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                            [identifier] => oai:www.reciis.icict.fiocruz.br:article/4315
                            [datestamp] => 2024-10-08T12:29:12Z
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                                            [0] => “Unfortunately, we couldn’t reach a definitive diagnosis”: the interactional management of uncertainty in genetic counseling
                                            [1] => “Lamentablemente no pudimos llegar a un diagnóstico definitivo”: el manejo interaccional de la incertidumbre en el consejo genético
                                            [2] => “Unfortunately, we couldn’t reach a definitive diagnosis”: the interactional management of uncertainty in genetic counseling
                                        )

                                    [creator] => Array
                                        (
                                            [0] => Ostermann, Ana Cristina
                                            [1] => Frezza, Minéia
                                        )

                                    [subject] => Array
                                        (
                                            [0] => Uncertainty
                                            [1] => Medical diagnosis
                                            [2] => Doctor-patient interaction
                                            [3] => Conversation analysis
                                            [4] => Genetic counseling
                                            [5] => Uncertainty
                                            [6] => Medical diagnosis
                                            [7] => Doctor-patient interaction
                                            [8] => Conversation analysis
                                            [9] => Genetic counseling
                                            [10] => Incertidumbre
                                            [11] => Diagnostico medico
                                            [12] => Interacción médico-paciente
                                            [13] => Análisis de conversación
                                            [14] => Asesoramiento genetico
                                        )

                                    [description] => Array
                                        (
                                            [0] => This paper examines how participants in genetic counseling sessions interactionally manage situations where the results of tests to investigate the causes of identified fetal malformations are inconclusive or missing. The dataset consists of 54 audio-recorded interactions at a unit specialized in moderate- and high-risk pregnancies at a Brazilian public hospital. Conversation analysis was used to examine the data, revealing that the participants deployed interactional actions that exhibited highly negative valence toward diagnostic inconclusiveness, demonstrating that when there is a motivation for a medical examination, insofar as its results will serve as a basis for subsequent decision-making (in this case about future pregnancies), there is a preference for bad diagnostic news over absent or inconclusive diagnostic news. These findings are consistent with prior interactional studies.
                                            [1] => Este artículo examina cómo los participantes en las sesiones de asesoramiento genético gestionan de forma interactiva los resultados de pruebas genéticas no concluyentes o faltantes, pruebas para investigar las causas de las malformaciones fetales identificadas. El conjunto de datos consta de 54 interacciones grabadas en audio en una unidad de embarazo de riesgo medio y alto de un hospital público brasileño. El enfoque de Análisis de Conversación utilizado para examinar los datos revela que los participantes desarrollan acciones interaccionales que exhiben una orientación de valencia altamente negativa hacia la falta de conclusión del diagnóstico, lo que demuestra que cuando hay motivación para un examen médico, es decir, utilizar el diagnóstico del resultado de la prueba como base para la toma de decisiones, como ocurre con futuros embarazos, se prefieran las malas noticias diagnósticas a las noticias diagnósticas ausentes o no concluyentes. Estos resultados son consistentes con estudios interaccionales previos.
                                            [2] => This paper examines how participants in genetic counseling sessions interactionally manage situations where the results of tests to investigate the causes of identified fetal malformations are inconclusive or missing. The dataset consists of 54 audio-recorded interactions at a unit specialized in moderate- and high-risk pregnancies at a Brazilian public hospital. Conversation analysis was used to examine the data, revealing that the participants deployed interactional actions that exhibited highly negative valence toward diagnostic inconclusiveness, demonstrating that when there is a motivation for a medical examination, insofar as its results will serve as a basis for subsequent decision-making (in this case about future pregnancies), there is a preference for bad diagnostic news over absent or inconclusive diagnostic news. These findings are consistent with prior interactional studies.
                                        )

                                    [publisher] => Instituto de Comunicação e Informação Científica e Tecnológica em Saúde (Icict/Fiocruz)
                                    [date] => 2024-09-30
                                    [type] => Array
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                                            [0] => info:eu-repo/semantics/article
                                            [1] => info:eu-repo/semantics/publishedVersion
                                            [2] => Artigo avaliado pelos pares
                                        )

                                    [format] => application/pdf
                                    [identifier] => Array
                                        (
                                            [0] => https://www.reciis.icict.fiocruz.br/index.php/reciis/article/view/4315
                                            [1] => 10.29397/reciis.v18i3.4315
                                        )

                                    [source] => Array
                                        (
                                            [0] => Revista Eletrônica de Comunicação, Informação & Inovação em Saúde; Vol. 18 No. 3 (2024): Dossiê Cuidados-em-interação: práticas, saberes e reflexividade na saúde; 471-487
                                            [1] => Revista Eletrônica de Comunicação, Informação e Inovação em Saúde; Vol. 18 Núm. 3 (2024): Dossiê Cuidados-em-interação: práticas, saberes e reflexividade na saúde; 471-487
                                            [2] => Revue de la Communication, de l'Information et de l'Innovation en santé; Vol. 18 No 3 (2024): Dossiê Cuidados-em-interação: práticas, saberes e reflexividade na saúde; 471-487
                                            [3] => Revista Eletrônica de Comunicação, Informação & Inovação em Saúde; v. 18 n. 3 (2024): Dossiê Cuidados-em-interação: práticas, saberes e reflexividade na saúde; 471-487
                                            [4] => 1981-6278
                                        )

                                    [language] => eng
                                    [relation] => https://www.reciis.icict.fiocruz.br/index.php/reciis/article/view/4315/2731
                                    [rights] => Array
                                        (
                                            [0] => Copyright (c) 2024 Ana Cristina Ostermann, Minéia Frezza
                                            [1] => https://creativecommons.org/licenses/by-nc/4.0
                                        )

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