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Emergency communication: the discursive challenges facing emergency clinicians and patients in hospital emergency departments


Slade, D and Scheeres, H and Manidis, M and Iedema, R and Dunston, R and Stein-Parbury, J and Matthiessen, C and Herke, M and McGregor, J, Emergency communication: the discursive challenges facing emergency clinicians and patients in hospital emergency departments, Discourse & Communication, 2, (3) pp. 289-316. ISSN 1750-4813 (2008) [Refereed Article]

DOI: doi:10.1177/1750481308091910


Effective communication and interpersonal skills have long been recognized as fundamental to the delivery of quality health care. However, there is mounting evidence that the pressures of communication in high stress work areas such as hospital emergency departments (EDs) present particular challenges to the delivery of quality care. A recent report on incident management in the Australian health care system (NSW Health, 2005a) cites the main cause of critical incidents (that is, adverse events such as an incorrect procedure leading to patient harm), as being poor and inadequate communication between clinicians and patients. This article presents research that describes and analyses spoken interactions between health care practitioners and patients in one ED of a large, public teaching hospital in Sydney, Australia. The research aimed to address the challenges and critical incidents caused by breakdowns in communication that occur between health practitioners and patients and by refining and extending knowledge of discourse structures, to identify ways in which health care practitioners can enhance their communicative practices thereby improving the quality of the patient journey through the ED. The research used a qualitative ethnographic approach combined with discourse analysis of audio-recorded interactions. Some key findings from the analysis of data are outlined including how the absence of information about processes, the pressure of time within the ED, divergent goals of clinicians and patients, the delivery of diagnoses and professional roles impact on patient experiences. Finally, the article presents an in-depth linguistic analysis on interpersonal and experiential patterns in the discursive practices of patients, nurses and doctors.

Item Details

Item Type:Refereed Article
Keywords:discourse, functional linguistics, health communication, hospital
Research Division:Language, Communication and Culture
Research Group:Other language, communication and culture
Research Field:Other language, communication and culture not elsewhere classified
Objective Division:Expanding Knowledge
Objective Group:Expanding knowledge
Objective Field:Expanding knowledge in language, communication and culture
UTAS Author:Iedema, R (Professor Rick Iedema)
ID Code:94327
Year Published:2008
Web of Science® Times Cited:35
Deposited By:Health Sciences B
Deposited On:2014-09-05
Last Modified:2014-09-05

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