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Nurses' power in interactions with patients

A Hewison1

  • 1School of Health and Social Sciences, Coventry University, England.

Journal of Advanced Nursing
|January 1, 1995
PubMed
Summary

Nurse-patient communication is often superficial and task-focused due to nurses

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Area of Science:

  • Nursing Communication
  • Sociolinguistics
  • Healthcare Interaction Analysis

Background:

  • Nurse-patient interactions frequently lack depth, focusing primarily on tasks.
  • Previous research indicates a routine nature in most healthcare communication.
  • Understanding the dynamics of power in these exchanges is crucial.

Purpose of the Study:

  • To examine the role of language in power dynamics within nurse-patient interactions.
  • To explore linguistic strategies nurses use to control communication.
  • To link institutional factors to micro-level interactional patterns.

Main Methods:

  • Observational study of nurse-patient encounters.
  • Linguistic analysis of interactional control.
  • Exploration of macro- and micro-level influences on communication.

Main Results:

  • Most nurse-patient interactions are superficial, routinized, and task-oriented.
  • Nurses utilize specific linguistic devices to maintain control during interactions.
  • Wider institutional factors significantly influence the micro-level of nurse-patient communication.
  • Conflict arises from the dual caring and controlling roles of nurses.

Conclusions:

  • The inherent power imbalance in nurse-patient relationships acts as a barrier.
  • Meaningful and open communication is hindered by this power dimension.
  • Addressing power dynamics is essential for improving nurse-patient communication.

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