Kawashima2017
| Kawashima2017 | |
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| BibType | ARTICLE |
| Key | Kawashima2017 |
| Author(s) | Michie Kawashima |
| Title | Four Ways of Delivering Very Bad News in a Japanese Emergency Room |
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| Tag(s) | EMCA, decision-making process, emergency, online commentary, storytelling |
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| Year | 2017 |
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| Journal | Research on Language and Social Interaction |
| Volume | 50 |
| Number | 3 |
| Pages | 307–325 |
| URL | Link |
| DOI | 10.1080/08351813.2017.1340724 |
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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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