Kawashima2017

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Kawashima2017
BibType ARTICLE
Key Kawashima2017
Author(s) Michie Kawashima
Title Four Ways of Delivering Very Bad News in a Japanese Emergency Room
Editor(s)
Tag(s) EMCA, decision-making process, emergency, online commentary, storytelling
Publisher
Year 2017
Language English
City
Month
Journal Research on Language and Social Interaction
Volume 50
Number 3
Pages 307–325
URL Link
DOI 10.1080/08351813.2017.1340724
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title
Chapter

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Abstract

This study explicates the interaction between medical professionals and patients' family members during Japanese emergency care in cases where the patient's life is at risk. Nineteen video recordings of conversations between doctors and family members in an emergency room obtained between 2006 and 2012 within a Japanese metropolitan area are analyzed. The analysis reveals four main interactional resources employed by medical staff in their verbal decision-making process: (a) storytelling as forecasting, (b) online commentary at bedside examination, (c) paradoxical proposal, and (d) intricate interactional management of a final decision talk among the doctors and family members. These interactional resources allow the family members not only to understand the situation but also to accept decisions about the end of emergency care. Data are in Japanese with English translation.

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