{"title":"Antenatal group consultations: Promoting wellbeing","authors":"Antoinette Fage-Butler, M. Brannigan","doi":"10.7146/qhc.v1i1.125534","DOIUrl":"https://doi.org/10.7146/qhc.v1i1.125534","url":null,"abstract":"Background: Most healthcare encounters take place in a dyadic encounter between a patient and healthcare practitioner, and improving dyadic communication has been the object of much health communication research. However, it seems that an alternative to the dyadic encounter – group consultations – may have distinct advantages for the promotion of patients’ wellbeing. Aim: This article focuses on antenatal group consultations (AGCs), where groups of pregnant women meet with one or more healthcare practitioners instead of meeting their midwife individually, and explores how the presence of other pregnant women in AGCs may promote wellbeing. Methods: Adopting a post-intentional phenomenological approach, we analysed the transcripts of 16 semi-structured interviews undertaken with pregnant women who attended AGCs in Denmark, focusing on their accounts of being with each other. Results: The presence of other pregnant women helped to generate trust, with the participants’ pregnant bodies symbolising their common situation. The presence of peers prompted feelings of identification and solidarity, generally decreased the women’s concerns, and normalised their experiences of pregnancy. Discussion and conclusion: This article develops understandings of how patients experience interpersonal healthcare encounters, and suggests the value of alternatives to the clinical dyad, such as group consultations, for promoting the wellbeing of other patient groups.","PeriodicalId":320293,"journal":{"name":"Qualitative Health Communication","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126736694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Co-constructing experiential knowledge in health: The contribution of people living with Parkinson to the co-design approach","authors":"A. Sendra, Sylvie Grosjean, L. Bonneville","doi":"10.7146/qhc.v1i1.124110","DOIUrl":"https://doi.org/10.7146/qhc.v1i1.124110","url":null,"abstract":"Background: The use of collaborative approaches in the design of digital health technologies could help researchers to better understand the patient perspective. Starting from a 2019 Canadian case study focused on co-design and Parkinson’s disease, this paper discusses the potential of using narrative interviews to capture the patient experience. Aim: The objectives of this study are to examine the process of co-construction of ‘experiential knowledge’ through the interaction during a narrative interview and stress the significance of this method in relation to a co-design approach. Methods: A qualitative analysis of transcripts from 19 narrative interviews conducted in 2019 with people living with PD and their caregivers was performed. Results: Materialized in embedded, embodied, and emergent knowledge, findings reveal the potential of narrative interviews to provide insight to how experiential knowledge of people living with PD is constituted. Discussion: In addition to generate a learning environment, the analysis indicates that narrative interviews help to make visible experiential knowledge through the interaction processes between patients, caregivers, and researchers. Conclusion: This suggests that narrative interviews permit a more patient-centered design of digital health technologies, as they collect the psychological, social, and medical factors that influence the experience of these individuals.","PeriodicalId":320293,"journal":{"name":"Qualitative Health Communication","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131857148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Uncertainty, responsibility, and reassurance in paediatric palliative care: A conversation analytic study of telephone conversations between parents and clinicians","authors":"Holly Sansone, S. Ekberg, S. Danby","doi":"10.7146/qhc.v1i1.125538","DOIUrl":"https://doi.org/10.7146/qhc.v1i1.125538","url":null,"abstract":"Background: Families play a vital role in the day-to-day medical care of children with life-limiting conditions. Navigating their child’s symptoms, treatments, and the possibility of sudden deteriorations, presents myriad challenges and can be distressing for the family. Paediatric palliative care can provide crucial support for families who are typically responsible for many aspects of their child’s care. Aim: To understand how paediatric palliative care clinicians use reassurance to support families through the uncertainties associated with caring for their children. Methods: One hundred routine telephone conversations between parents and clinicians of a paediatric palliative care service were recorded and analysed using Conversation Analytic methods. Findings: When parents report uncertainty about a specific care task, imply a causal link between this care task and an adverse outcome for their child, and a moral responsibility for the outcome, clinicians respond with reassurance. Clinicians produce reassurance through refuting parents’ accounts and providing an explanation to reframe the potential adverse outcome as independent of parent actions. Parents often agree with the clinicians’ reframings and demonstrate being reassured. Discussion: Specialist paediatric palliative care clinicians routinely foreground support for family members through reassurance. Conclusions: This study demonstrates how family-centred care can be accomplished in clinical practice.","PeriodicalId":320293,"journal":{"name":"Qualitative Health Communication","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114263511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Matilde Nisbeth Brøgger, M. Dahm, Antoinette Fage-Butler, Maja Klausen, J. E. Møller
{"title":"Editorial. Qualitative Health Communication: What can a new journal dedicated to qualitative health communication offer?","authors":"Matilde Nisbeth Brøgger, M. Dahm, Antoinette Fage-Butler, Maja Klausen, J. E. Møller","doi":"10.7146/qhc.v1i1.130269","DOIUrl":"https://doi.org/10.7146/qhc.v1i1.130269","url":null,"abstract":"","PeriodicalId":320293,"journal":{"name":"Qualitative Health Communication","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115222135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Managing the communication channel. Discursive representations of clinical communication in forensic psychiatric reports","authors":"Dariusz Galasiński, Justyna Ziółkowska","doi":"10.7146/qhc.v1i1.130374","DOIUrl":"https://doi.org/10.7146/qhc.v1i1.130374","url":null,"abstract":"Background: Forensic reports require clinicians’ presence as an agent in court-ordered forensic assessment.Aim: We focus on discursive representations of clinical communication in forensic psychiatric reports.Methods: We perform a critical discourse analysis of 142 forensic assessment reports for 33 patients detained and hospitalized on forensic wards in three hospitals in the southwest of Poland. Results: Clinical communication is constructed as controlled by the clinician. All references to patients’ communication are anchored in interpretation by the clinician. While the speaking patient is explicitly constructed as a communicator, the clinician her/himself is only very rarely represented as personally communicating, invoking an impersonal voice of institutional medicine. Discussion: Our study offers insight into the role of communication is forensic psychiatry as serving the clinician to construct an institutionally useful account of the patient. In contrast to psychiatry’s pronouncements, communication is not a means for a clinical dialogue, but for an institutional monologue. Conclusion: The results of our qualitative study are useful as do not only examine how things are done in forensic psychiatry, but also what it means in its context.","PeriodicalId":320293,"journal":{"name":"Qualitative Health Communication","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127493632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Self-management of complex chronic conditions: Recommendations for qualitative health communication research","authors":"N. Diviani, S. Rubinelli","doi":"10.7146/qhc.v1i1.130228","DOIUrl":"https://doi.org/10.7146/qhc.v1i1.130228","url":null,"abstract":"Background: Chronic conditions are on the rise worldwide, urging researchers to increase efforts to develop tailored self-management interventions. Theories and findings from health communication hold great potential to inform these developments, provided that the main current challenges in the field are adequately addressed. Aim: To recommend targets for research in health communication, focusing on qualitative methods, in the field of self-management of (complex) chronic conditions. Methods: A position paper based on a selective review of literature on self-management of chronic health conditions. Findings: To better support the development of tailored self-management programs, health communication research should: i) consider the existential dimension of self-management behavior; ii) recognize and address the fact that we live in an information landscape characterized by information overload and infodemic, and iii) apply qualitative methods to ensure that individuals' perspectives are fully taken into account. Discussion and conclusion: Gaining in-depth qualitative insights into the adjustment process for (complex) chronic health conditions is of mainstream importance for developing tailored communication interventions that can assist newly diagnosed individuals in integrating multiple self-management behaviors in their lives. This holds great potential to improve health outcomes for individuals and to reduce costs for society. ","PeriodicalId":320293,"journal":{"name":"Qualitative Health Communication","volume":"100 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132904590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}