The Discourse of Hospital Communication: Tracing Complexities in Contemporary Health Care Organizations

292 Pages·2007·2.681 MB·English

by  Rick Iedema (eds.)

PalgraveStudiesinProfessionalandOrganizationalDiscourse
Titlesinclude:
RickIedema(editor)
THEDISCOURSEOFHOSPITALCOMMUNICATION
TracingComplexitiesinContemporaryHealthCareOrganizations
KeithRichards
LANGUAGEANDPROFESSIONALIDENTITY
H.E.Sales
PROFESSIONALCOMMUNICATIONINENGINEERING
Forthcomingtitlesinclude:
EdwardJohnson&MarkGarner
OPERATIONALCOMMUNICATION
CeciliaE.Ford
WOMEN’STALKINTHEPROFESSIONALWORKPLACE
PalgraveStudiesinProfessionalandOrganizationalDiscourse
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AlsobyRickIedema
DISCOURSESOFPOST-BUREAUCRATICORGANIZATION
The Discourse of Hospital
Communication
Tracing Complexities in Contemporary
Health Care Organizations
Editedby
Rick Iedema
Editorialmatterandselection©RoderickArenMichaelIedema2007
Individualchapters©chapterauthors2007
Softcover reprint of the hardcover 1st edition 2007 978-1-4039-9848-4
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Thediscourseofhospitalcommunication:tracingcomplexitiesin
contemporaryhealthcareorganizations/editedbyRickIedema.
p. cm.“(Palgravestudiesinprofessionalandorganizational
discourse)
Includesbibliographicalreferencesandindex.

1. Hospitals“Administration. 2. Healthservicesadministration.
3. Healthfacilities“Administration. I. Iedema,Rick.
RA971.D572007
362.11068“dc22 2006049485
10 9 8 7 6 5 4 3 2 1
16 15 14 13 12 11 10 09 08 07
This book is dedicated to all the practitioners we have worked
with over the years and
who have taught us so much about the complex nature of
hospital work.
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Contents
ListofFiguresandTables ix
ForewordbyJeffreyBraithwaite x
NotesontheContributors xii
1 CommunicatingHospitalWork 1
Rick Iedema
2 Institutional and Professional Orders of Ethics in
theDiscoursePracticesofResearchRecruitmentin
Oncology 18
Ellen Barton
3 TheCommunicativeFunctionsoftheHospitalMedicalChart 39
Pamela Hobbs
4 GoverningtheOperatingRoomList 67
Robin Riley and Elizabeth Manias
5 Dialogues for Negotiating Priorities in Unplanned
EmergencySurgicalQueues 90
Martin Lum and Anneke Fitzgerald
6 PersonalityDisorderinUKMentalHealthCare:Language,
Legitimation and the Psychodynamics of Organized
Surveillance 109
B. J. Brown and Paul Crawford
7 Renegotiating Disjunctions in Interorganizationally
ProvidedCare 138
Hannele Kerosuo
8 AnaestheticTalkinSurgicalEncounters 161
CatherinePope,MaggieMort,DawnGoodwinand
Andrew Smith
vii
viii Contents
9 Corridor Conversations: Clinical Communication in
CasualSpaces 182
Debbi Long, Rick Iedema and Bonsan Bonne Lee
10 TheRoleofSignsandRepresentationsintheOrganization
ofMedicalWork:X-raysinMedicalProblemSolving 201
Per Måseide
11 WhyDoDoctorsNotEngagewiththeSystem? 222
Christine Jorm, Jo Travaglia and Rick Iedema
12 NursingthroughTimeandSpace:SomeChallengestothe
ConstructofCommunityofPractice 244
Sally Candlin and Christopher N. Candlin
Index 268
List of Figures and Tables
Figures
9.1 Layoutofoutpatientsclinic 186
12.1 Intersectingclinical–professionalcommunitiesofpractice 254
12.2 Thedifferentrolesinnursing 261
Tables
7.1 Descriptionofthechangelaboratorydata 147
7.2 Description of the patients participating in the
intervention 148
9.1 Abbreviationsandpseudonymsusedforclinicians 187
ix