A New Structure of Attention

Open Disclosure of Adverse Events to Patients and Their Families

Dados Bibliográficos

ID2350263
AutoresRick Iedema (0000-0001-6792-1048, University of Technology Sydney, autor correspondente), Christine Jorm (0000-0001-8338-3630, Australian Commission on Safety and Quality in Health Care), John Wakefield (Queensland Health), Cherie Ryan (Queensland Health), Ros Sorensen (University of Technology Sydney)
Ano2009
Volume28
Fascículo2
Páginas139-157
Data de publicação2009-06-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoJournal of Language and Social Psychology (JOURNAL)
Identificadores do periódicoISSN: 0261-927X • E-ISSN: 1552-6526
EditoraSAGE Publications Inc (PUBLISHER)
DOI10.1177/0261927x08330614
OpenAlexW2102617259
IdiomaEN
Citações recebidas2
Referências citadas19

This article presents an inquiry into how clinicians realize a health policy reform initiative called Open Disclosure. Open Disclosure mandates that discussions with patients/family and team staff about "adverse events" are now no longer ad hoc, individualized, and without consequences for how the work is done, but planned, collaborative, and leading to systems change. The article presents an empirical analysis of a corpus of interviews about the impact of Open Disclosure on clinicians' practices. It situates Open Disclosure in the context of arguments that health care workers are increasingly expected to do "emotional labor" with patients and their families, in that staff are advised to practise "reflexive listening" as a means of managing patients' and family members' emotions in response to incidents. The analysis suggests that thanks to the intensity of Open Disclosure interactions, clinicians may be introduced to an affective-interactive space that they were hitherto unaware of and unable to enter or attain what Nigel Thrift calls "a new structure of attention

Active listening · Health care · Political science · Psychotherapist · Public relations · Reflexivity · Sociology · Computer Science · Emotional Labor in Professions · Healthcare Systems and Challenges · Historical Psychiatry and Medical Practices · Psychology · Social Psychology