scholarly journals The Pragmatics of Emotions in Interlinguistic Healthcare Settings

2013 ◽  
Vol 11 (2) ◽  
pp. 163-187 ◽  
Author(s):  
Federico Farini
Keyword(s):  
Conversation Analysis ◽  
Healthcare Provider ◽  
Mandarin Chinese ◽  
Public Hospitals ◽  
Emotional Expressions ◽  
Main Question ◽  
Healthcare Settings ◽  
Medical Terms ◽  
Intercultural Pragmatics

Data-based studies on interlinguistic medical interaction show that frequently migrant patients encounter difficulties in expressing their emotions and concerns. Such difficulties are not always overcome through the intervention of an interpreter, as emotional expressions tend to “get missed” in translations which focus on problems and treatments in medical terms. The main question addressed here is: what types of interpreters’ actions cut out, or make relevant, migrant patients’ emotions? Our data is based on a corpus of 300 interlinguistic medical interactions in Arabic, Mandarin Chinese and Italian in two public hospitals in Italy. The conversations involve one Italian healthcare provider, an interpreter and a migrant patient. The corpus is analyzed drawing upon Conversation Analysis, studies on Dialogue Interpreting and Intercultural Pragmatics.

Formulating another’s report of troubles in peer support

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Christopher Pudlinski
Keyword(s):  
Mental Health ◽  
United States ◽  
Community Mental Health ◽  
Conversation Analysis ◽  
Peer Support ◽  
Mental Health System ◽  
The United States ◽  
Telephone Support ◽  
Healthcare Settings ◽  
Professional Perspective

This study stems from an interest in peer support talk, an underexplored area of research, and in how supportive actions such as formulated summaries function in comparison to more professional healthcare settings. Using conversation analysis, this study explores 35 instances of formulations within 65 calls to four different ‘warm lines’, a term for peer-to-peer telephone support within the community mental health system in the United States. Formulations can be characterized across two related axes: client versus professional perspective, and directive versus nondirective. The findings show that formulations within peer support were overwhelmingly nondirective, in terms of meeting institutional agendas to let callers talk. However, formulations ranged from client-oriented ones that highlight or repeat caller reports to those which transform caller reports through integrating past caller experiences or implicit caller emotions. These tactics are found to have similarities to how formulations function in professional healthcare settings.

Restrictiveness, exclusivity, adversativity, and mirativity

2013 ◽  
Vol 4 (2) ◽  
pp. 181-228 ◽  
Author(s):  
Yu-Fang Wang ◽  
Mei-Chi Tsai ◽  
Wayne Schams ◽  
Chi-Ming Yang
Keyword(s):  
Conversation Analysis ◽  
Mandarin Chinese ◽  
Discourse Marker ◽  
Spoken Discourse ◽  
Interactional Linguistics ◽  
English Only ◽  
Naturally Occurring ◽  
Turn Taking

Mandarin Chinese zhishi (similar to English ‘only’), comprised of the adverb zhi and the copula shi, can act as an adverb (ADV) or a discourse marker (DM). This study analyzes the role of zhishi in spoken discourse, based on the methodological and theoretical principles of interactional linguistics and conversation analysis. The corpus used in this study consists of three sets of data: 1) naturally-occurring daily conversations; 2) radio/TV interviews; and 3) TV panel discussions on current political affairs. As a whole, this study reveals that the notions of restrictiveness, exclusivity, and adversativity are closely associated with ADV zhishi and DM zhishi. In addition, the present data show that since zhishi is often used to express a ‘less than expected’ feeling, it can be used to indicate mirativity (i.e. language indicating that an utterance conveys the speaker’s surprise). The data also show that the distribution of zhishi as an adverb or discourse marker depends on turn taking systems and speech situations in spoken discourse. Specifically, the ADV zhishi tends to occur in radio/TV interviews and TV panel news discussions, while the DM zhishi occurs more often in casual conversations.

scholarly journals Body Part Highlighting: Exploring two types of embodied practices in two sub-types of showing sequences in video-mediated consultations

2020 ◽  
Vol 3 (3) ◽  
Author(s):  
Brian Lystgaard Due ◽  
Simon Bierring Lange
Keyword(s):  
Healthcare Professional ◽  
Conversation Analysis ◽  
Initial Phase ◽  
Single Case ◽  
Body Part ◽  
History Taking ◽  
Healthcare Settings ◽  
Asking Questions ◽  
Common Understanding ◽  
Direct Body

Consultations in healthcare settings involve an initial phase of “history-taking”, during which the healthcare professional examines the client for symptoms by asking questions, making the client show symptoms on his or her own body, and performing bodily examinations. But how can bodily symptoms be identified when the interaction is video-mediated and sensory access is limited? One key resource here is “body showings”. However, research suggests that video-mediated teleconsultations reduce body showings due to both technical difficulties and sensory obstruction. In this paper, we provide a contrary case that shows two types of practices employed for successful history-taking through body-part showings. Based on an analysis of an “evocative showing sequence” (Licoppe, 2017), we present two types of gestural highlighting practices, via two types of showing sub-sequences: 1) “mimicable body part highlighting”, which occurs in a sequence of “adapting-body-to-frame”; and 2) “direct body part highlighting”, which occurs in a sequence of “adapting-frame-to-body”. The paper uses a single case to discuss how gestures work in a video-mediated context and how sensory judgements are not just a property of the healthcare professional, but are distributed to clients who are able to creatively adapt to situated contingencies in order to accomplish common understanding about the symptoms. The data consist of video-recorded, video-mediated physiotherapy consultations in Denmark, analysed using ethnomethodological conversation analysis (EMCA). The paper contributes to EMCA research on mediated interaction and embodied, gestural and sensorial practices.

A study of repeat-formatted repair initiations in Mandarin Chinese conversation

2019 ◽  
Vol 10 (2) ◽  
pp. 158-186
Author(s):  
Lihong Quan ◽  
Jinlong Ma
Keyword(s):  
Conversation Analysis ◽  
Mandarin Chinese ◽  
Main Research ◽  
Epistemic Stance ◽  
Research Findings

Abstract Using the methodology of Conversation Analysis (or CA), this study examines three types of other-initiated repair initiators (henceforth OIs) that repeats some element in the trouble-source (henceforth repeats) in Chinese conversation: repeats suffixed with question particles ma (吗), repeats suffixed with question particles a (啊), and question-intonated repeats. It attempts to explore the differences between these typical formats, in terms of their forms/functions and the epistemic stance of the speaker who initiates repair. The main research findings indicate that question-intonated repeat implements an understanding check while repeat suffixed with question particles (ma or a) tends to serve different functions, in that, ma-suffixed repeat is inquiry-implicated while a-suffixed repeat contributes to constructing surprise, (dis)agreement or (dis)belief.

Doing conversation analysis in Mandarin Chinese

2016 ◽  
Vol 7 (2) ◽  
pp. 179-209 ◽  
Author(s):  
Ruey-Jiuan Regina Wu
Keyword(s):  
Conversation Analysis ◽  
Mandarin Chinese ◽  
Research Process ◽  
Special Focus ◽  
Analytic Process ◽  
Chinese Scholars

This article aims to introduce Conversation Analytic (CA) methods to the community of Chinese scholars, and especially to linguists who work with Mandarin Chinese and are just beginning to adopt CA methods in their work. I believe doing CA requires not only an understanding of its terminology but also a working knowledge of CA methods. To this end, rather than simply explaining CA methods abstractly, I offer the reader a glimpse of the research process in action by presenting data and findings of my own research and then taking the reader step-by-step through the analytic process — from initial observations of a candidate phenomenon, through the process of making a collection of cases, and finally explaining criteria for establishing an empirically-grounded finding. Special focus is placed on the importance of detecting “participants’ orientations to action” and the more difficult process of finding evidence for the phenomenon from nonconforming specimens.

scholarly journals Patient and healthcare provider knowledge, attitudes and barriers to handover and healthcare communication during chronic disease inpatient care in India: a qualitative exploratory study

BMJ Open ◽  
2019 ◽  
Vol 9 (11) ◽  
pp. e028199 ◽  
Author(s):  
Claire Humphries ◽  
Suganthi Jaganathan ◽  
Jeemon Panniyammakal ◽  
Sanjeev K Singh ◽  
Shifalika Goenka ◽  
...  
Keyword(s):  
Healthcare Provider ◽  
Information Exchange ◽  
Inpatient Care ◽  
Medical Information ◽  
Communicable Disease ◽  
Healthcare Management ◽  
Public Hospitals ◽  
Public Healthcare ◽  
Medical Documents ◽  
Healthcare Communication

Objectives1) To investigate patient and healthcare provider (HCP) knowledge, attitudes and barriers to handover and healthcare communication during inpatient care. 2) To explore potential interventions for improving the storage and transfer of healthcare information.DesignQualitative study comprising 41 semi-structured, individual interviews and a thematic analysis using the Framework Method with analyst triangulation.SettingThree public hospitals in Himachal Pradesh and Kerala, India.ParticipantsParticipants included 20 male (n=10) and female (n=10) patients with chronic non-communicable disease (NCD) and 21 male (n=15) and female (n=6) HCPs. Purposive sampling was used to identify patients with chronic NCDs (cardiovascular disease, chronic respiratory disease, diabetes or hypertension) and HCPs.ResultsPatient themes were (1) public healthcare service characteristics, (2) HCP to patient communication and (3) attitudes regarding medical information. HCP themes were (1) system factors, (2) information exchange practices and (3) quality improvement strategies. Both patients and HCPs recognised public healthcare constraints that increased pressure on hospitals and subsequently limited consultation times. Systemic issues reported by HCPs were a lack of formal handover systems, training and accessible hospital-based records. Healthcare management communication during admission was inconsistent and lacked patient-centredness, evidenced by varying reports of patient information received and some dissatisfaction with lifestyle advice. HCPs reported that the duty of writing discharge notes was passed from senior doctors to interns or nurses during busy periods. A nurse reported providing predominantly verbal discharge instructions to patients. Patient-held medical documents facilitated information exchange between HCPs, but doctors reported that they were not always transported. HCPs and patients expressed positive views towards the idea of introducing patient-held booklets to improve the organisation and transfer of medical documents.ConclusionsHandover and healthcare communication during chronic NCD inpatient care is currently suboptimal. Structured information exchange systems and HCP training are required to improve continuity and safety of care during critical transitions such as referral and discharge. Our findings suggest that patient-held booklets may also assist in enhancing handover and patient-centred practices.

scholarly journals Theory-driven, rapid formative research on quality improvement intervention for critical care of patients with COVID-19 in Argentina

2021 ◽  
Vol 8 ◽  
pp. 233339362110156
Author(s):  
Javier Roberti ◽  
Facundo Jorro ◽  
Viviana Rodríguez ◽  
María Belizán ◽  
Pilar Arias ◽  
...  
Keyword(s):  
Patient Flow ◽  
Public Hospitals ◽  
Quality Improvement Intervention ◽  
Structured Interviews ◽  
Personal Protection Equipment ◽  
Staff Shortage ◽  
Implementation Evaluation ◽  
Healthcare Settings ◽  
And Shifts ◽  
Improvement Intervention

The challenges of implementing interventions in healthcare settings have been more apparent during the COVID-19 pandemic. This pre-implementation evaluation used a rapid qualitative approach to explore barriers and facilitators to an intervention in intensive care units in Argentina, aimed to promote the use of personal protection equipment, provide emotional support for professionals, and achieve patient flow goals. Data were collected using semi-structured interviews with health professionals of 15 public hospitals in Argentina. Normalization Process Theory was used to guide content analysis of the data. Participants identified potential barriers such as the incorporation of non-specialist staff, shortage of resources, lack of communication between groups and shifts. Potential facilitators were also identified: regular feedback and communication related to implementation, adequate training for new and non-specialist staff, and incentives (e.g., scholarships). The immediacy of the pandemic demanded rapid qualitative research, sharing actionable findings in real time.

scholarly journals Pain talk in palliative care: A qualitative analysis

2019 ◽  
Author(s):  
Yijin Wu
Keyword(s):  
Palliative Care ◽  
Conversation Analysis ◽  
Care Provider ◽  
Terminally Ill ◽  
Care Providers ◽  
Care Services ◽  
Healthcare Settings ◽  
Palliative Care Setting ◽  
Palliative Care Services ◽  
Problematic Experiences

Abstract Aim Using the method of Conversation Analysis (CA), this study aims to demonstrate how the palliative care provider uses different types of interactional practices to address patient’s pain concerns. Background The delivery of palliative care services could be facilitated through effective communication. The method of conversation analysis is effective in improving communication skills. Conversation analysis, used in other healthcare settings, also is a useful way to explore the interactional details between palliative care providers and terminally ill patients. Method The data showed in this study are obtained from 2 videotapes of provider-patient interaction in palliative care settings. The videos and the initial transcript of them are collected from the Alexander St website http://ctiv.alexanderstreet.com, an educational resource presenting a large collection of psycho-therapeutic videos. The data is analyzed using the method of conversation analysis. Results In this study, an illustrative analysis is demonstrated to show the potential of conversation analysis for research on pain talk in palliative care. It has been shown that conversation analysis could contribute to unfolding the interactional details regarding “pain talk” in palliative care settings. Specifically, CA could provide a detailed a description and interpretation of the conversational practices used to construct palliative care provider participation in delivering pain talk. In addition, CA could also demonstrate the interactional resources by which patients disclose their experiences of physical and spiritual pain to the palliative care provider and the way how the palliative care provider responds to patient’s problematic experiences. Conclusion This study identifies five types of interactional resources which are used to deal with patient’s pain concerns in palliative care setting. A conversation analytical study of pain talk in palliative care could provide a turn-by-turn description of how the palliative care provider communicates with the terminally ill patient in terms of pain concerns. The findings in this study could inform how the palliative care provider initiates, delivers and develops a pain talk with the terminally ill patient effectively.

Consequences of workplace violence behaviors in Jordanian public hospitals

2018 ◽  
Vol 40 (3) ◽  
pp. 515-528 ◽  
Author(s):  
Ahmed Abdelhalim Al-Shiyab ◽  
Raed Ismail Ababneh
Keyword(s):  
Workplace Violence ◽  
Job Insecurity ◽  
Public Hospitals ◽  
Healthcare Staff ◽  
Content Type ◽  
Hospital Administrators ◽  
Professional Career ◽  
Healthcare Settings ◽  
Working Environments ◽  
Working Shift

Purpose The purpose of this paper is to examine the consequences of workplace violence against healthcare staff in Jordanian public hospitals. Design/methodology/approach A convenient sample included 334 physicians and nurses employed in eight different public hospitals, different departments and different working shifts were surveyed by filling the designed questionnaire. Findings The findings indicated workplace violence had a clear moderate impact on the respondents’ interaction with patients, performing work responsibilities, ability of making decisions, and professional career. The most frequent workplace violence consequences were damaging staff’s personality and prestige, increasing laziness and unwillingness to serve patients. Workplace violence consequences also included aggressive behavior, fear while dealing with patients, increase job insecurity, and lack of professional responsibility. In addition, demographic variables such as gender, education, job title, working shift, and income showed statistical significant differences in the attitudes of participants toward the consequences of workplace violence. Practical implications This study highlighted the necessity of healthcare policy makers and hospital administrators to establish violence free and safe working environments in order to retain qualified healthcare staff that in turn improves the health services quality. Originality/value There is a lack of research and documentation on violence in the healthcare settings in developing countries. This study is one of the first to examine the consequences of workplace violence that affect public physicians and nurses.

Nonverbal aspects of turn taking in Mandarin Chinese interaction

2011 ◽  
Vol 2 (1) ◽  
pp. 99-130 ◽  
Author(s):  
Ping Yang
Keyword(s):  
Conversation Analysis ◽  
Interpersonal Communication ◽  
Mandarin Chinese ◽  
Video Data ◽  
Nonverbal Cues ◽  
Chinese Universities ◽  
Research Results ◽  
Chinese Speakers ◽  
Turn Taking

This paper examines the nonverbal aspects of turn taking system in Mandarin Chinese talk-in-interaction. Based on the audio and video data collected from real conversational settings in Chinese universities, this project uses conversation analysis (CA) theory to analyze how university-educated Mandarin Chinese speakers utilize various nonverbal resources with reference to turn yielding, turn up-taking and turn maintaining strategies to achieve effective interpersonal communication . The research results show that the current speaking party (SP) and listening party (LP) use nonverbal tokens such as hand drop in yielding turns, gaze and touch in taking up turns, and non-gaze, thinking face and finger count in maintaining turns. Understanding of these nonverbal cues employed can help prospective intercultural communicators interact with Mandarin Chinese speakers more effectively and successfully.

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