Experts' Encounters in Antenatal Diabetes Care: A Descriptive Study of Verbal Communication in Midwife-Led Consultations

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...

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Main Authors: Christina Furskog Risa, Febe Friberg, Eva Lidén
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Nursing Research and Practice
Online Access:http://dx.doi.org/10.1155/2012/121360
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author Christina Furskog Risa
Febe Friberg
Eva Lidén
author_facet Christina Furskog Risa
Febe Friberg
Eva Lidén
author_sort Christina Furskog Risa
collection DOAJ
description 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.
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spelling doaj-art-29909db148f64d9982cf7f11a6d19d532025-08-20T02:04:01ZengWileyNursing Research and Practice2090-14292090-14372012-01-01201210.1155/2012/121360121360Experts' Encounters in Antenatal Diabetes Care: A Descriptive Study of Verbal Communication in Midwife-Led ConsultationsChristina Furskog Risa0Febe Friberg1Eva Lidén2Department of Education and Sports Science, Faculty of Arts and Education, University of Stavanger, 4036 Stavanger, NorwayInstitute of Health and Care Sciences, Sahlgrenska Academy at Gothenburg University, 40530 Gothenburg, SwedenInstitute of Health and Care Sciences, Sahlgrenska Academy at Gothenburg University, 40530 Gothenburg, SwedenAim. 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.http://dx.doi.org/10.1155/2012/121360
spellingShingle Christina Furskog Risa
Febe Friberg
Eva Lidén
Experts' Encounters in Antenatal Diabetes Care: A Descriptive Study of Verbal Communication in Midwife-Led Consultations
Nursing Research and Practice
title Experts' Encounters in Antenatal Diabetes Care: A Descriptive Study of Verbal Communication in Midwife-Led Consultations
title_full Experts' Encounters in Antenatal Diabetes Care: A Descriptive Study of Verbal Communication in Midwife-Led Consultations
title_fullStr Experts' Encounters in Antenatal Diabetes Care: A Descriptive Study of Verbal Communication in Midwife-Led Consultations
title_full_unstemmed Experts' Encounters in Antenatal Diabetes Care: A Descriptive Study of Verbal Communication in Midwife-Led Consultations
title_short Experts' Encounters in Antenatal Diabetes Care: A Descriptive Study of Verbal Communication in Midwife-Led Consultations
title_sort experts encounters in antenatal diabetes care a descriptive study of verbal communication in midwife led consultations
url http://dx.doi.org/10.1155/2012/121360
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