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Decision making in a crowded room: the relational significance of social roles in decisions to proceed with allogeneic stem cell transplantation

Journal Article


Download full-text (Open Access)

Abstract


  • Researchers studying health care decision making generally focus on the interaction that unfolds between patients and health professionals. Using the example of allogeneic bone marrow transplant, in this article we identify decision making to be a relational process concurrently underpinned by patients’ engagement with health professionals, their families, and broader social networks. We argue that the person undergoing a transplant simultaneously reconciles numerous social roles throughout treatment decision making, each of which encompasses a system of mutuality, reciprocity, and obligation. As individuals enter through the doorway of the consultation room and become “patients,” they do not leave their roles as parents, spouses, and citizens outside in the hallway. Rather, these roles and their relational counterpoints—family members, friends, and colleagues—continue to sit alongside the patient role during clinical interactions. As such, the places that doctors and patients discuss diagnosis and treatment become “crowded rooms” of decision making.

UOW Authors


  •   Forsyth, Rowena (external author)
  •   Scanlan, Camilla (external author)
  •   Carter, Stacy
  •   Jordens, Christopher F. (external author)
  •   Kerridge, Ian (external author)

Publication Date


  • 2011

Citation


  • Forsyth, R., Scanlan, C., Carter, S. M., Jordens, C. F.C. & Kerridge, I. (2011). Decision making in a crowded room: the relational significance of social roles in decisions to proceed with allogeneic stem cell transplantation. Qualitative Health Research, 21 (9), 1260-1272.

Scopus Eid


  • 2-s2.0-80051489659

Ro Full-text Url


  • http://ro.uow.edu.au/cgi/viewcontent.cgi?article=4713&context=sspapers

Ro Metadata Url


  • http://ro.uow.edu.au/sspapers/3704

Has Global Citation Frequency


Number Of Pages


  • 12

Start Page


  • 1260

End Page


  • 1272

Volume


  • 21

Issue


  • 9

Place Of Publication


  • United States

Abstract


  • Researchers studying health care decision making generally focus on the interaction that unfolds between patients and health professionals. Using the example of allogeneic bone marrow transplant, in this article we identify decision making to be a relational process concurrently underpinned by patients’ engagement with health professionals, their families, and broader social networks. We argue that the person undergoing a transplant simultaneously reconciles numerous social roles throughout treatment decision making, each of which encompasses a system of mutuality, reciprocity, and obligation. As individuals enter through the doorway of the consultation room and become “patients,” they do not leave their roles as parents, spouses, and citizens outside in the hallway. Rather, these roles and their relational counterpoints—family members, friends, and colleagues—continue to sit alongside the patient role during clinical interactions. As such, the places that doctors and patients discuss diagnosis and treatment become “crowded rooms” of decision making.

UOW Authors


  •   Forsyth, Rowena (external author)
  •   Scanlan, Camilla (external author)
  •   Carter, Stacy
  •   Jordens, Christopher F. (external author)
  •   Kerridge, Ian (external author)

Publication Date


  • 2011

Citation


  • Forsyth, R., Scanlan, C., Carter, S. M., Jordens, C. F.C. & Kerridge, I. (2011). Decision making in a crowded room: the relational significance of social roles in decisions to proceed with allogeneic stem cell transplantation. Qualitative Health Research, 21 (9), 1260-1272.

Scopus Eid


  • 2-s2.0-80051489659

Ro Full-text Url


  • http://ro.uow.edu.au/cgi/viewcontent.cgi?article=4713&context=sspapers

Ro Metadata Url


  • http://ro.uow.edu.au/sspapers/3704

Has Global Citation Frequency


Number Of Pages


  • 12

Start Page


  • 1260

End Page


  • 1272

Volume


  • 21

Issue


  • 9

Place Of Publication


  • United States