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"Patient counselling" by pharmacists: four approaches to the delivery of counselling sequences and their interactional reception

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  • Pilnick, Alison

Abstract

'Patient counselling' by pharmacists is a diverse and ill-defined activity. It is also an activity which is achieving more prominence as part of the 'extended role' which is seen as the way forward for the profession. This paper uses data from a hospital paediatric outpatient clinic in the United Kingdom to examine the process of patient counselling from a conversation analytic standpoint, with a particular focus on the varying ways in which these sequences are set up and the ways in which patients or carers respond. Four types of interactional approach to negotiating entry into a broadly defined 'patient counselling' sequence are identified. These approaches are considered within the broader frameworks of delicacy, morality and competence which impact upon the giving and receiving of advice and information more generally, as well as in this setting, and in the light of the continued development of the 'extended role'.

Suggested Citation

  • Pilnick, Alison, 2003. ""Patient counselling" by pharmacists: four approaches to the delivery of counselling sequences and their interactional reception," Social Science & Medicine, Elsevier, vol. 56(4), pages 835-849, February.
    • Handle: RePEc:eee:socmed:v:56:y:2003:i:4:p:835-849
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    Cited by:

    1. Wei Liu & Marie Gerdtz & Elizabeth Manias, 2016. "Creating opportunities for interdisciplinary collaboration and patient‐centred care: how nurses, doctors, pharmacists and patients use communication strategies when managing medications in an acute ho," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(19-20), pages 2943-2957, October.
    2. de Kok, B.C. & Widdicombe, S. & Pilnick, A. & Laurier, E., 2018. "Doing patient-centredness versus achieving public health targets: A critical review of interactional dilemmas in ART adherence support," Social Science & Medicine, Elsevier, vol. 205(C), pages 17-25.

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