Pasientkommunikasjon
Svein Hugo Bergvik
Enhet: Institutt for psykologi
Psykologiske faktorer ved somatisk sykdom
Klinisk (behandler-pasient) kommunikasjon
Langvarig smerteproblematikk
Brukerrelatert problematikk ved anvedelse av kommunikasjonsteknologi
Linda Hamrin Nesby
Enhet: Institutt for språk og kultur
- Humanistisk helse- og sykdomsforskning (medical humanities)
- Forskningsveiledning
- Patografier
- Pårørendelitteratur
- Litteratur og medisin
- Narrativ medisin
- Skandinavisk samtidslitteratur
- Knut Hamsun
Olaug S. Lian
Enhet: Medical Humanities, forskningsgruppe
Clinical interaction in context: a narrative exploration of 212 naturally occurring GP consultations.
Clinical interaction in context is a research project dealing with the interaction between patients and doctors in clinical consultations, with a focus on patient centred care and shared decision-making. Through various sub-studies, we explore the moment-to-moment unfolding of naturally occurring clinical consultations between patients and general practitioners (GPs). Although our empirical exploration focuses on in situ consultations between patients and GPs as they unfold, we situate their interaction in the sociocultural context in which it is embedded and explore their negotiations in relation to their institutionalised positions and roles. The study is based on 212 naturally occurring GP consultations in England, sourced from the One in a Million data archive in the UK. Consultations involve musculoskeletal, psychological, digestive, cardiovascular, neurological, endocrine/metabolic and general conditions. By exploring complete naturally occurring consultations with a heterogenous sample of patients, we capture the interactional dynamics of negotiations in relation to a wide range of consultation aspects and clinical conditions. Contextualising these negotiations enables us to see how the actions of both patients and GPs are constrained by their different institutionalised positions. Through data-grounded semantic coding of all 212 consultations in NVivo, we are able to relate single cases to the wider dataset. While analysing the data, we combine qualitative thematic analysis and narrative analysis, but our main analytical approach is qualitative interpretive narrative analysis. In line with this methodology, we analyse the consultations as narratives, and explore complete consultation transcripts in relation to what was uttered (content), how it was uttered (form), and by whom (speaker). By focusing on the interactional dynamics; quoting long extracts; analysing components in light of the whole, and attending to sequentiality, we respect the integrity of the narrative. The project is structured around three main overlapping subthemes: (1) risk and uncertainty, (2) modes of interaction, and (3) patient agency. Read more on separate webpage here.
Most recent publication from the project:
Lian OS, Nettleton S, Grange H and Dowrick C. (2023) ‘My cousin said to me ...’ Patients’ use of 3rd-party references to facilitate shared decision-making during naturally occurring primary care consultations. Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine. https://journals.sagepub.com/doi/10.1177/13634593231188489
Lian OS, Nettleton S, Grange H and Dowrick C (2023) ‘I’d best take out life insurance, then.’ Conceptualisations of risk and uncertainty in primary care consultations, and implications for shared decision-making. Health, Risk & Society 25(5-6): 234-251. https://doi.org/10.1080/13698575.2023.2197780
Lian OS, Nettleton S, Grange H and Dowrick C (2023) "It feels like my metabolism has shut down". Negotiating interactional roles and epistemic positions in a primary care consultation. Health Expectations 26(1): 366-375. https://onlinelibrary.wiley.com/doi/epdf/10.1111/hex.13666
Lian OS, Nettleton S, Grange H and Dowrick C (2022) “I’m not the doctor; I’m just the patient”: Patient agency and shared decision-making in naturally occurring primary care consultations. Patient Education and Counceling 105(7): 1996-2004. https://doi.org/10.1016/j.pec.2021.10.031
Lian OS, Nettleton S, Wifstad Å and Dowrick C (2021) Negotiating Uncertainty in Clinical Encounters: A Narrative Exploration of Naturally Occurring Primary Care Consultations. Social Science & Medicine 291 (114467). https://doi.org/10.1016/j.socscimed.2021.114467
Lian OS, Nettleton S, Wifstad Å and Dowrick C (2021) Modes of Interaction in Naturally Occurring Medical Encounters with General Practitioners: The ´One in a Million´ Study. Qualitative Health Research 31(6): 1129-1143. https://doi.org/10.1177/1049732321993790
Complete list of research interests:
- Clinical interaction and shared decision-making
- Uncertainty and risk
- Illness narratives
- Contested Chronic Conditions: experiential perspectives
- Sociology of diagnosis
- Social constructions of health and illness
- Cultural, historical and gendered perspectives on medical knowledge and practice
- Medicalisation as a modern phenomena
- Qualitative research and narrative theory
- The role of theory in qualitative research
- Photography and visual research
Anita Salamonsen
Enhet: Forskningsgruppe for barne- og familievern
Forskningsinteresser i hovedstilling ved RKBU Nord:
- barns og unges medvirkning/involvering i ulike offentlige tjenester og i forskning. INVOLVERT: brukermedvirkning i barnevern, familievern og psykiske helsetjenester for barn og unge og det relaterte nettstedet involvert.no er ett sentralt prosjekt.
- styrking av offentlige tjenester for barn, unge og familier med minoritetsbakgrunn - ett sentralt prosjekt er UngKven - Nuorikvääni: forskning om og med unge med kvensk/norskfinsk bakgrunn.
- barns deltakelse i meklingsprosesser i familievernet ved foreldres samlivsbrudd - i prosjektet Høring av barn i mekling (HBIM)
- tilpasning av teater for barn og unge med behov for tilrettelegging - i prosjektet RELÆXT teater: utvikling av tilgjengelig teater for barn og unge med behov for tilrettelegging
- barn og unges involvering i psykiske helsetjenester og kvalitet/pasientsikkerhet - samarbeid med Universitetet i Stavanger.
Forskningsinteresser i bistilling som forsker II ved Universitetet i Oslo, Avdeling for tverrfaglig helsevitenskap ( forskningsprosjektet CANCUL og forskergruppen Samfunn, helse og makt (SHEP):
- utvidede forståelser av pasientforløp blant personer i Norge som lever med kreftsykdom
- hvordan norske kreftpasienters erfaringer kan være kjedet sammen med nasjonale og globale forestillinger om kreft og kreftoverlevelse.
Marius Storvik
Enhet: Det juridiske fakultet
Marius Storviks hovedinteresse er spørsmål relatert til tvang, menneskerettigheter og velferdsrett. Spesielt mennesker som er særlig sårbare innen helsetjenestenestene, inkludert psykisk helse, barn, demenspasienter og personer med utviklingshemning. Utenfor helsetjenester inkluderer dette områder som barnevernsrett, sosialrett og trygderett.
Han er spesielt interessert i å undersøke rettsystemets rolle i hvordan disse områdene interagerer og påvirker hverandre, og hvordan rettsystemet kan bidra til å forbedre livskvaliteten, selvbestemmelsesretten og verdigheten for mennesker. Han er også interessert i hvordan erstatningsrettens reparerende funksjon kan bidra til å sikre rettferdighet.