Journal of Communication in Healthcare最新文献

{"title":"'Once that's worn off, we could discuss whether you need more': provider perspectives on communicating with patients and other providers about prescription opioids.","authors":"Margie R Skeer, Grace Hajinazarian, Rachael A Sabelli, Jier Yang, Ken Chui, Michael Booth, Evan Robison, Tamar Boyadjian, Thomas J Stopka","doi":"10.1080/17538068.2024.2431772","DOIUrl":"https://doi.org/10.1080/17538068.2024.2431772","url":null,"abstract":"<p><strong>Background: </strong>Prescriber-patient communication plays a crucial role in understanding patients' needs, while reducing risks for developing an opioid use disorder (OUD), yet research on this is sparse. As such, the need to understand healthcare providers' skills, comfort, and confidence when discussing opioids with patients and other providers is an important step in balancing patients' needs from a pain perspective and risks from an OUD perspective.</p><p><strong>Method: </strong>We interviewed 32 Massachusetts providers (physicians, physician associates, nurse practitioners, and dental practitioners) to assess their communication strategies with patients and other providers. Interviews were conducted online (January - September 2021) and were transcribed verbatim, coded, and analyzed using deductive content analysis.</p><p><strong>Results: </strong>Contextualized in the Health Education Theory, one major theme was how providers communicated with patients about opioids, including their tone, use of language, and the content they covered. Providers described frequently encountering patients who expressed fears and concerns about opioid addiction and did not want an opioid prescription. Another major theme, related to the ongoing process of preventing problems with opioids was a focus on provider engagement in follow-up, including checking if a prescription was filled, having the patient come back to the office, or calling another provider after a certain duration. Recommendations about communication with patients and other providers were also discussed.</p><p><strong>Conclusions: </strong>Overall, open, supportive, tailored communication with patients and other providers was deemed essential when considering opioid prescriptions. Further research is recommended to learn about the status of opioid-prescription knowledge, beliefs, and practices within the fourth wave of the current opioid overdose epidemic.</p>","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":" ","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Professionalism in the context of providing elective services: reflecting on bias.","authors":"Kathleen F Nagle, Bryan Pilkington","doi":"10.1080/17538068.2024.2323852","DOIUrl":"10.1080/17538068.2024.2323852","url":null,"abstract":"<p><p>We examine the provision of elective pronunciation services, such as intelligibility enhancement, to non-native speakers by speech language pathologists (SLPs). Practices associated with the 'modification' of non-native accent raise significant professionalism questions about bias for SLPs and healthcare professionals. These questions arise partly due to the socio-cultural context in which SLPs practice and their clients live, and the relational nature of communication. We argue that due to the ambiguity inherent in accent modification practices, SLPs must weigh a variety of considerations before determining the circumstances in which such services are professionally acceptable. Our argument is rooted in consideration of the complex nature of professionalism related to communication. After surveying potentially relevant models from other healthcare professions and finding them wanting, we support our position in light of current literature on topics such as accounts of functionality. We conclude by generalizing our anti-bias recommendations to interprofessional healthcare professionalism.</p>","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":" ","pages":"360-364"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139997731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Infodemic and sources of information about COVID-19 in a Brazilian population: what are the associated factors?","authors":"Micaela Rabelo Quadra, Antônio Augusto Schäfer, Elisabete Borges Maciel, Bianca Languer Vargas, Luiza Amorim Saraiva Schlemper, Sofia Garbin Petry, Fernanda Oliveira Meller","doi":"10.1080/17538068.2024.2352982","DOIUrl":"10.1080/17538068.2024.2352982","url":null,"abstract":"<p><strong>Background: </strong>With the COVID-19 pandemic, social isolation, and information search have increased dramatically. This increased search for information about the Coronavirus, called infodemic, was greatly affected by fake news and information without scientific evidence. This article aimed to assess the infodemic amid the COVID-19 pandemic and its association with sociodemographic and pandemic-related variables, as well as describe the main sources from which people obtained information about COVID-19.</p><p><strong>Methods: </strong>A cross-sectional population-based study was performed in Criciúma, Brazil. All individuals aged 18 years or older, residing in the 607 households systematically selected, were invited to answer the questionnaire. Infodemic and sources to seek information about COVID-19 were evaluated, as well as sociodemographic and pandemic-related variables. Adjusted Poisson regression with robust variance was used to evaluate associations.</p><p><strong>Results: </strong>A total of 863 individuals participated in the study. The prevalence of infodemic was 22.1%, and television was the main source of information (58.9%). Three groups presented a higher prevalence of infodemic: older adults (PR: 1.65), individuals with low income (PR: 2.97), and those who had had contact with someone infected (PR: 2.20).</p><p><strong>Conclusions: </strong>The findings reflect how some groups are more exposed to infodemic, and underline the responsibility and importance of intersectoral actions for dissemination of information about COVID-19.</p>","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":" ","pages":"337-344"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140913268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Restoring trust with a humanistic touch.","authors":"Robert J Bonk","doi":"10.1080/17538068.2024.2329472","DOIUrl":"10.1080/17538068.2024.2329472","url":null,"abstract":"","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":" ","pages":"314-316"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140176958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Resident perspectives on the impact of program leadership communication on well-being during the COVID-19 pandemic.","authors":"Elizabeth A McGinn, Lynne M Rosenberg, Grace S Chandler, L Barry Seltz","doi":"10.1080/17538068.2024.2340766","DOIUrl":"10.1080/17538068.2024.2340766","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic introduced a myriad of changes that negatively impacted resident physicians' well-being. Communication from program leadership may mitigate resident stress during times of crisis, yet literature supporting this premise is scant, and best communication practices remain uncertain. This qualitative study aimed to identify stressors to residents and explore the influence of residency program leadership's communication on emotional stress during the COVID-19 pandemic.</p><p><strong>Methods: </strong>Informed by Kotter's 8-step management model to support resident well-being, this qualitative study used grounded theory methods to interview 25 residents from three training programs (Pediatrics, Internal Medicine, and Medicine-Pediatrics) on a single academic medical campus from May-September 2020. Four investigators coded the data using the constant comparative analysis. Sampling continued until reaching thematic saturation. Codes were built using an iterative approach and organized into themes. Discrepancies were resolved by consensus discussion among investigators.</p><p><strong>Results: </strong>Residents described increased stress levels, the all-consuming nature of COVID-19, mixed emotions about their role as healthcare providers, new coping mechanisms, and changes to their education and work environment that impacted stress. Communication from leadership to residents during the pandemic varied. Effective communication helped mitigate stress; perceived suboptimal communication exacerbated stress. Who was communicating, methods of communication, and content of communication influenced resident stress.</p><p><strong>Conclusions: </strong>The COVID-19 pandemic introduced new stressors and challenges to residents. The perception of leadership communication played a critical role in mitigating or exacerbating resident stress. We propose a communication framework (\"Who? What? Where? When? How?\") that residency leadership can utilize during times of crisis.</p>","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":" ","pages":"328-336"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140852607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From awareness to action: fostering health justice in medical education through an integrated workshop and resource.","authors":"Kaavya S Puttagunta, Katherine E Neff, Virginia M Sheffield, Asra Z Ahmed","doi":"10.1080/17538068.2024.2415170","DOIUrl":"10.1080/17538068.2024.2415170","url":null,"abstract":"<p><strong>Background: </strong>There is growing concern that biased practices in medical education can contribute to health disparities, however, there is a lack of resources to address these concerns.</p><p><strong>Methods: </strong>Kern's six steps of curriculum development informed the creation of a toolkit and faculty development workshop to improve the incorporation of DEIAJ (diversity, equity, inclusion, advocacy, and justice) in medical education materials. The authors conducted two 60-min workshops; each consisted of an introductory lecture, case-based activity, and group discussions. Kirkpatrick's Model informed evaluation, including a retrospective pre-post workshop survey.</p><p><strong>Results: </strong>Twenty-seven participants, primarily medical school faculty members, completed the workshop. Survey respondents demonstrated increases in their self-rated views on the importance of DEIAJ in medical education and their comfort level in editing curricular materials.</p><p><strong>Conclusions: </strong>This workshop and toolkit represent promising interventions aimed at fostering enhanced capacities and comfort regarding DEIAJ topics in medical education.</p>","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":" ","pages":"365-371"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Leveraging an equity birth plan as a communication tool to address health equity and improve health outcomes in black birthing people.","authors":"Lisa Gittens-Williams, Damali Campbell, Erica Rego","doi":"10.1080/17538068.2024.2423143","DOIUrl":"10.1080/17538068.2024.2423143","url":null,"abstract":"<p><strong>Background: </strong>Black birthing people in the United States are disproportionately impacted by maternal mortality and more frequently report physical and verbal mistreatment during intrapartum care. Birth plans for prenatal and postpartum care promote autonomy and agency but have not been used as tools to address disparities in perinatal care.</p><p><strong>Methods: </strong>We reviewed the literature on the use of birth plans and communication in the pregnancy care setting. We provide an expert analysis and a recommendation for a comprehensive birth plan that incorporates patient preferences and individualizes patient risks as a communication tool.</p><p><strong>Results: </strong>In this expert opinion we outline how an equity birth plan can address social determinants of health, promote respectful communication and prioritize attention to patient narratives. This instrument can be used to address systemic problems that result in health inequities on a community, provider and institutional level.</p><p><strong>Conclusions: </strong>A birth plan with attention to equity serves as a new paradigm for care which can empower patients and reduce racial inequities in perinatal and postpartum outcomes.</p>","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":" ","pages":"372-375"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the topical, conceptual, contextual, and methodological trends of cyberbullying research.","authors":"Yeojin Kim, Viviana C Zambrano Rodriguez","doi":"10.1080/17538068.2024.2393920","DOIUrl":"10.1080/17538068.2024.2393920","url":null,"abstract":"<p><strong>Background: </strong>Cyberbullying research has gained considerable attention among scholars due to the proliferation and diversification of the digital media platforms. Although cyberbullying research has a robust empirical nature, the research is more difficult to define and deserves close investigation. In response to the situation, we have examined topics, forms, context, media, predictive factors, outcomes, utilization of methodology, and research trends in cyberbullying research from 2014 to 2023.</p><p><strong>Methods: </strong>This study analyzed 3,588 articles to investigate the trend and development of cyberbullying research using the <i>Scopus</i> academic databases.</p><p><strong>Results: </strong>85.87% of research focused on cyberbullying as 'social issues'. 71.57% of articles focused on cyberbullying itself rather than specific forms of cyberbullying. 50.81% of articles focused on cyberbullying in middle/high school contexts. Most research did not state any predictive factors (39.83%) or outcomes (60.17%) suggested. The predominant research method used in cyberbullying research was via surveys (30.69%), while the second phase of research dominated the cyberbullying research agenda (victims and bullies in cyberbullying).</p><p><strong>Conclusions: </strong>Although Cyberbullying research has increased, broadened, and diversified over time, it still focuses primarily on the first phase of the research agenda of cyberbullying issues. The findings of this study provides a framework for new insights for future cyberbullying research and practices by suggesting exploration to different mechanisms of cyberbullying such as: victims/bullies, effects, and improvement of cyberbullying beyond the issues of cyberbullying itself.</p>","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":" ","pages":"345-354"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"'Are you vaccinated? Yeah, I'm immunized': a risk orders theory analysis of celebrity COVID-19 misinformation.","authors":"Kimberly Field-Springer, Katie Striley, John Byerly, Nathaniel Simmons, Teryn Ferrell, Sarah Quigley","doi":"10.1080/17538068.2024.2320984","DOIUrl":"10.1080/17538068.2024.2320984","url":null,"abstract":"<p><strong>Background: </strong>On 11 March 2020, COVID-19 was declared a global health pandemic by the World Health Organization (WHO). Vaccinating populations is paramount in changing the course of a pandemic. The rapid spread of (mis) and disinformation online from celebrities, politicians, and media influencers creates a corrosion of trust in public health interventions.</p><p><strong>Methods: </strong>Given the importance of the spread of information during a public health crisis, the current study uses risk orders theory with a constructivist grounded theory approach to analyze an episode of a popular podcast available on YouTube, titled, 'Aaron Rodgers Tells Pat McAfee His Side of Vaccine Situation.'</p><p><strong>Results: </strong>Findings illuminated three themes concerning COVID-19 medical interventions from celebrity discourse: (1) misinterpreting medical terminology; (2) conflating bodily autonomy and altruism; and (3) political ideology as an impetus for misinformation.</p><p><strong>Conclusions: </strong>The discussion offers implications for healthcare practitioners in debunking mis- and disinformation. Foremost, lack of transparency concerning autonomy, liberty, freedom, and choice from public health experts who design messages during a public health crisis creates a space for non-medical influencers to promote pseudoscience, misinformation, and disinformation. This leads to public distrust of medical experts and confuses the public's understanding of best practices based upon standard of medical evidence and care.</p>","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":" ","pages":"317-327"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139991436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Wired for stereotyping and biases - Is there a professional way out of prejudicial behaviors and discrimination?","authors":"Elizabeth Kachur, Thomas Harter","doi":"10.1080/17538068.2024.2427451","DOIUrl":"10.1080/17538068.2024.2427451","url":null,"abstract":"","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":" ","pages":"355-359"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}