Comparative distribution and use of humour within nurse—patient communication

Mallett, Jane; A’Hern, Roger

doi:10.1016/0020-7489(96)00008-9

Cited by 53 publications

(48 citation statements)

References 15 publications

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“…Besides the management of expectations and optimism, the interactional mood between nurses and patients has also been a subject of study. In a study on mood in interactions between nurses and patients with renal failure on haemodialysis, Mallett and A'hern (1996) showed that the situational atmosphere is jointly and collaboratively constructed by nurses and patients in interaction in relation to the interactional goals (e.g., the management of the patients' anxiety).…”

Section: Managing Emotions In Critical Illnessmentioning

confidence: 99%

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Ethnomethodological studies of nurse-patient and nurse-relative interactions: A scoping review

Mayor

Bietti

2017

International Journal of Nursing Studies

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A B S T R A C TObjectives: Researchers in nursing science interested in the study of nurse-patient and nurse-relative interactions have displayed an ever increasing interest in ethnomethodology and conversation analysis. This review assesses the scope of this literature. We categorize the papers in thematic categories determined both inductively and deductively and synthesize the main findings of this literature within category. Finally we discuss the interactional determinants of the lack patient participation, the limitations of the field, and focus on implications. Design: A scoping review on nurse-patient and nurse-relative interactions. Data sources: Forty articles focusing on nurse-patient interactions and nurse-relative interactions. All the articles relied on ethnomethodology and/or conversation analysis. Review methods: A literature search has been carried out on Medline (all articles until June 2016; keywords were: nurs*.ab. and "conversation analysis"; nurs*.ab. and ethnomethodology). A similar search was performed on other platforms. The scope of the literature was identified by inductively and deductively analyzing the themes of the relevant articles. Results: Six thematic categories emerged: Organization of nurse-patient interaction (eleven articles); Organization of mediated nurse-patient interaction (seven articles); Information, explanation and advice (eight articles); Negotiation and influence asymmetry (six articles); Managing emotions in critical illness (two articles); and Interacting with patients presenting reduced interactional competences (six articles). Conclusions: Across most thematic categories it appeared that patient participation is far from ideal as interactional asymmetry was most observed in favor of nurses. When the encounters occurred at the patients' homes this pattern was reversed. Computer-mediated interactions were often reported as nonoptimal as the standardized process constrained communication and delayed patients' presentation of their ailments. Micro-analyses of interaction present a clear potential for the development of guidelines for nurse-patient interactions. Implications for practice are described.

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Section: Managing Emotions In Critical Illnessmentioning

confidence: 99%

“…This happens when they initiate discussions about death to inform and provide emotional support (Wilainuch, 2013), when they use humor to reduce patients' anxiety (Mallett and A'hern, 1996) and foster optimism in cancer patients (Jarrett and Payne, 2000). Nurses readily display empathy at the patients' home (Adams, 2001b).…”

Section: Nurses' Empathymentioning

confidence: 99%

Ethnomethodological studies of nurse-patient and nurse-relative interactions: A scoping review

Mayor

Bietti

2017

International Journal of Nursing Studies

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“…In an early study on the use of humor by patients and medical providers in an obstetrics-gynecological ward in an American hospital, Emerson (1963;1969 as cited in Mallett & A'Hern, 1996), for example, demonstrated that the use of humor and laughter enables the participants to talk about sensitive or delicate topics. Similar findings were observed by Mallet and A'Hearn (1996: 548), who also found that humor and laughter help patients get through painful experiences and "avoid conflict with those whose actions were causing [their] distress", i.e.…”

Section: Introductionmentioning

confidence: 99%

Laughter as Medical Providers' Resource: Negotiating Informed Choice in Prenatal Genetic Counseling

Zayts

Schnurr

2011

Research on Language and Social Interaction

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This paper aims to challenge the perception that in medical encounters laughter is an interactional resource primarily employed by patients. Drawing on 34 video-recorded prenatal genetic counseling (PGC) sessions collected in a Hong Kong hospital, and combining quantitative and qualitative methods, we illustrate that laughter is in fact frequently employed by the medical providers in our data. The particular focus of the paper is on the ways in which laughter initiated by the medical providers assists interlocutors in negotiating informed choice, a crucial aspect of PGC sessions.Findings indicate that laughter initiated by the medical providers performs at least two PGC-specific functions: it assists the medical providers in "laughing off" and overcoming patients' resistance, and it helps them in dealing with patients' direct questions. Laughter is thus an important resource for the medical providers in pursuing the institutional goals of the interaction, namely negotiating informed choice with their patients.

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“…Estudos (123)(124)(125) apontam que o bom humor e a risada proporcionam um modo de aliviar a ansiedade, a tensão e a insegurança, além de servir como mecanismo de coping através do qual o indivíduo lida com questões opressivas.…”

Section: C) Evitam Falar Sobre a Doença E A Morteunclassified

“…No contexto da terminalidade, assim como dos relacionamentos interpessoais, o humor nunca deve ferir a dignidade humana e precisa ser utilizado com muito cuidado em situações de crise, discussões sérias e quando há altos níveis de ansiedade (124)(125) . Ser otimista frente a uma doença que ameaça a vida, tal qual o câncer, é algo que sempre foi estimulado pelo senso comum.…”

Section: C) Evitam Falar Sobre a Doença E A Morteunclassified

Quando "uma palavra de carinho conforta mais que um medicamento": necessidades e expectativas de pacientes sob cuidados paliativos.

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Comparative distribution and use of humour within nurse—patient communication

Cited by 53 publications

References 15 publications

Ethnomethodological studies of nurse-patient and nurse-relative interactions: A scoping review

Ethnomethodological studies of nurse-patient and nurse-relative interactions: A scoping review

Laughter as Medical Providers' Resource: Negotiating Informed Choice in Prenatal Genetic Counseling

Quando "uma palavra de carinho conforta mais que um medicamento": necessidades e expectativas de pacientes sob cuidados paliativos.

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