Positioning theory and the negotiation of information needs in a clinical midwifery setting

Studies of everyday life information seeking have begun to attend to incidental forms of information behavior, and this more inclusive understanding of information seeking within broader social practices invites a constructionist analytical paradigm. Positioning theory is a constructionist framework that has proven useful for studying the ways in which interactional practices contribute to information seeking. Positions can construct individuals or groups of people in ways that have real effects on their information seeking. This article identifies some specific types of discursive positioning and shows how participants in a clinical care setting position themselves and one another in ways that justify different forms of information seeking and giving. Examples are drawn from an ongoing study of information seeking in prenatal midwifery encounters. The data consist of audio recordings of nine prenatal midwifery visits and of 18 follow-up interviews, one with each participating midwife and pregnant woman. The midwifery model of care is based on a relationship in which the midwife provides the pregnant woman with information and support necessary for making informed decisions about her care. Midwife-client interactions are therefore an ideal context for studying information seeking and giving in a clinical encounter.

[1]  Melissa Gross,et al.  Imposed Queries in the School Library Media Center: A Descriptive Study. , 1999 .

[2]  Lisa M. Given,et al.  Discursive constructions in the university context: Social positioning theory and mature undergraduates' information seeking behaviours , 2002 .

[3]  A. Rúdólfsdóttir.  ‘I Am Not a Patient, and I Am Not a Child’: The Institutionalization and Experience of Pregnancy , 2000 .

[4]  Howard Rosenbaum,et al.  Information Use Environments and Structuration: Towards an Integration of Taylor and Giddens. , 1993 .

[5]  K. Tuominen,et al.  A social constructionist approach to the study of information use as discursive action , 1997 .

[6]  H. Kennedy,et al.  A model of exemplary midwifery practice: results of a Delphi study. , 2000, Journal of midwifery & women's health.

[7]  Pamela J. McKenzie.  Communication barriers and information-seeking counterstrategies in accounts of practitioner-patient encounters , 2002 .

[8]  O. Sundin.  Nurses' information seeking and use as participation in occupational communities , 2002 .

[9]  Chris Westrup.  Representing Reality: Discourse, Rhetoric and Social Construction , 2013 .

[10]  D. Quinney,et al.  Team midwifery: the influence of the midwife-woman relationship on women's experiences and perceptions of maternity care. , 1998, Journal of advanced nursing.

[11]  N. Press,et al.  Feeding the fetus: on interrogating the notion of maternal-fetal conflict. , 1997, Feminist studies : FS.

[12]  L. Jansson,et al.  Patterns in midwives' and expectant/new parents' ways of relating to each other in ante- and postnatal consultations. , 2001, Scandinavian Journal of Caring Sciences.

[13]  Pamela J. McKenzie.  A model of information practices in accounts of everyday-life information seeking , 2003, J. Documentation.

[14]  T. D. Wilson,et al.  Information behaviour: an interdisciplinary perspective , 1997, Inf. Process. Manag..

[15]  D. Trandel-Korenchuk.  Disclosure practices of certified nurse-midwives relative to methods of childbirth pain management. , 1987, Journal of nurse-midwifery.

[16]  Reijo Savolainen.  Everyday life information seeking: Approaching information seeking in the context of “way of life” , 1995 .

[17]  Pamela J. McKenzie.  Justifying Cognitive Authority Decisions: Discursive Strategies of Information Seekers , 2003, Library quarterly.

[18]  K. Pettigrew.  The role of community health nurses in providing information and referral to the elderly : a study based on social network theory , 1997 .

[19]  I. Bourgeault,et al.  Integration lay and nurse-midwifery into the U.S. and Canadian health care systems , 1997 .

[20]  J. Rooks.  The midwifery model of care. , 1999, Journal of nurse-midwifery.

[21]  Neil Jacobs,et al.  Information technology and interests in scholarly communication: A discourse analysis , 2001, J. Assoc. Inf. Sci. Technol..

[22]  S. Mckay,et al.  "What are they talking about? Is something wrong?" Information sharing during the second stage of labor. , 1993, Birth.

[23]  S. Fisher.  A Discourse of the Social: Medical Talk/Power Talk/Oppositional Talk? , 1991 .

[24]  J. Kitzinger,et al.  Expectations, experiences, and psychological outcomes of childbirth: a prospective study of 825 women. , 1990, Birth.

[25]  L. Baker,et al.  Physician-patient communication from the perspective of library and information science. , 1994, Bulletin of the Medical Library Association.

[26]  Per Linell,et al.  Reconstructing Topical Sensitivity: Aspects of Face-Work in Talks Between Midwives and Expectant Mothers , 1996 .

[27]  N. Press,et al.  The production of authoritative knowledge in American prenatal care. , 1996, Medical anthropology quarterly.

[28]  David Nicholas,et al.  Parents and their information needs , 1998 .

[29]  B. Dervin,et al.  Information seeking in context : proceedings of an international conference on research in information needs, seeking and use in different contexts 14-16 August, 1996, Tampere, Finland , 1997 .

[30]  B. Fehr,et al.  When Supervising Physicians See Patients Strategies Used in Difficult Situations , 1997 .

[31]  Sanna Talja,et al.  Information sharing in academic communities: Types and levels of collaboration in information seeking and use. , 2002 .

[32]  P. Drew,et al.  Talk at Work: Interaction in Institutional Settings , 1995 .

[33]  Tom Wilson,et al.  Information behaviour: an inter-disciplinary perspective , 1997 .

[34]  Pamela J. McKenzie.  Connecting with Information Sources: How Accounts of Information Seeking Take Discursive Action , 2003 .