Article ID Journal Published Year Pages File Type
6153234 Patient Education and Counseling 2012 6 Pages PDF
Abstract

ObjectiveDescribing and analyzing speaker selection in conversations between the health nurse and parents in maternity clinics.MethodsThe data consisted of ten video-recorded encounters in maternity clinics. Using conversation analysis, we investigated 89 sequences of interaction in which the health nurse asks a question that is verbally addressed to both parents.ResultsThere was an observable pattern of selecting mothers as principal respondents by all participants of the encounters in maternity clinics. In a few deviant cases, fathers were selected as principal respondents. A typical practice of speaker selection was the gaze direction of the health nurse towards the recipient (usually the mother) at the closure of her question. Various situational elements also influenced which one of the parents answered the question. The deviant cases in which fathers were selected as principal respondents were mainly explainable by the use of the questionnaire designed to facilitate talking about psycho-social issues connected with the transition to parenthood.ConclusionParticular interactional circumstances and practices can break the pattern of selecting mothers as respondents to questions addressed to both parents.Practice implicationsFathers could easily be engaged in conversations through gaze. Also the questionnaire seems promising in engaging fathers in conversations in clinics.

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