Health under the telephone wire. Telephonic interaction between oncological patients and health workers

Author/s Marina Esposito, Caterina Arcidiacono, Giuseppe Mininni
Publishing Year 2014 Issue 2014/2
Language Italian Pages 17 P. 79-95 File size 99 KB
DOI 10.3280/PDS2014-002006
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The psycho-oncological literature highlighted the importance of temporal continuity and professional competence when it comes to the relationship between patients affected by cancer and health workers who attend to them. This research has analyzed, from a cultural and community psychology perspective as well as a psycho-semiotic perspective, some telephonic interactions that have taken place on a telephone counselling service, which is geared to patients undergoing home-based chemotherapeutic treatments. To this end we did an ethno-psychological observation (Freda, 2011; Angrosino, 2007) of the hospital department and have carried out 54 telephonic consultations subsequently analysed by means of the dia-textual analysis (Mininni, 2003). The analysis focus on the delegitimation felt by the health workers when it comes to taking charge of the patients; these feelings are linked to the ambivalence showed by the physicians with regard to the delegation of the patients themselves. By setting up a collaboration between the health workers who deal with the patients and the health personnel who set the therapeutic protocol it is possible to build up more professional responsibility as well as efficacy and efficiency for the whole institution while re-defining the quality of the service this provides.

Keywords: Diatextual analysis, telephonic health consultation, health services implementation, homebased chemiotherapeutic treatments.

  1. Angrosino M. (2007). Doing ethnographic and observational research. London: Sage.
  2. Arcidiacono C. (2009). Riflessività, processualità, situatività: parole chiave della ricerca-azione [Reflexivity, situativity and agency: key words in action research]. Ricerche di Psicologia, VXXXI (3-4): 113-125. DOI: 10.3280/RIP2009-00300
  3. Averill J.R. (1973). Personal control over aversive stimuli and its relationship to stress. Psychological Bulletin, 80: 286-303. DOI: 10.1037/h003484
  4. Caffi C. (2001). La mitigazione: un approccio pragmatico alla comunicazione nei contesti terapeutici [The mitigation: a pragmatic approach to the comunication in therapeutic contexts]. Munster: Lit. Verlag.
  5. Cianfarini M., a cura di (2007). L’intervento psicologico in oncologia [Psychological intervention in onchology]. Roma: Carocci.
  6. Cianfarini M., a cura di (2011). La malattia oncologica nella famiglia [The onchological disease in the family]. Roma: Carocci.
  7. Cigoli V. e Mariotti M., a cura di (2002). Il medico, la famiglia e la comunità. Un approccio biopsicosociale alla salute e alla malattia [The doctor, the family and the community. A biopsychosocial approach to health and illness]. Milano: FrancoAngeli.
  8. Dale J., Crouch R., Patel A. and Williams S. (1997). Patients telephoning A&E for advice: a comparison of expectations and outcome. Emergency Medicine Journal, 14: 21-23. DOI: 10.1136/emj.14.1.2
  9. Francescato D., Tomai M. e Solimeno A. (2008). Lavorare e decidere meglio in organizzazioni empowering ed empowered [To work and to take decisions in empowering and empowered organizations]. Milano: FrancoAngeli.
  10. Freda M.F. (2011). Understanding continuity to recognize discontinuity. Integrative Psychological and Behavioral Science, 45: 335-346. DOI: 10.1007/s12124-011-9169-
  11. Gattellari M., Butow P.N. and Tattersall M.H.N. (2001). Sharing decisions in cancer care. Science & Medicine, 52: 1865-1878. DOI: 10.1016/S0277-9536(00)00303-
  12. Greimas A.J. and Courtés J. (1979). Dictionnaire raisonné de la théorie du langage. [Dictionary ‘raisonné’ of the language theory]. Paris: Hachette.
  13. Guadagnoli E. and Ward P. (1998). Patient participation in decision-making. Social Science & Medicine, 47: 329-339.
  14. Halliday M.A.K. and Hasan R. (1985). Language, context, and text: aspects of language in a socialsemiotic perspective. Oxford: Oxford University Press.
  15. Have Ten P. and Psathas G. (1995). Situated order: Studies in the social organization of talk and embodied action. Washington: University Press of America.
  16. Heritage J. and Atkinson M. (1984). Structures of social action: Studies in conversation analysis. Cambridge: Cambridge University Press.
  17. Howitt D. (2010). Introduction to qualitative methods in psychology. Harlow: Prentice Hall.
  18. Jenks J.M. (1993). The pattern of personal knowing in nurse clinical decision making. The Journal of nursing education, 32 (9): 399-405.
  19. Kihlgren M., Kuremyr D., Norberg A., Bråne G., Karlson I., Engström B. and Melin E. (1993). Nurse patient interaction after training in integrity promoting care at a long-term ward: Analysis of videorecorded morning care sessions. International Journal of Nursing Studies, 30 (1): 1-13. DOI: 10.1016/0020-7489(93)90088-
  20. Mantovani G. (2008). Analisi del discorso e contesto sociale [Discourse analysis and social context]. Bologna: Il Mulino.
  21. Manuti A. e Mininni G. (2008). Il senso dell’organizzazione [The meanings of organization]. Roma: Carocci.
  22. Manuti A. and Mininni G. (2013). Narrating organizational change: an applied psycholinguistic perspective on organizational identity. Text & Talk. 33 (2): 213-232. DOI: 10.1515/text-2013-001
  23. Mininni G. (1988). Discorsi in analisi [Discourses in analysis]. Bari: Adriatica.
  24. Mininni G. (1992). Diatesti. Per una psicosemiotica del discorso sociale [Diatexts. For the semeiotics of social discourse]. Napoli: Liguori.
  25. Mininni G. (2003). Il discorso come forma di vita [Discourse as form of life]. Napoli: Guida.
  26. Mininni G. (2013). Psicologia culturale discorsiva [Discoursive, cultural psychology]. Milano: FrancoAngeli.
  27. Ministero della Salute (2011-2013). Documento tecnico d’indirizzo per ridurre il carico di malattia del cancro [Technical Document of address to reduce the disease burden of cancer]. Ministero della Salute, stampa in proprio.
  28. Mishel M.H. (1999). Uncertainty in chronic illness. Annual Review of Nursing, 17: 269-294.
  29. Mooney K.H., Beck S.L., Friedman R.H. and Farzanfar R. (2002). Telephone-Linked Care for Cancer Symptom Monitoring. Cancer Practice, 10: 147–154. DOI: 10.1046/j.1523-5394.2002.10300
  30. Nail L.M., Greene D., Jones L.S. and Flannery M. (1989). Nursing care by telephone: describing practice in an ambulatory oncology center. Oncol Nurs Forum, 16: 387-395.
  31. Padilla G.V., Mishel M.H. and Grant M.M. (1992). Uncertainty, appraisal, and quality of life. Quality of Life Research, 1: 155-165. DOI: 10.1007/BF0063561
  32. Psathas G. (1995). Conversation analysis: the study of talk-in-interaction. London: Sage.
  33. Roberts S.L. and White B.S. (1990). Powerlessness and personal control model applied to myocardial infarction patients. Progress in Cardiovascular Nursing, 5: 84-94.
  34. Rose M.A., Shrader-Bogen C.L., Korlath G., Priem J. and Larson L.R. (1996). Identifying patient symptoms after radiotherapy using a nurse-managed telephone interview. Oncology Nursing Forum, 23: 99-102.
  35. Sacks H., Schegloff E.A. and Jefferson G. (1974). A simplest systematic for the organization of turn taking for conversation. Language, 50: 696-735.
  36. Saita E., a cura di (2009). Psico-oncologia: una prospettiva relazionale [Psycho-onchology: a relational prospective]. Milano: Unicopli.
  37. Sheer V.C. and Cline R.J. (1995). Testing a model of perceived information adequacy and uncertainty reduction in physician–patient interactions. Journal of Applied Communication Research, 23: 44-59. DOI: 10.1080/0090988950936541
  38. Stacey D., Bakker D., Ballantyne B., Chapman K., Cumminger J., Green E., Harrison M., Howell D., Kuziemsky C., MacKenzie T., Sabo B., Skrutkowski M. and Whynot A. (2012). Managing symptoms during cancer treatments: evaluating the implementation of evidence-informed remote support protocols. Implementation Science, 7 (1): 1-11. DOI: 10.1186/1748-5908-7-11
  39. Stacey D., Graham I.D., O’Connor, A.M. and Pomey M.P. (2005). Barriers and Facilitators Influencing Call Center Nurses’ Decision Support for Callers Facing Values-Sensitive Decisions: a Mixed
  40. Methods Study. Worldviews on Evidence-Based Nursing, 2: 184-195. DOI: 10.1111/j.1741-6787.2005.0003
  41. Stacey D., Murray M.A., Légaré F., Sandy D., Menard P. and O’Connor A. (2008). Decision Coaching to Support Shared Decision Making: A Framework, Evidence, and Implications for Nursing Practice, Education, and Policy. Worldviews on Evidence-Based Nursing, 5: 25-35. DOI: 10.1111/j.1741-6787.2007.0010
  42. Stacey D., Suzanne K., Chambers M., Jacobsen J. and Dunn J. (2008). Overcoming Barriers to Cancer-Helpline Professionals Providing Decision Support for Callers: An Implementation Study. Oncology Nursing Forum, 35 (6): 961-969. DOI: 10.1188/08.ONF.961-96
  43. Suchman L. (1987). Place and situated action. Cambridge: Cambridge University Press.
  44. Wasson J., Gaudette C., Whaley F., Sauvigne A., Baribeau P. and Welch G. (1992). Telephone care as a substitute for routine clinic follow-up. JAMA. DOI: 10.1001/jama.1992.03480130104033WilsonR.andHubertJ.(2002).Resurfacingthecareinnursingbytelephone:lessonsfromambulatoryoncology.NursingOutlook,50(4):160-164.DOI:10.1067/mno.2002.12531

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