Journal of Applied Linguistics and Professional Practice, Vol 13, No 1-3 (2016)

Endpiece: Extending ‘presencing’ in the context of enhancing patient wellbeing in nursing care

Sally Candlin, Christopher N. Candlin
Issued Date: 31 Dec 2018

Abstract


Drawing on a single narrative of the experience of an expert nurse engaging with a patient who is approaching the end of life, this paper examines how critical moments in the crucial site of engagement were discursively and collaboratively managed. The discussion makes salient the holistic understanding of the interactional context, this understanding being captured in the construct of ‘presencing’ as key to contributing to the accounting for nursing expertise. Presencing is embedded firmly here in communication and nursing discourse, which in turn is key to nursing practice. Emphasis must then be placed on the preparation to which novice nurses are exposed, and foremost is communication within the nursing curriculum for students preparing for practice and also within postgraduate in-service programs. Presencing of itself is not necessarily “taught” formally, but is often modeled, as are many other professional behaviours, in the practice of expert nurses. However a firm grounding in the understanding of discourse practices will equip the nurse to have a better awareness of the nature of presencing since we argue that used strategically, it is firmly grounded in discourse. Central to nursing and discourse practices demonstrated by the expert nurse, is her sensitivity to, and understanding of the patient’s needs and exemplified in the appropriate use of presencing.

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DOI: 10.1558/japl.32566

References


Auerbach, E. R. and Wallerstein, N. (1987) ESL for Action: Problem Posing at Work. Menlo Park, CA: Addison-Wesley.

Benner, P. (1984) From Novice to Expert. Menlo Park, CA: Addison Wesley.

Benner, P. and Wrubel, J. (1989) The Primacy of Caring. Menlo Park, CA: Addison Wesley.

Buber, M. (2002 [1947]) ‘Dialogue’, in M. Buber (trans. R. Gregor-Smith) Between Man and Man, 1–45. London: Routledge .

Candlin, C. N. (1987) What happens when applied linguistics goes critical? In R. Steele and T. Threadgold (eds) Learning, Keeping and Using Language: Language Topics Volume 2. Proceedings of the 1987 AILA Congress, 461–486. Amsterdam: John Benjamins.

Candlin, C. N. (2002) Research and Practice in Professional Discourse. Hong Kong: City University of Hong Kong Press.

Candlin, S. (1997a) Primary health care: Direction for nursing practice and teaching. Asian Journal of Nursing Studies 3 (1): 15–22.

Candlin, S. (1997b) Towards Excellence in Nursing: An Analysis of the Discourses of Nurses and Patients in the Context of Health Assessments. Unpublished doctoral dissertation, University of Lancaster, Lancaster.

Candlin, S. (2008) Therapeutic Communication: A Lifespan Approach. Frenchs Forest, NSW: Pearson Education Australia.

Candlin, S. and Candlin C. N. (2013) Presencing in the context of enhancing patient well-being in nursing care. In H. Hamilton and S. Chou (eds) Handbook of Language & Health Communication, 59–78. London: Routledge.

Candlin, S. and Roger, P. (2013) Communication and Professional Relationships in Healthcare Practice. Sheffield: Equinox.

Cicourel, A. (1973) Cognitive Psychology. Harmondsworth, UK: Penguin.

Cicourel, A. (1992) The interpenetration of communicative contexts: Examples from medical encounters. In A. Duranti and C. Goodwin (eds) Rethinking Context: Language as an Interactive Phenomenon, 291–310. Cambridge: Cambridge University Press.

Cicourel, A. (1996) Ecological validity and ‘white room effects’: The interaction of cognitive and cultural models in the pragmatic analysis of elicited narratives from children. Pragmatics and Cognition 4 (2): 221–264. https://doi.org/10.1075/pc.4.2.04cic

Cicourel, A. (2007) A personal, retrospective view of ecological validity. Text & Talk 27 (5–6): 735–752. https://doi.org/10.1515/TEXT.2007.033

Dubos, R. (2006 [1978]) Health and creative adaptation. In P. Illingworth and W. E. Parmet (eds) Ethical Health Care, 19–25. London: Routledge.

Fairclough, N. L. (1992) Discourse and Social Change. Cambridge: Polity.

Fredriksson, L. (1999) Modes of relating in a caring conversation: A research synthesis on presence, touch and listening. Journal of Advanced Nursing 30 (5): 1167–1176. https://doi.org/10.1046/j.1365-2648.1999.01192.x

Gibson, J. J. (1977) The theory of affordances. In R. Shaw and J. Bransford (eds) Perceiving, Acting, and Knowing: Toward an Ecological Psychology, 67–82. Hillsdale, NJ: Lawrence Erlbaum.

Heidegger, M. (1977 [1927]) Sein und Zeit [Being and Time]. Gesamtausgabe I.2. Frankfurt am Main: Vittorio Klostermann.

Kato, S. and Mynard, J. (2016) Reflective Dialogue: Advising in Language Learning. New York: Routledge.

Lave, J. and Wenger, E. (1991) Situated Learning: Legitimate Peripheral Participation. Cambridge: Cambridge University Press. https://doi.org/10.1017/CBO9780511815355

McFarlane, [J.] (1981) Spiritual care. Contact 73 (4): 14–16. https://doi.org/10.1080/13520806.1981.11759464

Mishler, E. (1984) The Discourse of Medicine: Dialectics of Medical Interviews. Norwood, NJ: Ablex Publishing Company.

Owen-Mills, V. (1998) Presencing in practice: Utilising the core of the caring process. Australian Journal of Holistic Nursing 5 (1): 4–5.

Pederson, C. (1993) Presence as a nursing intervention with hospitalized children. Maternal-Child Nursing Journal 21 (3): 75–81.

Sarangi, S. (2016) Activity types, discourse types and role types: Interactional hybridity in professional-client encounters. In D. R. Miller and P. Bayley (eds) Hybridity in Systemic Functional Linguistics: Grammar, Text and Discursive Context, 154–177. Sheffield: Equinox.

Sarangi, S. and Candlin, C. N. (2003) Editorial: Categorization and explanation of risk: A discourse analytical perspective. Health Risk and Society 5 (2): 115–124. https://doi.org/10.1080/1369857031000123902

Scollon, R. (1998) Mediated Discourse as Social Interaction: The Study of News Discourse. London: Longman.

Scollon, R. (2001) Mediated Discourse: The Nexus of Practice. London: Routledge. https://doi.org/10.4324/9780203420065

Walsh, K. M. (2009) Disciplined Silence: A Focused Ethnography of Exemplary Emergency Nursing Practice. Unpublished doctoral dissertation, University of Connecticut, Hartford.

Wertsch, J. V. (1991) Voices of the Mind: A Sociocultural Approach to Mediated Action. Cambridge, MA: Harvard University Press.

Wertsch, J. V. (1994) The primacy of mediated action in socio-cultural studies. Mind, Culture & Activity 1 (4): 202–208.

Zerwekh, J. V. (1997) The practice of presencing. Seminars in Oncology Nursing 13 (4): 260–262. https://doi.org/10.1016/S0749-2081(97)80022-8


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