Rhetorical Work In Emergency Medical Services

Rhetorical Work in Emergency Medical Services: Communicating in the Unpredictable Workplace details how communicators harness the power of rhetoric to make decisions and communicate in unpredictable contexts. Grounded in a 16-month study in the emergency medical services (EMS) workplace, this text contributes to our theoretical, methodological, and practical understandings of the situation-specific processes that communicators and researchers engage in to respond to the urgencies and constraints of high-stakes workplaces. This book presents these intricate processes and skills—learned and innate—that workplace communicators use to accomplish goal-directed activity, collaborate with other communicators, and complete and teach workplace writing.

During the 1990s, unprecedented numbers of Americans turned to complementary and alternative medicine (CAM), an umbrella term encompassing health practices such as chiropractic, energy healing, herbal medicine, homeopathy, meditation, naturopathy, and traditional Chinese medicine. By 1997, nearly half the US population was seeking CAM in one form or another, spending at least $27 billion out-of-pocket annually on related products and services. As CAM rose in popularity over the decade, so did mainstream medicine's interest in understanding whether those practices actually worked, and how. Medical researchers devoted considerable effort to testing CAM interventions in clinical trials, and medical educators scrambled to assist physicians in advising patients about CAM. In Bounding Biomedicine, Colleen Derkatch examines how the rhetorical discourse around the published research on this issue allowed the medical profession to maintain its position of privilege and prestige throughout this process, even as its place at the top of the healthcare hierarchy appeared to be weakening. Her research focuses on the ground-breaking and somewhat controversial CAM-themed issues of The Journal of the American Medical Association and its nine specialized Archives journals from 1998, demonstrating how these texts performed rhetorical boundary work for the medical profession. As Derkatch reveals, the question of how to test healthcare practices that don't fit easily (or at all) within mainstream Western medical frameworks sweeps us into the realm of medical knowledge-making--the research teams, clinical trials, and medical journals that determine which treatments are safe and effective--and also out into the world where doctors meet patients, illnesses find treatment, and values, practices, policies, and priorities intersect. Through Bounding Biomedicine, Derkatch shows exactly how narratives of medicine's entanglements with competing models of healthcare shape not only the historical episodes they narrate but also the very fabric of medical knowledge itself and how the medical profession is made and remade through its own discursive activity.

This book explores how women make meaning at various health flashpoints in their lives, overcoming fear, anxiety, and anger to draw upon self-advocacy, research, and crucial decision-making. Combining focus group research, content analysis, autoethnography, and textual inquiry, the book argues that the making and remaking of what we call “patient epistemologies” is a continual process wherein a health flashpoint—sometimes a new diagnosis, sometimes a reoccurrence or worsening of an existing condition or the progression of a natural process—can cause an individual to be thrust into a discourse community that was not of their own choosing. This study will interest students and scholars of health communication, rhetoric of health and medicine, women’s studies, public health, healthcare policy, philosophy of medicine, medical sociology, and medical humanities.

This book explores rhetorical ethos and its ongoing role in patients’ credibility and in misdiagnoses stemming from gender, race and class-based biases. Drawing on the concept of ethos as a theoretical framework, it explores health and mental illness across different conditions and across different methodological approaches. Extending work on ethos in clinical encounters and public discourse about biomedicine and presenting new research on the rhetoric of mental health, stigma and mental illness, the book explores how bias in clinical settings can lead to symptoms labelled "in the patient’s head" masking treatable medical problems. This notable contribution to the rhetoric of health and medicine will be of interest to all researchers and graduate students of rhetoric and composition studies, rhetoric of health and medicine, disability studies, medical humanities, communication, and psychology.

In Paramedics On and Off the Streets, Michael K. Corman embarks on an institutional ethnography of the complex, mundane, intricate, and exhilarating work of paramedics in Calgary, Alberta. Corman’s comprehensive research includes more than 200 hours of participant observation ride-alongs with paramedics over a period of eleven months, more than one hundred first hand interviews with paramedics, and thirty-six interviews with other emergency medical personnel including administrators, call-takers and dispatchers, nurses, and doctors. At the heart of this ethnography are questions about the role of paramedics in urban environments, the role of information and communication technologies in contemporary health care governance, and the organization and accountability of pre-hospital medical services. Paramedics On and Off the Streets is the first institutional ethnography to explore the role and increasing importance of paramedics in our healthcare system. It takes readers on a journey into the everyday lives of EMS personnel and provides an in-depth sociological analysis of the work of pre-hospital health care professionals in the twenty-first century.

This collection provides a research-based guide to instructional practices for writing in the health professions, promoting faculty development and bringing together perspectives from writing studies, technical communication, and health humanities. With employment in health-care sectors booming, writing instruction tailored for the health professions is in high demand. Writing instruction is critical in the health professions because health professionals, current and aspiring, need to communicate persuasively with patients, peers, mentors, and others. Writing instruction can also help cultivate professional identity, reflective practice, empathy, critical thinking, confidence, and organization, as well as research skills. This collection prepares faculty and administrators to meet this demand. It combines conceptual development of writing for the health professions as an emergent interdiscipline with evidence-based practices for instructors in academic, clinical, and community settings. Teaching Writing in the Health Professions is an essential resource for instructors, scholars, and program administrators in health disciplines, professional and technical communication, health humanities, and interdisciplinary writing studies. It informs the teaching of writing in programs in medicine, nursing, pharmacy and allied health, public health, and other related professions.

Domestic violence accounts for approximately one-fifth of all violent crime in the United States and is among the most difficult issues confronting professionals in the legal and criminal justice systems. In this volume, Elizabeth Britt argues that learning embodied advocacy—a practice that results from an expanded understanding of expertise based on lived experience—and adopting it in legal settings can directly and tangibly help victims of abuse. Focusing on clinical legal education at the Domestic Violence Institute at the Northeastern University School of Law, Britt takes a case-study approach to illuminate how challenging the context, aims, and forms of advocacy traditionally embraced in the U.S. legal system produces better support for victims of domestic violence. She analyzes a wide range of materials and practices, including the pedagogy of law school training programs, interviews with advocates, and narratives written by students in the emergency department, and looks closely at the forms of rhetorical education through which students assimilate advocacy practices. By examining how students learn to listen actively to clients and to recognize that clients have the right and ability to make decisions for themselves, Britt shows that rhetorical education can succeed in producing legal professionals with the inclination and capacity to engage others whose values and experiences diverge from their own. By investigating the deep relationship between legal education and rhetorical education, Reimagining Advocacy calls for conversations and action that will improve advocacy for others, especially for victims of domestic violence seeking assistance from legal professionals.

In Telling Stories, more than a dozen longitudinal writing researchers look beyond conventional project findings to story their work and, in doing so, offer otherwise unavailable glimpses into the logics and logistics of long-range studies of writing. The result is a volume that centers interrelations among people, places, and politics across two decades of praxis and an array of educational sites: two-year colleges, a senior military college, an adult literacy center, a small liberal arts college, and both public and private four-year universities. Contributors share direct knowledge of longitudinal writing research, citing project data (e.g., interview transcripts, research notes, and journals), descriptions drawn from memory, and extended personal reflections. The resulting stories, tempered by the research and scholarship of others, convey a sense of longitudinal research as a lived activity as well as a prominent and consequential approach to inquiry. Yet Telling Stories is not a how-to guide, nor is it written for longitudinal researchers alone. Instead, this volume addresses issues about writing research that are germane to all who conduct or count on it. Such topics include building and sustaining good interpersonal research relations, ethically negotiating the institutional power dynamics that undergird writing research, effectively using knowledge from longitudinal studies to advocate for writers and writing educators, and improving both conceptual and concrete resources for long-range research in writing studies.