Landmark-etal2017a

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Landmark-etal2017a
BibType ARTICLE
Key Landmark-etal2017a
Author(s) Anne Marie Dalby Landmark, Jan Svennevig, Jennifer Gerwing, Pål Gulbrandsen
Title Patient involvement and language barriers: problems of agreement or understanding?
Editor(s)
Tag(s) EMCA, Multilingualism, Decision Making, Patient Participation, Hospital, Understanding
Publisher
Year 2017
Language
City
Month
Journal Patient Education and Counseling
Volume 100
Number 6
Pages 1092-1102
URL Link
DOI 10.1016/j.pec.2016.12.006
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title
Chapter

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Abstract

Objective

This study aims to explicate efforts for realizing patient-centeredness (PCC) and involvement (SDM) in a difficult decision-making situation. It investigates what communicative strategies a physician used and the immediate, observable consequences for patient participation.

Methods

From a corpus of videotaped hospital encounters, one case in which the physician and patient used Norwegian as lingua franca was selected for analysis using conversation analysis (CA). Secondary data were measures of PCC and SDM.

Results

Though the physician did extensive interactional work to secure the patient’s understanding and acceptance of a treatment recommendation, his persistent attempts did not succeed in obtaining the patient’s participation. In ratings of PCC and SDM, this physician scored well above average.

Conclusion

Despite the fact that this encounter displays some of the ‘best actual practice’ of PCC and SDM within the corpus, our analysis of the interaction shows why the strategies were insufficient in the context of a language barrier and possible disagreement.

Practice implications

When facing problems of understanding, agreement and participation in treatment decision-making, relatively good patient centered skills may not suffice. Knowledge about the interactional realization of key activities is needed for developing training targeted at overcoming such challenges.

Notes