ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2012
Power and powerlessness: GPs' narratives about lifestyle counselling.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 8 citations in OpenAlex.
- Hypertension treatment in the oldest-old: focus group interviews with Swedish general practitioners.Scandinavian journal of primary health care · 2022Article
- Comparing GPs' risk attitudes for their own health and for their patients' : a troubling discrepancy?BMC health services research · 2018Article
- Balancing trust and power: a qualitative study of GPs perceptions and strategies for retaining patients in preventive health checks.Scandinavian journal of primary health care · 2017Article
- Obesity in primary care: a qualitative synthesis of patient and practitioner perspectives on roles and responsibilities.The British journal of general practice : the journal of the Royal College of General Practitioners · 2015Article
- Dimensions and determinants of trust in health care in resource poor settings--a qualitative exploration.PloS one · 2013Article
- Calling time on the 10-minute consultation.The British journal of general practice : the journal of the Royal College of General Practitioners · 2012Article
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPower in doctor-patient relationships is asymmetrically distributed. The doctor holds resources the patient needs and has a mandate to promote healthy living. Power may benefit or harm the patients' health, and the doctor-patient relationship.
aimTo identify aspects of power and powerlessness in GPs' narratives about lifestyle counselling. DESIGN AND
settingA qualitative study using focus groups from peer-group meetings of Norwegian GPs attending continuing medical education.
methodGPs discussed case stories about lifestyle counselling in focus groups. The discussions were transcribed and the text analysed using systematic text condensation.
resultsAspects of power concerning the framework of the consultation and the GPs' professional role were found. Also identified were: power expressed by opportunistic approaches to change patients' lifestyle; rhetoric communication; paternalism; and disclosure. GPs reported powerlessness in complex communication, when there were difficulties reaching goals, and when patients resisted or ignored their proposals.
conclusionCase-study discussions in peer groups disclose several aspects of power and powerlessness that occur in consultations. Consciousness about aspects of power may facilitate counselling that benefits the patient and the doctor-patient relationship.
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Registered trials
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