Non-comparability and unplannability as material topoi in antenatal care conversations

IF 2.9 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Patient Education and Counseling Pub Date : 2024-12-21 DOI:10.1016/j.pec.2024.108624

Elisabeth Kleschatzky, Kati Hannken-Illjes

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引用次数: 0

Abstract

Objective

This paper studies argumentation and its function to establish common ground in pregnancy counseling conversations during the third trimester of the pregnancy, focusing on two material topoi: Non-comparability and Unplannability.

Methods

We take a conversation-analytical and interactional approach and draw on 37 natural occurring counseling conversations, videorecorded during two periods at a university hospital. The conversations are typically between the midwife and the pregnant woman. The data has been transcribed using the system GAT 2.

Results

The analysis shows on the one hand that argumentation functions as a process through which common ground can be established. The participants develop the topoi collaboratively, thereby also mitigating open dissensus. On the other hand the study shows the challenge during the conversations to prepare for an event while at the same time stressing that it remains non-comparable to past experiences and escapes planning.

Discussion

Our analysis shows that non-comparability and unplannability as material topoi are closely connected and established by way of co-construction.

Practice implications

We suggest that the tension of (un-)plannability is something midwives should be made aware of in order to be able to use it deliberately during the conversations by including authentic conversational data into communication training sessions.

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来源期刊

Patient Education and Counseling 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

11.40%

发文量

384

审稿时长

46 days

期刊介绍： Patient Education and Counseling is an interdisciplinary, international journal for patient education and health promotion researchers, managers and clinicians. The journal seeks to explore and elucidate the educational, counseling and communication models in health care. Its aim is to provide a forum for fundamental as well as applied research, and to promote the study of organizational issues involved with the delivery of patient education, counseling, health promotion services and training models in improving communication between providers and patients.