How Clinical Interviews Are Conducted: A Cross-Linguistic Study of Japanese Nurse Practitioners and American Student Doctors

Abstract

In medical/healthcare universities, students develop communication skills by participating in simulated patient (SP)-based practicums involving recurrent clinical interviews. The aim of this study was to elucidate the linguistic features related to participants’ social relations and roles during clinical interviews conducted in Japanese and American English by comparing the interviews of 18 Japanese advanced nurse practitioners and 18 American student doctors with native-speaker SPs. A comparative analysis of their conversational data yielded results on the following aspects: how the two groups opened their clinical interviews, who started the conversations, the kinds of utterances made, and how the two groups tried to maintain good relationships with the SPs. When opening the interviews, the Japanese advanced nurse practitioners reconfirmed the patients’ identification for safety of care, whereas the American student doctors used the patients’ first names to build rapport. Another difference between the two groups was that the Japanese advanced nurse practitioners prefaced the interviews with apologies for making the SPs wait, whereas the American student doctors made sympathetic comments related to the SPs’ physical conditions. When conducting the interviews, the Japanese advanced nurse practitioners used the SPs’ medical data provided in the referral letters and patient charts. In contrast, the American student doctors allowed the SPs to explain their health conditions in their own words. Overall, although the two groups had mutual goals in determining the best approaches for patient care, the clinical interviews were carried out differently in the two languages.



Author Information
Hiroko Shikano, Jichi Medical University, Japan
Risa Goto, Kansai Gaidai University, Japan

Paper Information
Conference: IICE2024
Stream: Professional Training

This paper is part of the IICE2024 Conference Proceedings (View)
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To cite this article:
Shikano H., & Goto R. (2024) How Clinical Interviews Are Conducted: A Cross-Linguistic Study of Japanese Nurse Practitioners and American Student Doctors ISSN: 2189-1036 – The IAFOR International Conference on Education – Hawaii 2024 Official Conference Proceedings https://doi.org/10.22492/issn.2189-1036.2024.23
To link to this article: https://doi.org/10.22492/issn.2189-1036.2024.23


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Posted by James Alexander Gordon