Interpretation of care guidelines for obese women in labor: intergroup language and social identity

Eley, Victoria, Callaway, Leonie, van Zundert, Andre, Lipman, Jeffrey and Gallois, Cindy (2016) Interpretation of care guidelines for obese women in labor: intergroup language and social identity. Journal of Language and Social Psychology, 36 4: 388-414. doi:10.1177/0261927X16668564


Author Eley, Victoria
Callaway, Leonie
van Zundert, Andre
Lipman, Jeffrey
Gallois, Cindy
Title Interpretation of care guidelines for obese women in labor: intergroup language and social identity
Journal name Journal of Language and Social Psychology   Check publisher's open access policy
ISSN 0261-927X
1552-6526
Publication date 2016-09-13
Sub-type Article (original research)
DOI 10.1177/0261927X16668564
Open Access Status Not yet assessed
Volume 36
Issue 4
Start page 388
End page 414
Total pages 27
Place of publication Thousand Oaks, CA, United States
Publisher Sage Publications
Language eng
Abstract The hospital-based care of pregnant women who are obese is complex. Current guidelines recommend early epidural analgesia, but there is disagreement about the guidelines and their implementation by anesthesiologists. In this study, we conducted semistructured interviews with 42 specialist anesthesiologists about their experiences implementing the “early epidural” recommendation. We examined the impact of intergroup identity and system factors on the language used by anesthesiologists to express their experiences, framing the work by social identity and communication accommodation theory. Leximancer text mining was used to elicit the dominant theme “epidural” in the interviews, and discourse analysis aided in exploring selected extracts. Findings indicated that anesthesiologists expressed their role primarily as technical experts, along with the core value of accommodating patients’ wishes. Furthermore, the extent to which they were prepared to accommodate the perspective of other health professionals was a key indicator of the intergroup climate.
Keyword Communication accommodation theory
Intergroup language
Health communication
Maternity care
Anesthesiology
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: UQ Centre for Clinical Research Publications
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Created: Wed, 23 Nov 2016, 21:28:29 EST by Victoria Eley on behalf of Anaesthesiology and Critical Care - RBWH