An Investigation into the Use of Idealized Encounters in the Conversations of Nursing English Textbooks in Japan

2.50
Hdl Handle:
http://hdl.handle.net/10755/152218
Type:
Presentation
Title:
An Investigation into the Use of Idealized Encounters in the Conversations of Nursing English Textbooks in Japan
Abstract:
An Investigation into the Use of Idealized Encounters in the Conversations of Nursing English Textbooks in Japan
Conference Sponsor:Sigma Theta Tau International
Conference Year:2008
Author:Katz, Edmont C., MA, TESOL/Linguistics
P.I. Institution Name:University of Fukui
Title:Associate Professor
Co-Authors:Tomoko Hasegawa, PhD, RN, MPH; Chie Ogasawara, PhD, RN
Introduction: Studies in care outcomes have indicated that care clients lacking fluency in the language of the health care delivery systems are placed at increased risk of poor outcomes. These poor outcomes partially stem from increased errors within the care setting. Education of nurses, therefore must include adequate preparation for the additional complexities of interacting with at-risk language-limited clients. Purpose: This study examined the range of encounter types and their communication features in the conversations of nursing English textbooks used in Japan. Relevant literature indicates that complexities occur commonly (routinely) in both NS-NS and NS-NNS encounters and are managed by participants through learned strategies. Anecdotal evidence, however, suggests that the lexically and grammatically error-free conversation model of second-language instruction may lack key elements of natural communicative events. The study sought to determine if nursing English textbooks in Japan provide adequate exposure to the actual complexities of this type of care encounter. Methods: Printed conversations were analyzed for strategic indictors including code switching, negotiating, repairing, checking, rejecting, and redirecting. Indicators were analyzed in relation to the number of participant turns and idea units within and across conversations. Strategies were analyzed into their lexical/grammatical or pragmatic classes. These strategies were correlated to features indicating the cultural and intensity of the encounters. Additionally, participants were identified in terms of their professional titles, functional roles, and their NS/NNS status. Results: Results indicated that the analyzed conversations lacked many natural language strategies normally associated with encounters with language-limited care receivers. Notably absent were the types of natural strategies expected when understanding is lacking in unfamiliar and critical encounters. Conclusion: Renewed investigation may well be in order into the use of idealized conversation models and acquired communicative competence given the key role of failed communications in producing health care errors.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleAn Investigation into the Use of Idealized Encounters in the Conversations of Nursing English Textbooks in Japanen_GB
dc.identifier.urihttp://hdl.handle.net/10755/152218-
dc.description.abstract<table><tr><td colspan="2" class="item-title">An Investigation into the Use of Idealized Encounters in the Conversations of Nursing English Textbooks in Japan</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2008</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Katz, Edmont C., MA, TESOL/Linguistics</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Fukui</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">katz-e@u-fukui.ac.jp</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Tomoko Hasegawa, PhD, RN, MPH; Chie Ogasawara, PhD, RN</td></tr><tr><td colspan="2" class="item-abstract">Introduction: Studies in care outcomes have indicated that care clients lacking fluency in the language of the health care delivery systems are placed at increased risk of poor outcomes. These poor outcomes partially stem from increased errors within the care setting. Education of nurses, therefore must include adequate preparation for the additional complexities of interacting with at-risk language-limited clients. Purpose: This study examined the range of encounter types and their communication features in the conversations of nursing English textbooks used in Japan. Relevant literature indicates that complexities occur commonly (routinely) in both NS-NS and NS-NNS encounters and are managed by participants through learned strategies. Anecdotal evidence, however, suggests that the lexically and grammatically error-free conversation model of second-language instruction may lack key elements of natural communicative events. The study sought to determine if nursing English textbooks in Japan provide adequate exposure to the actual complexities of this type of care encounter. Methods: Printed conversations were analyzed for strategic indictors including code switching, negotiating, repairing, checking, rejecting, and redirecting. Indicators were analyzed in relation to the number of participant turns and idea units within and across conversations. Strategies were analyzed into their lexical/grammatical or pragmatic classes. These strategies were correlated to features indicating the cultural and intensity of the encounters. Additionally, participants were identified in terms of their professional titles, functional roles, and their NS/NNS status. Results: Results indicated that the analyzed conversations lacked many natural language strategies normally associated with encounters with language-limited care receivers. Notably absent were the types of natural strategies expected when understanding is lacking in unfamiliar and critical encounters. Conclusion: Renewed investigation may well be in order into the use of idealized conversation models and acquired communicative competence given the key role of failed communications in producing health care errors.</td></tr></table>en_GB
dc.date.available2011-10-26T11:28:09Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:28:09Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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