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The resonable patient: A Swedish discourse construction
University West, Sweden.ORCID iD: 0000-0003-3792-6600
University West, Sweden.
The Swedish Red Cross University College, Department of Health Sciences. University West, Sweden.ORCID iD: 0000-0002-0335-3472
University West, Sweden.ORCID iD: 0000-0002-2358-5086
2021 (English)In: Nursing Inquiry, ISSN 1320-7881, E-ISSN 1440-1800, Vol. 28, no 3, article id e12401Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to analyse how the patient is constructed and socially po-sitioned in Swedish patient information. Corpus-assisted critical discourse analysismethodology was utilised on a sample of 56 online patient information texts aboutcancer containing a total of 126,711 words. The findings show an overarching dis-course of informed consent guided by specific features to produce a patient normthat we name “the reasonable patient”, who is receptive to arguments, emotionallyrestrained and makes decisions based on information. Through the discourse of in-formed consent, the norm of the reasonable patient emerges, apparently to even outthe imbalance of power between patient and professional, but in reality, more likelyto construct a patient who is easily controlled and managed. When the self-respon-sibility towards health is incorporated into the everyday domestic spaces via digitalhealth technologies, the ideas and concepts of the patient role need to be reconsid-ered based on these new conditions. We conclude that it is important for nursingresearchers to broaden the research on patients to include the relationship of powercreated through language. This study demonstrates both methodological and empiri-cal possibilities to do so

Place, publisher, year, edition, pages
John Wiley & Sons, 2021. Vol. 28, no 3, article id e12401
Keywords [en]
cancer, discourse analysis, governmentality, information, nursing, patient
National Category
Nursing
Identifiers
URN: urn:nbn:se:rkh:diva-3759DOI: 10.1111/nin.12401PubMedID: 33476426OAI: oai:DiVA.org:rkh-3759DiVA, id: diva2:1521059
Funder
Riksbankens JubileumsfondAvailable from: 2021-01-22 Created: 2021-01-22 Last updated: 2021-08-17Bibliographically approved

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Eriksson, Henrik

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  • Other locale
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