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Article

Negotiating relevance in pre-operative assessments

Details

Citation

Benwell B & Rhys CS (2018) Negotiating relevance in pre-operative assessments. Social Science and Medicine, 200, pp. 218-226. https://doi.org/10.1016/j.socscimed.2018.01.034

Abstract
Preoperative assessments provide an essential clinical risk assessment aimed at identifying patient risks and requirements prior to surgery. As such they require effective and sensitive information-gathering skills. In addition to physical examination, the preoperative assessment includes a series of routine questions assessing a patient's fitness for surgery. These questions are typically designed to elicit minimal, ¡®no problem¡¯ responses, but patients sometimes produce expanded responses that extend beyond the projected information. Our analysis reveals that troubles-telling is often invoked by both nurses and patients as an effective, patient-centred resource for negotiating the medical relevance of patients' concerns in these contexts.

Keywords
UK; Conversation analysis; Troubles-telling; Nurse-patient interaction

Journal
Social Science and Medicine: Volume 200

StatusPublished
Publication date31/03/2018
Publication date online06/02/2018
Date accepted by journal23/01/2018
URL
PublisherElsevier
ISSN0277-9536
eISSN0277-9536

People (1)

Dr Bethan Benwell

Dr Bethan Benwell

Senior Lecturer, English Studies

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