Pilnick2001

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Pilnick2001
BibType ARTICLE
Key Pilnick2001
Author(s) Alison Pilnick
Title The interactional organization of pharmacist consultations in a hospital setting: a putative structure
Editor(s)
Tag(s) EMCA, Medical EMCA, Pharmacy
Publisher
Year 2001
Language English
City
Month
Journal Journal of Pragmatics
Volume 33
Number 12
Pages 1927–1945
URL Link
DOI 10.1016/S0378-2166(00)00079-5
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title
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Abstract

The long term, complex drug regimes prescribed for oncology patients create specific opportunities for pharmacists to play an advisory role in their care, and this kind of ‘extended’ advisory role is being seized upon by the profession as the way forward. However, there is little published research on the nature of these interactions, or the kinds of communicative competencies that they require of pharmacists. This paper presents transcripts of audio data collected from a hospital outpatient clinic, where patients and/or carers are given an opportunity to discuss with a pharmacist questions or problems arising from their therapy. The data are taken from a wider study of advice-giving by pharmacists in this setting. Taking a single encounter as a ‘typical’ case, the data is analyzed and presented in the light of the Conversation Analysis (CA) literature concerned with interactional organization, and specifically the descriptions of overall structures or sequences which recur in particular kinds of interaction (e.g. Zimmerman, 1992; Jefferson, 1988). Drawing on these sequences, a putative ‘template’ structure for the pharmacist/patient/carer encounter is proposed. It is suggested that this mapping begins to establish the interactional contingencies of encounters in this setting, and hence the kinds of communicative competencies required of the ‘extended role’.

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