Electronic Medical Records in Diabetes Consultations: Participants' Gaze as an Interactional Resource
Dados Bibliográficos
AUTOR(ES) | |
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AFILIAÇÃO(ÕES) | Institute for Health Research, Bradford, West Yorkshire, United Kingdom, Institute for Health Research, Bradford, West Yorkshire, United Kingdom,, University of Bradford, Bradford, West Yorkshire, United Kingdom, University of Nottingham, Department of Work and Pensions, Sheffield, United Kingdom |
ANO | Não informado |
TIPO | Artigo |
DOI | 10.1177/1049732308321743 |
CITAÇÕES | 1 |
ADICIONADO EM | 2025-08-18 |
Resumo
Two routine consultations in primary care diabetes clinics are compared using extracts from video recordings of interactions between nurses and patients. The consultations were chosen to present different styles of interaction, in which the nurse's gaze was either primarily toward the computer screen or directed more toward the patient. Using conversation analysis, the ways in which nurses shift both gaze and body orientation between the computer screen and patient to influence the style, pace, content, and structure of the consultation were investigated. By examining the effects of different levels of engagement between the electronic medical record and the embodied patient in the consultation room, we argue for the need to consider the contingent nature of the interface of technology and the person in the consultation. Policy initiatives designed to deliver what is considered best-evidenced practice are modified in the micro context of the interactions of the consultation.