Standards and Stories: The Interactional Work of Informed Choice in Ontario Midwifery Care

Healthcare policy

Philippa Spoel¹ 

关键词: midwifery;    informed choice;    evidence;    discourse;    recontextualization;   

DOI  :  10.12927/hcpol.2013.23592

学科分类：地球科学(综合)

来源: Longwoods Publishing Corp.

【 摘 要 】

This paper uses a discourse-rhetorical approach to analyze how Ontario midwives and their clients interactionally accomplish the healthcare communicative process of "informed choice." Working with four excerpts from recorded visits between Ontario midwives and women, the analysis focuses on the discursive rendering during informed choice conversations of two contrasting kinds of evidence – professional standards and story-telling – related to potential interventions during labour. We draw on the concepts of discursive hybridity (Sarangi and Roberts 1999) and recontextualization (Linell 1998; Sarangi 1998) to trace the complex and creative ways in which the conversational participants reconstruct the meanings of these evidentiary sources to address their particular care contexts. This analysis shows how, though very different in their forms, both modes of evidence function as hybrid and flexible discursive resources that perform both instrumental and social-relational healthcare work.

【 授权许可】

Unknown