系统功能语言学与医疗交流研究：回顾与展望

张佩雯

doi:10.19979/j.cnki.issn10082689.2023020077

系统功能语言学与医疗交流研究：回顾与展望

doi: 10.19979/j.cnki.issn10082689.2023020077

张佩雯

中山大学外国语学院，广州 510275

基金项目: 教育部人文社会科学研究规划项目“基于多模态语料库的国际社交媒体平台中国文化形象自塑话语研究”（编号：22YJA740005）。

详细信息

作者简介:
张佩雯（1969—），女，山西太原人，中山大学外国语学院副教授

中图分类号: H04
计量
- 文章访问数: 106
- HTML全文浏览量: 33
- PDF下载量: 14
- 被引次数: 0
出版历程
- 收稿日期: 2023-02-22
- 刊出日期: 2024-08-01

Systemic Functional Linguistics and Healthcare Communication: Review and Prospect

ZHANG Peiwen

School of Foreign Languages, Sun Yat-sen University, Guangzhou 510275, China

摘要

摘要: 系统功能语言学作为适用语言学，其理论基础和描述资源适用于研究、干预和改进医疗语境中的交流和沟通。通过回顾系统功能语言学在医疗语境的应用，介绍其在医疗交流领域的研究成果，指出目前系统功能语言学医疗交流研究存在的局限性，并展望其未来研究方向。系统功能语言学医疗交流研究聚焦于医院急症室和其它临床环境，收集和分析医疗交流语料，调查研究医疗交流中的人际意义、经验意义、语篇意义等内容。研究显示医疗交流在医疗实践中起重要作用，对患者的医疗体验、安全性和治疗效果产生影响。文章提出了多项改进医疗交流的建议，包括加强医疗工作者和患者之间的情感共鸣、建立个性化和人性化的关系，以及提供医疗交流培训。系统功能语言学医疗交流研究强调以患者为中心交流模式的重要性，为改善医疗交流实践、提升患者的就医体验和治疗效果提供了参考，并为医疗工作者的交流实践和培训提供了理论基础和实践指导。
- 系统功能语言学 /
- 机构语言学 /
- 医疗交流
Abstract: Systemic Functional Linguistics (SFL), as appliable linguistics, offers the theoretical framework and descriptive resources to empower researchers to investigate, intervene in, and enhance communication in healthcare contexts. By systematically reviewing the manifold applications of SFL in healthcare communication, the paper has highlighted the accomplishments of SFL healthcare communication studies, identified limitations in the current research of SFL healthcare communication, and overviewed potential future research prospects. Focusing on Emergency Departments and other clinical settings in hospitals, SFL scholars have examined the interpersonal, experiential, and textual meanings of medical discourse. It shows that healthcare communication plays a crucial role in medical practice, influencing the quality and safety of patients’ medical experience and impacting patients’ treatment outcomes. Recommendations have been put forth to improve healthcare communication for clinical professionals, including establishing empathy and rapport with patients, developing individualized and compassionate relationships with patients, and participating in healthcare communication training programs. SFL studies have emphasized the importance of patient-centered healthcare communication, provided suggestions for improving healthcare communication and enhancing the quality and safety of patients’ medical experience, and offered theoretical foundation and practical guidance for the implementation of effective healthcare communication practice and training.
- Systemic Functional Linguistics /
- institutional linguistics /
- healthcare communication

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参考文献(34)

[1]	MATTHIESSEN C M I M. Applying systemic functional linguistics in healthcare contexts [J]. Text & Talk,2013,33(4-5):437-466.
[2]	SLADE D,MANIDIS M,MCGREGOR J, et al. Communicating in Hospital Emergency Departments [M]. Heidelberg:Springer,2015.
[3]	MORGAN M. The doctor–patient relationship [C]// SURBONE A,ZWITTER M,RAGER M, et al. Sociology as Applied to Medicine. New York:Springer,2008:55-70.
[4]	VON FRIEDERICHES-FITZWATER M M & GILUN J. Relational control in physician-patient encounters [J]. Health Communication,2001,13(1):75-87. doi: 10.1207/S15327027HC1301_07
[5]	PARSONS T. The Social System [M]. Glencoe:The Free Press,1951.
[6]	CHARLES C,WHELAN T & GAFNI A. What do we mean by partnership in making decisions about treatment? [J]. BMJ,1999,319(7212):780-782. doi: 10.1136/bmj.319.7212.780
[7]	AGGARWAL N & ROWE M. Denial in Patient–Physician Communication among Patients with Cancer [C]// SURBONE A,ZWITTER M,RAJER M, et al. New Challenges in Communication with Cancer Patients. New York:Springer,2013:15-25.
[8]	O’HAIR D,VILLAGRAN M,WITTENBER E,et al. Cancer survivorship and agency model:implications for patient choice,decision making,and influence [J]. Health Communication,2003,15(2):193-202. doi: 10.1207/S15327027HC1502_7
[9]	BLANK T,GRAVES K,SEPUCHA K,et al. Understanding treatment decision making:contexts,commonalities,complexities,and challenges [J]. Annals of Behavioral Medicine,2006,32(3):211-217. doi: 10.1207/s15324796abm3203_6
[10]	SURBONE A. From truth telling to truth in the making:a paradigm shift in communication with cancer patients [C]// SURBONE A,ZWITTER M,RAJER M, et al. New Challenges in Communication with Cancer Patients. New York:Springer,2013:3-13.
[11]	DIE TRILL M. Physicians’ emotions in the cancer setting:a basic guide to improving well-being and doctor-patient communication [C]// SURBONE A,ZWITTER M,RAJER M, et al. New Challenges in Communication with Cancer Patients. New York:Springer,2013:217-229.
[12]	SCAMBLER G. Sociology as Applied to Medicine (6th ed.) [M]. Edinburgh,New York:Saunders/Elsevier,2008.
[13]	HALLIDAY M A K. Applied linguistics as an evolving theme [C]// WEBSTER J. Language and Education (Collected Works of M. A. K. Halliday 9). London:Continuum,2007:1–19.
[14]	黄国文. 什么是系统功能语言学[J]. 北京科技大学学报(社会科学版),2023,39(1):73-89.
[15]	HALLIDAY M A K. On the grammar of pain [J]. Functions of Language,1998,5:1-32. doi: 10.1075/fol.5.1.02hal
[16]	MALINOWSKI B. A Scientific Theory of Culture and Other Essays [M]. Chapel Hill:University of North Carolina Press,1944.
[17]	SLADE D,SCHEERES H,MANIDIS M,et al. Emergency communication:the discursive challenges facing emergency clinicians and patients in hospital emergency departments [J]. Discourse & Communi cation,2008,2(3):289-316.
[18]	SLADE D,CHANDLER E,PUN J,et al. Effective healthcare worker-patient communication in Hong Kong accident and emergency departments [J]. Hong Kong Journal of Emergency Medicine,2015,22(2):69-83. doi: 10.1177/102490791502200201
[19]	SLADE D,RIDER E,PUN J,et al. The international research centre for communication in healthcare (IRCCH):interprofessional,multicultural approaches to healthcare communication challenges [J]. Journal of Interprofessional Education & Practice,2015,1(2):67-67.
[20]	SLADE D,MATTHIESSEN C M I M,LOCK G, et al. Patterns of interaction in doctor-patient communication and their impact on health outcomes [C]// Georgetown University Round Table on Languages and Linguistics,2016:235-254.
[21]	CHANDLER E,SLADE D,PUN J,et al. Communication in Hong Kong accident and emergency departments:the clinicians’ perspective [J]. Global Qualitative Nursing Research,2015,2:69-83.
[22]	PUN J,MATTHIESSEN C M I M,MURRAY K A,et al. Factors affecting communication in emergency departments:Doctors and nurses’ perceptions of communication in a trilingual ED in Hong Kong [J]. International Journal of Emergency Medicine,2015,8(1):1-12. doi: 10.1186/s12245-014-0049-9
[23]	PUN J,MATTHIESSEN C M I M,WILLIAM G,et al. Using ethnographic discourse analysis to understand doctor-patient interactions in clinical settings [J]. Sage Research Methods Cases Part 2,2017,1:1-19.
[24]	MARTIN J R. English Text:System and Structure [M]. Beijing:Peking University Press,2004.
[25]	MARTIN J & ROSE D. Genre Relations:Mapping Culture [M]. London:Equinox,2008.
[26]	SWALES J. Genre Analysis:English in Academic and Research Settings [M]. Cambridge:Cambridge University Press,1990.
[27]	HALLIDAY M A K. Working with meaning:towards an appliable linguistics [C] // WEBSTER J. Meaning in Context:Implementing Intelligent Applications of Language Studies. London:Continuum,2008:7-23.
[28]	HUANG Q,PUN J & HUANG S. Using a mixed-methods needs analysis to ensure the sustainability and success of English for nursing communication courses:improving nurse-patient engagement practices in globalized health care [J]. Sustainability,2022,14:1-22.
[29]	HUANG Q & PUN J. Views of hospital nurses and nursing students on nursing engagement – bridging the gap through communication courses [J]. Frontiers in Psychology,2022,13:915147. doi: 10.3389/fpsyg.2022.915147
[30]	EGGINS S & SLADE D. Clinical handover as an interactive event:informational and interactional communication strategies in effective shift-change handovers [J]. Communication Medicine,2012,9(3):215.
[31]	EGGINS S & SLADE D. Communication in clinical handover:improving the safety and quality of the patient experience [J]. Journal of Public Health Research,2015,4:666.
[32]	EGGINS S,SLADE D & GEDDS F. Effective communication in clinical handover:From research to practice [M]. From Research to Practice,Berlin:DeGruyter,2016.
[33]	SLADE D,PUN J,MURRY K A,et al. Benefits of health care communication training for nurses conducting bedside handovers:An Australian hospital case study [J]. The Journal of Continuing Education in Nursing,2018,49(7):329-336. doi: 10.3928/00220124-20180613-09
[34]	PUN J,CHAN A,EGGINS S,et al. Training in communication and interaction during shift-to-shift nursing handovers in a bilingual hospital:A case study [J]. Nurse Education Today,2020,84:1-9.