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A new structure of attention? Open disclosure of adverse events to patients and their families
journal contribution
posted on 2023-05-18, 03:04 authored by Iedema, R, Jorm, C, Wakefield, J, Ryan, C, Sorensen, RThis article presents an inquiry into how clinicians realize a health policy reform initiative called Open Disclosure. Open Disclosure mandates that discussions with patients/family and team staff about “adverse events” are now no longer ad hoc, individualized, and without consequences for how the work is done, but planned, collaborative, and leading to systems change. The article presents an empirical analysis of a corpus of interviews about the impact of Open Disclosure on clinicians' practices. It situates Open Disclosure in the context of arguments that health care workers are increasingly expected to do “emotional labor” with patients and their families, in that staff are advised to practise “reflexive listening” as a means of managing patients' and family members' emotions in response to incidents. The analysis suggests that thanks to the intensity of Open Disclosure interactions, clinicians may be introduced to an affective-interactive space that they were hitherto unaware of and unable to enter or attain what Nigel Thrift calls “a new structure of attention.”
History
Publication title
Journal of Language and Social PsychologyVolume
28Pagination
139-157ISSN
0261-927XDepartment/School
School of NursingPublisher
Sage Publications IncPlace of publication
2455 Teller Rd, Thousand Oaks, USA, Ca, 91320Repository Status
- Restricted