Cristin-resultat-ID: 1944287
Sist endret: 15. juni 2023, 16:25
NVI-rapporteringsår: 2021
Resultat
Vitenskapelig artikkel
2021

Negotiating uncertainty in clinical encounters: A narrative exploration of naturally occurring primary care consultations

Bidragsytere:
  • Olaug S Lian
  • Sarah Nettleton
  • Åge Wifstad og
  • Christopher Dowrick

Tidsskrift

Social Science and Medicine
ISSN 0277-9536
e-ISSN 1873-5347
NVI-nivå 2

Om resultatet

Vitenskapelig artikkel
Publiseringsår: 2021
Publisert online: 2021
Volum: 291
Artikkelnummer: 114467
Open Access

Importkilder

Scopus-ID: 2-s2.0-85116923358

Klassifisering

Vitenskapsdisipliner

Sosiologi

Emneord

Usikkerhet

HRCS

  • Helsekategori: 20 - Generell helserelevans
    Aktivitet: 1 - Underbyggende Forskning

Beskrivelse Beskrivelse

Tittel

Negotiating uncertainty in clinical encounters: A narrative exploration of naturally occurring primary care consultations

Sammendrag

Study design: Based on a narrative analysis of 20 naturally occurring clinical consultations between general practitioners and patients in England, sourced from the One in a million data archive, we explore how they conceptualize and negotiate medical and existential uncertainty. To capture the interactional element, which is often overlooked, three consultations receive special attention. While exploring the ongoing dynamics of the moment-to-moment realization of negotiations, we relate their actions to the institutionalized positions of doctor and patient. Situating their negotiations in the sociocultural context in which their interaction is embedded reveals how consultations unfold as a result of communication between two different positions in a normatively structured system. Main findings: When uncertainty prevails, both patients and GPs mainly conceptualize uncertainty indirectly. By conceptualizing uncertainty indirectly and in a depersonalized manner, GPs manage to safeguard against clinical errors without compromising their authority and credibility. Contrary to medical uncertainty, which is continuously discussed, existential uncertainty usually recedes in the background. However, as our consultations unfold it becomes evident that medical and existential dimensions of uncertainty are inextricably linked. Practice implications: By acknowledging that clinical uncertainty is not only an epistemic concern but also an existential one, existential aspects may usefully rise to the surface.

Bidragsytere

Olaug Synnøve Lian

Bidragsyterens navn vises på dette resultatet som Olaug S Lian
  • Tilknyttet:
    Forfatter
    ved Medical Humanities, forskningsgruppe ved UiT Norges arktiske universitet

Sarah Joan Nettleton

Bidragsyterens navn vises på dette resultatet som Sarah Nettleton
  • Tilknyttet:
    Forfatter
    ved University of York

Åge Wifstad

  • Tilknyttet:
    Forfatter
    ved Medical Humanities, forskningsgruppe ved UiT Norges arktiske universitet

Christopher Dowrick

  • Tilknyttet:
    Forfatter
    ved University of Liverpool
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