Communication in Surgical Practice - Sarah J. White

Communication in Surgical Practice - Sarah J. White

Chapter 6 . Do Surgeons Want to Operate? Negotiating the Treatment Plan in Surgical Consultations

Communication in Surgical Practice - Sarah J. White

Maria Stubbe
University of Otago
Sarah J. White [+-]
Macquarie University
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Sarah J White is a linguist and qualitative health researcher. She is a Senior Lecturer at the Faculty of Medicine and Health Sciences at Macquarie University.
Lindsay MacDonald
University of Otago
Tony Dowell
University of Otago
Rod Gardner [+-]
Griffith University
Associate Professor Griffith Institute for Educational Research
Kevin Dew
Victoria University of Wellington

Description

Recent studies of decision making in surgical consultations suggest that surgeons may orient to surgery as a ‘default option’, as evidenced by recommendations not to operate tending to be interactionally more complex and requiring more extended negotiation than decisions in favour of surgery. This research also highlights the influence of patients on decision making, with treatment recommendations shown to be a joint achievement by surgeon and patient. However, it remains unclear to what extent contemporary patient-centred models of the consultation emphasising mutuality and shared decision making are reflected in surgical interactions. This chapter explores the naturally occurring interactional processes by which surgeons and patients reach decisions about treatment plans and how surgeons’ recommendations align (or not) with expressed patient wishes and concerns. The analysis draws on data from 47 video-recorded New Zealand surgical consultations in the ARCH Corpus of Health Interactions.

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Citation

Stubbe, Maria; White, Sarah J. ; MacDonald, Lindsay; Dowell, Tony; Gardner, Rod; Dew, Kevin. Chapter 6 . Do Surgeons Want to Operate? Negotiating the Treatment Plan in Surgical Consultations. Communication in Surgical Practice. Equinox eBooks Publishing, United Kingdom. p. 124-152 Mar 2016. ISBN 9781781790502. https://www.equinoxpub.com/home/view-chapter/?id=26408. Date accessed: 23 Jun 2017 doi: 10.1558/equinox.26408. Mar 2016

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