Using Symbolic Convergence Theory (SCT), this study sought to determine the rhetorical vision of staff at UNM hospital about working with patients and families and comparing it to the ideal rhetorical vision that the Institute for Patient- and Family-Centered Care (PFCC) has for healthcare providers. Participant observation methods were employed over a two-month period for seated physician rounds and interdisciplinary care planning and discharge planning meetings at UNMH in a general pediatric unit and a pediatric rehabilitation unit. Physicians had their own unique symbolic reality that differed from the vision of interdisciplinary groups. Physicians were most concerned with other physicians as villains. Interdisciplinary teams espoused more negative fantasies of patients, diseases, and families and were less likely to practice PFCC principles when planning care. Interdisciplinary teams may not be conducive to PFCC care without strong leadership.
symbolic convergence theory, participant observation, clinical communication, health communication, doctor-doctor communication, patient- and family-centered care, frontstage, backstage, pediatric
Level of Degree
Department of Communication and Journalism
White, Judith McIntosh
First Committee Member (Chair)
Shields, Donald C.
Second Committee Member
Rossignol, Lisa. "When visions converge and collide: A fantasy theme analysis of staff participation in the Patient- and Family-Centered Care initiative at the University of New Mexico Hospital." (2013). https://digitalrepository.unm.edu/cj_etds/44