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

Farrell, Carole and Walshe, Catherine Elizabeth and Molassiotis, Alexander and Siouta, Eleni (2019) Communicative constructions of person-centred and non-person-centred caring in nurse-led consultations. European Journal of Oncology Nursing, 40. 10–21. ISSN 1462-3889

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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.

Item Type: Journal Article
Journal or Publication Title: European Journal of Oncology Nursing
Additional Information: This is the author’s version of a work that was accepted for publication in European Journal of Oncology Nursing. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in European Journal of Oncology Nursing, 40, 2019 DOI: 10.1016/j.ejon.2019.02.008
Uncontrolled Keywords: /dk/atira/pure/subjectarea/asjc/2900/2917
Subjects:
Departments: Faculty of Health and Medicine > Health Research
ID Code: 131668
Deposited By: ep_importer_pure
Deposited On: 28 Feb 2019 08:50
Refereed?: Yes
Published?: Published
Last Modified: 13 Dec 2019 05:19
URI: https://eprints.lancs.ac.uk/id/eprint/131668

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