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Care-planning meetings with stroke survivors: Nurses as moderators of the communication
Göteborg University, Sahlgrenska Academy, Institute of Health Care Pedagogics.
Linköping University, Department of Behavioral Sciences.
University West, Administration .
2007 (English)In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 15, no 2, p. 214-221Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
2007. Vol. 15, no 2, p. 214-221
Keywords [en]
Care planning, Multi-party talk, Non-person, participation, Stroke survivors, aged, article, authority, cerebrovascular accident, cooperation, female, group process, health personnel attitude, health service, human, interpersonal communication, male, methodology, middle aged, nurse attitude, nursing, nursing assessment, nursing methodology research, organization and management, patient advocacy, patient care, patient care planning, patient participation, psychological aspect, recording, survivor, Sweden, Aged, Aged, 80 and over, Attitude of Health Personnel, Authoritarianism, Cerebrovascular Accident, Communication, Cooperative Behavior, Female, Group Processes, Health Services Needs and Demand, Helping Behavior, Humans, Male, Middle Aged, Nurse's Role, Nursing Assessment, Nursing Methodology Research, Patient Advocacy, Patient Care Planning, Patient Care Team, Patient Participation, Survivors, Tape Recording
National Category
Nursing
Research subject
Nursing and public health science , Nursing science
Identifiers
URN: urn:nbn:se:hv:diva-1809DOI: 10.1111/j.1365-2834.2007.00619.xISBN: 09660429 (print)OAI: oai:DiVA.org:hv-1809DiVA, id: diva2:249038
Available from: 2009-10-09 Created: 2009-10-08 Last updated: 2017-12-13Bibliographically approved

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