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| Research article summary (published 30 May 2002): |
Nurse-patient power relationship: preliminary evidence of patients' power messages.
Full Abstract
The interactive relationship that is based on sharing power and control is the goal of health counseling practice. This research examined the nurse-patient power relationship and emphasized the patient's perspective. Health counseling sessions, 38 in number, were videotaped, transcribed verbatim, and analyzed by using an adaptation of conversation analysis (CA). The purpose of this research was to describe in detail how patients' minimized power asymmetry during hospital counseling. The results indicate that power is a complex and polysemic phenomenon that can be created jointly. Nurses' power is associated with their medical knowledge, which also patients construct. However, patients have several options to construct their power and influence the flow of interaction, for example, directing the counseling with questions, interruptions, and extensive disclosure, in which also nurses participated. The results are discussed in terms of earlier research on power messages and implications for a future power sharing practice.
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Author information
Author/s: Kettunen, Tarja (T); Poskiparta, Marita (M); Gerlander, Maija (M);
Affiliation: Department of Health Sciences, Faculty of Sport Sciences, University of Jyväskylä, Jyväskylä, Finland. tkettune(-atsign-)pallo.jyu.fi
Journal and publication information
Publication Type: Journal Article; Research Support, Non-U.S. Gov't
Journal: Patient education and counseling (Patient Educ Couns), published in Ireland. (Language: eng)
Reference: 2002-Jun; vol 47 (issue 2) : pp 101-13
Dates: Created 2002/08/22; Completed 2002/10/18; Revised 2006/11/15;
PMID: 12191533, status: MEDLINE (last retrieval date: 11/6/2008)
Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.
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