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- Hedberg, Berith, et al.
(författare)
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Care-planning meetings with stroke survivors : Nurses as moderators of the communication
- 2007
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Ingår i: Journal of Nursing Management. - : Hindawi Limited. - 0966-0429 .- 1365-2834. ; 15:2, s. 214-221
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: Stroke survivors often have communicative disabilities. They should, however, be involved when decisions are made about their care treatment. Aim: To explore and describe how nurses act as moderators of the communication in cooperative care-planning meetings and what kind of participant status the patients achieve in this type of multi-party talk. Method: Thirteen care-planning meetings were audio-recorded and transcribed. Nurses, social workers and stroke survivors were the main participants for the meetings. A coding scheme was created and three main categories were used for the analysis: pure utterance types, expert comments (EC) and asymmetries. Results: The nurses never invited the patients to tell their own versions without possible influence from them. Mostly the nurses gave ECs. The nurses acted as the patients' advocates by talking for or about them. They rarely supported the patients' utterances. Conclusion: There is an urgent need for nurses to learn how to involve the patients in the communicative process about their treatment. Assessment of the patients' communicative abilities before the care-planning meetings as well as knowledge about how to invite them can improve the patients' participant status. © 2007 The Authors. Journal compilation 2007 Blackwell Publishing Ltd.
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- Johanson, Marita, 1945-
(författare)
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Communicating about health in health care : Perspectives on life style and post-operative complications
- 1994
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- This study, which is exploratory in nature, has been conducted with the aim of uncovering patients' participation and co-operation in modern health care and analysing what the conditions of this co-operation look like. Another aim has been to enhance knowledge about institutional discourse on a general level as well as about dialogues between patients and physicians concerning life style issues at a more specific level. Byanalysing the contributions of patients and professionals to written and oral communication produced in health care, the intention has been to study differences in how patients and professionals talk about and interpret issues of health in consultations as well as in their evaluation of health care measures. Another problem concerns the attention given tolife style in primary health care dialogues and how such issues are discussed and utilised by the interlocutors; for example, how knowledge of life style generated in the encounter is used as a resource for improving patient health status.In the theoretical background, it is argued that institutional encounters can be seen as discursive practices involving people who vary in communicative power and expertise. Furthermore, this kind of complex setting is in many ways a characteristic of modern society. The dominance of professionals, who represent specific knowledge, can be seen as a manifestation of the discourse in health care, and it is to this discursive regimen that patients as well as physicians adhere.The thesis is based on three projects which have generated four substudies included in this thesis. Three of the studies focus on patient-professional communication about life style issues, where the empirical data consist of 42 authentic consultations with physicians at two primary health care centres. The consultations as well as the subsequentinterviews with patients and physicians, respectively were audiorecorded. The recorded material was transcribed and, furthermore, the notes in the medical records were collected. The fourth study concerns perceptions of complications among patients and health care staff. The data concerning the patients' view have been collected using a threemonth follow-up questionnaire. Data concerning complications have been registered byprofessionals during hospitalisation.Throughout the four studies, the differences between patients' and professionals' perspectives are clearly visible, findings which corroborate the existence in institutionalised medical practice of distinct differences between the 'voice of medicine' and a the 'voice of the life-world'. As regards patients' participation and co-operation in health care, dialogues on life style show. that the patients and the physicians shared the discourse space equally, although, in the literature about doctor-patient communication, physicians have generally been shown to be quite dominant during consultations. The results from the different substudies show, however, that communication about life style is used for many purposes. Despite the frequent talk of life style issues, the physicians seem not to use the educational potential at hand in order to improve the patient's knowledge about possible relationships between different life style issues and the patient's health condition. This issue, amorig others, is discussed in the light of modern society as a society of 'choices' and 'risks'. Hence, the distribution· of knowledge becomes especially important in a risk society where health and medical knowledge has become the main instrument for determining risks.
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- Johansson Bunting, Leona, 1970-, et al.
(författare)
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Learning film production
- 2014
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Ingår i: Journal of Workplace Learning. - 1366-5626 .- 1758-7859. ; 26:5, s. 296-309
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Tidskriftsartikel (refereegranskat)abstract
- Purpose – The purpose of this study is to contribute knowledge about learning linked to the film industry by investigating how film producers reason about learning for and in the profession. Design/methodology/approach – This study is based on semi-structured interviews with twenty film producers, both university and workplace trained (UWT) and workplace trained (WT). The content analysis is based on the transcribed dialogues. The study is empirical, explorative and qualitative.Findings – The interviewees consider networks to be of utmost importance for gaining entrance to and continuously finding work in the film industry. They also reason about required knowing and what learning practices are available. Although formal education is not advocated by all, it can hold intrinsic value for the individual. Traditions of learning are being scrutinized and critical reflection is replacing naivety and emotionality.Practical implications – Different aims regarding learning in the formal education system and film industry result in a gap which needs to be bridged in order to challenge conserving and reproducing patterns of learning. Collaboration is suggested as a solution benefiting both the individual learner and the film industry. The resulting knowledge from this study can be used by the formal education system and the film industry when developing forms for collaboration surrounding learners of film production. Originality/value – The focus presented in this paper of learning in and for film production has been sparingly addressed in previous research.
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