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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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The purpose of this paper is to explore the literature on the status of women's health behavior and the benefits of physical activity using Self-Determination Theory (SDT) as an organizing framewrok for syntbcsizing and interpreing the extant research. The Health Belief Model and the Transtheoretical Model (Stages of Change) are included in that framework. Women's physical activity behaviors are examined through the lens of SDT with the intention of identifying strategies to design theoretically based intervention programs to increase women's participation in physical activity. Interventions that have been succcessful in modifying exercise behavior in women have been characterzed as individualized, flexible, and tailored to meet women's specific needs. SDT can be used to direct future research by investigating how autonomy, relatedness, and competence can be incorporate in program to increase women's self-determination with regard to heir physical activity and ultimately facilitate internalized, intrinsic motivation leading to loag-term behavior change 相似文献
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Melinda Schoenfeldt 《The Educational forum》2013,77(1):26-31
A survey study examined how attitudes about professional development (PD) vary among teachers of different subjects. Elementary teachers were more supportive of PD than health and physical education, social studies, and science teachers; special education teachers were more supportive of PD than social studies and science teachers; and five teacher groups (elementary, special education, math, English, and art and music) were more supportive of PD than science teachers. The results show the need for the design, implementation, and evaluation of program innovations aimed to improve both program effectiveness and teachers’ attitudes about PD. 相似文献
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Gifted children from low-education backgrounds often experience barriers to educational and career success. This article reviews the growing body of literature regarding gifted students from low-education backgrounds and the related literature on the challenges and characteristics of first-generation college students. A mother and daughter interview provides a contextual example of the issues identified in the literature review. Implications for educators and practitioners are suggested, including ways in which elementary and middle schools can proactively address the issues facing low-education background students in gifted programs. 相似文献
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Tae Kyoung Lee Alan Meca Jennifer B. Unger Byron L. Zamboanga Lourdes Baezconde-Garbanati Melinda Gonzales-Backen Elma I. Lorenzo-Blanco Miguel Á. Cano Sabrina E. Des Rosiers Daniel W. Soto Juan A. Villamar Monica Pattarroyo Karina M. Lizzi José Szapocznik Seth J. Schwartz 《Child development》2020,91(1):78-95
Acculturation consists of multiple domains (i.e., cultural practices, identifications, and values). However, less is known about how acculturation processes influence each other across multiple domains of acculturation. This study was designed to investigate transition patterns of acculturative processes within and across domains in a sample of 302 recent-immigrant Hispanic adolescents, Mage (SD) = 14.51 years (0.88) at baseline; male = 53%). Adolescents were assessed six times over a 3-year period. Latent profile analyses identified two profiles (high [or increasing] vs. low) for each domain at each timepoint. We found largely stable transition patterns in each domain over six timepoints. Importantly, sequential associations among profiles in acculturation domains were also detected. Implication for acculturation theory and research are discussed. 相似文献
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Julie A. Hides Tim Oostenbroek Melinda M. Franettovich Smith M. Dilani Mendis 《Journal of sports sciences》2016,34(24):2303-2311
ABSTRACTLow back pain (LBP) is a common problem in football (soccer) players. The effect of LBP on the trunk and hip muscles in this group is unknown. The relationship between LBP and trunk muscle size and function in football players across the preseason was examined. A secondary aim was to assess hip muscle strength. Twenty-five elite soccer players participated in the study, with assessments conducted on 23 players at both the start and end of the preseason. LBP was assessed with questionnaires and ultrasound imaging was used to assess size and function of trunk muscles at the start and end of preseason. Dynamometry was used to assess hip muscle strength at the start of the preseason. At the start of the preseason, 28% of players reported the presence of LBP and this was associated with reduced size of the multifidus, increased contraction of the transversus abdominis and multifidus muscles. LBP decreased across the preseason, and size of the multifidus muscle improved over the preseason. Ability to contract the abdominal and multifidus muscles did not alter across the preseason. Asymmetry in hip adductor and abductor muscle strength was found between players with and without LBP. Identifying modifiable factors in players with LBP may allow development of more targeted preseason rehabilitation programmes. 相似文献
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Melinda G. Miller Meg Knowles Susan Grieshaber 《The Australian Educational Researcher》2011,38(3):275-291
In Australia, eligible long day care services may apply for support at the state level to assist with the transition of children
from culturally or linguistically diverse backgrounds into childcare settings. For staff in childcare services, this support
comes in the form of a cultural support worker (CSW). The primary role of a CSW is to build capacity in childcare staff to
support children and families as they enter the childcare program. This paper draws on interview data and documentation from
multiple sources to report the perspectives of key stakeholders affiliated with a cultural support program in an Australian
childcare setting. It concludes that a more flexible approach to policy that directs the work of CSWs is needed, as well as
further research into ways to build capacity for cultural competence for both CSWs and childcare staff who work collaboratively
to support young children as they transition to childcare. 相似文献