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Maria Brann 《Communication Research Reports》2013,30(4):265-273
This study assessed whether two medical orientations of physicians—biomedical vs biopsychosocial—influenced individuals’ perceptions of physician credibility. Participants read a vignette describing a physician communicating either a predominantly biomedical or a predominantly biopsychosocial orientation and then completed the Measure of Source Credibility in reference to the physician. Results indicate that physicians who display a biopsychosocial orientation were rated higher in perceived competence, character, and caring. Future researchers should address various effects of the medical context on physician credibility and how patients’ preferences regarding physicians’ medical orientation influence choice of and communication with physicians, patient satisfaction, and compliance. 相似文献
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A Patient-centered Approach to Breaking Bad News: Communication Guidelines for Health Care Providers
《Journal of Applied Communication Research》2007,35(2):177-196
This investigation takes a patient-centered approach to examining strategies physicians use to deliver bad news to patients. Qualitative data were obtained from 68 patients who had received a message they perceived as negative information from a health care provider. Through grounded theory methodology, patient accounts were examined to reveal four provider strategies for breaking bad news. This investigation underscores the importance of using effective communication strategies to achieve patient satisfaction and compliance. 相似文献
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Parul Jain 《The Communication Review》2014,17(1):27-44
Using communication accommodation theory as a framework, this study explores and compares communication patterns of international medical graduate (IMG) physicians and United States medical graduate (USMG) physicians in intergroup, interpersonal, and intercultural context. Given that every fourth doctor practicing medicine in the U.S. is an internationally trained physician (AMA-IMG, 2010) an examination of the influence on patient-provider communication involving IMG physician and comparison with USMG physician is warranted. In a national survey of IMG and USMG physicians, the participants self-reported their perceptions of communication behaviors they used during a medical interaction. Although no difference was found between IMG and USMG physicians use of communication accommodation strategies during medical interaction, IMG physicians reported practicing significantly more relational communication than their U.S. counterparts. USMG physicians reported greater difficulty in communication owing to differences in culture than IMG physicians. Implication of findings for patient-centered communication, patient-physician relationship, and communication skills training is discussed. 相似文献
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A Patient-centered Approach to Breaking Bad News: Communication Guidelines for Health Care Providers
Lisa Sparks Melinda M. Villagran Jessica Parker-Raley Cory B. Cunningham 《Journal of Applied Communication Research》2013,41(2):177-196
This investigation takes a patient-centered approach to examining strategies physicians use to deliver bad news to patients. Qualitative data were obtained from 68 patients who had received a message they perceived as negative information from a health care provider. Through grounded theory methodology, patient accounts were examined to reveal four provider strategies for breaking bad news. This investigation underscores the importance of using effective communication strategies to achieve patient satisfaction and compliance. 相似文献
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Little is known about how public sector organisations capitalise on the potential of social networking sites (SNSs) as communication channels. Previous research is short on theoretical models and managerial insights into the success of local governments' online communication strategies. The purpose of this study is to explore how successfully local governments utilise SNSs for managing their external communication with citizens. Using a multi-method analysis of 15,941 posts and 19,290 comments on the Facebook pages of the 25 largest German cities, we make five contributions to research and practice. First, we analyse the properties and topics of government posts to draw a rich picture of how local governments use Facebook as a communications channel. Second, we conceptualise success in governments' online communications in terms of the frequency and polarity of citizens' reactions, which we use for third, evaluating government communication behaviour in SNSs. Fourth, we identify which benefits SNSs offer that traditional communication channels do not provide. Fifth, we offer guidelines for improving the online communication strategies of local governments using SNSs. 相似文献
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Galina B. Bolden 《Communication monographs》2014,81(2):208-238
This article aims to advance an interactionally sensitive, emic view of intercultural communication by exploring the organization of “intercultural moments” in conversation—moments during which cultural and linguistic differences between people become exposed. Field video recordings of ordinary face-to-face interactions in Russian–American immigrant families are analyzed using the methodology of conversation analysis. The article focuses on sequences in which participants deal with actual or anticipated understanding problems and examines how participants' assumptions about their asymmetric cultural and linguistic expertise are revealed in their actions. Some interactional payoffs in adopting the role of a cultural expert vis-à-vis a novice are described to show how an ostensible non-understanding is both a participants' problem to be solved and a resource for social action. 相似文献
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《Communication monographs》2012,79(1):108-136
Organizational trends toward team-based structures, globalization, and reliance on communication technology have spurred research addressing the communication processes of virtual teams. However, much of the extant research focuses on the ways virtual teams differ from conventional, face-to-face teams and fails to examine variations in virtual team characteristics that may impact team communication behaviors and experiences. The study reported here identifies two categories of virtual team characteristics (communicative and structural) and uses these to explore their relationships to team communication technology use and team outcomes. Analysis of data from 98 virtual teams reveals that structural features primarily relate to media use, whereas communication considerations are associated with team outcomes. Additional analyses indicate that various communicative predictors moderate the relationships between technology use and outcomes. These results point to theoretical and practical implications for researchers, team members, managers, and organizations related to virtual team design and communication processes. 相似文献
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Couples coping with cancer are often told to talk about feelings, yet there is limited theoretical, empirical, or intervention research to justify this advice. We interviewed 19 patients and 16 partners about their communication. In a mixed methods analysis, we found talk about feelings was associated with distress and functioning, even after controlling for marital satisfaction, perceived constraint from discussing cancer, or physical functioning; however, patients and partners who focused on feelings and personal issues had worse outcomes than those who focused on facts and medical issues. Through qualitative analysis, we found multiple ways to cope that did not require talking about feelings as well as ways that higher levels of distress affected talk about feelings. Our findings suggest we should reconsider advice to couples, encouraging multiple ways of communicating, and considering contextual factors that influence the timing and desirability of talk about feelings. 相似文献
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Rising rates of antibiotic-resistant infections make reducing unnecessary antibiotic use for outpatient illness a key public health issue. This study examines the association between parent-provider communication and rates of antibiotic prescribing for their children’s ear infections. Participants (N = 70) were recruited from parents of patients (6 months–12 years) at a medical center whose children were diagnosed with ear infections or had ear symptoms with an upper respiratory tract diagnosis. Results showed that parent self-reports of going into great detail and asking many questions about their children’s symptoms were associated with greater antibiotic prescribing, as was not insisting on a particular test or treatment. Further, antibiotic prescribing was less likely when parents reported that providers encouraged them to offer opinions about the child’s medical treatment. Findings suggest that communication skills training is needed for both patients and providers to minimize potential misinterpretations and thereby avoid unnecessary antibiotic prescribing. 相似文献
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Intercultural communication offers both theoretical and pedagogical implications for communication instruction. As such, we interweave theories and concepts of intercultural communication and instructional communication in (re)thinking “difficult,” “sensitive,” or “uncomfortable” classroom conversations that involve privilege, power, and intersecting cultural identities (e.g., racism). In juxtaposing these areas side by side, we first interrogate why intercultural and instructional communication scholars have neglected what the other takes as central: pedagogy and diversity. In particular, we ask: Why are certain conversations deemed “difficult” in the mainstream communication classroom? To whom are they difficult conversations? Why might these conversations feel “uncomfortable or risky”? Second, we crystalize how intercultural communication makes strides toward feeling/thinking/understanding difficult conversations in ways that promote social justice by proposing a pedagogy of “SWAP-ping” the communication classroom. 相似文献
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Virginia P. Richmond Alan M. Heisel Ralph S. Smith Jr. James C. McCroskey 《Communication Research Reports》2013,30(4):344-353
This study examined the relationships among trait CA, state CA (fear of interacting with a physician), and patient perceived satisfaction with quality of medical care and physician. The results indicated that trait CA and fear of the physician were positively related. However, trait CA was not significantly related to patient perceived satisfaction with quality of medical care or physician. State CA, in contrast, was significantly negatively related to both patient perceived satisfaction with medical care and satisfaction with physician. It is concluded that future research should investigate the impact of physicians’ engaging in positive communication behaviors on patients’ apprehension and medical outcomes. 相似文献
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Hiba El Masri Treasure M. McGuire Christine Dalais Mieke van Driel Helen Benham Samantha A. Hollingworth 《Journal of the Medical Library Association》2022,110(2):185
Introduction:Poor indexing and inconsistent use of terms and keywords may prevent efficient retrieval of studies on the patient-based benefit-risk assessment (BRA) of medicines. We aimed to develop and validate an objectively derived content search strategy containing generic search terms that can be adapted for any search for evidence on patient-based BRA of medicines for any therapeutic area.Methods:We used a robust multistep process to develop and validate the content search strategy: (1) we developed a bank of search terms derived from screening studies on patient-based BRA of medicines in various therapeutic areas, (2) we refined the proposed content search strategy through an iterative process of testing sensitivity and precision of search terms, and (3) we validated the final search strategy in PubMed by firstly using multiple sclerosis as a case condition and secondly computing its relative performance versus a published systematic review on patient-based BRA of medicines in rheumatoid arthritis.Results:We conceptualized a final search strategy to retrieve studies on patient-based BRA containing generic search terms grouped into two domains, namely the patient and the BRA of medicines (sensitivity 84%, specificity 99.4%, precision 20.7%). The relative performance of the content search strategy was 85.7% compared with a search from a published systematic review of patient preferences in the treatment of rheumatoid arthritis. We also developed a more extended filter, with a relative performance of 93.3% when compared with a search from a published systematic review of patient preferences in lung cancer. 相似文献
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本文在前人研究的基础上,对美国人际传播的研究视角进行了划分,并梳理出每种视角的代表性理论。本文认为,美国人际传播研究的视角有情境、能力、关系、过程、规则、功能、文化和心理八个方面的视角。这些研究视角对我国学者从事人际传播研究,建立具有中国特色的人际传播理论具有重要的借鉴价值。 相似文献
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Nancy Calabretta Susan Cavanaugh Marita Malone Betty Jean Swartz 《Medical reference services quarterly》2013,32(1):19-30
Librarians located in a 560-bed, inner city academic medical center with 25,000 + admissions per year planned and opened a Patient and Family Education Center (PFEC) in the lobby of a new patient care pavilion. A review of use in the first 19 months revealed that expected needs were being met while a variety of unexpected needs were identified. Ongoing use continues to be monitored by a detailed log of patron visits maintained by library staff. This article describes the evolution of the Patient and Family Education Center, outreach to the hospital community, and plans for the future. 相似文献
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Librarians located in a 560-bed, inner city academic medical center with 25,000?+ admissions per year planned and opened a Patient and Family Education Center (PFEC) in the lobby of a new patient care pavilion. A review of use in the first 19 months revealed that expected needs were being met while a variety of unexpected needs were identified. Ongoing use continues to be monitored by a detailed log of patron visits maintained by library staff. This article describes the evolution of the Patient and Family Education Center, outreach to the hospital community, and plans for the future. 相似文献
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《Communication monographs》2012,79(4):390-413
Emergency medicine is largely a communicative activity, and medical mishaps that occur in this context are too often the result of vulnerable communication processes. In this year-long qualitative study of two academic emergency departments, an interdisciplinary research team identified four such processes: triage, testing and evaluation, handoffs, and admitting. In each case, we found that narrative rationality (the patient's story) was consistently subjugated to technical rationality (actionable lists). Process changes are proposed to encourage caregivers to either reconsider their course of action or request additional contextual information. A heightened awareness of the bias for technical over narrative rationality and a better recognition of uncertainty in emergency medicine communication are important first steps toward anticipating potential failures and ensuring patient safety. 相似文献