Communication in Surgical Practice - Sarah J. White

Communication in Surgical Practice - Sarah J. White

Chapter 14 Inter-Professional Clinical Handovers in Surgical Practice

Communication in Surgical Practice - Sarah J. White

Peter Roger [+-]
Macquarie University
Peter Roger is Senior Lecturer in Linguistics at Macquarie University. His teaching spans several Master’s degree programs, including Applied Linguistics, Communication in Professions and Organisations, and Speech Pathology. He studied Medicine at the University of Sydney, and after graduating worked as a medical practitioner for several years before going on to complete a Doctor of Philosophy degree in communication sciences and disorders. He has published in a variety of journals, including Journal of Neurology, Brain Injury, Aphasiology, Neuroradiology, Asia Pacific Journal of Speech, Language and Hearing, and International Journal of Speech-Language Pathology.
Maria R Dahm [+-]
Macqaurie University
Early Career Research Fellow Department of Linguistics
John A. Cartmill [+-]
Macquarie University
John A.Cartmill is a colorectal surgeon, Associate Dean, Clinical, and Professor of Surgery at the Faculty of Medicine and Health Sciences at Macquarie University.
Lynda Yates [+-]
Department of Linguistics Macquarie University
Associate Professor Head of Department Linguistics


Much of the professional communication that takes place in hospitals involves members of different professional groups sharing clinical information. This is a crucial element of surgical practice, where surgeons and resident medical/surgical staff need to be able to communicate effectively with other health professionals to achieve optimal patient care outcomes, particularly in the post-operative phase. This chapter focuses on a clinical handover scenario involving a paediatric surgical case. In a series of role-played interactions, six medical practitioners with different levels and types of experience assumed the role of a resident hospital doctor receiving handover information from a registered nurse. Drawing on the concept of interactive framing in discourse (cf. Goffman 1974; Tannen 1993), analysis focuses on the ways in which doctors’ expectations and perceptions of team-based versus individual practice affect the way in which they approach the handover. Findings highlight the potential for effective clinical communication in cases where doctor and nurse share similar perceptions of their respective roles and responsibilities, as well as the potential for conflict and misunderstanding where mismatches exist in the ways in which the two professionals ‘frame’ the handover interaction. It is argued that an understanding of the ways in which such encounters are framed has important practical applications in the design of communication training and professional development programs in surgical practice. The ways in which the findings can be practically applied are outlined in detail.

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Roger, Peter ; Dahm, Maria; Cartmill, John ; Yates, Lynda. Chapter 14 Inter-Professional Clinical Handovers in Surgical Practice. Communication in Surgical Practice. Equinox eBooks Publishing, United Kingdom. p. 333-354 Mar 2016. ISBN 9781781790502. Date accessed: 15 May 2021 doi: 10.1558/equinox.26414. Mar 2016

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