Nurse Practitioners and the Performance of Professional Competency

Accomplishing Patient-centered Care

  • Staci¬†Defibaugh

Part of the Communicating in Professions and Organizations book series (PSPOD)

Table of contents

  1. Front Matter
    Pages i-xiii
  2. Staci Defibaugh
    Pages 1-25
  3. Staci Defibaugh
    Pages 121-129
  4. Back Matter
    Pages 131-133

About this book


This book examines the interactional practices of nurse practitioners (NPs) and the delivery of health care in the US. The author takes a discourse analytic approach, examining the linguistic resources that NPs employ in their interactions with patients. These linguistic features are connected to the concept of professional competency with specific focus on the enactment of the patient-centered approach. Analytic focus is placed on how NPs address organizational responsibilities during medical visits with patients, the form and function of patient education, the use of indirect speech, and the role that small talk plays in health care encounters. The book explores the understudied professional field of nurse practitioners and examines their linguistic practices with an eye on crossing disciplinary boundaries, integrating research from linguistics, discourse analysis and health communication. It will appeal to those interested in medical discourse analysis and health communication, as well as applied linguistics scholars.


Medical discourse Nurse practitioners Physician Assistants health communication interactional practices provider-patient relationships patient-centered care professional competency health outcomes medical checklist epistemic access healthcare healthcare visits discourse analysis healthcare discourse inpatient and outpatient visits healthcare delivery professional communication linguistic performance

Authors and affiliations

  • Staci¬†Defibaugh
    • 1
  1. 1.EnglishOld Dominion UniversityNorfolk, VAUSA

Bibliographic information

  • DOI
  • Copyright Information The Editor(s) (if applicable) and The Author(s) 2018
  • Publisher Name Palgrave Macmillan, Cham
  • eBook Packages Social Sciences
  • Print ISBN 978-3-319-68353-9
  • Online ISBN 978-3-319-68354-6
  • Buy this book on publisher's site