Language, research and nursing practice

102

Section: Discussionmentioning

confidence: 99%

Power and empowerment in nursing: a fourth theoretical approach

Bradbury‐Jones

Sambrook

Irvine

2008

102

“…The existing quality improvement mechanisms that operate in aged care offer a way of ensuring that validated clinical assessment tools sensitive to the palliative care needs of residents are endorsed. Having an understanding of the knowledge, rules and norms, accepted terms and codes which make up the specialist language of palliative care had put participants on a par with other providers (Bjornsdottir 2000). This new knowledge had enabled staff to join conversations and play a key role in determining residents’ care.…”

Section: Discussionmentioning

confidence: 99%

Multi‐faceted palliative care intervention: aged care nurses’ and care assistants’ perceptions and experiences

Phillips

Davidson

Jackson

et al. 2008

“…The communicative constraints on nurses have been analysed in terms of the ways that knowledge and competence are displayed in the ‘theatre’ of the OR (Riley & Manias 2005, Gillespie et al. 2007), the continued dominance of bio‐medical discourse over other types of healthcare discourse (Björnsdottir 2001, Coombs 2003), and the disempowered or ‘oppressed group’ status of nurses (Kuokkanen & Leino‐Kilpi 2000, Bradbury‐Jones et al. 2008).…”

Section: Introductionmentioning

confidence: 99%

Silence, power and communication in the operating room

Gardezi

Lingard

Espin

et al. 2009

113

Title. Silence, power and communication in the operating roomAimThis paper is a report of a study conducted to explore whether a 1- to 3-minute preoperative interprofessional team briefing with a structured checklist was an effective way to support communication in the operating room.BackgroundPrevious research suggests that nurses often feel constrained in their ability to communicate with physicians. Previous research on silence and power suggests that silence is not only a reflection of powerlessness or passivity, and that silence and speech are not opposites, but closely interrelated.MethodsWe conducted a retrospective study of silences observed in communication between nurses and surgeons in a multi-site observational study of interprofessional communication in the operating room. Over 700 surgical procedures were observed from 2005–2007. Instances of communication characterized by unresolved or unarticulated issues were identified in field notes and analysed from a critical ethnography perspective.FindingsWe identified three forms of recurring ‘silences’: absence of communication; not responding to queries or requests; and speaking quietly. These silences may be defensive or strategic, and they may be influenced by larger institutional and structural power dynamics as well as by the immediate situational context.ConclusionsThere is no single answer to the question of why ‘nobody said anything’. Exploring silences in relation to power suggests that there are multiple and complex ways that constrained communication is produced in the operating room, which are essential to understand in order to improve interprofessional communication and collaboration.