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Nurse physician communication--discourse analysis.

Marlene B Weeks1

  • 1Royal Jubilee Diagnostic and Treatment Centre, Victoria, BC. mbweeks@shaw.ca

Canadian Operating Room Nursing Journal
|February 16, 2005
PubMed
Summary
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Effective physician-nurse communication is crucial in healthcare. Critical discourse analysis reveals how societal discussions may perpetuate physician dominance over nurses in acute care settings.

Area of Science:

  • Healthcare Communication
  • Sociolinguistics
  • Medical Discourse Analysis

Background:

  • Interprofessional communication significantly impacts patient care outcomes.
  • Physician-nurse communication is a critical area within healthcare, influencing patient safety and quality of care.
  • Societal perceptions and discourse surrounding healthcare roles can affect professional interactions.

Purpose of the Study:

  • To analyze the discourse surrounding physician-nurse communication in acute care.
  • To understand how societal discussions shape the understanding of this professional relationship.
  • To investigate the role of discourse in perpetuating physician dominance over nurses.

Main Methods:

  • Critical Discourse Analysis (CDA) principles were applied.

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  • The study examined societal discussions and understanding of physician-nurse communication.
  • Focus was on discourse within acute care settings.

    • Main Results:

    • Analysis of discourse reveals patterns in how physician-nurse communication is discussed.
    • Societal understanding of this communication is linked to power dynamics.
    • Evidence suggests discourse contributes to the reproduction of physician dominance.

    Conclusions:

    • The way physician-nurse communication is discussed in society influences professional roles.
    • Critical discourse analysis highlights the subtle reproduction of hierarchy in healthcare settings.
    • Addressing discourse is essential for fostering more equitable interprofessional relationships.