The discourse of nurse-patient interactions: contrasting the communicative styles of U.S. and international nurses
Gespeichert in:
| Beteilige Person: | |
|---|---|
| Format: | Buch |
| Sprache: | Englisch |
| Veröffentlicht: |
Amsterdam ; Philadelphia
John Benjamins Publishing Company
[2015]
|
| Schriftenreihe: | Studies in corpus linguistics
Volume 72 |
| Schlagwörter: | |
| Links: | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=028359443&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| Umfang: | XIV, 263 Seiten Diagramme |
| ISBN: | 9789027203809 |
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Datensatz im Suchindex
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|---|---|
| adam_text | Table of contents
Acknowledgments
Preface
CHAPTER 1
Introduction
International nurses in the U.S. workforce 1
Discourse analysis of provider-patient interactions 2
Discourse analysis of communicative style and register 3
Overview of the study and the book 6
CHAPTER 2
Background
Introduction 9
Phases of provider-patient interactions 9
Linguistic and non-verbal features 11
Interactional features 11
Lexico-grammatical features of involvement 15
Narrative features 16
Stance features 17
Fluency features 18
Prosodic features 20
Non-verbal behavior 22
Effectiveness of provider-patient interactions 23
Relationship between effectiveness and linguistic/non-verbal features
Summary 26
chapter 3
Corpus and data analysis
Introduction 27
Description of the hospitals involved in this study 27
Description of the speech event 28
Corpus data collection 29
Corpus description 30
Phases of the interaction 32
Linguistic variables 33
Effectiveness ratings 35
XI
XIII
1
9
25
27
vi The Discourse of Nurse֊Patient Interactions
Corpus processing and data coding 36
Coding and processing of the phases 36
Coding, norming, and calculation of the interactional features 36
Coding, norming, and calculation of lexico-grammatical variables 38
Coding and calculation of the fluency features 39
Coding and calculation of the prosodic features 39
Rating of the non-verbal behaviors 40
Semi-structured interviews with nurses 40
Statistical analysis 41
Qualitative analysis 42
Summary 42
chapter 4
Situational characteristics of nurse-patient interactions 45
Introduction 45
Nurse-patient interactions in this study 46
Distinctive features of nurse-patient interactions 47
Participants 47
Addressors/addressees and interactivity 51
Social roles 52
Power and asymmetry 52
Patient-centered care 53
Relationship between participants 55
Shared knowledge 56
Channel 59
Production circumstances 59
Setting 59
Communicative purposes 60
General purposes 60
Specific purposes (phases) 61
Expression of stance 64
Topic 64
General topical “domain” 64
Specific topic (case) 65
Summary 65
chapter 5
Interactional and lexico-grammatical characteristics of
nurse-patient discourse
Introduction 67 67
Overall differences across the four groups and the five phases 68
Table of contents vii
Amount of speech used 68
Other interactional variables 70
Personal pronouns (and possessive determiners) 75
Narrative features 78
Conditionals 79
Stance features 80
Summary 84
chapter 6
Interactional characteristics of USN and IEN communicative style 87
Introduction 87
Amount of speech used 87
Discourse markers 90
Questions 92
Other interactional features 101
Summary 105
chapter 7
Lexico-grammatical characteristics of USN and IEN communicative style 107
Introduction 107
Personal pronouns and possessive determiners 108
Past tense 111
Stance features 115
Possibility and prediction modals 115
Stance complement clauses 117
Stance adverbs 122
Summary 124
chapter 8
Fluency, prosody, and non-verbal characteristics of USN and IEN
communicative style 127
Introduction 127
Methods 127
Fluency features 128
Prosodic variables 129
Pitch range and paratone 130
Tone choice 132
Prominence 133
Non-verbal features 134
Results 135
Fluency features 135
VIII The Discourse of Nurse-Patient Interactions
Prosodic features 136
Pitch range 137
Tone choice 141
Paratone 143
Prominence 146
Non-verbal features 149
Summary 151
chapter 9
Relationship between USN and IEN communicative styles
and patient discourse *53
Introduction 153
Differences in the counsel phase 153
Differences in other interactional features: Overlap and hesitation 159
Possible other factors influencing variation in the patient groups 162
Summary 163
chapter 10
Effectiveness of IEN and USN interactions 165
Introduction 165
Methods 165
Patient satisfaction 165
Interpersonal Skills Assessment 166
Data analysis 168
Results 169
Results for effectiveness measures 169
Demographic differences in the results for effectiveness 171
Relationship between interactional features and effectiveness 172
Phase length, number of turns, and turn length 173
Backchannels and yes/no questions 180
Relationship between lexico-grammatical features and effectiveness 183
1st person pronouns 185
Prediction modals 187
Past tense 188
To complement clauses 190
Relationship between fluency, prosody, and non-verbal features and
effectiveness 190
Pitch range 192
Speech rate 193
Prominence 196
Non-verbal behavior 197
Summary 198
Table of contents ix
CHAPTER 11
Synthesis and directions for future research
Overview 201
Differences in nurse-patient discourse 202
Similarities in IEN and USN discourse 204
Differences in IEN and USN discourse 204
Differences in patient discourse 209
Relationship between linguistic features and effectiveness of interactions
Demographic factors influencing use of linguistic features 212
Implications for the analysis of provider-patient interactions 214
Implications for health care providers and educators 215
Policy implications 215
Implications for training 216
Limitations 217
Additional research directions 218
References 221
APPENDIX A
A model of phases within the medical encounter and its application 235
Introduction 235
Previous research on phase structure 235
Phase structure found in the present study 237
Identifying phases 240
Segmentation of the phases in the interactions 240
Transitions 241
Opening phase 241
Complaint phase 242
Examination phase 242
History taking 242
Physical exam 243
Counsel phase 244
Closing phase 247
Two examples of entire nurse-patient interactions 249
Summary 259
201
210
Index
261
|
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| discipline | Anglistik / Amerikanistik Medizin |
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| language | English |
| lccn | 2015027712 |
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| series | Studies in corpus linguistics |
| series2 | Studies in corpus linguistics |
| spellingShingle | Staples, Shelley The discourse of nurse-patient interactions contrasting the communicative styles of U.S. and international nurses Studies in corpus linguistics Communication Nurse-Patient Relations Krankenpfleger (DE-588)4165516-3 gnd Patient (DE-588)4044903-8 gnd Englisch (DE-588)4014777-0 gnd Kommunikation (DE-588)4031883-7 gnd Fremdsprache (DE-588)4018424-9 gnd Muttersprache (DE-588)4040962-4 gnd Korpus Linguistik (DE-588)4165338-5 gnd |
| subject_GND | (DE-588)4165516-3 (DE-588)4044903-8 (DE-588)4014777-0 (DE-588)4031883-7 (DE-588)4018424-9 (DE-588)4040962-4 (DE-588)4165338-5 |
| title | The discourse of nurse-patient interactions contrasting the communicative styles of U.S. and international nurses |
| title_auth | The discourse of nurse-patient interactions contrasting the communicative styles of U.S. and international nurses |
| title_exact_search | The discourse of nurse-patient interactions contrasting the communicative styles of U.S. and international nurses |
| title_full | The discourse of nurse-patient interactions contrasting the communicative styles of U.S. and international nurses Shelley Staples, Purdue University |
| title_fullStr | The discourse of nurse-patient interactions contrasting the communicative styles of U.S. and international nurses Shelley Staples, Purdue University |
| title_full_unstemmed | The discourse of nurse-patient interactions contrasting the communicative styles of U.S. and international nurses Shelley Staples, Purdue University |
| title_short | The discourse of nurse-patient interactions |
| title_sort | the discourse of nurse patient interactions contrasting the communicative styles of u s and international nurses |
| title_sub | contrasting the communicative styles of U.S. and international nurses |
| topic | Communication Nurse-Patient Relations Krankenpfleger (DE-588)4165516-3 gnd Patient (DE-588)4044903-8 gnd Englisch (DE-588)4014777-0 gnd Kommunikation (DE-588)4031883-7 gnd Fremdsprache (DE-588)4018424-9 gnd Muttersprache (DE-588)4040962-4 gnd Korpus Linguistik (DE-588)4165338-5 gnd |
| topic_facet | Communication Nurse-Patient Relations Krankenpfleger Patient Englisch Kommunikation Fremdsprache Muttersprache Korpus Linguistik |
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