Systematically reviewing and synthesizing evidence from conversation analytic and related discursive research to inform healthcare communication practice and policy: an illustrated guide

Background Healthcare delivery is largely accomplished in and through conversations between people, and healthcare quality and effectiveness depend enormously upon the communication practices employed within these conversations. An important body of evidence about these practices has been generated by conversation analysis and related discourse analytic approaches, but there has been very little systematic reviewing of this evidence. Methods We developed an approach to reviewing evidence from conversation analytic and related discursive research through the following procedures: • reviewing existing systematic review methods and our own prior experience of applying these • clarifying distinctive features of conversation analytic and related discursive work which must be taken into account when reviewing • holding discussions within a review advisory team that included members with expertise in healthcare research, conversation analytic research, and systematic reviewing • attempting and then refining procedures through conducting an actual review which examined evidence about how people talk about difficult future issues including illness progression and dying Results We produced a step-by-step guide which we describe here in terms of eight stages, and which we illustrate from our ‘Review of Future Talk’. The guide incorporates both established procedures for systematic reviewing, and new techniques designed for working with conversation analytic evidence. Conclusions The guide is designed to inform systematic reviews of conversation analytic and related discursive evidence on specific domains and topics. Whilst we designed it for reviews that aim at informing healthcare practice and policy, it is flexible and could be used for reviews with other aims, for instance those aiming to underpin research programmes and projects. We advocate systematically reviewing conversation analytic and related discursive findings using this approach in order to translate them into a form that is credible and useful to healthcare practitioners, educators and policy-makers

"Attribution of rhetorical intentionality: further evidence in children's ordinary conversations"

Abstract, E.A.E.S.P. Small Group meeting on Language, Amsterdam. Pubbl. in: Autori Vari, EAESP Small Group Meeting on Language, April 11-13 1996, Abstracts. Vrije Universiteit, Amsterdam (p. 2-3

A MULTIDISCIPLINARY APPROACH TO THE COASTAL PROTECTION OF TWO ARCHAEOLOGICAL SITES IN LYBIA

The present study is part of the preliminary investigation to design a coastal protection for the archaeological sites of Sabratha and Leptis Magna and the hydraulic re-arrangement of the final stretch of the Wadi Lebda which runs across the archaeological area of Leptis Magna. This study is a part of the project "Safeguarding the Sabratha and Leptis Magna archaeological sites. Preventing flooding of Leptis Magna from the Wadi Lebda", started in 2009 and commissioned by MARCO POLO STORICA LTD – Scotland. The planning of interventions has required an accurate morphological reconstruction of the interested areas. In this regard, given the wide investigation area, the aerial and land survey operations logistic difficulties and tight timeframe, the use of multi-beam technology and satellite images was particularly useful. The Digital Terrain Model has been coupled with detailed bathymetric surveys of the coastal area, undertaken mostly by multi-beam techniques, and by investigations of the ground characteristics, which were integrated in the information system prepared as design support