Teamwork and Team Talk - Decision-making across the Boundaries in Health and Social Care - Srikant Sarangi

Teamwork and Team Talk - Decision-making across the Boundaries in Health and Social Care - Srikant Sarangi

Discourse types and (re)distribution of responsibility in simulated emergency team encounters

Teamwork and Team Talk - Decision-making across the Boundaries in Health and Social Care - Srikant Sarangi

Gøril Thomassen Hammerstad [+-]
Norwegian University of Science and Technology
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I am a Full professor in Applied Linguistics and Professional Discourse Studies, with a specialization in Health Communication. My main research areas are discourse analysis in institutional and professional domains. Based on my work on Professional Discourse Studies in various healthcare and medical settings I have engaged with how concepts like co-construction, communicative activity type, discursive power, and interactional management can be employed to understand patient participation and have practical implications for user involvement.
Ellen Andenæs
Stine Gundrosen
Srikant Sarangi [+-]
Aalborg University
Srikant Sarangi is Professor in Language and Communication and Director of the Health Communication Research Centre at Cardiff University, Wales, UK (www.cf.ac.uk/encap/research/hcrc). He is also Professor in Language and Communication at Norwegian University of Science and Technology (NTNU), Trondheim, Norway; Honorary Professor at the Faculty of Humanities, Aalborg University, Denmark; and Honorary Professor at the Centre for the Humanities and Medicine, The University of Hong Kong. His research interests are in discourse analysis and applied linguistics; language and identity in public life and institutional/professional communication studies (e.g., healthcare, social welfare, bureaucracy, education etc.). He has held several project grants (Funding bodies include The Wellcome Trust, The Leverhulme Trust, ESRC) to study various aspects of health communication, e.g., genetic counselling, HIV/AIDS and telemedicine. The other areas of healthcare research include communication in primary care, palliative care, with particular reference to assessment of consulting and communication skills. He is author and editor of 12 books, 5 journal special issues and has published nearly 200 journal articles and book chapters. He is the founding editor of Communication & Medicine, editor of TEXT & TALK: An Interdisciplinary Journal of Language, Discourse and Communication Studies (formerly TEXT) as well as co-editor (with C. N. Candlin) of Journal of Applied Linguistics and Professional Practice. He is also general editor (with C. N. Candlin) of three book series[es]: Studies in Applied Linguistics; Studies in Language and Communication; and Studies in Communication in Organisations and Professions. He serves as an editorial board member for other journals and book series[es], and as a consulting advisor at many national and international levels. His involvement in professional societies include membership of the Executive Committee of the British Association of Applied Linguistics (BAAL, 1997-2002) and Member-at-Large of the Executive Board of the International Association of Applied Linguistics (AILA, 1999-2002). He is also the founder of the annual interdisciplinary conference series, Communication, Medicine and Ethics (COMET) and Applied Linguistics and Professional Practice (ALAPP). Over the last ten years, he has held visiting academic attachments in many parts of the world.

Description

Successful teamwork, constitutive of team talk, depends largely on shared responsibility in the coordination of tasks in a goal-oriented way. This paper examines how specific modes of talk or ‘discourse types’ are utilised by a healthcare team in simulated emergency care. The data corpus comprises six video-recorded simulation training sessions in an emergency department at a large Norwegian hospital. Our analysis focuses on the critical moment when the original healthcare team is joined by other specialists in an ad hoc manner, which necessitates the (re)distribution of expert responsibility in the management of the patient’s condition. We examine the interactional trajectories and, in particular, the discourse types surrounding the critical moment which marks the incorporation of the new team members. The analysis centres on three discourse types (online commentary, offline commentary and metacommentary) that are utilised in accomplishing the multiple tasks in a collaborative and coordinated fashion. We suggest that team talk overlays and overlaps with distributed medical work in highly charged decision-making contexts such as emergency care. The findings have relevance for how healthcare professionals and students are trained in multidisciplinary team talk and teamwork.

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Citation

Thomassen Hammerstad, Gøril; Andenæs, Ellen; Gundrosen , Stine; Sarangi, Srikant. Discourse types and (re)distribution of responsibility in simulated emergency team encounters. Teamwork and Team Talk - Decision-making across the Boundaries in Health and Social Care. Equinox eBooks Publishing, United Kingdom. p. Jun 2025. ISBN 9781845539054. https://www.equinoxpub.com/home/view-chapter/?id=25181. Date accessed: 16 Jul 2024 doi: 10.1558/equinox.25181. Jun 2025

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