The interactional consequences of 'empowering discourse' in intercultural patient education
Autor: | Peter Roger, Tonia Crawford, Sally Candlin |
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Rok vydání: | 2016 |
Předmět: |
Attitude of Health Personnel
Discourse analysis media_common.quotation_subject Participant observation Nurse's Role 03 medical and health sciences Patient safety 0302 clinical medicine Patient Education as Topic Pedagogy Ethnography Humans Quality (business) 030212 general & internal medicine Cultural Competency Empowerment media_common 030504 nursing Communication General Medicine Cultural Diversity Intercultural communication Patient Participation Power Psychological 0305 other medical science Psychology Nurse-Patient Relations Patient education |
Zdroj: | Patient education and counseling. 100(3) |
ISSN: | 1873-5134 |
Popis: | Objective Patient education is an important part of nurses’ roles; however the inconsistent quality of communication skills, including those of registered nurses (RNs) from culturally and linguistically diverse (CALD) backgrounds, risk patient safety. Empowerment in patient education has been found to influence patients’ self-efficacy and participation in decision-making. Discourse analysis of a whole interaction is used in this paper to trace the consequences of patient education where empowering discourse is displayed by an RN from a CALD background. Methods Ethnographic techniques of participant observation and audio recordings of naturally occurring interactions between nurses from CALD backgrounds and their patients were conducted and analysed using interactional sociolinguistic (IS) and theme oriented discourse analytic approaches. Results The interactional consequences of the nurse’s empowering approach are readily observable in the data. The RN addresses the patient’s education needs through a respectful encounter that illustrates the patient’s active involvement. Conclusion Examining the interactional consequences of empowering discourse demonstrates its effectiveness, and illustrates how empowering behaviour can be integrated into patient education, thus offering an alternative to traditional approaches. Practical implications Greater awareness of how to use empowering discourse will offer an alternative and consistent approach that enables nurses to facilitate patient-centred education. |
Databáze: | OpenAIRE |
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