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    Communicative constructions of person-centred and non-person-centred caring in nurse-led consultations

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    Authors
    Siouta, E
    Farrell, Carole
    Chan, E
    Walshe, C
    Molassiotis, A
    Affiliation
    Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institute, Stockholm, Sweden
    Issue Date
    2019
    
    Metadata
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    Abstract
    PURPOSE: Nursing is theorised to be a component of person-centred care. Communicative constructions of person-centred caring are a topic that needs to be studied in consultations. The study aimed to explore how person-centred caring and non-person- centred caring are verbally constructed in consultations between patients and nurse. METHOD: This study was qualitative using audio-recorded observations from consultations with advanced nurse practitioners in nurse-led chemotherapy clinics from four hospitals in the UK through purposive sampling. Discourse analysis was used to identify communicative patterns in 45 non-participant observations of nurse consultations. RESULTS: The dominant discourse was a non-person-centred oriented discourse framed by the biomedical model. It was also possible to identify fragments of an alternative discourse-a person-oriented discourse localising health problems within the patient's personal and sociocultural context. CONCLUSIONS: The prominent use of a non-person-oriented discourse focusing on the medical/technical aspects of a patient's assessment/evaluation in consultations may make it difficult for patients to raise questions and concerns from their daily lives during consultations. However, fragments of a person-oriented discourse show that it is possible for nurses to allow a person-centred approach to the consultation. The pedagogical implications have to do with raising nurses' awareness of the role of evaluative language in enhancing person-centred communication with patients in clinical interactions.
    Citation
    Siouta E, Farrell C, Chan EA, Walshe C, Molassiotis A. Communicative constructions of person-centred and non-person-centred caring in nurse-led consultations. Eur J Oncol Nurs. 2019;40:10-21.
    Journal
    European Journal of Oncology Nursing
    URI
    http://hdl.handle.net/10541/621927
    DOI
    10.1016/j.ejon.2019.02.008
    PubMed ID
    31229198
    Additional Links
    https://dx.doi.org/10.1016/j.ejon.2019.02.008
    Type
    Article
    Language
    en
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.ejon.2019.02.008
    Scopus Count
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