Opening up space for compassion in nurses’ handover meetings

Authors

  • Harriet Lloyd Cardiff University
  • Tom Bartlett University of Glasgow
  • Michelle Aldridge-Waddon Cardiff University
  • Tereza Spilioti Cardiff University
  • Virpi Ylänne Cardiff University

DOI:

https://doi.org/10.1558/cam.38920

Keywords:

communities of practice, compassion talk, data-led analysis, handovers, non-scripted talk, patient safety

Abstract

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.

Author Biographies

  • Harriet Lloyd, Cardiff University

    Harriet Lloyd gained her PhD from Cardiff University in 2017. Her doctoral project used multimodal discourse analysis to examine talk and television representations of disadvantage in the UK. She has since worked as a researcher in projects on television representations of elections, devolved politics and industrial disputes, as well as intercultural communication and nursing handovers. She has lectured and supervised research at Cardiff University, University of the West of England, Middlesex University and University College London. She currently works as a Welsh Government social researcher.

  • Tom Bartlett, University of Glasgow

    Tom Bartlett is Professor of Functional and Applied Linguistics at the University of Glasgow and Honorary Professor of Language and Communication Research at Cardiff University. His research interests are systemic functional linguistics and discourse analysis. He is the co-editor (with Gerard O’Grady) of The Routledge Handbook of Systemic Functional Linguistics (2017).

  • Michelle Aldridge-Waddon, Cardiff University

    Michelle Aldridge is Reader in Language and Communication at Cardiff University. Her research interests focus on the communicative abilities and experiences of vulnerable people including children and adults with a communication disorder. She has published widely in peer-reviewed journals such as Applied Linguistics Review, International Journal of Speech, Language and the Law, Text & Talk and WORD.

  • Tereza Spilioti, Cardiff University

    Tereza Spilioti is Reader in Language and Communication at Cardiff University. Her research interests focus on social interaction and discourse in media and professional communication. She has published widely in peer-reviewed journals (Applied Linguistics Review; Discourse, Context & Media, Pragmatics and World Englishes) and has edited collections such as The Routledge Handbook of Language and Digital Communication (2016, Routledge) and Style, Mediation, and Change: Sociolinguistic Perspectives on Talking Media (2017, Oxford University Press).

  • Virpi Ylänne, Cardiff University

    Virpi Ylänne is Senior Lecturer in Language and Communication at Cardiff University. Her research focuses on discourse, image and identity in areas of ageing as well as institutional talk. She has published widely in journals such as Discourse Studies, Journal of Sociolinguistics, Journal of Communication, Ageing and Society, Text and Talk and others, and edited Representing Ageing: Images and Identities (2012, Palgrave). She is currently preparing an edited volume on media and ageing.

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

2021-01-15

Issue

Section

Articles

How to Cite

Lloyd, H., Bartlett, T., Aldridge-Waddon, M., Spilioti, T., & Ylänne, V. (2021). Opening up space for compassion in nurses’ handover meetings. Communication and Medicine, 16(3), 224–237. https://doi.org/10.1558/cam.38920