{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T16:13:21Z","timestamp":1790612001484,"version":"4.1.0"},"reference-count":50,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2017,4,24]],"date-time":"2017-04-24T00:00:00Z","timestamp":1492992000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000781","name":"European Research Council","doi-asserted-by":"publisher","award":["CEV 263699"],"award-info":[{"award-number":["CEV 263699"]}],"id":[{"id":"10.13039\/501100000781","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010805","name":"Forskningsr\u00e5det i Syd\u00f6stra Sverige","doi-asserted-by":"publisher","award":["DNR.566401"],"award-info":[{"award-number":["DNR.566401"]}],"id":[{"id":"10.13039\/100010805","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010805","name":"Forskningsr\u00e5det i Syd\u00f6stra Sverige","doi-asserted-by":"publisher","award":["376541"],"award-info":[{"award-number":["376541"]}],"id":[{"id":"10.13039\/100010805","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Scandinavian Caring Sciences"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>The use of traffic risk assessment questions is an understudied area in nursing research. Obstructive sleep apnoea is associated with an increased risk of traffic accidents. Therefore, traffic safety authorities demand adherent continuous positive airway pressure use. Nurses act as coaches to achieve treatment adherence, but they are also obliged to act as state agents by prohibiting obstructive sleep apnoea patients from drowsy driving.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To examine how nurses and obstructive sleep apnoea patients manage traffic risk assessment questions in the relation\u2010building context of treatment initiation consultations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>To study, in detail, the actual practice of risk assessment, we used conversation analysis of 19 video\u2010recorded initial treatment consultations with nurses and recently diagnosed obstructive sleep apnoea patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Ethics<\/jats:title><jats:p>The study received ethical approval from the Central Ethical Review Board in Link\u00f6ping (registration number 214\/231\u201032) and follows the ethical guidelines for qualitative research.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients influence how nurses phrase questions about traffic risk by taking a stance to daytime sleepiness prior to the risk question. Nurses ask traffic risk questions in a way that assumes that driving is unproblematic if patients have not previously indicated problems. It may pose a significant problem when nurses, by accepting patients\u2019 prior stance when asking about traffic risk, orient to relationship building rather than task focus.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>To clarify the difference between their two potentially conflicting roles, nurses need to refer to existing laws and official guidelines when they raise the issue of risk in treatment initiation consultations. Nurses should also ask risk assessment questions in a problem\u2010oriented communicative environment. Traffic risk assessment is sensitive yet important, as obstructive sleep apnoea is a highly prevalent problem causing excessive sleepiness. It is essential to acknowledge nurses\u2019 double roles with regard to coaching continuous positive airway pressure treatment and assessing traffic risk.<\/jats:p><\/jats:sec>","DOI":"10.1111\/scs.12411","type":"journal-article","created":{"date-parts":[[2017,4,25]],"date-time":"2017-04-25T02:27:02Z","timestamp":1493087222000},"page":"895-903","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Balancing task focus and relationship building: asking sleepy patients about traffic risk in treatment initiation consultations"],"prefix":"10.1111","volume":"31","author":[{"given":"Clara","family":"Iversen","sequence":"first","affiliation":[{"name":"Department of Sociology Uppsala University Uppsala Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anders","family":"Brostr\u00f6m","sequence":"additional","affiliation":[{"name":"Department of Nursing School of Health and Welfare J\u00f6nk\u00f6ping University J\u00f6nk\u00f6ping Sweden"},{"name":"Department of Clinical Neurophysiology Link\u00f6ping University Hospital Link\u00f6ping Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Ulander","sequence":"additional","affiliation":[{"name":"Department of Clinical Neurophysiology Link\u00f6ping University Hospital Link\u00f6ping Sweden"},{"name":"Department of Neurosciences and Inflammation Faculty of Medicine Institution of Clinical and Experimental Medicine Link\u00f6ping University Link\u00f6ping Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,4,24]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2014.12.006"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-9566.2009.01208.x"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511607172.005"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511611216.007"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/1474515112438163"},{"key":"e_1_2_10_7_1","first-page":"287","article-title":"Symptom profile of undiagnosed obstructive sleep apnoea in hypertensive outpatients in primary care: a structural equation model analysis","volume":"20","author":"Brostr\u00f6m A","year":"2012","journal-title":"Qual Prim Care"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.27497"},{"key":"e_1_2_10_9_1","doi-asserted-by":"crossref","first-page":"254","DOI":"10.5664\/JCSM.1064","article-title":"The relationship between psychomotor vigilance performance and quality of life in obstructive sleep apnea","volume":"3","author":"Lee IS","year":"2011","journal-title":"J Clin Sleep Med"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2006.04110.x"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-6712.2011.00937.x"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.3109\/02813432.2012.675563"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2012.05.021"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2005.11.066"},{"key":"e_1_2_10_15_1","first-page":"CD007736","article-title":"Educational, supportive and behavioural interventions to improve usage of continuous positive airway pressure machines for adults with obstructive sleep apnoea","volume":"1","author":"Smith I","year":"2014","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2009.04.010"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2011.01.003"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2007.05.008"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.27662"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1159\/000222811"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2014.01.001"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511607172"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-007-0279-0"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2005.11.009"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2011.07.007"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(00)00366-X"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1121189X00006163"},{"key":"e_1_2_10_28_1","first-page":"42","volume-title":"Why Do You Ask? 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