Access the full text.
Sign up today, get DeepDyve free for 14 days.
R. Riley, Rowena Forsyth, E. Manias, R. Iedema (2007)
Whiteboards: mediating professional tensions in clinical practice.Communication & medicine, 4 2
D. Boutain (1999)
Critical language and discourse study: their transformative relevance for critical nursing inquiry.ANS. Advances in nursing science, 21 3
Wei Liu, E. Manias, M. Gerdtz (2014)
The effects of physical environments in medical wards on medication communication processes affecting patient safety.Health & place, 26
A. Spinewine, C. Swine, S. Dhillon, B. Franklin, P. Tulkens, L. Wilmotte, V. Lorant (2005)
Appropriateness of use of medicines in elderly inpatients: qualitative studyBMJ : British Medical Journal, 331
A. Pilnick (2003)
"Patient counselling" by pharmacists: four approaches to the delivery of counselling sequences and their interactional reception.Social science & medicine, 56 4
Thomas Schwandt (2001)
The SAGE Dictionary of Qualitative Inquiry
L. Stein (1967)
The doctor-nurse game.NLN publications, 20-2294
N. Fairclough (2006)
Language and globalization, 2009
D. Bolster, E. Manias (2010)
Person-centred interactions between nurses and patients during medication activities in an acute hospital setting: qualitative observation and interview study.International journal of nursing studies, 47 2
S. Pink (2001)
Doing Visual Ethnography: Images, Media and Representation in Research
Katherine Carroll, R. Iedema, R. Kerridge (2008)
Reshaping ICU Ward Round Practices Using Video-Reflexive EthnographyQualitative Health Research, 18
M. Jørgensen, L. Phillips (2002)
Discourse Analysis as Theory and Method
N. Fairclough (1992)
Discourse and social change
Jackie Churchman, Carole Doherty (2010)
Nurses' views on challenging doctors' practice in an acute hospital.Nursing standard (Royal College of Nursing (Great Britain) : 1987), 24 40
D. Madison (2005)
Critical Ethnography: Method, Ethics, and Performance
R. Lawton, S. Carruthers, Peter Gardner, John Wright, R. McEachan (2012)
Identifying the latent failures underpinning medication administration errors: an exploratory study.Health services research, 47 4
P. Nugus, D. Greenfield, J. Travaglia, J. Westbrook, J. Braithwaite (2010)
How and where clinicians exercise power: interprofessional relations in health care.Social science & medicine, 71 5
Wei Liu, E. Manias, M. Gerdtz (2013)
Medication communication during ward rounds on medical wards: Power relations and spatial practicesHealth:, 17
R. Iedema, Rowena Forsyth, A. Georgiou, J. Braithwaite, J. Westbrook (2006)
Video Research in Health: Visibilising the Effects of Computerising Clinical CareQualitative Research Journal, 6
Purpose– The purpose of this paper is to examine power relations embedded in verbal and non-verbal medication communication processes that involve nurses, doctors, pharmacists and patients in two general medical wards of an acute care hospital. Design/methodology/approach– This paper reports on the findings of an ethnographic study investigating medication communication processes in hospital spatial environments. It was theoretically informed by the work of Norman Fairclough. Data collection methods comprising video-recordings and video reflexive focus groups were employed. Fairclough's critical discourse analytic framework guided data analysis. Findings– Four different forms of power relations between clinician-patient, nurse-doctor, clinician-organisation and multidisciplinary interactions were uncovered. Nurses asserted their professional autonomy when communicating with doctors about medications by offering specific advice on medical prescribing and challenging medication decisions. Video reflexivity enabled nurses to critically examine their contribution to medication decision-making processes. Clinicians of different disciplines openly contested the organisational structure of patient allocation during medical discussions about management options. Clinicians of different disciplines also engaged in medication communication interchangeably to accomplish patient discharge. Originality/value– An investigation of existing power relations embedded in medication communication processes within specific clinical contexts can lead to a better understanding of medication safety practices. Video reflexive focus groups are helpful in encouraging clinicians to reflect on their practice and consider ways in which it could be improved in how power relations are played out.
Qualitative Research Journal – Emerald Publishing
Published: Jul 8, 2014
Read and print from thousands of top scholarly journals.
Already have an account? Log in
Bookmark this article. You can see your Bookmarks on your DeepDyve Library.
To save an article, log in first, or sign up for a DeepDyve account if you don’t already have one.
Copy and paste the desired citation format or use the link below to download a file formatted for EndNote
Access the full text.
Sign up today, get DeepDyve free for 14 days.
All DeepDyve websites use cookies to improve your online experience. They were placed on your computer when you launched this website. You can change your cookie settings through your browser.