Speech Acts in Migrant Nurses’ Clinical Interactions: Searle’s Classification and Bourdieu’s Interpretation

Authors

  • Nur Alfi Syahrin School of Postgraduates, Universitas Pendidikan Indonesia, Bandung, Jawa barat , Indonesia
  • Syihabuddin School of Postgraduates, Universitas Pendidikan Indonesia, Bandung, Jawa barat , Indonesia
  • Mahardhika Zifana School of Postgraduates, Universitas Pendidikan Indonesia, Bandung, Jawa barat , Indonesia

DOI:

https://doi.org/10.24256/ideas.v13i2.8636

Keywords:

speech act, migrant nurses, pragmatic analysis, symbolic capital

Abstract

This study aims to identify the types of speech acts that emerge in interactions between Indonesian migrant nurse and her patients and colleagues in hospital environments. The research employs a single-case qualitative interview study using a pragmatic analysis approach. The participant was Indonesian migrant nurse working in hospital settings abroad. Data were collected through in-depth interviews to explore the nurse’ communicative experiences, and the data source consists of interview-based utterance excerpts rather than real-time recorded interactions. The data include utterances occurring between nurse and patients as well as between nurse and colleagues, as recalled by the participant. These utterances were analyzed and classified based on Searle’s speech act theory. The analysis identified 29 utterances: 12 assertive, 11 directive, 4 commissive, 2 expressive, and no declarative utterances. The findings were further interpreted using Bourdieu’s theoretical framework. The analysis demonstrates that speech acts function not merely as linguistic phenomena but as expressions of the nurse’ habitus, symbolic capital, and positioning within the healthcare field. Migrant nurse strategically use language to gain legitimacy, maintain professional authority, and negotiate power relations in clinical interactions. These findings contribute to a better understanding of migrant healthcare communication and offer practical implications for communication training and intercultural competence development in healthcare institutions.

References

Alharazi, R. M., Abdulrahim, R. J., Mazuzah, A. H., Almutairi, R. M., Almutary, H., & Alhofaian, A. (2025). Barriers and Factors Affecting Nursing Communication When Providing Patient Care in Jeddah. Clinics and Practice, 15(1). https://doi.org/10.3390/clinpract15010019

Alsamhori, M. A. O., Seine, M. I., & Al-Zuriqat, Z. K. (2025). “Speech Acts as a Means of Influence and Social Interaction: Perspectives from Austin and Searle.” Journal of Posthumanism, 5(3). https://doi.org/10.63332/joph.v5i3.771

Alshammari, M., Duff, J., & Guilhermino, M. (2022). Adult patient communication experiences with nurses in cancer care settings: a qualitative study. BMC Nursing, 21(1), 201. https://doi.org/10.1186/s12912-022-00981-4

Blanco-Fraile, C., Madrazo-Pérez, M., Fradejas-Sastre, V., & Rayón-Valpuesta, E. (2022). The evolution of the role of nursing in primary health care using Bourdieu’s concept of habitus. A grounded theory study. PLOS ONE, 17(5), e0265378. https://doi.org/10.1371/journal.pone.0265378

Bourdieu, P., & Thompson, J. B. (1991). Language and Symbolic Power. Harvard University Press. https://books.google.co.id/books?id=u2ZlGBiJntAC

Bourdieu, P., & Wacquant, L. J. D. (1992). An Invitation to Reflexive Sociology. University of Chicago Press. https://books.google.co.id/books?id=rs4fEHa0ijAC

Fernández Cuevas, M. P. (2020). Campo, Habitus y Capital: Categorías sociológicas clave en el modelo de análisis interpretativo de la Práctica Social de Pierre Bourdieu. DIVULGARE Boletín Científico de La Escuela Superior de Actopan, 7(14), 1–7. https://doi.org/10.29057/esa.v7i14.5631

Gerchow, L., Burka, L., Miner, S., & Squires, A. (2020). Language barriers between nurses and patients: A scoping review. Patient Education and Counseling, 104. https://doi.org/10.1016/j.pec.2020.09.017

Janson, M. A., & Woo, C. C. (1995). Comparing IS development tools and methods: Using speech act theory. Information & Management, 28(1), 1–12. https://doi.org/10.1016/0378-7206(94)00029-i

Kim, Y., & Lee, E. (2020). The relationship between the perception of open disclosure of patient safety incidents, perception of patient safety culture, and ethical awareness in nurses. BMC Medical Ethics, 21(1), 104. https://doi.org/10.1186/s12910-020-00546-7

Mielke, K., Frerichs, W., Cöllen, K., Lindig, A., Härter, M., & Scholl, I. (2024). Perspective on patient-centered communication : a focus group study investigating the experiences and needs of nursing professionals.

Pavithra, A., Mannion, R., Sunderland, N., & Westbrook, J. (2022). Speaking up as an extension of socio-cultural dynamics in hospital settings: a study of staff experiences of speaking up across seven hospitals. Journal of Health Organization and Management, ahead-of-p(ahead-of-print), 245–271. https://doi.org/10.1108/JHOM-04-2022-0129

Piedrahita Sandoval, L. E., Sotelo-Daza, J., Morales Viana, L. C., & Aviles Gonzalez, C. I. (2025). How Does Professional Habitus Impact Nursing Autonomy? A Hermeneutic Qualitative Study Using Bourdieu’s Framework. Nursing Reports, 15(3). https://doi.org/10.3390/nursrep15030088

Pressley, C., Newton, D., Garside, J., Simkhada, P., & Simkhada, B. (2022). Global migration and factors that support acculturation and retention of international nurses: A systematic review. International Journal of Nursing Studies Advances, 4, 100083. https://doi.org/https://doi.org/10.1016/j.ijnsa.2022.100083

Purwaningsih, N. K., Darma, A., & Pratama, Y. (2020). Caregivers Experience in Performing Interpersonal Communication and Directive Speech Acts With Elderly in Japan and Bali Nursing Home. 6(1), 78–84.

Rhynas, S. J. (2005). Bourdieu’s theory of practice and its potential in nursing research. Journal of Advanced Nursing, 50(2), 179–186. https://doi.org/10.1111/j.1365-2648.2005.03377.x

Safitri, R. D., & Mulyani, M. (2021). Teori tindak tutur dalam studi pragmatik. 1(1), 59–67.

Saleem, A., Saleem, T., & Aziz, A. (2022). A pragmatic study of congratulation strategies of Pakistani ESL learners and British English speakers. Asian-Pacific Journal of Second and Foreign Language Education, 7(1). https://doi.org/10.1186/s40862-022-00134-9

Saragi, V., Nuratika, S., Fransiska, F., Yolanda, M., & Ardiyanti, N. (2019). A Review of Speech Act Theories Focusing on Searle (1969). Elsya : Journal of English Language Studies, 1(2), 61–68. https://doi.org/10.31849/elsya.v1i2.3529

Searle, J. R. (1969). Speech Acts: An Essay in the Philosophy of Language. Cambridge University Press. https://books.google.co.id/books?id=4UKbAAAAQBAJ

Yin, R. K. (2003). Case Study Research: Design and Methods. SAGE Publications. https://books.google.co.id/books?id=BWea_9ZGQMwC

Downloads

Published

2025-12-30

Citation Check