Table 1 Example of the speaking up messages the receivers (participants) received
What Mary was thinking | What Mary actually said |
|---|---|
The patient lives alone with no home support. She has a high fall risk. Mary is thinking the patient should not go home today due to high risk of falling. The ambulance transport needs to be cancelled and a comprehensive discharge plan organised. | Message 1: hint and hope—accommodative, verbose. 'Thank goodness, you're here. This is Mrs. Williams she's due to go home today. The ambulance is coming within two hours, but the discharge has not been organised. So, I'm really worried that the appropriate care is not going to be in place. I really think we need a decision like now, whether she can go home or not. As I said, the discharge is not in place, so wondering what your thoughts are?' |
Message 2: hint and hope—less accommodative, abrupt.' Look, I asked the ward receptionist if you could start the ward round here, not finish here. I've got the ambulance transport coming to pick up Mrs. Williams and none of the discharge has been done and I don't think she's ready to go home. So, I just need you to do something.' |