TY - JOUR
T1 - “Let’s Sit Forward”
T2 - Investigating Interprofessional Communication, Collaboration, Professional Roles, and Physical Space at EmergiCare
AU - Dean, Marleah
AU - Gill, Rebecca
AU - Barbour, Joshua B.
N1 - Publisher Copyright:
© 2016 Taylor & Francis.
PY - 2016/12/1
Y1 - 2016/12/1
N2 - Communication is key to hospital emergency department (ED) caregiving. Interventions in ED processes (and health care organizing in general) have struggled when they have ignored the professional role expectations that enable and constrain providers with patients and each other. Informed by a communication as design (CAD) approach, this study explored the intersections of professional roles, physical space, and communication at EmergiCare—an academic medical center and level-1 trauma center hospital. Based on an ethnographic analysis of field notes from 70 hours of shadowing at the EmergiCare ED, this study identified two specific communication patterns, “case talk” and “comfort talk,” that reflect different logics for communication in health care organizing. The findings indicate (a) that case and comfort talk have different status and therefore different influence in EmergiCare ED interprofessional communication and (b) that the arrangement of physical space at EmergiCare ED reflects the requirements of case talk more so than comfort talk. These findings have important implications for theory and practice, including the importance of considering the macro-discursive construction of professional roles reified in the arrangement of work space.
AB - Communication is key to hospital emergency department (ED) caregiving. Interventions in ED processes (and health care organizing in general) have struggled when they have ignored the professional role expectations that enable and constrain providers with patients and each other. Informed by a communication as design (CAD) approach, this study explored the intersections of professional roles, physical space, and communication at EmergiCare—an academic medical center and level-1 trauma center hospital. Based on an ethnographic analysis of field notes from 70 hours of shadowing at the EmergiCare ED, this study identified two specific communication patterns, “case talk” and “comfort talk,” that reflect different logics for communication in health care organizing. The findings indicate (a) that case and comfort talk have different status and therefore different influence in EmergiCare ED interprofessional communication and (b) that the arrangement of physical space at EmergiCare ED reflects the requirements of case talk more so than comfort talk. These findings have important implications for theory and practice, including the importance of considering the macro-discursive construction of professional roles reified in the arrangement of work space.
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U2 - 10.1080/10410236.2015.1089457
DO - 10.1080/10410236.2015.1089457
M3 - Article
C2 - 27093130
AN - SCOPUS:84964336270
SN - 1041-0236
VL - 31
SP - 1506
EP - 1516
JO - Health communication
JF - Health communication
IS - 12
ER -