Browsing by Author "Nettleton, Sarah"
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‘It feels like my metabolism has shut down’. Negotiating interactional roles and epistemic positions in a primary care consultation
Lian, Olaug S; Nettleton, Sarah; Grange, Huw R.; Dowrick, Christopher (Journal article; Tidsskriftartikkel; Peer reviewed, 2022-11-16)Introduction: Our aim is to explore the ways in which a patient and a general practitioner (GP) negotiate knowledge-claims stemming from different epistemic domains while dealing with a mismatch between experiential and biomedical knowledge during a clinical consultation. We interpret their interaction in relation to the sociocultural context in which their negotiation is embedded, and identify ... -
‘I’d best take out life insurance, then.’ Conceptualisations of risk and uncertainty in primary care consultations, and implications for shared decision-making
Lian, Olaug S.; Nettleton, Sarah; Grange, Huw Robert; Dowrick, Christopher (Journal article; Tidsskriftartikkel; Peer reviewed, 2023-03-30)The main objective of this study is to gain knowledge about interactional factors that support and obstruct mutual risk-assessments and shared decision-making (SDM) in clinical consultations. Through a narrative analysis of verbatim tran- scripts of 28 naturally occurring consultations performed in English National Health Service practices, we explore the ways in which patients and general practitioners ... -
“I’m not the doctor; I’m just the patient”: Patient agency and shared decision-making in naturally occurring primary care consultations
Lian, Olaug S; Nettleton, Sarah; Grange, Huw R.; Dowrick, Christopher (Journal article; Tidsskriftartikkel; Peer reviewed, 2021-10-30)Objectives: To explore interactional processes in which clinical decisions are made in situ during medical consultations, particularly the ways in which patients show agency in decision-making processes by proposing and opposing actions, and which normative dimensions and role-expectations their engagement entail.<p> Methods: Narrative analysis of verbatim transcripts of 22 naturally occurring ... -
Modes of Interaction in Naturally Occurring Medical Encounters with General Practitioners: The ´One in a Million´ Study
Lian, Olaug S; Nettleton, Sarah; Wifstad, Åge; Dowrick, Christopher (Journal article; Tidsskriftartikkel; Peer reviewed, 2021-03-04)In this article, we qualitatively explore the manner and style in which medical encounters between patients and general practitioners (GPs) are mutually conducted, as exhibited in situ in 10 consultations sourced from the <i>One in a Million: Primary Care Consultations Archive</i> in England. Our main objectives are to identify interactional modes, to develop a classification of these modes, and to ... -
Negotiating Uncertainty in Clinical Encounters: A Narrative Exploration of Naturally Occurring Primary Care Consultations
Lian, Olaug S.; Nettleton, Sarah; Wifstad, Åge; Dowrick, Christopher (Journal article; Tidsskriftartikkel; Peer reviewed, 2021-10-09)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 ...