Pilnick Alison
School of Sociology and Social Policy, University of Nottingham, University Park, Nottingham NG7 2RD, UK.
Soc Sci Med. 2003 Feb;56(4):835-49. doi: 10.1016/s0277-9536(02)00082-5.
'Patient counselling' by pharmacists is a diverse and ill-defined activity. It is also an activity which is achieving more prominence as part of the 'extended role' which is seen as the way forward for the profession. This paper uses data from a hospital paediatric outpatient clinic in the United Kingdom to examine the process of patient counselling from a conversation analytic standpoint, with a particular focus on the varying ways in which these sequences are set up and the ways in which patients or carers respond. Four types of interactional approach to negotiating entry into a broadly defined 'patient counselling' sequence are identified. These approaches are considered within the broader frameworks of delicacy, morality and competence which impact upon the giving and receiving of advice and information more generally, as well as in this setting, and in the light of the continued development of the 'extended role'.
药剂师进行的“患者咨询”是一项多样且定义不明确的活动。作为被视为该职业未来发展方向的“扩展角色”的一部分，它也是一项越来越受关注的活动。本文利用英国一家医院儿科门诊的数据，从会话分析的角度审视患者咨询的过程，特别关注这些序列的建立方式以及患者或护理人员的回应方式。确定了四种协商进入广义“患者咨询”序列的互动方式。这些方式在更广泛的微妙性、道德性和能力框架内进行考量，这些框架更普遍地影响着建议和信息的给予与接受，在这种背景下也是如此，并且鉴于“扩展角色”的持续发展。
