Managing medical advice seeking in calls to Child Health Line.

Child Health Line is a 24-hour Australian helpline that offers information and support for parents and families on child development and parenting. The helpline guidelines suggest that nurses should not offer medical advice; they do, however, regularly receive calls seeking such advice. This paper examines how the service guidelines are talked into being through the nurses' management of callers' requests for medical advice and information, and shows how nurses orient to the boundaries of their professional role and institutionally regulated authority. Three ways in which the child health nurses manage medical advice and information seeking are discussed: using membership as a nurse to establish boundaries of expertise, privileging parental authority regarding decision making about seeking treatment for their child, and respecifying a 'medical' problem as a child development issue. The paper contributes to research on medical authority, and nurse authority in particular, by demonstrating the impact of institutional roles and guidelines on displays of knowledge and expertise. More generally, it contributes to an understanding of the interactional enactment and consequences of service guidelines for telehealth practice, with implications for training, policy and service delivery.

A rhetorical approach to discussions about health and vegetarianism.

Typically, research on vegetarianism has sought to identify the psychological characteristics that distinguish vegetarians from meat-eaters. Health concerns have been identified as a motivation for meat abstention. In this article, rhetorical analysis of Internet discussions about health and vegetarianism highlights the argumentative orientation of explanations for meat consumption, with the various constructions of health serving a rhetorical function. We show the dilemmatic nature of arguments about the relationship between food and health: food can promote health and cause ill-health, and suggest that meat-eating as a dominant practice is supported by the rhetorical use of notions of 'balance', implying moderation, inclusion and rationality. This rhetorical approach represents a radical critique of past work that assumes opinions given in response to questions about vegetarian practices represent 'causes' of dietary practice.