Conversation analysis, doctor-patient interaction and medical communication

Maynard, Douglas W.

doi:10.1111/j.1365-2929.2005.02111.x

Cited by 231 publications

(173 citation statements)

References 28 publications

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“…Conversation analysis aims at the discovery of regularities in talk-in-interaction through the exploration of the natural and sequential unfolding of events as they occur in everyday encounters. From an early interest in casual conversation (Sacks et al, 1974), conversation analysis has evolved to a method allowing the study of all kinds of institutional interactions with an interest in the way people routinely accomplish work-related activities collaboratively through conversation (for a review, see Drew and Heritage, 1992), including the study of clinical interactions (e.g., Maynard and Heritage, 2005).…”

Section: Ethnomethodology and Conversation Analysismentioning

confidence: 99%

“…Multimodal analysis is a subfield of conversation analysis that takes into account not only speech but also bodily conduct and their interplay (e.g., Goodwin, 2000). The importance of studying multimodal aspects in professional settings has been repeatedly shown in the literature (e.g., Heath, 1986;Maynard and Heritage, 2005;Goodwin, 1994;Mondada, 2007;Streek and Kallmeyer, 2001). However, this has been less frequent in the study of nursing (e.g., see González-Martínez et al, 2016;Mayor and Bangerter, 2015).…”

Section: Ethnomethodology and Conversation Analysismentioning

confidence: 99%

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Ethnomethodological studies of nurse-patient and nurse-relative interactions: A scoping review

Mayor

Bietti

2017

International Journal of Nursing Studies

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A B S T R A C TObjectives: Researchers in nursing science interested in the study of nurse-patient and nurse-relative interactions have displayed an ever increasing interest in ethnomethodology and conversation analysis. This review assesses the scope of this literature. We categorize the papers in thematic categories determined both inductively and deductively and synthesize the main findings of this literature within category. Finally we discuss the interactional determinants of the lack patient participation, the limitations of the field, and focus on implications. Design: A scoping review on nurse-patient and nurse-relative interactions. Data sources: Forty articles focusing on nurse-patient interactions and nurse-relative interactions. All the articles relied on ethnomethodology and/or conversation analysis. Review methods: A literature search has been carried out on Medline (all articles until June 2016; keywords were: nurs*.ab. and "conversation analysis"; nurs*.ab. and ethnomethodology). A similar search was performed on other platforms. The scope of the literature was identified by inductively and deductively analyzing the themes of the relevant articles. Results: Six thematic categories emerged: Organization of nurse-patient interaction (eleven articles); Organization of mediated nurse-patient interaction (seven articles); Information, explanation and advice (eight articles); Negotiation and influence asymmetry (six articles); Managing emotions in critical illness (two articles); and Interacting with patients presenting reduced interactional competences (six articles). Conclusions: Across most thematic categories it appeared that patient participation is far from ideal as interactional asymmetry was most observed in favor of nurses. When the encounters occurred at the patients' homes this pattern was reversed. Computer-mediated interactions were often reported as nonoptimal as the standardized process constrained communication and delayed patients' presentation of their ailments. Micro-analyses of interaction present a clear potential for the development of guidelines for nurse-patient interactions. Implications for practice are described.

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Section: Ethnomethodology and Conversation Analysismentioning

confidence: 99%

Section: Ethnomethodology and Conversation Analysismentioning

confidence: 99%

Ethnomethodological studies of nurse-patient and nurse-relative interactions: A scoping review

Mayor

Bietti

2017

International Journal of Nursing Studies

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“…32,[33][34][35]. CA has been applied successfully to doctor-patient interactions, focusing particularly on their interactional structure, dynamics and organisation, to inform and direct medical practice and diagnosis [17,36,37].…”

Section: Conversation Analysismentioning

confidence: 99%

Towards diagnostic conversational profiles of patients presenting with dementia or functional memory disorders to memory clinics

Elsey

Drew

Jones

et al. 2015

Patient Education and Counseling

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YesObjective\ud \ud This study explores whether the profile of patients’ interactional behaviour in memory clinic conversations with a doctor can contribute to the clinical differentiation between functional memory disorders (FMD) and memory problems related to neurodegenerative diseases.\ud \ud Methods\ud \ud Conversation Analysis of video recordings of neurologists’ interactions with patients attending a specialist memory clinic. “Gold standard” diagnoses were made independently of CA findings by a multi-disciplinary team based on clinical assessment, neuropsychological testing and brain imaging.\ud \ud Results\ud \ud Two discrete conversational profiles for patients with memory complaints emerged, including (i) who attends the clinic (i.e., whether or not patients are accompanied), and (ii) patients’ responses to neurologists’ questions about memory problems, such as difficulties with compound questions and providing specific and elaborated examples and frequent “I don’t know” responses.\ud \ud Conclusion\ud \ud Specific communicative difficulties are characteristic of the interaction patterns of patients with a neurodegenerative pathology. Those difficulties are manifest in memory clinic interactions with neurologists, thereby helping to differentiate patients with dementia from those with FMD.\ud \ud Practical implications\ud \ud Our findings demonstrate that conversational profiles based on patients’ contributions to memory clinic encounters have diagnostic potential to assist the screening and referral process from primary care, and the diagnostic service in secondary care

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“…Finally, CA assumes that units of language (sentences, words) cannot be analyzed outside of the conversation of which they are a part, nor can they be understood outside of their social context. [14][15][16] In medical education, CA has been used to study settings 17 such as bedside teaching encounters, 18 doctorpatient communication, 19 and interactions with simulated patients. 20 Maynard and Heritage 19 identified five features of the CA approach, which we illustrate by means of a typical classroom interaction:…”

Section: Conversation Analysismentioning

confidence: 99%

Collaborative Reflection Under the Microscope: Using Conversation Analysis to Study the Transition From Case Presentation to Discussion in GP Residents' Experience Sharing Sessions

Veen¹,

Croix

2016

Teaching and Learning in Medicine

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Conversation analysis, doctor-patient interaction and medical communication

Cited by 231 publications

References 28 publications

Ethnomethodological studies of nurse-patient and nurse-relative interactions: A scoping review

Ethnomethodological studies of nurse-patient and nurse-relative interactions: A scoping review

Towards diagnostic conversational profiles of patients presenting with dementia or functional memory disorders to memory clinics

Collaborative Reflection Under the Microscope: Using Conversation Analysis to Study the Transition From Case Presentation to Discussion in GP Residents' Experience Sharing Sessions

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