scholarly journals From appearings to disengagements: Openings and closings in video-mediated tele-homecare encounters

2020 ◽  
Vol 3 (3) ◽  
Author(s):  
Sakari Ilomäki ◽  
Johanna Ruusuvuori
Keyword(s):  
Older Adults ◽  
Conversation Analysis ◽  
Institutional Setting

In this article, we examine openings and closings in video-mediated tele-homecare for older adults in Finland, using multimodal conversation analysis. We demonstrate how participants organise these boundaries sequentially and multimodally, how visual appearing and disengaging are of key importance in these processes, and how openings and closings mirror each other in this institutional setting. In the openings, the participants orient to sequential structures that resemble those from mundane telephone conversations and Skype interactions: summons−answer, appearing−noticing, greeting−greeting and the “how are you” question−answer. The participants treat appearing as an accountable part of the opening, and delay advancing to the “how are you” question until a proper visual appearing is produced. Closings are managed through stepwise transition practices that result in a terminal exchange and both participants disengaging from the encounter: the clients, by walking away; the nurses, by closing down the connection. In addition to managing visuality, time-oriented talk is present in both openings and closings. A comparison of our results with findings from other technology-mediated encounters emphasises the importance of visuality in managing closings, and shows that tele-homecare is an interesting hybrid of institutionality and informality.

scholarly journals Authority and camaraderie: The delivery of directives amongst the ice floes

2019 ◽  
Vol 49 (2) ◽  
pp. 207-230
Author(s):  
Anne Elizabeth Clark White
Keyword(s):  
Mixed Methods ◽  
Conversation Analysis ◽  
Mixed Method ◽  
Institutional Setting ◽  
Environmental Stimuli ◽  
Institutional Talk ◽  
Video Recordings ◽  
Ice Floes ◽  
Method Analysis

ABSTRACTThis analysis focuses on the institutional talk of sea-kayak guides and their clients in order to understand how guides negotiate the interactional balance of giving orders to maintain a safe and timely excursion while facilitating a fun and recreational experience. Using a mixed-method analysis including Conversation Analysis, ethnography, and statistics, this study examines 576 instances of directives found in video recordings of twenty-five Alaskan kayaking ecotourism excursions and explores the practices guides use in their talk to maintain control of an excursion while not coming across as domineering. By systemically examining directives’ design, directives are found to reveal both their temporal urgency in addition to the precipitating events that necessitate them, such as client behaviors or environmental stimuli. This study's analysis contributes to our understanding of how interactants mitigate face-threatening actions and focuses attention on the interactional work that directives and their accounts achieve in an institutional setting currently underinvestigated (Directives, mixed-methods, Conversation Analysis, ethnography, ecotourism)*

scholarly journals Postural stability and quality of life after guided and self-training among older adults residing in an institutional setting

2013 ◽  
pp. 1237
Author(s):  
Ilmari Pyykkö ◽  
Tuunanainen ◽  
Rasku ◽  
Jäntti ◽  
Päivi Moisio-Vilenius ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Postural Stability ◽  
Institutional Setting

scholarly journals 522 - Role of Physical Environment on Quality of Life among Older Adults with Dementia in Long-Term Care Facilities in Canada and Sweden: A Longitudinal Study

2021 ◽  
Vol 33 (S1) ◽  
pp. 70-70
Author(s):  
Sook Young Lee ◽  
Lillian Hung ◽  
Habib Chaudhury
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Longitudinal Study ◽  
Physical Environment ◽  
Large Scale ◽  
Institutional Setting ◽  
Small Scale ◽  
Term Care

Reduction in competence makes older adults with dementia more sensitive to the influence of the physical environment. The aim of the longitudinal study was to examine whether residents with dementia in long-term facilities with variability in physical environmental characteristics in Vancouver (N=11), Canada and Stockholm (N=13), Sweden had a difference in their quality of life (QoL). QoL was assessed using Dementia Care Mapping (DCM) tool three times over one year for the reliability of data. DCM is a technique and observational framework devised to systematically investigate QoL from the perspective of the older adults with dementia. The results of the study demonstrated that the residents with dementia living in a homelike and positive stimulating setting showed a higher level of potential positive engagement, and less agitated and withdrawn behaviors compared to those in the large-scale institutional setting. Residents living in a large-scale institutional setting in Canada showed so far as five times more agitated/distressed behaviors and twice more withdrawal compared to the ones living in a small-scale homelike setting in Sweden. The study supports that the large-scale institutional environment was considerably associated with levels of lower quality of life among the residents with dementia.

Empathic Validation in Physician–Patient Communication: An Approach to Conveying Empathy for Problems With Uncertain Solutions

2021 ◽  
pp. 104973232110563
Author(s):  
Caroline K. Tietbohl
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Conversation Analysis ◽  
Communication Strategy ◽  
Shared Understanding ◽  
Clinical Empathy ◽  
Video Recordings ◽  
Physician Patient Communication ◽  
Patient Responses ◽  
Physician Patient

Interest in systematic approaches to improving clinical empathy has increased. However, conceptualizations of empathy are inconsistent and difficult to operationalize. Drawing on video recordings of primary care visits with older adults, I describe one particular communication strategy for conveying empathy—empathic validation. Using conversation analysis, I show that the design of empathic validations and the context in which they are delivered are critical to positive patient responses. Effective empathic validations must (a) demonstrate shared understanding and (b) support the patient’s position. Physicians provided empathic validation when there was no medical solution to offer and within this context, for three purposes: (1) normalizing changes in health, (2) acknowledging individual difficulty, and (3) recognizing actions or choices. Empathic validation is a useful approach because it does not rely on patients’ ability to create an “empathic opportunity” and has particular relevance for older adults.

scholarly journals Emotions in action: Telephone-mediated dispute resolution

2021 ◽  
Author(s):  
Ann Weatherall ◽  
M Stubbe
Keyword(s):  
Conversation Analysis ◽  
Dispute Resolution ◽  
The Body ◽  
Institutional Setting ◽  
Interaction Data ◽  
Discursive Psychology ◽  
British Psychological Society

© 2014 The British Psychological Society. The present study investigated emotions as they were made visible and responded to in a particular institutional setting. Following discursive psychology the aim was to provide a rigorous account of emotion as observable in talk-in-interaction. Using conversation analysis a focus was on the temporality of emotion in turns of talk and over the course of an interaction. Data were recordings and transcriptions of calls to a dispute resolution service for consumers' problems with electricity and gas. The analysis identified systematic practices callers' use for describing and doing upset. Call-takers rarely displayed emotion in the body of the calls and typically responded to institutionally relevant aspects of the callers' troubles and not the emotional ones. In the absence of any kind of endorsement of the callers' emotional stance, emotionality could escalate. Emotional affiliation regularly occurred at the end of the calls. The escalation of emotion in the absence of its endorsement and the occurrence of emotional affiliation at call-closing evidences a sequential property of emotion that has been largely overlooked.

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