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Exploration of communicative patterns of consultations in palliative cancer care
Göteborgs universitet.
Göteborgs universitet.
Linköping University, Faculty of Arts and Sciences. Linköping University, The Tema Institute.ORCID iD: 0000-0002-3033-9879
Göteborgs universitet.
2008 (English)In: European Journal of Oncology Nursing, ISSN 1462-3889, Vol. 12, no 1, 44-52 p.Article in journal (Refereed) Published
Abstract [en]

Building on the research conducted on institutional communication, and the analysis of actual communication taking place in clinical settings, this study describes and highlights features of palliative care consultations and focuses on the distribution of discursive space (i.e., share of words, lengths of turns), occurring topics and conversational frames. Six consultations between physicians, patients and significant others were videotaped and all participants took part in audio-taped interviews. The recordings were transcribed and analysed in regard to expectations of, the discursive space of, and topics addressed in the consultations. The distribution of the discursive space was unequal, the physicians had the greatest share of words and length of turns in all six consultations, and they mostly initiated discussion of medical issues connected to examinations and treatment, while only patients initiated the topic of the patient's future. During the consultations, institutional framing tended to dominate over client framing. There was found to be room for further study of the structure and content of palliative care consultations with emphasis on how the voice of the patient can manifest itself within the framework of the medical agenda of the consultation and its significance for palliative cancer team work. © 2007 Elsevier Ltd. All rights reserved.

Place, publisher, year, edition, pages
2008. Vol. 12, no 1, 44-52 p.
National Category
Social Sciences Interdisciplinary
URN: urn:nbn:se:liu:diva-42313DOI: 10.1016/j.ejon.2007.07.005Local ID: 62473OAI: diva2:263169
Available from: 2009-10-10 Created: 2009-10-10 Last updated: 2013-09-04

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Hydén, Lars-Christer
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Faculty of Arts and SciencesThe Tema Institute
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