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RESEARCH PRODUCT

Negotiation in Type 2 Diabetes Counseling: From Problem Recognition to Mutual Acceptance During Lifestyle Counseling

Tarja KettunenMarita PoskipartaPäivi KarhilaLeena Liimatainen

subject

CounselingMicro levelAlcohol DrinkingProcess (engineering)media_common.quotation_subjectHealth BehaviorApplied psychologyInterpersonal communication03 medical and health sciences0302 clinical medicineHumans030212 general & internal medicineFinlandProblem SolvingAgedmedia_commonResearch data030504 nursingNegotiatingCommunicationPublic Health Environmental and Occupational HealthVideotape RecordingLifestyle counselingMiddle AgedPatient Acceptance of Health CareNegotiationConversation analysisDiabetes Mellitus Type 2Health behaviorNurse-Patient Relations0305 other medical sciencePsychologyRisk Reduction BehaviorSocial psychology

description

Negotiation, an essential communication activity in lifestyle counseling, has rarely been studied at the micro level of interaction. Furthermore, the evidence for interpersonal negotiation to occur in counseling practice is inconclusive. In this study, the authors describe how negotiation focused on lifestyle changes was produced in nurse-patient interaction. The research data, 73 videotaped diabetes counseling situations, were analyzed using conversation analysis. The process of negotiation consisted of recognizing the problems in the patients' health behavior, offering proposals as solutions to the problems, and reaching an agreement on them. Negotiation had characteristics similar to those mentioned in the literature, but there were also prominent inadequacies. The authors suggest that nurses might need to become more aware of their counseling practices in routine situations through conscious effort for self-evaluation. In addition, further research would be required to demonstrate the effectiveness of negotiation for facilitating changes in patients' health behavior.

yearjournalcountryeditionlanguage
2003-11-01Qualitative Health Research
https://doi.org/10.1177/1049732303257153