Exploring power relations embedded in medication communication processes on general medical wards
Bibliographic Data
| ID | 12645707 |
|---|---|
| Authors | Wei Liu (0000-0002-5949-0302, Melbourne Health, corresponding author), Elizabeth Manias (0000-0002-3747-0087, The Royal Melbourne Hospital), Marie Gerdtz (0000-0002-2100-994X, Melbourne Health) |
| Year | 2014 |
| Volume | 14 |
| Issue | 2 |
| Pages | 161-178 |
| Publication date | 2014-07-08 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Qualitative Research Journal (JOURNAL) |
| Journal identifiers | ISSN: 1443-9883 • E-ISSN: 1448-0980 |
| Publisher | Emerald Publishing Limited (PUBLISHER • GB) |
| DOI | 10.1108/qrj-06-2013-0041 |
| OpenAlex | W1976423420 |
| Language | EN |
| Citations received | 2 |
| References cited | 20 |
Purpose – The purpose of this paper is to examine power relations embedded in verbal and non-verbal medication communication processes that involve nurses, doctors, pharmacists and patients in two general medical wards of an acute care hospital. Design/methodology/approach – This paper reports on the findings of an ethnographic study investigating medication communication processes in hospital spatial environments. It was theoretically informed by the work of Norman Fairclough. Data collection methods comprising video-recordings and video reflexive focus groups were employed. Fairclough's critical discourse analytic framework guided data analysis. Findings – Four different forms of power relations between clinician-patient, nurse-doctor, clinician-organisation and multidisciplinary interactions were uncovered. Nurses asserted their professional autonomy when communicating with doctors about medications by offering specific advice on medical prescribing and challenging medication decisions. Video reflexivity enabled nurses to critically examine their contribution to medication decision-making processes. Clinicians of different disciplines openly contested the organisational structure of patient allocation during medical discussions about management options. Clinicians of different disciplines also engaged in medication communication interchangeably to accomplish patient discharge. Originality/value – An investigation of existing power relations embedded in medication communication processes within specific clinical contexts can lead to a better understanding of medication safety practices. Video reflexive focus groups are helpful in encouraging clinicians to reflect on their practice and consider ways in which it could be improved in how power relations are played out
Autonomy · Focus group · Medical education · Multidisciplinary approach · Originality · Power (physics · Reflexivity · Sociology · Value (mathematics · Computer Science · Interpreting and Communication in Healthcare · Language, Discourse, Communication Strategies · Medicine · Nursing · Patient-Provider Communication in Healthcare · Psychology · Social Psychology
Discourse Analysis as Theory and Method
Critical Ethnography
The Sage Dictionary of Qualitative Inquiry
The Doctor-Nurse Game
Discourse and social change
Doing Visual Ethnography
Video Research in Health
The effects of physical environments in medical wards on medication communication processes affecting patient safety
Critical Ethnography
"Patient counselling" by pharmacists
Reshaping ICU Ward Round Practices Using Video-Reflexive Ethnography
How and where clinicians exercise power
Medication communication during ward rounds on medical wards
| Unique citing works | 2 |
|---|---|
| Citations per year | 0.33 |
| Citation span | 2020 - 2024 (5) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 2 |