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Table 7 Excerpt 6. Turn-taking in a locally managed interaction

From: Shared decision making in chronic kidney disease: a qualitative study of the impact of communication practices on treatment decisions for older patients

Turn

Speaker

Talk

Turn-taking activity

23.

Doc7:

Um, are you able to describe the urinary symptoms a little bit more in detail? So what happens when you go to pass urine?

Doctor asks question 1 about symptoms

24.

CKD-P19:

Well, some—if—if I’ve got plenty of urine to pass, put it that way, um, it flows quite well. But as I—I’m trying to, um, articulate, when I started taking this Indapamide …

Pt starts to answer question, then changes topic to impact of medication

25.

Doc7:

So let’s—let’s keep—let’s—let’s put that aside because that’s actually building a cause and effect relationship, which is—which is not—not the intent. Just describe your symptoms to me. Just describe your symptoms. Let’s—let’s forget that—that it’s related to the Indapamide because—just—just describe what happens when you go to pass urine.

Doctor explains reasons to leave discussion of medication aside, returns focus to q1 multiple times

26.

CKD-P19:

Um, well, I—I think I indicated this is the first time I sort of—I didn’t have any real trouble passing urine … [provides further detail]

Patient answers q1