The Collective Voice Legitimation Strategies in Focus Group Discussions with Nurses in Municipal Palliative Care for Older People in Sweden

Henrik Rahm, Magdalena Andersson, Anna-Karin Edberg

Research output: Contribution to journalArticlepeer-review

Abstract

This paper explores focus group discussions of registered nurses in municipal palliative care for older people, using data collected by researchers with an interest in health sciences. The linguisti- cally based discourse analyis builds on a combi- nation of Bakhtinian notions of dialogicity, the Other and addressivity, the use of quotations, and also van Leeuwen’s framework for legitima- tion in discourse. The aim is to investigate strat- egies of addressing and legitimizing palliative care.
Three types of narrative are discerned: the cautionary tale, fictionalization of profession- al experiences and the enactment of a fictive dialogue. The other professions involved (phy- sicians, assistant nurses) are positioned as the Other as a means of legitimizing the perspec- tives of the registered nurses. As the patients and their next of kin are the objects of profes- sional activities, the notion of the Third (con- necting to the Other) is proposed. The objectifi- cation is a manifestation of commitment with routinized and professional distance to the patients.
Original languageEnglish
Pages (from-to)167-177
JournalCommunication & Medicine. An Interdisciplinary Journal of Healthcare, Ethics and Society
VolumeVolume 11(2) (2014)
DOIs
Publication statusPublished - 2014

Bibliographical note

The information about affiliations in this record was updated in December 2015.
The record was previously connected to the following departments: The Vårdal Institute (016540000), Swedish (015011001)

Subject classification (UKÄ)

  • Nursing

Keywords

  • palliative care
  • the Other
  • nurses
  • legitimation
  • discourse analysis
  • dialogicity
  • addressivity

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