Framing trauma leaders’ request in emergency care interactions
A multimodal analysis using eye-tracking glasses
DOI:
https://doi.org/10.1558/cam.18248Keywords:
emergency care interaction, eye-tracking, frame, healthcare simulation, multimodality, requestAbstract
A team leader’s request is a crucial factor for successful team interaction to ensure patient safety in emergency care. This study examines how team leaders accomplish and frame immediate requests through language use and corresponding eye-movement patterns in emergency care simulation, focusing on when the team is led by a senior doctor (SD) and when it is led by a junior doctor (JD). The team included two foundation doctors, who are in their first two years in medical practice, two emergency department (ED) nurses and one ED expert. They were recorded undertaking separate simulated operations on a simulated patient, and the team leader wore eye-tracking glasses. Interactional linguistic and multimodal analyses of video, audio and eye-movement data revealed that SD made immediate requests to the team members with multimodal emphasis – i.e., gazed at the recipients and addressed them verbally, especially when asking for recipients’ actions – while JD often used only gaze in requesting such actions. Although our study has limitations in terms of the small size of the data, the findings nevertheless highlight that the leader’s requesting was framed and ascribed in the continuum from a question to an instruction through co-construction of joint action with recipients in the social interaction.
References
Adolphs, Svenja (2008) Corpus and Context: Investigating Pragmatic Functions in Spoken Discourse. Amsterdam: John Benjamins. https://doi.org/10.1075/scl.30
Adolphs, Svenja and Ronald Carter (2013) Spoken Corpus Linguistics: From Monomodal to Multimodal. London: Routledge. https://doi.org/10.4324/9780203526149
Adolphs, Svenja, Dawn Knight and Ronald Carter (2011) Capturing context for heterogeneous corpus analysis. International Journal of Corpus Linguistics 16 (3): 305–324. https://doi.org/10.1075/ijcl.16.3.02ado
Allwood, Jens, Maria Bjornberg, Leif Gronqvist, Elisabeth Ahlsen and Cajsa Ottesjo (2000) The spoken language corpus at the Department of Linguistics, Göteborg University. Forum Qualitative Sozialforschung / Forum: Qualitative Social Research 1 (3): Article 9. Available online: http://www.qualitative-research.net/index.php/fqs/article/view/1026/2215.
Auer, Peter (2018) Gaze, addressee selection and turn-taking in three-party interaction. In Geert Brône and Bert Oben (eds) Eye-Tracking in Interaction: Studies on the Role of Eye Gaze in Dialogue, 197–231. Amsterdam: John Benjamins. https://doi.org/10.1075/ais.10.09aue
Austin, John L. (1962) How To Do Things With Words. Oxford: Clarendon Press.
Baldry, Anthony and Paul J. Thibault (2006) Multimodal corpus linguistics. In Geoff Thompson and Susan Hunston (eds) System and Corpus: Exploring Connections, 164–183. London: Equinox.
Bateson, Gregory (2000) [1972] Steps to an Ecology of Mind. Chicago: University of Chicago Press.
Blum-Kulka, Shoshana (1989) Playing it safe: The role of conventionality in indirectness. In Shoshana Blum-Kulka, Juliane House and Gabriele Kasper (eds) Cross-Cultural Pragmatics: Requests and Apologies, 37–70. Norwood, NJ: Ablex.
Blum-Kulka, Shoshana, Juliane House and Gabriele Kasper (eds) (1989) Cross-Cultural Pragmatics: Requests and Apologies. Norwood, NJ: Ablex.
Brown, Penelope and Stephen C. Levinson (1987) Politeness: Some Universals in Language Usage. Cambridge: Cambridge University Press. https://doi.org/10.1017/CBO9780511813085
Candlin, Christopher N. and Jennifer Lucas (1986) Interpretations and explanations in discourse: Modes of ‘advising’ in family planning. In Titus Ensink, Arthur van Essen and Ton van der Greest (eds) Discourse Analysis and Public Life, 13–38. Dordrecht: Foris. https://doi.org/10.1515/9783110870497-002
Candlin, Sally (2002) Taking risks: An indicator of expertise? Research on Language and Social Interaction 35 (2): 173–193. https://doi.org/10.1207/S15327973RLSI3502_3
Couper-Kuhlen, Elizabeth (2014) What does grammar tell us about action? Pragmatics 24 (3): 623–647. https://doi.org/10.1075/prag.24.3.08cou
Couper-Kuhlen, Elizabeth and Margret Selting (2018) Interactional Linguistics: Studying Language in Social Interaction. Cambridge: Cambridge University Press. https://doi.org/10.1017/9781139507318
Deppermann, Arnulf (2013) Multimodal interaction from a conversation analytic perspective. Journal of Pragmatics 46 (1): 1–7. https://doi.org/10.1016/j.pragma.2012.11.014
Drew, Paul and Elizabeth Couper-Kuhlen (2014) Requesting – From speech act to recruitment. In Paul Drew and Elizabeth Couper-Kuhlen (eds) Requesting in Social Interaction, 1–34. Amsterdam: John Benjamins. https://doi.org/10.1075/slsi.26.01dre
ELAN (2001–2015) ELAN Linguistic Annotator. Version 4.8.1 Nijmegen, The Netherlands: Max Planck Institute for Psycholinguistics, The Language Archive.
Frankel, Richard M. (1983) The laying on of hands: Aspects of the organization of gaze, touch, and talk in a medical encounter. In Alexandra D. Todd and Sue Fisher (eds) The Social Organization of Doctor–Patient Communication, 19–54. Washington, DC: Center for Applied Linguistics.
Goffman, Erving (1974) Frame Analysis. London: Harper and Row.
Heath, Christian (1986) Body Movement and Speech in Medical Interaction. Cambridge: Cambridge University Press. https://doi.org/10.1017/CBO9780511628221
Heritage, John (2012) Epistemics in action: Action formation, sequence organization and territories of knowledge. Research on Language and Social Interaction 45 (1): 1–29. https://doi.org/10.1080/08351813.2012.646684
Knight, Dawn (2011) Multimodality and Active Listenership. London: Continuum.
Levinson, Stephen C. (2013) Action formation and ascription. In Jack Sidnell and Tanya Stivers 101–130. Chichester, UK: Blackwell. https://doi.org/10.1002/9781118325001.ch6
Mondada, Lorenza (2013) Interactional space and study of embodied talk-in-interaction. In Peter Auer, Martin Hilpert, Anja Stukenbrock and Benedikt Szmrecsanyi (eds) Space in Language and Linguistics: Geographical, Interactional and Cognitive Perspectives, 247–275. Berlin: Walter de Gruyter.
Mondada, Lorenza (2014) Instructions in the operating room: How the surgeon directs their assistant’s hands. Discourse Studies 16 (2): 131–161. https://doi.org/10.1177/1461445613515325
Sarangi, Srikant (2000) Activity types, discourse types and interactional hybridity: The case of genetic counselling. In Srikant Sarangi and Malcolm Coulthard (eds) Discourse and Social Life, 1–27. Harlow, UK: Longman. https://doi.org/10.4324/9781315838502-1
Searle, John R. (1969) Speech Acts: An Essay in the Philosophy of Language. Cambridge: Cambridge University Press. https://doi.org/10.1017/CBO9781139173438
SMI (2017) SMI ETG2. Teltow: SensoMotoric Instruments GmbH.
Tannen, Deborah and Cynthia Wallat (1983) Doctor/mother/child communication: Linguistic analysis of a pediatric interaction. In Alexandra D. Todd and Sue Fisher (eds) The Social Organization of Doctor-Patient Communication, 203–219. Washington, DC: Center for Applied Linguistics.
Tomasello, Michael (1999) The Cultural Origins of Human Cognition. Cambridge, MA: Harvard University Press.
Tsuchiya, Keiko (2013) Listenership Behaviours in Intercultural Encounters: A Time-aligned Multimodal Corpus Analysis. Amsterdam: John Benjamins. https://doi.org/10.1075/pbns.236
Walker, Traci S. and Paul Drew (2008) Contingency and action: A comparison of two forms of requesting. Research on Language and Social Interaction 41 (2): 129–153. https://doi.org/10.1080/08351810802028613
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