Laughter in hospital emergency departments

IF 1.4 2区 文学 Q2 COMMUNICATION Discourse Studies Pub Date : 2024-03-05 DOI:10.1177/14614456231194845
Susy Macqueen, Luke Collins, Gavin Brookes, Zsófia Demjén, Elena Semino, Diana Slade
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Abstract

For patients, hospital emergency departments (EDs) are unfamiliar, institutional contexts involving high-stakes communication in heightened emotional circumstances. This study examines laughter, as one expression of emotion, in an existing 649,631-word corpus of naturally occurring clinician-patient interactions recorded in five Australian hospitals. A mixed methods approach revealed (1) the spread, frequency and producers of laughter, and (2) the functions of laughter in unfolding interactional contexts. First, a corpus analysis showed that laughter in the ED was most frequently produced by nurses and patients, but relatively infrequently by doctors. Secondly, two case studies comprising all the interactions of two patients for the whole duration of their ED visits were analysed in detail to explore the individuals’ contrasting patterns of laughter. The analysis revealed how laughter can be a cue to the affective dynamics of patient-clinician interactions about serious matters, for example, signalling difficult topics and managing anxiety in the ED context. Laughter, and any related humour, can indicate the achievement of mutuality, which is considered a cornerstone of genuine shared decision-making and patient participation in their own care. Therefore, the findings suggest that a sensitive responsiveness to patient-initiated laughter, and any associated humour, may promote patient-centred relationships in clinical interactions.
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医院急诊室里的笑声
对于患者来说,医院急诊室(ED)是一个陌生的机构环境,涉及在情绪高涨的情况下进行高风险交流。本研究对澳大利亚五家医院现有的 649,631 字的临床医生与患者自然交流语料库中的笑声进行了研究,笑声是情绪的一种表达方式。研究采用混合方法揭示了:(1) 笑的传播、频率和制造者;(2) 笑在不断发展的互动语境中的功能。首先,语料分析表明,在急诊室中,护士和病人最常发出笑声,而医生则相对较少。其次,我们详细分析了两个案例研究,其中包括两名患者在急诊室就诊期间的所有互动,以探究两人截然不同的笑声模式。分析结果表明,在急诊室的环境中,笑声可以成为病人与医生就严肃问题进行互动时的情感动态线索,例如,发出困难话题的信号和控制焦虑。笑声和任何相关的幽默都能表明相互性的实现,而相互性被认为是真正共同决策和患者参与自身护理的基石。因此,研究结果表明,在临床互动中,对患者主动发出的笑声和任何相关的幽默做出敏感的反应,可以促进以患者为中心的关系。
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来源期刊
Discourse Studies
Discourse Studies COMMUNICATION-
CiteScore
3.30
自引率
5.60%
发文量
62
期刊介绍: Discourse Studies is a multidisciplinary peer-reviewed journal for the study of text and talk. Publishing outstanding work on the structures and strategies of written and spoken discourse, special attention is given to cross-disciplinary studies of text and talk in linguistics, anthropology, ethnomethodology, cognitive and social psychology, communication studies and law.
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