Table Of Contentli230 li230
The focus of this book is to investigate a routine yet li
disruptive activity at the hospital – telephone inter- Linguistic Insights
action – and to expose how nurses and physicians 230
Studies in Language and Communication
coordinate at distance in view of delivering efficient
patient care. Data consists of 130 audio-recorded
calls between nurses and physicians at an acute care
hospital in Switzerland. The main activity of these
calls consists of the nurse requesting the physician’s
intervention, namely, the physician designating a
course of action to be undertaken in the future. s
By adopting a conversation analytic approach, n
o
I identify the formats through which nurses imple- i
t
ment requests to physicians. I distinguish between c
a
requests that contain an explicit formulation of a r
e
candidate course of action (e.g. Can you do X), and t
n
less transparent formats, such as reports of prob- i
lems. The latter consist of presenting a series of facts al
that convey the existence of a situation portrayed as onal
problematic and making relevant the physician’s siit
intervention. To secure the interventionable charac- sp
es
ter of the report, nurses refer to facts remediable fo
oconnlyt inbgy ean tm toe dtihcea l parouvthisoiorinty ,o fs uccahre a osr dae fipcaietinecnite’ss proe h
rh
medical status. et
t
nt
a
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i Anca-Cristina Sterie
r
e
t
Anca-Cristina Sterie is a sociologist, currently S
working on doctor-patient communication at the a
n
Lausanne University Hospital. Her doctoral the- i Interprofessional interactions
t
sis in social sciences concerns interprofessional s
i
r
hospital interaction; she holds a master’s degree C
at the hospital
in European studies on political symbolism. Dur- a-
ing her previous employment, she was equally c
n
engaged in research regarding women’s empow- A
erment in post-conflict zones.
Nurses’ requests and reports
of problems in calls with physicians
ISBN 978-3-0343-2734-3 g
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9 783034 327343 e
www.peterlang.com P
Interprofessional interactions at the hospital
Linguistic Insights
Studies in Language and Communication
Edited by Maurizio Gotti,
University of Bergamo
Volume 230
ADVISORY BOARD
Vijay Bhatia (Hong Kong)
David Crystal (Bangor)
Konrad Ehlich (Berlin / München)
Jan Engberg (Aarhus)
Norman Fairclough (Lancaster)
John Flowerdew (Lancaster)
Ken Hyland (East Anglia)
Roger Lass (Cape Town)
Matti Rissanen (Helsinki)
Françoise Salager-Meyer (Mérida, Venezuela)
Srikant Sarangi (Cardiff)
Susan Šarcˇevi´c (Rijeka)
Lawrence Solan (New York)
Peter M. Tiersma (Los Angeles)
PETER LANG
Bern • Berlin • Bruxelles • Frankfurt am Main • New York • Oxford • Wien
Linguistic Insights Anca-Cristina Sterie
Studies in Language and Communication Interprofessional interactions
at the hospital
Edited by Maurizio Gotti,
University of Bergamo
Volume 230
Nurses’ requests and reports
of problems in calls with physicians
ADVISORY BOARD
Vijay Bhatia (Hong Kong)
David Crystal (Bangor)
Konrad Ehlich (Berlin / München)
Jan Engberg (Aarhus)
Norman Fairclough (Lancaster)
John Flowerdew (Hong Kong)
Ken Hyland (Hong Kong)
Roger Lass (Cape Town)
Matti Rissanen (Helsinki)
Françoise Salager-Meyer (Mérida, Venezuela)
Srikant Sarangi (Cardiff)
Susan Šarcˇevi´c (Rijeka)
Lawrence Solan (New York)
PETER LANG PETER LANG
Bern • Bruxelles • Frankfurt am Main • New York • Oxford • Warszawa • Wien Bern • Bruxelles • Frankfurt am Main • New York • Oxford • Warszawa • Wien
Bibliographic information published by die Deutsche Nationalbibliothek
Die Deutsche Nationalbibliothek lists this publication in the Deutsche National-
bibliografie; detailed bibliographic data is available on the Internet
at ‹http://dnb.d-nb.de›.
British Library Cataloguing-in-Publication Data: A catalogue record for this book
is available from The British Library, Great Britain
Library of Congress Control Number: 2017950379
This publication has been funded by:
Swiss Academy of Medical Sciences
Centenary Fund of the University of Fribourg
Lausanne University Hospital Foundation
ISSN 1424-8689 hb. ISSN 2235-6371 eBook
ISBN 978-3-0343-2734-3 hb. ISBN 978-3-0343-2735-0 eBook
ISBN 978-3-0343-2737-4 EPUB ISBN 978-3-0343-2736-7 MOBI
This publication has been peer reviewed.
© Peter Lang AG, International Academic Publishers, Bern 2017
Wabernstrasse 40, CH-3007 Bern, Switzerland
[email protected], www.peterlang.com
All rights reserved.
All parts of this publication are protected by copyright.
Any utilisation outside the strict limits of the copyright law, without
the permission of the publisher, is forbidden and liable to prosecution.
This applies in particular to reproductions, translations, microfilming,
and storage and processing in electronic retrieval systems.
Bibliographic information published by die Deutsche Nationalbibliothek
Die Deutsche Nationalbibliothek lists this publication in the Deutsche National-
bibliografie; detailed bibliographic data is available on the Internet
at ‹http://dnb.d-nb.de›.
British Library Cataloguing-in-Publication Data: A catalogue record for this book
is available from The British Library, Great Britain.
To my parents and Fabien
Library of Congress Control Number: 2017950379
This publication has been funded by:
Swiss Academy of Medical Sciences
Centenary Fund of the University of Fribourg
Lausanne University Hospital Foundation
ISSN 1424-8689 hb. ISSN 2235-6371 eBook
ISBN 978-3-0343-2734-3 hb. ISBN 978-3-0343-2735-0 eBook
ISBN 978-3-0343-2737-4 MOBI ISBN 978-3-0343-2736-7 EPUB
This publication has been peer reviewed.
© Peter Lang AG, International Academic Publishers, Bern 2018
Wabernstrasse 40, CH-3007 Bern, Switzerland
[email protected], www.peterlang.com
All rights reserved.
All parts of this publication are protected by copyright.
Any utilisation outside the strict limits of the copyright law, without
the permission of the publisher, is forbidden and liable to prosecution.
This applies in particular to reproductions, translations, microfilming,
and storage and processing in electronic retrieval systems.
Printed in Germany
«Au-dessus de tous ces efforts de la pensée clinique pour définir ses
méthodes et ses normes scientifiques, plane le grand mythe d’un pur
Regard qui serait pur Langage: œil qui parlerait. Il se porterait sur la
totalité du champ hospitalier, accueillant et recueillant chacun des
évènements singuliers qui se produisent en lui; et à mesure qu’il verrait,
qu’il verrait plus et mieux, il se ferait parole qui énonce et enseigne».
Michel Foucault, Naissance de la clinique (1963).
Contents
Acknowledgements .............................................................................15
List of Abbreviations ...........................................................................17
Research framework ............................................................................19
Setting .............................................................................................20
Data .................................................................................................22
Audio-recordings ............................................................................22
Ethnographic observations ..............................................................25
Analytical aims ...............................................................................26
Chapter I. Hospital interaction between nurses
and physicians: a literature review ......................................................31
1. Forms of interprofessional communication
at the hospital ...........................................................................32
1.1. Scheduled and unscheduled occasions of interaction ......32
1.2. Face-to-face and remote communication.......................33
2. Changes and challenges to nurses’ professional “jurisdiction” .....36
2.1. From a traditional model of nursing to a
“rôle propre infirmier” ...................................................36
2.2. The case of newly employed nurses ..............................42
3. Nurse-physician verbal interaction ..........................................43
3.1. Nurses’ and physicians’ attitudes to their
communication and collaboration .................................44
3.2. Verbal exchanges between nurses and physicians .........45
Conclusion ......................................................................................49
