TY - JOUR
T1 - The interactional consequences of 'empowering discourse' in intercultural patient education
AU - Crawford, Tonia
AU - Roger, Peter
AU - Candlin, Sally
PY - 2017/3
Y1 - 2017/3
N2 - Objective Patient education is an important part of nurses’ roles; however the inconsistent quality of communication skills, including those of registered nurses (RNs) from culturally and linguistically diverse (CALD) backgrounds, risk patient safety. Empowerment in patient education has been found to influence patients’ self-efficacy and participation in decision-making. Discourse analysis of a whole interaction is used in this paper to trace the consequences of patient education where empowering discourse is displayed by an RN from a CALD background. Methods Ethnographic techniques of participant observation and audio recordings of naturally occurring interactions between nurses from CALD backgrounds and their patients were conducted and analysed using interactional sociolinguistic (IS) and theme oriented discourse analytic approaches. Results The interactional consequences of the nurse's empowering approach are readily observable in the data. The RN addresses the patient's education needs through a respectful encounter that illustrates the patient's active involvement. Conclusion Examining the interactional consequences of empowering discourse demonstrates its effectiveness, and illustrates how empowering behaviour can be integrated into patient education, thus offering an alternative to traditional approaches. Practical implications Greater awareness of how to use empowering discourse will offer an alternative and consistent approach that enables nurses to facilitate patient-centred education.
AB - Objective Patient education is an important part of nurses’ roles; however the inconsistent quality of communication skills, including those of registered nurses (RNs) from culturally and linguistically diverse (CALD) backgrounds, risk patient safety. Empowerment in patient education has been found to influence patients’ self-efficacy and participation in decision-making. Discourse analysis of a whole interaction is used in this paper to trace the consequences of patient education where empowering discourse is displayed by an RN from a CALD background. Methods Ethnographic techniques of participant observation and audio recordings of naturally occurring interactions between nurses from CALD backgrounds and their patients were conducted and analysed using interactional sociolinguistic (IS) and theme oriented discourse analytic approaches. Results The interactional consequences of the nurse's empowering approach are readily observable in the data. The RN addresses the patient's education needs through a respectful encounter that illustrates the patient's active involvement. Conclusion Examining the interactional consequences of empowering discourse demonstrates its effectiveness, and illustrates how empowering behaviour can be integrated into patient education, thus offering an alternative to traditional approaches. Practical implications Greater awareness of how to use empowering discourse will offer an alternative and consistent approach that enables nurses to facilitate patient-centred education.
KW - discourse analysis
KW - empowerment
KW - intercultural communication
KW - patient education
UR - http://www.scopus.com/inward/record.url?scp=85008869267&partnerID=8YFLogxK
UR - https://ulrichsweb.serialssolutions.com/title/1507170202828/82131
U2 - 10.1016/j.pec.2016.09.017
DO - 10.1016/j.pec.2016.09.017
M3 - Article
C2 - 27743732
AN - SCOPUS:85008869267
SN - 0738-3991
VL - 100
SP - 495
EP - 500
JO - Patient Education and Counseling
JF - Patient Education and Counseling
IS - 3
ER -