Advice, authority and autonomy in shared decision making in antenatal screening: the importance of context
Shared decision making has been widely advocated across many branches of healthcare, yet there is considerable debate over both its practical application and how it should be examined or assessed. More recent discussions of SDM have highlighted the important of context, both internal and external to...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Published: |
Blackwell Publishing
2016
|
| Online Access: | https://eprints.nottingham.ac.uk/32264/ |
| _version_ | 1848794372477288448 |
|---|---|
| author | Pilnick, Alison Zayts, Olga |
| author_facet | Pilnick, Alison Zayts, Olga |
| author_sort | Pilnick, Alison |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | Shared decision making has been widely advocated across many branches of healthcare, yet there is considerable debate over both its practical application and how it should be examined or assessed. More recent discussions of SDM have highlighted the important of context, both internal and external to the consultation, with a recognition that decisions cannot be understood in isolation. This paper uses conversation analysis (CA) to examine how decision making is enacted in the context of antenatal screening consultations in Hong Kong. Building on previous CA work (Collins et al 2005; Toerien et al 2013), we show that, whilst previously identified formats are used here to present the need for a decision, the overriding basis professionals suggest for actually making a decision in this context is the level of worry or concern a pregnant woman holds about potential fetal abnormality. |
| first_indexed | 2025-11-14T19:15:09Z |
| format | Article |
| id | nottingham-32264 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T19:15:09Z |
| publishDate | 2016 |
| publisher | Blackwell Publishing |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-322642020-05-04T18:17:55Z https://eprints.nottingham.ac.uk/32264/ Advice, authority and autonomy in shared decision making in antenatal screening: the importance of context Pilnick, Alison Zayts, Olga Shared decision making has been widely advocated across many branches of healthcare, yet there is considerable debate over both its practical application and how it should be examined or assessed. More recent discussions of SDM have highlighted the important of context, both internal and external to the consultation, with a recognition that decisions cannot be understood in isolation. This paper uses conversation analysis (CA) to examine how decision making is enacted in the context of antenatal screening consultations in Hong Kong. Building on previous CA work (Collins et al 2005; Toerien et al 2013), we show that, whilst previously identified formats are used here to present the need for a decision, the overriding basis professionals suggest for actually making a decision in this context is the level of worry or concern a pregnant woman holds about potential fetal abnormality. Blackwell Publishing 2016-10-05 Article PeerReviewed Pilnick, Alison and Zayts, Olga (2016) Advice, authority and autonomy in shared decision making in antenatal screening: the importance of context. Sociology of Health and Illness, 38 (3). pp. 343-359. ISSN 1467-9566 http://onlinelibrary.wiley.com/doi/10.1111/1467-9566.12346/abstract;jsessionid=2746B0538AB00C8531D43AAB94174372.f03t01 doi:10.1111/1467-9566.12346 doi:10.1111/1467-9566.12346 |
| spellingShingle | Pilnick, Alison Zayts, Olga Advice, authority and autonomy in shared decision making in antenatal screening: the importance of context |
| title | Advice, authority and autonomy in shared decision making in antenatal screening: the importance of context |
| title_full | Advice, authority and autonomy in shared decision making in antenatal screening: the importance of context |
| title_fullStr | Advice, authority and autonomy in shared decision making in antenatal screening: the importance of context |
| title_full_unstemmed | Advice, authority and autonomy in shared decision making in antenatal screening: the importance of context |
| title_short | Advice, authority and autonomy in shared decision making in antenatal screening: the importance of context |
| title_sort | advice, authority and autonomy in shared decision making in antenatal screening: the importance of context |
| url | https://eprints.nottingham.ac.uk/32264/ https://eprints.nottingham.ac.uk/32264/ https://eprints.nottingham.ac.uk/32264/ |