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    Rights statement: 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

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

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Communicative constructions of person-centred and non-person-centred caring in nurse-led consultations. / Farrell, Carole; Walshe, Catherine Elizabeth; Molassiotis, Alexander et al.
In: European Journal of Oncology Nursing, Vol. 40, 01.06.2019, p. 10–21.

Research output: Contribution to Journal/MagazineJournal articlepeer-review

Harvard

Farrell, C, Walshe, CE, Molassiotis, A & Siouta, E 2019, 'Communicative constructions of person-centred and non-person-centred caring in nurse-led consultations', European Journal of Oncology Nursing, vol. 40, pp. 10–21. https://doi.org/10.1016/j.ejon.2019.02.008

APA

Vancouver

Farrell C, Walshe CE, Molassiotis A, Siouta E. Communicative constructions of person-centred and non-person-centred caring in nurse-led consultations. European Journal of Oncology Nursing. 2019 Jun 1;40:10–21. Epub 2019 Mar 9. doi: 10.1016/j.ejon.2019.02.008

Author

Farrell, Carole ; Walshe, Catherine Elizabeth ; Molassiotis, Alexander et al. / Communicative constructions of person-centred and non-person-centred caring in nurse-led consultations. In: European Journal of Oncology Nursing. 2019 ; Vol. 40. pp. 10–21.

Bibtex

@article{fd42649e3eb349d5b93fc5363573210d,
title = "Communicative constructions of person-centred and non-person-centred caring in nurse-led consultations",
abstract = "PurposeNursing 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.MethodThis 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.ResultsThe 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.ConclusionsThe 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.",
keywords = "Cancer care, communication, consultation, discourse analysis, nurse, person-centred",
author = "Carole Farrell and Walshe, {Catherine Elizabeth} and Alexander Molassiotis and Eleni Siouta",
note = "This is the author{\textquoteright}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",
year = "2019",
month = jun,
day = "1",
doi = "10.1016/j.ejon.2019.02.008",
language = "English",
volume = "40",
pages = "10–21",
journal = "European Journal of Oncology Nursing",
issn = "1462-3889",
publisher = "Churchill Livingstone",

}

RIS

TY - JOUR

T1 - Communicative constructions of person-centred and non-person-centred caring in nurse-led consultations

AU - Farrell, Carole

AU - Walshe, Catherine Elizabeth

AU - Molassiotis, Alexander

AU - Siouta, Eleni

N1 - 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

PY - 2019/6/1

Y1 - 2019/6/1

N2 - PurposeNursing 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.MethodThis 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.ResultsThe 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.ConclusionsThe 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.

AB - PurposeNursing 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.MethodThis 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.ResultsThe 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.ConclusionsThe 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.

KW - Cancer care

KW - communication

KW - consultation

KW - discourse analysis

KW - nurse

KW - person-centred

U2 - 10.1016/j.ejon.2019.02.008

DO - 10.1016/j.ejon.2019.02.008

M3 - Journal article

VL - 40

SP - 10

EP - 21

JO - European Journal of Oncology Nursing

JF - European Journal of Oncology Nursing

SN - 1462-3889

ER -