Furskog Risa Christina, Friberg Febe, Lidén Eva
Department of Education and Sports Science, Faculty of Arts and Education, University of Stavanger, 4036 Stavanger, Norway.
Nurs Res Pract. 2012;2012:121360. doi: 10.1155/2012/121360. Epub 2012 May 16.
Aim. We regard consultations as cocreated communicatively by the parties involved. In this paper on verbal communication in midwife-led consultations, we consequently focus on the actual conversation taking place between the midwife and the pregnant woman with diabetes, especially on those sequences where the pregnant woman initiated a topic of concern in the conversation. Methods. This paper was undertaken in four hospital outpatient clinics in Norway. Ten antenatal consultations between midwives and pregnant women were audiotaped, transcribed to text, and analyzed using theme-oriented discourse analysis. Two communicative patterns were revealed: an expert's frame and a shared experts' frame. Within each frame, different communicative variations are presented. The topics women initiated in the conversations were (i) delivery, time and mode; (ii) previous birth experience; (iii) labor pain; and (iv) breast feeding, diabetes management, and fetal weight. Conclusion. Different ways of communicating seem to create different opportunities for the parties to share each other's perspectives. Adequate responses and a listening attitude as well as an ambiguous way of talking seem to open up for the pregnant women's perspectives. Further studies are needed to investigate the obstacles to, and premises for, providing midwifery care in a specialist outpatient setting.
目的。我们认为会诊是由相关各方通过交流共同促成的。因此，在这篇关于助产士主导会诊中的言语交流的论文中，我们重点关注助产士与患有糖尿病的孕妇之间实际发生的对话，尤其是孕妇在对话中发起关注话题的那些环节。方法。本文在挪威的四家医院门诊进行。对助产士与孕妇之间的十次产前会诊进行了录音，转录成文本，并采用主题导向话语分析进行分析。揭示了两种交流模式：专家框架和共享专家框架。在每个框架内，呈现了不同的交流变体。女性在对话中发起的话题有：（i）分娩、时间和方式；（ii）既往分娩经历；（iii）分娩疼痛；以及（iv）母乳喂养、糖尿病管理和胎儿体重。结论。不同的交流方式似乎为各方分享彼此观点创造了不同的机会。充分的回应、倾听态度以及模糊的谈话方式似乎为孕妇的观点打开了大门。需要进一步研究以调查在专科门诊环境中提供助产护理的障碍和前提条件。
