"Innocent parties" and "disheartening" experiences: natural rhetorics in neuro-rehabilitation admissions conferences.
Source: Qualitative Health Research 4(4):385-410.
Abstract: The issue of patient "deservingness" and how neuro-rehabilitation staff attends to this issue in admissions conference talks is examined in this study. The instances in which staff moved from a reporting mode dealing with clinical information to a storytelling mode; conveying personal and moral information are examined. Analyzed as "natural rhetorics", the storylike segments involved seem to be developed to strengthen the argument for admission by providing a moral background for decisions taken on medical grounds. The wider context of resource constraint and rationing, the uncertainty of rehabilitation outcomes, and the dynamics of interdisciplinary teamwork help to explain the presence of natural rhetorics in admissions discussions. (CIRRIE Abstract)
Subject headings: Abstracts, Client characteristics, Client records, Diagnosis, Medical research, Neurological disorders, Qualitative analysis, Rehabilitation, Rehabilitation facilities, Service delivery, Service integration, Stroke