Evidence map›Paper›PMID 34543519›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2022

An outbreak of appreciation: A discursive analysis of tweets of gratitude expressed to the National Health Service at the outset of the COVID-19 pandemic.

Giskin Day, Glenn Robert, Kathleen Leedham-Green, Anne Marie Rafferty

Abstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
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  4. Article
  5. A content analysis on the perceptions of LGBTQ+ (centred) health care on Twitter.Health expectations : an international journal of public participation in health care and health policy · 2022
    Article
  6. An outbreak of appreciation: A discursive analysis of tweets of gratitude expressed to the National Health Service at the outset of the COVID-19 pandemic.Health expectations : an international journal of public participation in health care and health policy · 2022
    Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Giskin DayDivision of Methodologies Research, Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, London, UK.ORCID 0000-0002-9901-9267
Glenn RobertDivision of Methodologies Research, Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, London, UK.ORCID 0000-0001-8781-6675
Kathleen Leedham-GreenMedical Education Research Unit, School of Medicine, Imperial College London, London, UK.ORCID 0000-0002-5010-3257
Anne Marie RaffertyDivision of Methodologies Research, Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, London, UK.ORCID 0000-0003-1010-6581

Funding

Wellcome Trust 212792/Z/18/Z
6 · The paper itself

Abstract

backgroundThe early stages of the coronavirus disease 2019 pandemic prompted unprecedented displays of gratitude to healthcare workers. In the United Kingdom, gratitude was a hotly debated topic in public discourse, catalysing compelling displays of civic togetherness but also attracting criticism for being an unhelpful distraction that authorized unrealistic expectations of healthcare workers. Expressions of thanks tend to be neglected as drivers of transformation, and yet, they are important indicators of qualities to which people attach significance.

objectiveThis study aimed to use discursive analysis to explore how the National Health Service (NHS) was constructed in attention-attracting tweets that expressed and/or discussed gratitude to the NHS.

methodsHaving determined that Twitter was the most active site for traffic relating to gratitude and the NHS, we established a corpus of 834 most-liked tweets, purposively sampled from Twitter searches on a day-by-day basis over the period of the first lockdown in the United Kingdom (22 March-28 May 2020). We developed a typology for tweets engaging with gratitude as well as analysing what the NHS was thanked for.

resultsOur analysis, informed by a discursive psychology approach, found that the meanings attributed to gratitude were highly mobile and there were distinct patterns of activity. The NHS was predominantly-and sometimes idealistically-thanked for working, effort, saving and caring. Displays of gratitude were seen as incommensurable with failures of responsibility. The clap-for-carers campaign was a potent driver of affect, especially in the early parts of the lockdown.

conclusionsThe social value of gratitude is implicated in the re-evaluation of the risks and rewards of healthcare and social care work in the wake of the pandemic. We caution against cynicism about gratitude overshadowing the well-being effects that expressing and receiving gratitude can engender, particularly given concerns over the detrimental effects of the pandemic on mental health. PUBLIC CONTRIBUTION: This study involves the analysis of data provided by the public and published on social media.

Indexed as

COVID-19Social MediaCommunicable Disease ControlHumansPandemicsSARS-CoV-2State MedicineCOVID-19discursive psychologygratitudeNHSTwitter

Identifiers

PMID34543519
PMCPMC8652934

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.