journal article
LitStream Collection
Home
Weijts, Wies; Widdershoven, Guy; Kok, Gero; Tomlow, Pauline
doi: 10.1177/104973239300300402pmid: N/A
The focus of interactional studies on patients' information-seeking behavior has almost entirely been on asking direct questions. This article offers a systematic analysis of patients' information-seeking actions and physicians' responses. Verbatim transcripts of 32 gynecological interviews audiotaped in a natural situation were analyzed. Most information-seeking actions concern the nature or procedure of treatment and are formulated in a straightforward way. However, causal aspects of complaints are often addressed through indirect requests for information. Patterns of comparable information-seeking actions and responses reveal that most information-seeking actions elicit adequate responses. Only indirect requests for information run a high risk of resulting in minimal answers. Recommendations relevant to medical practice are proposed.
Fonteyn, Marsha E.; Kuipers, Benjamin; Grobe, Susan J.
doi: 10.1177/104973239300300403pmid: N/A
Think Aloud (TA) studies provide rich verbal data about reasoning during a problem solving task. Using TA and protocol analysis, investigators can identify the information that is concentrated on during problem solving and how that information is used to facilitate problem resolution. From this, inferences can be made about the reasoning processes that were used during the problem-solving task. In the past, the validity of data obtained from TA studies has been suspect because of inconsistencies in data collection and the inability to verify findings obtained from the slow, laborious process of protocol analysis. This article describes a means of obtaining more accurate verbal data and analyzing it in a standardized step-by-step manner.
Sherblom, Stephen; Shipps, Therese B.; Sherblom, John C.
doi: 10.1177/104973239300300404pmid: N/A
Past research on the ethical decision making of nurses has used Kohlberg's model of moral reasoning, which does not adequately ad-dress issues of caring. The present study builds on the work of Gilligan, Brown, and colleagues to describe issues of moral concern, including justice, care, and integrated concerns. Nurses in the present study articulated justice concerns for fairness, patients' rights, and autonomy. They also stated care concerns for a patient's needs, pain, emotional support, and relationship. Beyond these, nurses expressed concerns that integrated a principled approach (justice) to caring for patients (care) in dealing with issues of deceit and trust, advocacy, and patient dignity in dying. Whereas many earlier studies reported low moral reasoning scores for nurses, the present analysis shows nurses involved in complex and sophisticated ethical considerations and decisions. The analysis also reveals professional constraints on those ethical decisions.
doi: 10.1177/104973239300300405pmid: N/A
The grounded theory investigation reported in this article was directed toward explicating the grieving process in the parents of gay men dying from AIDS. The participants, 64 biological parents, described the phenomena. Six of their gay sons were also interviewed. Participant observation of parents and sons in support groups, in social interactions, and in the course of volunteer hospice contacts occurred over a 4-and-one-half-year period. In the closure process, those parents who closed unconditionally with their sons proceeded through a process of transcendence to filial reconstruction. This state or condition provided psychological and spiritual or moral freedom for the dying person and prepared his parents to enter an uncomplicated grieving process after his death. Only families in the sample closed the chapter in an unconditional manner.
Showing 1 to 10 of 10 Articles