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Professionals’ embodied orientations towards patients in discharge planning meetings and their impact on patient participation


 
Dublin Core PKP Metadata Items Metadata for this Document
 
1. Title Title of document Professionals’ embodied orientations towards patients in discharge planning meetings and their impact on patient participation - Teamwork and Team Talk
 
2. Creator Author's name, affiliation, country Sara Keel; HESAV, University of applied health sciences, Lausanne, Switzerland; Switzerland
 
2. Creator Author's name, affiliation, country Veronika Schoeb
 
3. Subject Discipline(s) Linguistics;
 
4. Subject Keyword(s) team-talk; discourse; conversation analysis; discharge planning; interdisciplinary meetings; rehabilitation; patient participation; professionals’ embodied orientation
 
6. Description Abstract To enhance the patient’s involvement, clinical guidelines on rehabilitation require the patient’s participation in the entire rehabilitation process, including discharge planning (DP). However, very little is known about how this institutional demand is actually dealt with in everyday clinical practice. Adopting a conversation analytic (CA) approach, our paper tackles the matter by looking at interdisciplinary entry meetings (IEMs) at a rehabilitation clinic in German-speaking Switzerland. Our study is based on audio-visual recordings of 11 IEMs, whose central aim is to formulate patients’ rehabilitation goals and to plan their discharge. The paper offers a detailed analysis of the embodied practices through which healthcare professionals seek to involve patients in the IEMs, and also investigates patients’ responses. Our analysis shows that, although carefully elaborated, the professionals’ practices do not elicit more than reactive patient participation. The paper argues that this is due to (1) the practices’ temporal positioning within the overall activity structure of the meeting – they are deployed when no important decision is at stake, projecting minimal patient participation on the phases in which decisions are taken – and (2) the actions the practices project on the next turn: confirmation, acknowledgement or ratification of what has previously been proposed by professionals.
 
7. Publisher Organizing agency, location Equinox Publishing Ltd
 
8. Contributor Sponsor(s)
 
9. Date (YYYY-MM-DD) 01-Jun-2025
 
10. Type Status & genre Peer-reviewed Article
 
11. Type Type
 
12. Format File format PDF
 
13. Identifier Uniform Resource Identifier https://journals.equinoxpub.com/index.php/books/article/view/46087
 
14. Identifier Digital Object Identifier 10.1558/equinox.46087
 
15. Source Journal/conference title; vol., no. (year) Equinox eBooks Publishing; Teamwork and Team Talk
 
16. Language English=en en
 
18. Coverage Geo-spatial location, chronological period, research sample (gender, age, etc.)
 
19. Rights Copyright and permissions Copyright 2014 Equinox Publishing Ltd