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However, bedside handover is for many a new and challenging communicative practice.

To evaluate how effectively nurses achieve bedside handover, we observed, audio-recorded and transcribed nursing shift-change handovers in a short stay medical ward at an Australian public hospital.

Over the last three decades there has been an ever-increasing interest in the analysis of spoken interaction. The foundation of the CHEC resource was the findings and data from a large research project conducted at five emergency departments in Australia over the period 2006–2009.

The research involved 1093 hours of observations, 150 interviews with key staff and patients and 82 patients recorded from triage to disposition. Eighty-three per cent of clinicians stated that there are communication problems at triage.

It therefore represents one of the most comprehensive studies internationally on clinician–patient communication. Over 40% said that they have difficulties in documenting medical information.

Diana has over 30 years experience in researching, teaching and publishing in applied linguistics, linguistics and organisational communication. Results The participating ICU staff members had similar perceptions of their openness to communication. The clinicians read and record virtually all of their medical documentation in English, yet they communicate verbally with patients in Cantonese and Mandarin.

Her major research focus is on developing and extending theoretical work in these three areas, with a particular focus on the analysis and description of spoken English. However, the doctors responded more positively than the nurses to many aspects of communication openness. In addition, communication between clinicians occurs in spoken Cantonese, mixed with medical English.

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IMPLICATIONS: The CHEC resource enhances the capacity of busy clinical educators to raise students' awareness of the communication needs of emergency health care by focusing on communication in high-stress, time-pressured settings using a web format.

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