Discursive patterns in multiprofessional healthcare teams
Article first published online: 16 JAN 2006
Journal of Advanced Nursing
Volume 53, Issue 2, pages 244–252, January 2006
How to Cite
Kvarnström, S. and Cedersund, E. (2006), Discursive patterns in multiprofessional healthcare teams. Journal of Advanced Nursing, 53: 244–252. doi: 10.1111/j.1365-2648.2006.03719.x
- Issue published online: 16 JAN 2006
- Article first published online: 16 JAN 2006
- Accepted for publication 14 May 2005
- discourse analysis;
- inter-professional practice;
Aim. The aim of this paper is to report a study exploring how members of multiprofessional healthcare teams talk about their team. Specifically, the team members’ talk was analysed to explore the discursive patterns that emerged and their functions.
Background. Over recent decades there has been an increasing demand in Western countries to change care organizations and to coordinate resources and professional competencies to meet the needs of patients/service users better. Because society promotes this kind of work, it may be valuable to explore the self-presentations of a multiprofessional healthcare team.
Methods. A discourse analysis was carried out on existing empirical data from focus group interviews with a member-identified category sample comprising 32 healthcare professionals in six authentic multiprofessional teams in south-east Sweden. The analysis focused on the participants’ discursive constructions of multiprofessional teamwork, on the way they talked about their group, and, in particular, on their use of the pronouns we, they and I.
Findings. The constructions of ‘we’ by multiprofessional healthcare teams showed discursive patterns that are here referred to as knowledge synergy and trusting support, which included factors such as cross-learning and personal chemistry. The pronoun we was also used as a flexible resource to manage expertise, power and leadership within the teams, and it might also function to ease the pressure for consensus.
Conclusion. These discursive patterns provided powerful rhetorical resources for team members, both to affirm their choice of membership and to claim superiority in relations with the surrounding community (the others) by linking to a societal discourse that promotes collaboration.