PMID: 11339082May 8, 2001Paper

Taciturn patients in health counseling at a hospital: passive recipients or active participators?

Qualitative Health Research
Tarja KettunenPäivi Karhila

Abstract

This study explored patients' taciturnity as observed on videotape during hospital health counseling situations with a nurse. Health counseling sessions, 38 in number, were videotaped, transcribed verbatim, and analyzed by using an adaptation of conversation analysis. The data analysis included information on 18 selected patients who spoke little and did not introduce new topics, but rather supported the discussion on the theme chosen by the nurse. When we examined nurses' and patients' speech word by word, we discovered four participation frames that produced taciturnity: in the hands of professionals, compliant, guilty, and polite. These could fluctuate during interaction. The findings indicate that there is a need for a more extensive description of taciturn, or silent, patients. What has been interpreted as passivity in the literature can be interpreted more constructively. This insight can be useful for developing health counseling practice in hospitals.

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Citations

Aug 23, 2002·Patient Education and Counseling·Tarja KettunenMaija Gerlander
Jun 24, 2004·Patient Education and Counseling·Janneke HartingNanne K de Vries
Dec 17, 2008·Nursing Inquiry·Christina Foss, Marit Kirkevold
Apr 18, 2009·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Arlene ButzMary Elizabeth Bollinger
Oct 27, 2004·Journal of Advanced Nursing·Robin G Riley, Elizabeth Manias
Jan 1, 2016·Qualitative Health Research·Andrea C SchöpfMary A Keating
Feb 24, 2017·International Journal of Nursing Studies·Eric Mayor, Lucas Bietti
Jan 13, 2010·Qualitative Health Research·Rachel A BarnardElizabeth D Playford
Mar 16, 2018·Qualitative Health Research·Maija PeltolaPäivi Åstedt-Kurki
Jun 26, 2009·Scandinavian Journal of Caring Sciences·Monika J M SahlstenKaety A E Plos
Nov 26, 2005·Revista latino-americana de enfermagem·Eliana Moreira PinheiroMargareth Angelo

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