Difference between revisions of "Collins2005a"

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|DOI=10.1111/j.1365-2929.2005.02222.x

Latest revision as of 13:02, 3 November 2019

Collins2005a
BibType ARTICLE
Key Collins2005a
Author(s) Sarah Collins
Title Explanations in consultations: The combined effectiveness of doctors' and nurses' communication with patients
Editor(s)
Tag(s) EMCA, Medical EMCA, Conversation Analysis, Family practice, Nurse- patient relations, Doctor-patient interaction, Diabetes, Blood Glucose
Publisher
Year 2005
Language
City
Month
Journal Medical Education
Volume 39
Number 8
Pages 785–796
URL Link
DOI 10.1111/j.1365-2929.2005.02222.x
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title
Chapter

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Abstract

Background  Multidisciplinary and interprofessional working is currently a priority in health care policy, in caring for patients and in health professional education. Realising multidisciplinary approaches presents challenges in the context of changes in doctors' and nurses' roles and the increased emphasis placed on communication with patients. In communication in consultations, explanations are employed in the service of numerous activities, including decision making, diagnosis and physical examination, but they have been little studied.

Setting  This paper presents findings from a comparative study of doctors' and nurses' communication with patients in multidisciplinary health care, focusing on diabetes in primary care.

Methods  Video- and audio-recorded consultations were subjected to conversation analysis. Output from discussion groups with patient representatives and health professionals underwent qualitative analysis.

Findings  Distinctive features of explanations in nurses' and doctors' consultations with patients were identified. These can be understood by reference to patterns of communication. Nurses' communication was mediated by patients' contributions; doctors' communication gave an overarching direction to the consultation as a whole. While nurses' explanations began from the viewpoint of a patient's responsibility and behaviour, doctors' explanations began from the viewpoint of biomedical intervention. Their consultations lent different opportunities for patients' involvement.

Conclusion  Nurses' and doctors' communications each exhibit their own distinct features. Specification of these features, when considered in the context of a particular consultation activity such as explanations, allows both recognition of the distinct contributions each profession can offer and identification of ways of combining these to maximum effect. This has implications for policy, for practice and for interprofessional education.

Notes