Engaging parents through gaze: Speaker selection in three-party interactions in maternity clinics

Abstract Objective Describing and analyzing speaker selection in conversations between the health nurse and parents in maternity clinics. Methods The data consisted of ten video-recorded encounters in maternity clinics. Using conversation analysis, we investigated 89 sequences of interaction in whic...

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Veröffentlicht in:Patient education and counseling 2012-10, Vol.89 (1), p.38-43
Hauptverfasser: Tiitinen, Sanni, Ruusuvuori, Johanna
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creator Tiitinen, Sanni
Ruusuvuori, Johanna
description Abstract Objective Describing and analyzing speaker selection in conversations between the health nurse and parents in maternity clinics. Methods The 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. Results There 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. Conclusion Particular interactional circumstances and practices can break the pattern of selecting mothers as respondents to questions addressed to both parents. Practice implications Fathers could easily be engaged in conversations through gaze. Also the questionnaire seems promising in engaging fathers in conversations in clinics.
doi_str_mv 10.1016/j.pec.2012.04.009
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Methods The 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. Results There 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. Conclusion Particular interactional circumstances and practices can break the pattern of selecting mothers as respondents to questions addressed to both parents. Practice implications Fathers could easily be engaged in conversations through gaze. Also the questionnaire seems promising in engaging fathers in conversations in clinics.</description><identifier>ISSN: 0738-3991</identifier><identifier>EISSN: 1873-5134</identifier><identifier>DOI: 10.1016/j.pec.2012.04.009</identifier><identifier>PMID: 22608698</identifier><language>eng</language><publisher>Ireland: Elsevier Ireland Ltd</publisher><subject>Adult ; Clinics ; Communication ; Conversation analysis ; Eye fixation ; Eye Movements ; Facial Expression ; Fathers ; Female ; Finland ; Gaze ; Health ; Hospitals, Maternity ; Humans ; Internal Medicine ; Male ; Maternity clinics ; Mothers ; Nurses ; Nursing ; Parents ; Parents - psychology ; Pregnancy ; Professional-Family Relations ; Qualitative Research ; Question–answer sequences ; Speaker selection ; Surveys and Questionnaires ; Three-party interactions ; Transition to parenthood ; Videotape Recording</subject><ispartof>Patient education and counseling, 2012-10, Vol.89 (1), p.38-43</ispartof><rights>Elsevier Ireland Ltd</rights><rights>2012 Elsevier Ireland Ltd</rights><rights>Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c517t-25fb2f071864d31d945ab29b2e48a4a87d58951d4c5f19a2e0f064cbb75295383</citedby><cites>FETCH-LOGICAL-c517t-25fb2f071864d31d945ab29b2e48a4a87d58951d4c5f19a2e0f064cbb75295383</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.pec.2012.04.009$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27923,27924,30999,45994</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22608698$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tiitinen, Sanni</creatorcontrib><creatorcontrib>Ruusuvuori, Johanna</creatorcontrib><title>Engaging parents through gaze: Speaker selection in three-party interactions in maternity clinics</title><title>Patient education and counseling</title><addtitle>Patient Educ Couns</addtitle><description>Abstract Objective Describing and analyzing speaker selection in conversations between the health nurse and parents in maternity clinics. Methods The 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. Results There 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. Conclusion Particular interactional circumstances and practices can break the pattern of selecting mothers as respondents to questions addressed to both parents. Practice implications Fathers could easily be engaged in conversations through gaze. 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Ruusuvuori, Johanna</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c517t-25fb2f071864d31d945ab29b2e48a4a87d58951d4c5f19a2e0f064cbb75295383</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Clinics</topic><topic>Communication</topic><topic>Conversation analysis</topic><topic>Eye fixation</topic><topic>Eye Movements</topic><topic>Facial Expression</topic><topic>Fathers</topic><topic>Female</topic><topic>Finland</topic><topic>Gaze</topic><topic>Health</topic><topic>Hospitals, Maternity</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Maternity clinics</topic><topic>Mothers</topic><topic>Nurses</topic><topic>Nursing</topic><topic>Parents</topic><topic>Parents - psychology</topic><topic>Pregnancy</topic><topic>Professional-Family Relations</topic><topic>Qualitative Research</topic><topic>Question–answer sequences</topic><topic>Speaker selection</topic><topic>Surveys and Questionnaires</topic><topic>Three-party interactions</topic><topic>Transition to parenthood</topic><topic>Videotape Recording</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tiitinen, Sanni</creatorcontrib><creatorcontrib>Ruusuvuori, Johanna</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Applied Social Sciences Index &amp; 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Methods The 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. Results There 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. Conclusion Particular interactional circumstances and practices can break the pattern of selecting mothers as respondents to questions addressed to both parents. Practice implications Fathers could easily be engaged in conversations through gaze. Also the questionnaire seems promising in engaging fathers in conversations in clinics.</abstract><cop>Ireland</cop><pub>Elsevier Ireland Ltd</pub><pmid>22608698</pmid><doi>10.1016/j.pec.2012.04.009</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); ScienceDirect Journals (5 years ago - present)
subjects Adult
Clinics
Communication
Conversation analysis
Eye fixation
Eye Movements
Facial Expression
Fathers
Female
Finland
Gaze
Health
Hospitals, Maternity
Humans
Internal Medicine
Male
Maternity clinics
Mothers
Nurses
Nursing
Parents
Parents - psychology
Pregnancy
Professional-Family Relations
Qualitative Research
Question–answer sequences
Speaker selection
Surveys and Questionnaires
Three-party interactions
Transition to parenthood
Videotape Recording
title Engaging parents through gaze: Speaker selection in three-party interactions in maternity clinics
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