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dc.contributor.authorGuassora, Ann Dorrit
dc.contributor.authorJohansen, May-Lill
dc.contributor.authorMalterud, Kirsti
dc.date.accessioned2022-01-04T09:43:15Z
dc.date.available2022-01-04T09:43:15Z
dc.date.issued2021-08-26
dc.description.abstractObjective - To explore how agenda navigation may be accomplished underway in consultations covering multiple topics, we identified and analyzed one GP’s communicative strategies.<p> <p>Design, setting, and subjects - A qualitative observational case study with linguistic microanalysis of an exemplary consultation between a female patient with diabetes and her male GP. We used speech act theory to identify communicative actions that indicated agenda navigation by the GP in transitions between episodes concerning ten topics.<p> <p>Results - Microanalysis revealed different aspects of agenda navigation by the GP using speech acts, especially ways of opening or closing an episode. The opening of episodes was characterized by speech acts accepting the patient’s request to discuss a topic, mostly at the beginning of the consultation. Speech acts to inform or to request information from the patient dominated later in the consultation. The GP closed all episodes using speech acts to instruct or appraise the patient, or to make agreements and plans.<p> <p>Conclusion and practice implications - Skilful agenda navigation is an important tool for consultations covering multiple issues and could be further developed for medical education. The opening and closing of episodes were vital communicative strategies supporting patient-centered communication in a complex consultation while maintaining the focus of the consultation agenda.en_US
dc.identifier.citationGuassora, Johansen, Malterud. Agenda navigation in consultations covering multiple topics. A qualitative case study from general practice. Scandinavian Journal of Primary Health Care. 2021en_US
dc.identifier.cristinIDFRIDAID 1938574
dc.identifier.doi10.1080/02813432.2021.1958472
dc.identifier.issn0281-3432
dc.identifier.issn1502-7724
dc.identifier.urihttps://hdl.handle.net/10037/23588
dc.language.isoengen_US
dc.publisherTaylor & Francisen_US
dc.relation.journalScandinavian Journal of Primary Health Care
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2021 The Author(s)en_US
dc.subjectVDP::Medisinske fag: 700::Klinisk medisinske fag: 750::Allmennmedisin: 751en_US
dc.subjectVDP::Midical sciences: 700::Clinical medical sciences: 750::General practice: 751en_US
dc.titleAgenda navigation in consultations covering multiple topics. A qualitative case study from general practiceen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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