Rhodes-etal2008

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Rhodes-etal2008
BibType ARTICLE
Key Rhodes-etal2008
Author(s) Penny Rhodes, Neil Small, Emma Rowley, Mark Langdon, Steven Ariss, John Wright
Title Electronic medical records in diabetes consultations: participants' gaze as an interactional resource
Editor(s)
Tag(s) EMCA, Medical EMCA, checklists, chronic illness, communication, nurse—patient, computer, conversation analysis, diabetes, empowerment, medical/health care discourse, microanalysis of behavior, technology, visual methods, electronic medical record
Publisher
Year 2008
Language English
City
Month
Journal Qualitative Health Research
Volume 18
Number 9
Pages 1247–1263
URL Link
DOI 10.1177/1049732308321743
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
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Abstract

Two routine consultations in primary care diabetes clinics are compared using extracts from video recordings of interactions between nurses and patients. The consultations were chosen to present different styles of interaction, in which the nurse's gaze was either primarily toward the computer screen or directed more toward the patient. Using conversation analysis, the ways in which nurses shift both gaze and body orientation between the computer screen and patient to influence the style, pace, content, and structure of the consultation were investigated. By examining the effects of different levels of engagement between the electronic medical record and the embodied patient in the consultation room, we argue for the need to consider the contingent nature of the interface of technology and the person in the consultation. Policy initiatives designed to deliver what is considered best-evidenced practice are modified in the micro context of the interactions of the consultation.

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