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Voice Opportunity vs Voice Instrumentality: Examining Voice and Silence in Healthcare Teams through Ideological Dilemmas

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Abstract:

In healthcare setting, voice is essential for interprofessional collaboration on patient care plans. Indeed voice opportunities, aligning with an overarching discourse on patient safety, are widely available mandatory mechanisms for speaking up at routine multidisciplinary team (MDT) meetings. Yet, healthcare professionals in the MDT meetings often do not go beyond straightforward reporting of test results and biomedical-functional parameters. Post-meetings interviews with some of the clinicians reveal the discursive contradictions and silences inherent team discussions. These contradictions and silences come in the form of ideological dilemmas inherent in naturally occurring speech, and often go unnoticed. The ideological dilemmas explicate why healthcare practitioners do not exercise voice vigorously. We suggest a discursive and cultural shift in organizational discourse is needed to motivate voice.
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Association:
Name: ICA's 68th Annual Conference
URL:
http://www.icahdq.org


Citation:
URL: http://citation.allacademic.com/meta/p1361784_index.html
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MLA Citation:

Lee, Mary., Ong, Yu Han. and Tan, Keng Teng. "Voice Opportunity vs Voice Instrumentality: Examining Voice and Silence in Healthcare Teams through Ideological Dilemmas" Paper presented at the annual meeting of the ICA's 68th Annual Conference, Hilton Prague, Prague, Czech Republic, May 22, 2018 <Not Available>. 2018-10-15 <http://citation.allacademic.com/meta/p1361784_index.html>

APA Citation:

Lee, M. , Ong, Y. and Tan, K. , 2018-05-22 "Voice Opportunity vs Voice Instrumentality: Examining Voice and Silence in Healthcare Teams through Ideological Dilemmas" Paper presented at the annual meeting of the ICA's 68th Annual Conference, Hilton Prague, Prague, Czech Republic Online <APPLICATION/PDF>. 2018-10-15 from http://citation.allacademic.com/meta/p1361784_index.html

Publication Type: Conference Paper/Unpublished Manuscript
Review Method: Peer Reviewed
Abstract: In healthcare setting, voice is essential for interprofessional collaboration on patient care plans. Indeed voice opportunities, aligning with an overarching discourse on patient safety, are widely available mandatory mechanisms for speaking up at routine multidisciplinary team (MDT) meetings. Yet, healthcare professionals in the MDT meetings often do not go beyond straightforward reporting of test results and biomedical-functional parameters. Post-meetings interviews with some of the clinicians reveal the discursive contradictions and silences inherent team discussions. These contradictions and silences come in the form of ideological dilemmas inherent in naturally occurring speech, and often go unnoticed. The ideological dilemmas explicate why healthcare practitioners do not exercise voice vigorously. We suggest a discursive and cultural shift in organizational discourse is needed to motivate voice.


 
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