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Table 6 Parent immediate response to clinician treatment recommendations

From: Understanding the influence of parent-clinician communication on antibiotic prescribing for children with respiratory tract infections in primary care: a qualitative observational study using a conversation analysis approach

Parent response Total number (%) Example
Acknowledgement 43 (77%) I don’t think we need to do anything. I think you’re doing all the right things in terms of lots of rest, lots of fluid. Calpol if he needs it. But I don’t think – if he’s like this I wouldn’t worry about. ”(C214: GP)
“Right, okay.” (P23: father)
“it’s probably worth starting a course of antibiotics.” (C214: GP)
Okay.” (P54: mother)
I’ll give you just the puffer as a precaution for the next week, alright.” (C215: GP)
Yeah.” (P26: mother)
Active Acceptance 3 (5%) I don’t think she needs antibiotics today” (C224: NP)
No, … no and to be honest I’d rather she didn’t” (P65: mother)
Interactional resistance 6 (11%) GP: “She does have an ear infection …. usually they will recover within 5 days, and that’s not sped up by taking antibiotics. … I think [give it] 5 days if she doesn’t become unwell in herself.”
Father: “So if she does basically um, after 5 days, just then, what, just go to the er local um pharmacy and get some um?”
GP: “Well after – what I’ll do is I’ll give you a prescription now for some antibiotics.” (C205:GP)
Father: “Okay.” (P13: father)
“if we treat the ear infection [with antibiotics], she’ll feel a bit better in herself … The cough should, sort of, limit on its own. However, if she’s worse, you think the cough’s worse, or you’re worried about her breathing, then come back.” (C220: NP)
“Yeah. Is there, erm, anything that kind of helps with her [cough]?” (P40: mother)
“Her chest in completely clear. But actually, oddly, the paeds A&E consultants will say that if a child complains of chest pain … it is a pneumonia until you can prove otherwise.
… I would actually say in this case she probably would benefit from a 5 day course of antibiotics.” (C207: GP)
“Because she’s complaining about pain?” (P19: mother)