Complexity and objectivity in teaching interprofessional healthcare communication

IF 2.9 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Patient Education and Counseling Pub Date : 2024-11-21 DOI:10.1016/j.pec.2024.108558

Sarah J. White

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Abstract

Objective

This article, based on a plenary presentation from ICCH 2024, examines the challenge of balancing objectivity and complexity, and the risk of violent simplification, when it comes to teaching and assessing interprofessional healthcare communication.

Discussion

Interpersonal communication, that is, conversation, makes all aspects of human social life possible. Conversation is complex and is managed by participants in emergent and dynamic ways. To facilitate the practical needs of teaching and assessment, we simplify conversation into produced objectivities that reflect disciplinary and dominant cultural norms and values at the time of their creation. These objectivities do not necessarily adequately reflect the way in which conversations unfold in dynamic, participant-managed ways as they often list specific contextualized behaviors rather than the context-free system of conversation. Despite this, they often become standardized and used in ways that can lead to harm for students, patients and carers, and educators. This violent simplification is made possible through educational and healthcare systems that reinforce disciplinary silos and underinvest in communication education.

Conclusions

Engaging with the complexity of conversation within our educational practices is necessary to reduce the risk of harm. This involves explicit consideration of how objective tools are created and used in communication education, increased investment from education and healthcare sectors, and integrating knowledge about how conversation works from research of communication-in-practice.

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跨专业医护沟通教学的复杂性和客观性

讨论人际沟通，即对话，使人类社会生活的方方面面成为可能。会话是复杂的，参与者以突发和动态的方式进行管理。为了便于教学和评估的实际需要，我们把会话简化为客观事物，这些客观事物反映了会话产生时的学科和主流文化规范和价值观。这些客体并不一定能充分反映会话是如何以动态的、由参与者管理的方式展开的，因为它们通常列出的是具体的语境行为，而不是无语境的会话系统。尽管如此，它们还是经常被标准化和使用，从而对学生、病人和护理者以及教育者造成伤害。这种粗暴的简化是通过强化学科孤岛和对交流教育投资不足的教育和医疗系统实现的。这就需要明确考虑如何在传播教育中创造和使用客观工具，增加教育和医疗保健部门的投资，并整合传播实践研究中关于对话如何发挥作用的知识。

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来源期刊

Patient Education and Counseling 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

11.40%

发文量

384

审稿时长

46 days

期刊介绍： Patient Education and Counseling is an interdisciplinary, international journal for patient education and health promotion researchers, managers and clinicians. The journal seeks to explore and elucidate the educational, counseling and communication models in health care. Its aim is to provide a forum for fundamental as well as applied research, and to promote the study of organizational issues involved with the delivery of patient education, counseling, health promotion services and training models in improving communication between providers and patients.