Department of Culture and Learning, Aalborg University.
School of Communication and Culture, Aarhus University.
Health Commun. 2023 Jul;38(8):1612-1620. doi: 10.1080/10410236.2021.2023265. Epub 2022 Jan 4.
It is well-known that communication with patients can be challenging for residents. Although some studies have focused on residents' experiences of communication challenges, few, if any, have investigated the language residents use when describing such challenges. In this study, we explore the metaphors residents use when asked to share stories about challenging communication situations. Metaphor has been the focus of research in a variety of health-related disciplines; here, we use it to gain an understanding of why these situations are seen as challenging. Methodologically, we draw on metaphor-led discourse analysis, which facilitates a systematic approach to the identification and analysis of metaphors. The empirical material consists of 138 Danish residents' 259 narratives about communication challenges. We identified more than 700 metaphors used in connection with accounting for communication challenges with patients. The metaphors are primarily driven by vehicles belonging to four groups, namely: "Location," "Movement," "Games and play," and "Battle and warfare." We discuss the implications of these metaphors in relation to residents' conceptualizations of communication and challenges.
众所周知，与患者沟通对住院医师来说具有挑战性。尽管有些研究关注住院医师在沟通挑战方面的经验，但很少有研究调查住院医师在描述此类挑战时使用的语言。在这项研究中，我们探讨了住院医师在被要求分享有关具有挑战性的沟通情况的故事时使用的隐喻。隐喻一直是各种与健康相关学科研究的焦点；在这里，我们用它来理解为什么这些情况被视为具有挑战性。从方法论上讲，我们借鉴了隐喻主导的话语分析，这为识别和分析隐喻提供了一种系统的方法。实证材料由 138 名丹麦住院医师的 259 个关于沟通挑战的叙述组成。我们在解释与患者沟通挑战时发现了 700 多个隐喻。这些隐喻主要由属于四个组的载体驱动：“位置”、“运动”、“游戏和玩耍”以及“战斗和战争”。我们讨论了这些隐喻与住院医师对沟通和挑战的概念化的关系。
