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Communication and Professional Relationships in Healthcare Practice

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Communication and Professional Relationships in Healthcare Practice focuses on the crucial role that spoken interactions play in shaping relationships in contemporary healthcare practice. The authors apply theoretical concepts of communication to the workplace of healthcare, drawing upon scenarios based in the settings of clinical experience. The book presents a range of interactions (including consultations, team meetings, dialogues and casual conversations) between health professionals, their colleagues and their clients or patients in a variety of settings. Drawing on the latest research in applied linguistics and professional communication, the authors introduce readers to a number of approaches that can be used to analyse these interactions. Using these techniques, readers will discover exactly how central themes of healthcare practice (including trust, empathy, expertise and breaking bad news) are constructed through the communicative choices that participants make in these interactions.

Designed specifically for medical, nursing and allied health practitioners with an interest in communication, this book makes the techniques of discourse analysis accessible and provides ample opportunities for individual practitioners to apply this knowledge to their own professional contexts.

Published: May 1, 2013

Section Chapter Authors
Foreword Sally Candlin, Peter Roger
Acknowledgements Sally Candlin
About the Authors Sally Candlin
Transcription Conventions Sally Candlin
Glossary of Terms Sally Candlin
Introduction to the Book Sally Candlin, Peter Roger
1. A Framework for the Study of Interactions in Healthcare Settings 
1.1 Introductory discussion of key concepts 1.2 An approach to understanding the complexity of the  communication process 1.3 The World of Communication model 1.4 Applying your learning to practice situations 1.5 Reflection and problem solving 1.6 Commentary 1.7 Discussion: issues to consider in the application  of discourse concepts 1.8 Summary  Sally Candlin, Peter Roger
2. Managing the Interaction
2.1 Introduction 2.2 Application of theory to professional discourse practice 2.3 Conversation analysis: a theory to give explanatory  value to the organisation of discourse 2.4 Summary Sally Candlin, Peter Roger
3. Common Purposes or Cross Purposes?
3.1 Introduction 3.2 Interactive frames and knowledge schemas 3.3 Frames and footings illustrated 3.4 Trust 3.5 Summary Sally Candlin, Peter Roger
4. Respecting Feelings and Perspectives
4.1 Introduction 4.2 Empathy: What is it and how is it conveyed? 4.3 Empathy in context 4.4 Face and facework 4.5 Summary Sally Candlin, Peter Roger
5. Polite, Persuasive or Pushy?
5.1 Introduction 5.2 Submissive, assertive and aggressive  communication behaviours 5.3 Politeness: solidarity vs deference 5.4 Assertion and aggression through a linguistic lens 5.5 Persuasion 5.6 Convincing or coercive (persuasive or pushy)? 5.7 Summary Sally Candlin, Peter Roger
6. Projecting an Identity to Others
6.1 Introduction: impression management 6.2 Impression management 6.3 Professional discourse and interdiscursivity 6.4 Summary  Sally Candlin, Peter Roger
7. High Stakes Interactions
7.1 Introduction 7.2 Discourse within the crucial site of health assessment 7.3 ‘Interviewing’ and ‘just talking’ 7.4 The use of metaphor 7.5 Summary  Sally Candlin, Peter Roger
8. Challenging Situations, Challenging Discourses
8.1 Introduction 8.2 Issues arising in the delivery of news 8.3 Some discourse strategies used when delivering news 8.4 Strategies used in the delivering of bad news 8.5 Discourse strategies used in the structuring of news delivery 8.6 Summary Sally Candlin, Peter Roger
9. The Expert Practitioner: Professional Expertise  and Communicative Expertise 
9.1 Introduction 9.2 Developing expertise 9.3 Strategies for developing coherence in the discourse 9.4 Comparing the discourse of the expert practitioner  with that of the novice practitioner 9.5 Summary Appendix 9.1  Sally Candlin, Peter Roger
10. Communication in Healthcare Teams
10.1 Introduction 10.2 Community of practice 10.3 Summary Sally Candlin, Peter Roger
11. Healthcare Teams: Leadership, Power and Ethical Dilemmas
11.1 Introduction 11.2 Leadership 11.3 Power 11.4 Ethical dilemmas 11.5 Summary Sally Candlin, Peter Roger
12. Ways Forward: Applying Theory to your Practice 
12.1 Introduction 12.2 Exploring relevance 12.3 Discourse and social theory 12.4 Developing frameworks 12.5 Summary Sally Candlin, Peter Roger
End Matter
References Sally Candlin
Index of Authors Sally Candlin
Index of Subjects Sally Candlin

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Refreshingly, the book addresses communication not only in interactions between health professionals and patients, but amongst team members and between health professionals in an array of communicatively challenging real world contexts. It brings home to the reader the complexity of communication in healthcare, and it offers practitioners many tools for reflecting on their own and others’ communicative practices, and for enhancing their professional interactions.
Dr Catherine O’Grady, Applied linguist and teacher of health communication

This book is a must for all levels of healthcare staff. No one in the profession is exempt from this. Staff must take ownership and in order to be effective in communication, this book is key. If teams were to look at the scenarios and work through these they would come out as a more cohesive team and one you would want to work with. This book is also for the individual to stand back and look at how other perceive them and then take this book and go forward.
Nursing Times