Speaking out of turn: Implications of partner contributions for patient autonomy during prostate cancer consultations
Speaking out of turn: Implications of partner contributions for patient autonomy during prostate cancer consultations
Objective: This research examines how partners contribute to clinical consultations for people with prostate cancer. It highlights a social practice where a partner responds to talk that addresses a patient. Methods: A conversation analysis of twenty-eight prostate cancer treatment and diagnostic consultations was carried out using data collected from four clinical sites across England. Results: The analysis demonstrated that this practice was prosocial and patient enabling. Partners oriented to the patient's primary rights to take their turn as the selected next speaker, only initiating after a substantial delay from the clinician's turn-at-talk. Consequently, the partner consistently opened an opportunity space that the patient took to elaborate upon, or collaborate with the partners’ turn as they regularly took up a unified stance resisting the individualised configuration of the encounter. Conclusion: This research highlights the social and clinical utility of partners during these consultations, as they served as important, yet underutilised interactional and informational resources for clinicians and patients. Practice implications: This research indicates a need to reconsider the configuration of these consultations and sanction partners as formal participants. Absent of this, partners will continue to have to work to insert their contributions into consultations while resisting the dyadic structure of these interactions.
Autonomy, Conversation analysis, Medical communication, Partners, Prostate cancer, Turntaking
Stewart, Simon John
8e468a9f-617b-40df-a502-a884e025f332
Roberts, Lisa
0a937943-5246-4877-bd6b-4dcd172b5cd0
Brindle, Lucy
17158264-2a99-4786-afc0-30990240436c
1 July 2023
Stewart, Simon John
8e468a9f-617b-40df-a502-a884e025f332
Roberts, Lisa
0a937943-5246-4877-bd6b-4dcd172b5cd0
Brindle, Lucy
17158264-2a99-4786-afc0-30990240436c
Stewart, Simon John, Roberts, Lisa and Brindle, Lucy
(2023)
Speaking out of turn: Implications of partner contributions for patient autonomy during prostate cancer consultations.
Patient Education and Counseling, 112, [107722].
(doi:10.1016/j.pec.2023.107722).
Abstract
Objective: This research examines how partners contribute to clinical consultations for people with prostate cancer. It highlights a social practice where a partner responds to talk that addresses a patient. Methods: A conversation analysis of twenty-eight prostate cancer treatment and diagnostic consultations was carried out using data collected from four clinical sites across England. Results: The analysis demonstrated that this practice was prosocial and patient enabling. Partners oriented to the patient's primary rights to take their turn as the selected next speaker, only initiating after a substantial delay from the clinician's turn-at-talk. Consequently, the partner consistently opened an opportunity space that the patient took to elaborate upon, or collaborate with the partners’ turn as they regularly took up a unified stance resisting the individualised configuration of the encounter. Conclusion: This research highlights the social and clinical utility of partners during these consultations, as they served as important, yet underutilised interactional and informational resources for clinicians and patients. Practice implications: This research indicates a need to reconsider the configuration of these consultations and sanction partners as formal participants. Absent of this, partners will continue to have to work to insert their contributions into consultations while resisting the dyadic structure of these interactions.
Text
Stewart Roberts Brindle Speaking Out of Turn Manuscript_author accepted version
- Accepted Manuscript
More information
Accepted/In Press date: 30 March 2023
e-pub ahead of print date: 31 March 2023
Published date: 1 July 2023
Additional Information:
Funding Information:
The lead author was funded and supported by the South Coast Doctoral Training Partnership of the Economic and Social Research Council, Ref: ES/J500161/1. The Understanding Consequences Study (Chief Investigator: Brindle) was funded by TrueNTH: A collaboration between Prostate Cancer UK and Movember. The opinions expressed in this research do not necessarily reflect those of ESRC or TrueNTH.
Keywords:
Autonomy, Conversation analysis, Medical communication, Partners, Prostate cancer, Turntaking
Identifiers
Local EPrints ID: 477171
URI: http://eprints.soton.ac.uk/id/eprint/477171
ISSN: 0738-3991
PURE UUID: 75a2235a-ca47-4149-9436-44b9214bd5f3
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Date deposited: 31 May 2023 16:38
Last modified: 06 Jun 2024 01:43
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Author:
Simon John Stewart
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