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Title: "I've just got to ask you some questions" : an exploration of how nurses and patients accomplish initial nursing assessments in hospitals
Author: Jones, A. R.
Awarding Body: University of Wales Swansea
Current Institution: Swansea University
Date of Award: 2006
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Nurse-patient communication and interaction has long been written about as one of the most important ingredients of good quality patient care. Furthermore, nurse-patient interaction during the initial assessment interview, which occurs when a patient is admitted into hospital, has been promoted in nursing literature as an important first step towards building a meaningful and therapeutic relationship with patients. This present study is the first study of its kind to investigate, in detail, the interaction between hospital nurses and patients during the initial study assessment or admission interview. Data collected include audio-recordings, observations and documents relating to the interview. Applying the techniques of conversation analysis, the study reveals how certain rules of normal conversation, a style of talk to which the assessment interview is favourably compared to in nursing literature, fail to apply during assessment interviews accomplished on busy hospital wards, and offers original empirical evidence to show what actually happens. The study demonstrates, for example, that nursing assessment interviews can only be understood as products of the contingencies of the interview situation, and not, as is usually assumed in the nursing literature, the unmediated expressions of nurses and patients. The description produced by the analysis is of encounters which, despite differences related to the individuality of the contexts of the interviews, are remarkably similar in structure and organisation. The conclusion contains important implications for nursing practice, policy and research and anyone interested in interaction between nurses and patient.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available