labels of ownership to depict Nigerians as aboriginals and owners of the peninsula. The ideologies of economic interests and ancestral roots motivated the labelling of territorial ownership and non-ownership in both nations’ newspapers.

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