A Video Life-world Approach to Consultation Practice: The Relevance of a Socio-Phenomenological Approach

Abstract

This is the unspecified version of the paper.This version of the publication may differ from the final published version. alike to understand the dynamics of videoed health consultations, the role of the participants within it and the potential to consciously alter the outcome by altering behaviour during the process of interaction. The empirical study examines health consultation participation and develops an interpretative method of analysis that includes image elicitation (via videos), phenomenology (to identify the components of the analytic framework), text and narrative (to depict the stories of interactions) and a reflexive mode (to develop the conceptual framework for analysis).. The analytic framework is derived from a lifeworld conception of human mutual shared interaction which is presented here as a novel approach to understanding patient-centred care. The video materials used in this study were derived from consultations in a Walk-in Centre (WiC) in East London. The conceptual framework produced through the process of video analysis is comprised of different combinations of movement, knowledge and emotional conversations that are used to classify objective or engaged WiC health care Permanent repository linkinteractions. The videod interactions organise along an active or passive, facilitative or directive typical situation continuum illustrating different kinds of textual approaches to practice that are in tension or harmony.The schema demonstrates how practitioners and consumers interact to produce these outcomes and indicates the potential for both consumers and practitioners to be educated to develop practice dynamics that support patientcentred care and impact on health outcomes.

Socio-phenomenology and conversation analysis: interpreting video lifeworld healthcare interactions

“…The practitioners included general practitioners, nurse practitioners, and nurses treating patients with minor ailments. The typical situations were in the main knowledge conversations, with more than half of them presenting as typical situations where the patients were active and the practitioners were facilitative and were in harmony (Bickerton et al ., 2010b). The video lifeworld schema is a new approach to consultation analysis and requires further research to support validation and replication unlike CA which has been used for over 50 years and has long been validated.…”

“…This method of analysis describes the experience of health consultation interaction at the level of lifeworld in the stream of consciousness. It applies essential qualities of phenomenological sociology and argues that intersubjectivity facilitates shared practice more than a positivistic or mechanistic approach (Bickerton et al ., 2010b). A phenomenological understanding of consultation interactions, this article argues, describes shared decision making in action in a more dynamic way than a method such as CA.…”

“…This schema does not transcribe the audiovisual materials word for word, gesture for gesture as in the above CA notation. Nor does it identify particular emotions; rather, it is concerned with a more generalized interpretation of the consultation interaction practice evidenced through observing and experiencing the video (Bickerton et al ., 2010b). Both CA and video lifeworld approaches are oriented to the shared (intersubjective) interaction, but in these authors' opinion the video lifeworld schema requires less specialized knowledge than CA as viewers can approach the video in similar way to watching a movie; the viewer analyses the video as it is showing, although it can be rewound and played over and over again, rather than with CA where the audio or video is first transcribed and then analysed using symbolic notation.…”

“…The method of analysis using this video lifeworld schema is demonstrated through a fragment below (Bickerton et al ., 2010b, pp. 165–166):…”