Primary Nursing (PN) is a model of care delivery which is described to favor patient participation, as a Primary Nurse is responsible for coordinating all aspects of care including discharge planning. The purpose of this paper is to explore patient-nurse interactions in a rehabilitation clinic in which PN is used. Twentyfive interactions of video-recorded data involving 12 patients with their primary nurse were included in this paper and analyzed using conversation analysis, an inductive data-driven approach. Our findings suggest that nurses use two different communicative styles - a "reciprocal" or a "individual" perspective - when discussing discharge decisions with patients. While the "reciprocal" style is a more collaborative approach, the "individual" communicative practice is more unilateral. Making those different approaches explicit might lead to refinement of Primary Nursing theories.
Bibliographical noteFunding Information:
The researchers involved in this project acknowledge support from Swiss National Science Foundation (SNSF) for the opportunity of conducting this study (grant number: Do-RE 13DPD6_134835 ) and all the participants (patients, staff, etc.) of the Novaggio Clinic for video-recording.
© 2014 Swiss Association of Communication and Media Research.
- Decision making
- Discharge planning
- Interpersonal communication
- Patient-nurse communication