| 1. |
- Gustafsson, Anna W.
(författare)
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Doctors' and interpreters' conversational styles in paediatric diabetes encounters : A case study of empowering language use
- 2016
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Ingår i: Communication & Medicine. An Interdisciplinary Journal of Healthcare, Ethics and Society. - : Equinox Publishing. - 1613-3625. ; 13:2, s. 155-167
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Tidskriftsartikel (refereegranskat)abstract
- During the last few decades, ideas of empowerment, person-centred care (PCC) and shared decision-making (SDM) have informed western health care. An increasing interest in conversational styles aligned with these ideas is visible e.g. in the work to make motivational interviewing (MI) an evidence-based communicative practice. But linguistic competence is needed to identify the subtle nuances of the communicative practices in a doctor-patient consultation. It is therefore particularly important to investigate conversation styles in mediated encounters with immigrant patients. Mitigation strategies (indirect speech, hedging etc.) and confirming strategies (back-channelling, encouragement etc.) are considered to be typical of an 'empowering' conversation style. The distribution of these features in encounters with or without interpreters was analysed in a case study of two consultations with the same doctor in a children's diabetes clinic in Sweden. The results of this study indicate that the mitigation strategies and confirming strategies characteristic of a conversation style aimed at strengthening and encouraging the patient tend to get lost in mediation. The implications of these findings are discussed.
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| 2. |
- Jansson, Gunilla, 1950-, et al.
(författare)
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Language brokering in multilingual caregiving settings
- 2016
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Ingår i: Communication & Medicine. - : Equinox Publishing. - 1612-1783 .- 1613-3625. ; 13:3, s. 277-290
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Tidskriftsartikel (refereegranskat)abstract
- Using the methodology of conversation analysis to examine audio-recorded multi-party conversations between a Swedish-/Farsi-speaking resident and multilingual staff in a Swedish residential home, this article describes a practice for establishing shared understanding by one caregiver enacting the role of language broker. The focus is on caregiving settings where caregivers assist an elderly person with her personal hygiene. We demonstrate how brokering is used to (1) maintain the conversational flow in a small talk sequence and (2) address the contents in the resident’s complaints. The article thus advances our understanding of language brokering as an activity that multilingual staff in a linguistically asymmetrical workplace setting take on to assist a colleague in performing client-oriented activities.
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| 3. |
- Lundin, Mona, 1976
(författare)
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Getting to know a new protocol in hypertension care: Nurses’ use of patients’ self-generated graphical data in follow-up consultations
- 2019
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Ingår i: Communication & Medicine. An Interdisciplinary Journal of Healthcare, Ethics and Society. - : Equinox Publishing. - 1612-1783 .- 1613-3625. ; 16:1, s. 27-39
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Tidskriftsartikel (refereegranskat)abstract
- This study explores the use of a new protocol in hypertension care, in which continuous patient-generated data reported through digital technology are presented in graphical form and discussed in follow-up consultations with nurses. This protocol is part of an infrastructure design project in which patients and medical professionals are co-designers. The approach used for the study was interaction analysis, which rendered possible detailed in situ examination of local variations in how nurses relate to the protocol. The findings show three distinct engagements: (1) teasing out an average blood pressure, (2) working around the protocol and graph data and (3) delivering an analysis. It was discovered that the graphical representations structured the consultations to a great extent, and that nurses mostly referred to graphs that showed blood pressure values, which is a measurement central to the medical discourse of hypertension. However, it was also found that analysis of the data alone was not sufficient to engage patients: nurses' invisible and inclusion work through eliciting patients' narratives played an important role here. A conclusion of the study is that nurses and patients both need to be more thoroughly introduced to using protocols based on graphs for more productive consultations to be established.
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| 4. |
- Siouta, Eleni, et al.
(författare)
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Cardiologists' experiences and perceptions of patient involvement and communication related to shared decision-making regarding atrial fibrillation treatment
- 2017
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Ingår i: Communication & Medicine. - : Equinox Publishing. - 1612-1783 .- 1613-3625. ; 14:1, s. 39-50
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To feel involved in decisions about atrial fibrillation (AF) treatment, patients need supportive communication from cardiologists. Shedding light on cardiologists’ perceptions of patient involvement in AF care settings is thus of importance. We examine (1) how cardiologists describe patient involvement and communication related to shared decisionmaking regarding AF treatment, and (2) their perceptions of efforts to involve patients in the treatment decisions. Methods: Ten cardiologists were interviewed in four Swedish hospitals. A qualitative content analysis was performed on the interview data. Results: Cardiologists’ perceptions of patient involvement in treatment decisions are framed in terms of (1) ideology, (2) experience, and (3) responsibility. Conclusion: By taking into account patients’ feelings in the consultations, and by actively encouraging patients to be involved, the cardiologists contributed to patient involvement. Practice Implications: One key to improving compliance with legislation aimed at increasing patient involvement in treatment decisions could lie in paying attention to physician–patient communication and the conditions for patient involvement in decision-making about treatment.
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| 5. |
- Wadensjö, Cecilia, 1954-
(författare)
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Involvement, trust and topic control in interpreter-mediated healthcare encounters
- 2018
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Ingår i: Communication & Medicine. - : Equinox Publishing. - 1612-1783 .- 1613-3625. ; 15:2, s. 165-176
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Tidskriftsartikel (refereegranskat)abstract
- By examining audio-recorded and transcribed, naturally occurring discourse data, this article shows how participants communicate involvement in two interpreter-mediated healthcare encounters. The article demonstrates how the relational exchange in these encounters, each involving a Swedish-speaking care provider, a young mother (one Spanish-speaking and one Russian-speaking) and a professionally trained interpreter, is affected by the way single participants orient to one another as conversational partners. The analysis also shows how primary participants’ orientation towards the interpreter as a conversational partner may have unexpected consequences for the interpreter’s degree of involvement and the participants’ control of conversational topics. Adding to previous studies of interpreter-mediated medical encounters explored as interaction (Wadensjö 1998), this article demonstrates the significance of shared and mutual focus between physicians and patients when it comes to building rapport and mutual trust across language barriers.
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