Developing Interactional Competence: A Conversation-Analytic Study of Patient Consultations in…

Hardcover | January 15, 2012

byHanh thi Nguyen

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An unprecedented glimpse into the multidimensional learning processes that take place when novice professionals develop the necessary communication skills for effective task accomplishment. This analysis of authentic patient consultations by pharmacy interns is a significant contribution to research on health communication training. 

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An unprecedented glimpse into the multidimensional learning processes that take place when novice professionals develop the necessary communication skills for effective task accomplishment. This analysis of authentic patient consultations by pharmacy interns is a significant contribution to research on health communication training. 

HANH THI NGUYEN is Associate Professor of Applied Linguistics at Hawaii Pacific University, USA. She has published on the development of interactional competence and classroom interaction in Text & Talk, Communication & Medicine, The Modern Language Journal, and Language & Education. She co-edited Talk-in-interaction: Multilingual Per...

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Format:HardcoverDimensions:280 pages, 9.69 × 5.67 × 0.92 inPublished:January 15, 2012Publisher:Palgrave MacmillanLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0230276695

ISBN - 13:9780230276697

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Extra Content

Table of Contents

Foreword by Cecilia E. Ford
Acknowledgements
List of Illustrations and Tables
Transcription Conventions
Introduction
PART I: THE PHARMACY PATIENT CONSULTATION
Historical Background and Impact on Healthcare
Sequential Organization
Topics and Topic Management
Formulation of Objects and Processes
Participation Frameworks
PART II: THE DEVELOPMENT OF INTERACTIONAL COMPETENCE
Action Sequencing
Topic Management
Formulation of Objects and Processes
Self-Positioning in Participation Frameworks
Discussion and Conclusion
Bibliography
Index

Editorial Reviews

"Nguyen's book is one of the very few original contributions made by applied linguists to the debate over what constitutes learning. She reviews theories of cognitive and behavioral change, of the complementary roles of learners and teachers, and she queries the reluctance by some discourse analysts to even recognize the concept of learning. Out of this mass of conflicting claims and contradictory positions, Nguyen steps forward with a longitudinal analysis of the interactions of two novice pharmacists as they begin to exercise their professional skills in counseling patients. Do they learn? From every theoretical perspective they do. And what they learn is how to effectively counsel their patients: how to sequence their actions, how to manage topics, how to respond to their patients' concerns, how to make their expertise accessible to their patients, and how to share their patients' perspectives. Through her insightful analysis of learning in these interactions, Nguyen makes an important contribution to the learning debate and provides valuable advice for professional trainers." - Richard F. Young, Professor in English Linguistics and Second Language Acquisition, University of Wisconsin-Madison"This significant book applies conversation analysis (CA) uniquely to the consultation process between patients and pharmacists. Although schools of pharmacy have long embraced and taught pharmacy students to provide patient-centered consultation, repeated studies have documented that community pharmacists rarely ask patients open ended questions, tailor their consultations to patients or engage patients effectively to monitor the adverse and efficacious effects of regimens at refill times. Pharmacy schools can learn a great deal from CA's micro-analytic skills as modeled here to identify key elements in the sequence that hinder or facilitate meaningful exchanges between patients and pharmacists. Uniquely the book tracks the growing skills of two novice pharmacists in a way never before presented in Pharmacy. We have much to learn from this careful study's research approach and findings in order to better train our students and evaluate their licensure readiness." - Betty A. Chewning, Ph.D., F. AphA Professor in Social and Administrative Sciences, School of Pharmacy, University of Wisconsin-Madison