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Elective surgical patients' narratives of hospitalization: The co-construction of safety

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  • Doherty, Carole
  • Saunders, Mark N.K.

Abstract

This research explores how elective surgical patients make sense of their hospitalization experiences. We explore sensemaking using longitudinal narrative interviews (n=72) with 38 patients undergoing elective surgical procedures between June 2010 and February 2011. We consider patients' narratives, the stories they tell of their prior expectations, and subsequent post-surgery experiences of their care in a United Kingdom (UK) hospital. An emergent pre-surgery theme is that of a paradoxical position in which they choose to make themselves vulnerable by agreeing to surgery to enhance their health, this necessitating trust of clinicians (doctors and nurses). To make sense of their situation, patients draw on technical (doctors' expert knowledge and skills), bureaucratic (National Health Service as a revered institution) and ideological (hospitals as places of safety), discourses. Post-operatively, themes of ‘chaos’ and ‘suffering’ emerge from the narratives of patients whose pre-surgery expectations (and trust) have been violated. Their stories tell of unmet expectations and of inability to make shared sense of experiences with clinicians who are responsible for their care. We add to knowledge of how patients play a critical part in the co-construction of safety by demonstrating how patient–clinician intersubjectivity contributes to the type of harm that patients describe. Our results suggest that approaches to enhancing patients' safety will be limited if they fail to reflect patients' involvement in the negotiated process of healthcare. We also provide further evidence of the contribution narrative inquiry can make to patient safety.

Suggested Citation

  • Doherty, Carole & Saunders, Mark N.K., 2013. "Elective surgical patients' narratives of hospitalization: The co-construction of safety," Social Science & Medicine, Elsevier, vol. 98(C), pages 29-36.
  • Handle: RePEc:eee:socmed:v:98:y:2013:i:c:p:29-36
    DOI: 10.1016/j.socscimed.2013.08.014
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    References listed on IDEAS

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    1. Iedema, Rick & Flabouris, Arthas & Grant, Susan & Jorm, Christine, 2006. "Narrativizing errors of care: Critical incident reporting in clinical practice," Social Science & Medicine, Elsevier, vol. 62(1), pages 134-144, January.
    2. Waring, Justin J., 2009. "Constructing and re-constructing narratives of patient safety," Social Science & Medicine, Elsevier, vol. 69(12), pages 1722-1731, December.
    3. Williams, Simon J. & Calnan, Michael, 1996. "The 'limits' of medicalization?: Modern medicine and the lay populace in 'late' modernity," Social Science & Medicine, Elsevier, vol. 42(12), pages 1609-1620, June.
    4. Sandy Edward Green Jr & Yuan Li, 2011. "Rhetorical Institutionalism: Language, Agency, and Structure in Institutional Theory since Alvesson 1993," Journal of Management Studies, Wiley Blackwell, vol. 48(7), pages 1662-1697, November.
    5. Ocloo, Josephine Enyonam, 2010. "Corrigendum to: "Harmed patients gaining voice: Challenging dominant perspectives in the construction of medical harm and patient safety reforms" [Social Science & Medicine 71 (2010) 510-516," Social Science & Medicine, Elsevier, vol. 71(6), pages 1218-1218, September.
    6. Amy C. Edmondson, 2003. "Speaking Up in the Operating Room: How Team Leaders Promote Learning in Interdisciplinary Action Teams," Journal of Management Studies, Wiley Blackwell, vol. 40(6), pages 1419-1452, September.
    7. Ocloo, Josephine Enyonam, 2010. "Harmed patients gaining voice: Challenging dominant perspectives in the construction of medical harm and patient safety reforms," Social Science & Medicine, Elsevier, vol. 71(3), pages 510-516, August.
    8. Doherty, Carole & Stavropoulou, Charitini, 2012. "Patients' willingness and ability to participate actively in the reduction of clinical errors: A systematic literature review," Social Science & Medicine, Elsevier, vol. 75(2), pages 257-263.
    9. Iedema, Rick & Jorm, Christine & Lum, Martin, 2009. "Affect is central to patient safety: The horror stories of young anaesthetists," Social Science & Medicine, Elsevier, vol. 69(12), pages 1750-1756, December.
    10. Karl E. Weick & Kathleen M. Sutcliffe & David Obstfeld, 2005. "Organizing and the Process of Sensemaking," Organization Science, INFORMS, vol. 16(4), pages 409-421, August.
    11. Pilnick, Alison & Coleman, Tim, 2003. ""I'll give up smoking when you get me better": patients' resistance to attempts to problematise smoking in general practice (GP) consultations," Social Science & Medicine, Elsevier, vol. 57(1), pages 135-145, July.
    12. Andrew D. Brown, 1998. "Narrative, Politics and Legitimacy in an IT Implementation," Journal of Management Studies, Wiley Blackwell, vol. 35(1), pages 35-58, January.
    13. Iedema, Rick, 2009. "New approaches to researching patient safety," Social Science & Medicine, Elsevier, vol. 69(12), pages 1701-1704, December.
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    Cited by:

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