Patient participation in discharge planning decisions in the frame of primary nursing approach: A conversation analytic study

S. Riva, P. Schulz, L. Staffoni, Veronika Schoeb Mezzanotte Amat

Research output: Journal article publicationJournal articleAcademic researchpeer-review

6 Citations (Scopus)


Primary Nursing (PN) is a model of care delivery which is described to favor patient participation, as a Primary Nurse is responsible for coordinating all aspects of care including discharge planning. The purpose of this paper is to explore patient-nurse interactions in a rehabilitation clinic in which PN is used. Twentyfive interactions of video-recorded data involving 12 patients with their primary nurse were included in this paper and analyzed using conversation analysis, an inductive data-driven approach. Our findings suggest that nurses use two different communicative styles - a "reciprocal" or a "individual" perspective - when discussing discharge decisions with patients. While the "reciprocal" style is a more collaborative approach, the "individual" communicative practice is more unilateral. Making those different approaches explicit might lead to refinement of Primary Nursing theories.
Original languageEnglish
Pages (from-to)61-67
Number of pages7
JournalStudies in Communication Sciences
Issue number1
Publication statusPublished - 1 Jan 2014
Externally publishedYes


  • Decision making
  • Discharge planning
  • Interaction
  • Interpersonal communication
  • Patient-nurse communication
  • Rehabilitation

ASJC Scopus subject areas

  • Communication

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