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  • A New Structure of Attention? Open Disclosure of Adverse Events to Patients and Their Families

    Author(s)
    Iedema, Rick
    Jorm, Christine
    Wakefield, John
    Ryan, Cherie
    Sorensen, Ros
    Griffith University Author(s)
    Sorensen, Ros
    Year published
    2009
    Metadata
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    Abstract
    This article presents an inquiry into how clinicians realize a health policy reform initiative called Open Disclosure. Open Disclosure mandates that discussions with patients/family and team staff about "adverse events" are now no longer ad hoc, individualized, and without consequences for how the work is done, but planned, collaborative, and leading to systems change. The article presents an empirical analysis of a corpus of interviews about the impact of Open Disclosure on clinicians' practices. It situates Open Disclosure in the context of arguments that health care workers are increasingly expected to do "emotional labor" ...
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    This article presents an inquiry into how clinicians realize a health policy reform initiative called Open Disclosure. Open Disclosure mandates that discussions with patients/family and team staff about "adverse events" are now no longer ad hoc, individualized, and without consequences for how the work is done, but planned, collaborative, and leading to systems change. The article presents an empirical analysis of a corpus of interviews about the impact of Open Disclosure on clinicians' practices. It situates Open Disclosure in the context of arguments that health care workers are increasingly expected to do "emotional labor" with patients and their families, in that staff are advised to practise "reflexive listening" as a means of managing patients' and family members' emotions in response to incidents. The analysis suggests that thanks to the intensity of Open Disclosure interactions, clinicians may be introduced to an affective-interactive space that they were hitherto unaware of and unable to enter or attain what Nigel Thrift calls "a new structure of attention."
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    Journal Title
    Journal of Language and Social Psychology
    Volume
    28
    Issue
    2
    DOI
    https://doi.org/10.1177/0261927X08330614
    Subject
    Public Health and Health Services not elsewhere classified
    Psychology and Cognitive Sciences
    Language, Communication and Culture
    Publication URI
    http://hdl.handle.net/10072/49350
    Collection
    • Journal articles

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