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Evid Based Nurs 7:62 doi:10.1136/ebn.7.2.62
  • Qualitative

Patients resisted attempts to link smoking to their current medical problems in general practice consultations


 
 Q In general practice consultations, how do general practitioners (GPs) introduce and advise patients who smoke about quitting? How do patients respond to this advice?

DESIGN

Interactional analysis of videotaped patient-GP consultations and semistructured interviews with GPs.

SETTING

General practices in an East Midlands County in the UK.

PARTICIPANTS

47 consultations between 47 patients who were self reported regular or occasional smokers {mean age 41 y, 74% women}* and 29 different GPs. 39 GPs were also interviewed.

METHODS

42 GPs who responded to a postal questionnaire measuring attitudes towards discussing smoking with patients were recruited. Of the 538 video recorded consultations, 47 (between 47 different patients and 29 GPs) that mentioned smoking were chosen for further analysis. In addition, 39 semistructured interviews with the GPs were done. Data were analysed from a conversation analytic standpoint to assess ways in which antismoking advice was produced and managed.

MAIN FINDINGS

Interview data …

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