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A dramaturgical analysis of shift report patterns with cost implications: a case study
1The University of Alabama in Huntsville, College of Nursing, Huntsville, AL, USA.
Nursing Economic$
|November 30, 2006
Summary
Registered nurses
Area of Science:
- Nursing
- Sociology
- Communication Studies
Background:
- Hospital patient handoffs are critical for patient safety.
- Understanding nurse communication during handoffs is essential.
- Goffman's dramaturgical theory offers a framework for analyzing social interactions.
Purpose of the Study:
- To analyze the roles and performances of registered nurses during videotaped patient handoff reports.
- To explore how charge nurses' performances influence the communication dynamics and outcomes of reports.
Main Methods:
- Secondary analysis of existing videotaped nursing reports.
- Application of Erving Goffman's dramaturgical analysis framework.
- Observation and coding of nurse interactions, climate, and report duration.
Main Results:
- Charge nurses' performances significantly shaped the communication climate.
- Specific actions by charge nurses impacted interaction patterns and report efficiency.
- The 'front stage' performance influenced the overall report experience.
Conclusions:
- Registered nurses, particularly charge nurses, utilize performative roles during patient reports.
- Understanding these roles can inform strategies to improve communication and efficiency in nursing handoffs.
- Dramaturgical analysis provides valuable insights into nursing communication practices.
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