Opening up space for compassion in nurses’ handover meetings
DOI:
https://doi.org/10.1558/cam.38920Keywords:
communities of practice, compassion talk, data-led analysis, handovers, non-scripted talk, patient safetyAbstract
In this paper, we complement research into compassion in medical contexts with an analysis of the representation of patients in nursing handovers and the ways in which such practitioner–practitioner interaction can be said to demonstrate and evoke feelings of compassion towards patients. We label such representation as ‘Compassion Talk’ and suggest that potentially it can complement the information given as part of the standard format for handovers. The analysis is based on instances of non-scripted talk (NST) from three nursing handover meetings from a highly performing Medical Assessment Unit in the UK. In a data-led qualitative analysis, we find that within NST patients are represented in terms that not only make nurses’ actions to alleviate their suffering seem possible and necessary, but that also highlight their shared humanity and position the patients as if they are members of the nurses’ wider social group. We further demonstrate how NST can be successfully managed by experienced nursing staff and suggest, therefore, that handovers can function not only to pass on information accurately and concisely, but also as a space for nurses to regroup as a community of practice and to relate to their patients in human terms, as a defining principle of the profession.
References
Atkins, Sarah and Celia Roberts (2018) Assessing institutional empathy in medical settings. Journal of Applied Linguistics and Professional Practice 13 (1–3): 11–33. https://doi.org/10.1558/japl.31861
Bilandzic, Helena (2006) The perception of distance in the cultivation process: A theoretical consideration of the relationship between television content, processing experience and perceived distance Communication Theory 16 (3): 333–355. https://doi.org/10.1111/j.1468-2885.2006.00273.x
Bomba, David T. and Robert Prakash (2005) A description of handover processes in an Australian public hospital Australian Health Review 29 (1): 68–70. https://doi.org/10.1071/AH050068
Budd, Henry R., Lawrence M. Almond and Keith Porter (2007) A survey of trauma alert criteria and handover practice in England and Wales Emergency Medicine Journal 24 (4): 302–304. https://doi.org/10.1136/emj.2006.038323
Campbell, Denis (2013) Mid Staffs hospital scandal: the essential guide. The Guardian, 6 February. Available online: https://www.theguardian.com/society/2013/feb/06/mid-staffs-hospital-scandal-guide
Candlin, Sally and Christopher N. Candlin (2007) Nursing through time and space: Some challenges to the construct of community of practice. In Rick Iedema (ed.) The Discourse of Hospital Communication: Tracing Complexities in Contemporary Health Care Organizations, 244–267. Basingstoke, UK: Palgrave. https://doi.org/10.1057/9780230595477_12
Chambers, Claire and Elaine Ryder (2016) Compassion and Caring in Nursing. London: Routledge.
Durkin, Mark, Russell Gurbutt and Jerome Carson (2018) Qualities, teaching, and measurement of compassion in nursing: A systematic review. Nurse Education Today 63: 50–58. https://doi.org/10.1016/j.nedt.2018.01.025
Eggins, Suzanne and Diana Slade (2012) Clinical handover as an interactive event: Informational and interactive communication strategies in effective shift-change handovers. Communication and Medicine 9 (3): 215–227. https://doi.org/10.1558/cam.v9i3.215
Francis, Robert (2013) Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry. London: HMSO. https://doi.org/10.1111/tme.12032
Iedema, Rick (2007) Communicating hospital work. In Rick Iedema (ed.) The Discourse of Hospital Communication: Tracing Complexities in Contemporary Health Care Organizations, 1–17. Basingstoke, UK: Palgrave. https://doi.org/10.1057/9780230595477_1
Lloyd, Harriet (2016) Pity, mass media and social scales. In Jaspal N. Singh, Argyro Kantara and Dorottya Cserzo (eds) Downscaling Culture, 225–279. Newcastle: Cambridge Scholars.
Lloyd, Harriet (2018) The myth of giving as good: Charitable giving represented as an end in itself. Discourse, Context and Media 25: 122–131. https://doi.org/10.1016/j.dcm.2018.04.005
Pounds, Gabrina, Charlotte Salter, Mary Jane Platt and Pauline Bryant (2017) Developing a new empathy-specific admissions test for applicants to medical schools: A discourse-pragmatic approach. Communication and Medicine 14 (2): 165–180. https://doi.org/10.1558/cam.31522
Royal College of Psychiatrists (2015) Compassion in Care: Ten Things You Can Do To Make a Difference. Faculty Report GAP/02. London: Royal College of Psychiatrists. Available online: https://www.rcpsych.ac.uk/docs/default-source/members/faculties/general-adult-psychiatry/general-adult-fr-gap-02-compassionate-care.pdf
Straughair, Colette, Amanda Clarke and Alison Machin (2019) A constructivist grounded theory study to explore compassion through the perceptions of individuals who have experienced nursing care. Journal of Advanced Nursing 75 (7): 1527–1538. https://doi.org/10.1111/jan.13987
Sweeney, Cynthia Divens (2018) Compassion: A critical link in extraordinary care for patients and families. Journal of Nursing Administration 48 (10): 471–473. https://doi.org/10.1097/NNA.0000000000000653
Thakore, Shobhan and William Morrison (2001) A survey of the perceived quality of patient handover by ambulance staff in the resuscitation room. Emergency Medical Journal 18 (4): 293–296. https://doi.org/10.1136/emj.18.4.293
Wenger, Étienne (1998) Communities of Practice: Learning, Meaning, and Identity. Cambridge: Cambridge University Press. https://doi.org/10.1017/CBO9780511803932
Ylänne, Virpi, Michelle Aldridge-Waddon, Tereza Spilioti and Tom Bartlett (under review) A Critical evaluation of multiple roles and goals in shift-change nursing handovers. A case study: ‘We do a lot really, don’t we?’
Published
Issue
Section
License
copyright Equinox Publishing Ltd.