Manoeuvring between interplay and context- an ethnographic study of social interaction in encounters between registered nurses, older patients and their relatives

Abstract Background Social interactions between registered nurses, older patients and their relatives are essential and play a central role in developing a successful care relationship in healthcare encounters. How nurses interact with patients affects the patient’s well-being. Limited time and dema...

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Autores principales:	Anette Johnsson, Åse Boman, Petra Wagman, Sandra Pennbrant
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Abduction Care encounters Ethnography Goffman’s interactional perspective Interplay Social interaction Nursing RT1-120
Acceso en línea:	https://doaj.org/article/84841ed74f1641cfaafa3e7a835ea369
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spelling	oai:doaj.org-article:84841ed74f1641cfaafa3e7a835ea3692021-11-21T12:06:02ZManoeuvring between interplay and context- an ethnographic study of social interaction in encounters between registered nurses, older patients and their relatives10.1186/s12912-021-00754-51472-6955https://doaj.org/article/84841ed74f1641cfaafa3e7a835ea3692021-11-01T00:00:00Zhttps://doi.org/10.1186/s12912-021-00754-5https://doaj.org/toc/1472-6955Abstract Background Social interactions between registered nurses, older patients and their relatives are essential and play a central role in developing a successful care relationship in healthcare encounters. How nurses interact with patients affects the patient’s well-being. Limited time and demands for efficiency influence the encounter and complaints from patients and relatives often concern social interactions. Therefore, the aim of this study was to explore the social interaction in encounters between registered nurses, older patients and their relatives at a department of medicine for older people. Methods The study has an ethnographic approach including participatory observations (n = 21) and informal field conversations (n = 63), followed by a thematic analysis with an abductive approach reflecting Goffman’s interactional perspective. Result The result revealed a pattern where the participants manoeuvred between interplay and context. By manoeuvring, they defined roles but also created a common social situation. Nurses led the conversation; patients followed and described their health problems, while relatives captured the moment to receive and provide information. Finally, nurses summarised the encounter using ritual language, patients expressed gratitude through verbal and non-verbal expressions, while relatives verbally confirmed the agreements. Conclusion The social interaction between registered nurses, older patients and relatives was shaped by a pattern where the participants manoeuvred between interplay and context. When all participants assume responsibility for the social interaction, they become active and listen to each other. The approach adopted by nurses is crucial, thus training in communication and social interaction skills are important. When the asymmetry due to imbalance, is reduced, less misunderstanding and a satisfactory care relationship can be achieved.Anette JohnssonÅse BomanPetra WagmanSandra PennbrantBMCarticleAbductionCare encountersEthnographyGoffman’s interactional perspectiveInterplaySocial interactionNursingRT1-120ENBMC Nursing, Vol 20, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Abduction Care encounters Ethnography Goffman’s interactional perspective Interplay Social interaction Nursing RT1-120
spellingShingle	Abduction Care encounters Ethnography Goffman’s interactional perspective Interplay Social interaction Nursing RT1-120 Anette Johnsson Åse Boman Petra Wagman Sandra Pennbrant Manoeuvring between interplay and context- an ethnographic study of social interaction in encounters between registered nurses, older patients and their relatives
description	Abstract Background Social interactions between registered nurses, older patients and their relatives are essential and play a central role in developing a successful care relationship in healthcare encounters. How nurses interact with patients affects the patient’s well-being. Limited time and demands for efficiency influence the encounter and complaints from patients and relatives often concern social interactions. Therefore, the aim of this study was to explore the social interaction in encounters between registered nurses, older patients and their relatives at a department of medicine for older people. Methods The study has an ethnographic approach including participatory observations (n = 21) and informal field conversations (n = 63), followed by a thematic analysis with an abductive approach reflecting Goffman’s interactional perspective. Result The result revealed a pattern where the participants manoeuvred between interplay and context. By manoeuvring, they defined roles but also created a common social situation. Nurses led the conversation; patients followed and described their health problems, while relatives captured the moment to receive and provide information. Finally, nurses summarised the encounter using ritual language, patients expressed gratitude through verbal and non-verbal expressions, while relatives verbally confirmed the agreements. Conclusion The social interaction between registered nurses, older patients and relatives was shaped by a pattern where the participants manoeuvred between interplay and context. When all participants assume responsibility for the social interaction, they become active and listen to each other. The approach adopted by nurses is crucial, thus training in communication and social interaction skills are important. When the asymmetry due to imbalance, is reduced, less misunderstanding and a satisfactory care relationship can be achieved.
format	article
author	Anette Johnsson Åse Boman Petra Wagman Sandra Pennbrant
author_facet	Anette Johnsson Åse Boman Petra Wagman Sandra Pennbrant
author_sort	Anette Johnsson
title	Manoeuvring between interplay and context- an ethnographic study of social interaction in encounters between registered nurses, older patients and their relatives
title_short	Manoeuvring between interplay and context- an ethnographic study of social interaction in encounters between registered nurses, older patients and their relatives
title_full	Manoeuvring between interplay and context- an ethnographic study of social interaction in encounters between registered nurses, older patients and their relatives
title_fullStr	Manoeuvring between interplay and context- an ethnographic study of social interaction in encounters between registered nurses, older patients and their relatives
title_full_unstemmed	Manoeuvring between interplay and context- an ethnographic study of social interaction in encounters between registered nurses, older patients and their relatives
title_sort	manoeuvring between interplay and context- an ethnographic study of social interaction in encounters between registered nurses, older patients and their relatives
publisher	BMC
publishDate	2021
url	https://doaj.org/article/84841ed74f1641cfaafa3e7a835ea369
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Manoeuvring between interplay and context- an ethnographic study of social interaction in encounters between registered nurses, older patients and their relatives

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