Browsing by Subject "Speech Language Pathology"

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    Conversation between nurses and patients with aphasia : how to stay out of trouble
    (2005) Hoffman, Kate; Van der Walt, Rina
    This study aimed to investigate the conversational practices used by nursing staff interacting with patients with aphasia in a rehabilitation health care setting. Six dyads, each comprising of a qualified nurse and an adult with moderate to severe aphasia, were videotaped conversing in the hospital, yielding an hour of data. The conversations were transcribed in detail and subjected to conversation analysis (the ethnomethodological type), in order to identify the practices used by the partnership to negotiate meaning and achieve social satisfaction. An emphasis was placed during analysis on the strategies used by the nurses, in order to generate insights that could be applied to partner training. Analysis of the data revealed a pattern of nurses avoiding visible trouble in the conversations, which was accomplished by minimizing the interactive consequences of repair, glossing over potential sources of trouble, and managing the conversation in a manner that limited the potential for trouble to occur. The interactive advantages and disadvantages of this strategy of are discussed, along with theoretical and clinical implications.