Teamwork and Team Talk - Decision-making across the Boundaries in Health and Social Care - Srikant Sarangi

Teamwork and Team Talk - Decision-making across the Boundaries in Health and Social Care - Srikant Sarangi

Contrasting discourse styles and barriers to patient participation in bedside nursing handovers

Teamwork and Team Talk - Decision-making across the Boundaries in Health and Social Care - Srikant Sarangi

Suzanne Eggins [+-]
University of Technology Sydney
Faculty of Arts and Social Sciences
Diana Slade [+-]
Australian National University
Diana Slade is Professor of Applied Linguistics, School of Literature, Languages and Linguistics. She is also Director of the ANU Institute of Communication in Health Care. Her major publications include Communicating in Hospital Emergency Departments (co-authored, Springer), Effective Communication in Clinical Handover: from Research to Practice (co-edited with S. Eggins and F. Geddes), and Analysing Casual Conversation (with S. Eggins, Equinox Publishing).

Description

This paper applies qualitative discourse analysis to ‘shift-change handovers’, events in which nurses hand over care for their patients to their colleagues. To improve patient safety, satisfaction and inclusion, hospitals increasingly require nursing staff to hand over at the patient’s bedside, rather than in staff-only areas. However, bedside handover is for many a new and challenging communicative practice. To evaluate how effectively nurses achieve bedside handover, we observed, audio-recorded and transcribed nursing shift-change handovers in a short stay medical ward at an Australian public hospital. Drawing on discourse analysis influenced by systemic functional linguistics we identify four handover styles: exclusive vs inclusive and objectifying vs agentive. The styles capture interactional/interpersonal meaning choices associated with whether and how nurses include patients during handover, and informational/ideational meaning choices associated with whether or not nurses select and organise clinical information in ways that recognise patients’ agency. We argue that the co-occurrence of inclusive with agentive and exclusive with objectifying styles demonstrates that how nurses talk about their patients is powerfully influenced by whether and how they also talk to them. In noting the continued dominance of exclusive objectifying styles in handover interactions, we suggest that institutional change needs to be supported by communication training.

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Citation

Eggins, Suzanne; Slade, Diana. Contrasting discourse styles and barriers to patient participation in bedside nursing handovers. Teamwork and Team Talk - Decision-making across the Boundaries in Health and Social Care. Equinox eBooks Publishing, United Kingdom. Jun 2025. ISBN 9781845539054. https://www.equinoxpub.com/home/view-chapter/?id=46086. Date accessed: 09 Dec 2024 doi: 10.1558/equinox.46086. Jun 2025

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