Content and distribution of discursive space in consultations between patients with atrial fibrillation and healthcare professionals

Siouta, Eleni; Broström, Anders; Hedberg, Berith

doi:10.1177/1474515111430894

Cited by 11 publications

(11 citation statements)

References 129 publications

(250 reference statements)

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“…It is crucial for the healthcare professionals to be aware of the perspective that reflects the parent's perspective on informal care responsibility to be able to support care service to the parents. Similar findings were developed by Siouta et al [ 48 – 51 ] and the Swedish Society of Nursing [ 52 ]. Creating an active role for the relatives requires knowledge based on the parents' preferences [ 53 , 54 ].…”

Section: Discussionsupporting

confidence: 91%

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Parents’ Experiences of Caring Responsibility for Their Adult Child with Schizophrenia

Mannerheim

Muhli

Siouta

2016

Schizophrenia Research and Treatment

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As a consequence of the latest psychiatry-related reform in Sweden and its implementation, relatives and family members have taken over from the formal healthcare system significant responsibility for the care of persons with a mental disability and illness. The aim of this study was to systematically describe and analyze the experiences of parents' informal care responsibility. The questions were, what are the experiences around parents' informal care activities and responsibilities and how do parents construct and manage their caring responsibility and with what consequences? Semistructured in-depth interviews were conducted (16 hours of recorded material) with eight parents who were all members of the Interest Association for Schizophrenia (Intresseföreningen för Schizofreni (IFS)) in Sweden. A mixed hermeneutic deductive and inductive method was used for the interpretation of the material. The parents endow their informal caring responsibility with meaning of being a good, responsible, and accountable parent with respect to their social context and social relationships as well as with respect to the psychiatric care representatives. In this tense situation, parents compromise between elements of struggle, cooperation, avoidance, and adaption in their interaction with the world outside, meaning the world beyond the care provision for their child, as well as with the world inside themselves.

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Section: Discussionsupporting

confidence: 91%

“…Creating an active role for the relatives requires knowledge based on the parents' preferences [ 53 , 54 ]. This will give the healthcare providers a better understanding and willingness to cooperate with the relatives [ 48 , 49 , 54 ].…”

Section: Discussionmentioning

confidence: 99%

Parents’ Experiences of Caring Responsibility for Their Adult Child with Schizophrenia

Mannerheim

Muhli

Siouta

2016

Schizophrenia Research and Treatment

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“…Therefore, the psychosocial aspect of AF disease and treatment is prominent. In our previous study, which observed consultations, both nurses and physicians demonstrated a tendency to wait for patients to initiate psychosocial discussions (15). A supportive verbal behaviour that validates or supports the patients' emotional state improves patient involvement in the consultations (8,28).…”

Section: Discussionmentioning

confidence: 91%

“…Conversely, communication problems are more likely to occur where patients' agendas have been ignored . With this in mind, the degree to which patients feel able to voice and explore their agenda is dependent on the communicative space they are given in the consultations . In this study, communication between patients with AF and health professionals in the consultation is regarded as a dynamic communicative interaction .…”

Section: Introductionmentioning

confidence: 99%

Patients' experiences of communication and involvement in decision‐making about atrial fibrillation treatment in consultations with nurses and physicians

Siouta

Muhli

Hedberg

et al. 2015

Scandinavian Caring Sciences

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“…The present analysis used data from another study which aimed at highlighting variations in topics discussed in consultations (Siouta, Broström, and Hedberg 2012), and sample variation was therefore given priority in selection of the study sample. Siouta, Broström and Hedberg purposely and strategically selected (Hedberg, Johanson, and Cederborg 2008) seven hospitals in southern Sweden that had established nurse-based outpatient clinics for patients with AF and based selection of these hospitals on the clinics' location, size, and the number of AF patients that they treated.…”

Section: Methodsmentioning

confidence: 99%

Gendered Communicative Construction of Patients in Consultation Settings

et al. 2014

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This study aimed to explore the communication in consultations between patients and health care staff from a gender perspective. We used 23 tape-recorded consultations between patients with Atrial Fibrillation and five nurses and five physicians at cardiac outpatient clinics at six different hospitals in southern Sweden during the autumn of 2009 to explore the verbal gendered constructions of patients.Through critical discourse analysis, we revealed that the male patients tended to describe their ailments with performance-oriented statements, whereas the female patients usually used emotional-oriented statements. The staff downplayed the male patients' questions and statements, while they acknowledged concern toward the female patients. Both the patients and the staff made conclusions according to a mutual construction. Male patients were constructed as competent, and female patients as fragile through gender-stereotypical communication. Open-ended statements and questions enabled consultations to be less limited by gender stereotypes. 2This study aimed to explore the communication in consultations between patients and health care staff from a gender perspective. We used 23 tape-recorded consultations between patients with Atrial Fibrillation and nurses and physicians at cardiac outpatient clinics at six different hospitals in southern Sweden during the autumn of 2009 and explored the verbal gendered constructions of patients through interactions between patients and caregivers in clinical settings. Through critical discourse analysis, we revealed that the male patients tended to describe their ailments with performance-oriented statements, whereas the female patients usually used emotional-oriented statements. The staff downplayed the male patients' questions and statements, while they acknowledged concern toward the female patients. Both the patients and the staff made conclusions according to a mutual construction. Male patients were constructed as competent, and female patients as fragile through gender-stereotypical communication. Open-ended statements and questions enabled consultations to be less limited by gender stereotypes.

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Content and distribution of discursive space in consultations between patients with atrial fibrillation and healthcare professionals

Abstract: The medical-driven agenda dominates over the patient-driven agenda in consultations between healthcare professional and patients with AF. The patients initiated the conversations when discussing living with AF and were more talkative during conversations in nurse consultations.

Cited by 11 publications

References 129 publications

Parents’ Experiences of Caring Responsibility for Their Adult Child with Schizophrenia

Parents’ Experiences of Caring Responsibility for Their Adult Child with Schizophrenia

Patients' experiences of communication and involvement in decision‐making about atrial fibrillation treatment in consultations with nurses and physicians

Gendered Communicative Construction of Patients in Consultation Settings

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