Ambiguous discursive practices in health-care project plans: a keyword-assisted critical discourse analysis of the term “patient”

Nina Lunkka, Pirjo Lukkarila, Sanna Laulainen, Marjo Suhonen

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Purpose–The purpose of the paper is to investigate ambiguous language use in health-care project plans in amanner that accounts for the wider, institutional, public health-care context.Design/methodology/approach–The article deployed a case study approach and drew from Fairclough’scritical discourse analysis (CDA) as well as a keyword analysis to investigate two time-sequenced versions ofthe same project planning document for a health-care project in Finland.Findings–In the project plans investigated, the study identifiedpatientas a keyword possessing variousmeanings within the public health-care context. By examining the discursive practices around the keywordpatient, the study demonstrated their role in constituting the institutional context as well as the function of thiscontext in constraining these practices.Originality/value–By looking at the potential of the CDA to investigate discursive practices of the keywordin two sequential versions of a project plan within the broader context of public health care, the study adds tothe scant existing literature on critically oriented health-care project communication studies.
Original languageEnglish
Pages (from-to)32-53
Number of pages22
JournalQualitative Research in Organizations and Management
Volume16
Issue number1
Early online date5 Oct 2020
DOIs
Publication statusPublished - 5 Oct 2020
MoEC publication typeA1 Journal article-refereed

Keywords

  • document analysis
  • health-care
  • institutional context
  • project communication
  • project management
  • critical discourse analysis
  • Institutional context
  • Project management
  • Critical discourse analysis
  • Project communication
  • Document analysis
  • Health-care

Field of science

  • Administrative science

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