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Adv Health Sci Educ Theory Pract. 2017 Apr 29. doi: 10.1007/s10459-017-9775-0. [Epub ahead of print]

Exploring trainer and trainee emotional talk in narratives about workplace-based feedback processes.

Author information

1
Centre for Medical Education, School of Medicine, University of Dundee, The Mackenzie Building, Kirsty Semple Way, Dundee, DD2 4BF, Scotland, UK. a.dennis@dundee.ac.uk.
2
Centre for Medical Education, School of Medicine, University of Dundee, The Mackenzie Building, Kirsty Semple Way, Dundee, DD2 4BF, Scotland, UK.
3
Chang Gung Medical Education Research Center, Chang Gung Memorial Hospital, Linkou, Taiwan.
4
Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Australia.

Abstract

Emotion characterises learners' feedback experiences. While the failure-to-fail literature suggests that emotion may be important, little is known about the role of emotion for educators. Secondary analyses were therefore conducted on data exploring 110 trainers' and trainees' feedback experiences. Group and individual narrative interviews were conducted across three UK sites. We analysed 333 narratives for emotional talk using textual analysis: Linguistic Inquiry and Word Count. Furthermore, thematic framework analysis was conducted on the trainer narratives to explore aspects of feedback processes that are emotional. An additional in-depth little 'd' discourse analysis was conducted on selected trainer narratives to enable us to explore the complex relationship between the whats (reported events) and the hows (emotional talk). Trainer narratives did not differ significantly in positive or negative emotional talk from trainee narratives. By exploring the interplay of the whats and the hows, several aspects of feedback processes were identified as potentially emotional for trainers including trainers being concerned about upsetting learners and worried about patient safety. This was illustrated through numerous linguistic devices to establish emotional tone such as metaphoric talk and laughter. These findings suggest that feedback processes can be emotional for trainers. It highlights the need to better understand the 'filter' of emotion for trainers but also to better understand how emotion plays a role in feedback as a complex social process.

KEYWORDS:

Emotional talk; Narrative; Postgraduate medical education; Trainee; Trainer; Workplace-based feedback

PMID:
28456856
DOI:
10.1007/s10459-017-9775-0
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