Journal of Communication in Healthcare最新文献

{"title":"How health literacy is taught and evaluated in dentistry, medicine, nursing, law, pharmacy, public health, and social work: a narrative review.","authors":"Catherine Maybury, Mary Ann Williams, Kelsie Challenger, Elisabeth Fassas, Sonia Galvan, Dominique Gelmann, Karen S Jung, Alice Yanhong Lu, Jocelyn Wang, Elsie Stines, Cynthia Baur","doi":"10.1080/17538068.2023.2258315","DOIUrl":"10.1080/17538068.2023.2258315","url":null,"abstract":"<p><strong>Background: </strong>This narrative review examined the published peer-reviewed literature on how health literacy is taught and evaluated in seven health professional and adjacent disciplines: dentistry, medicine, nursing, law, pharmacy, public health, and social work. The study objectives were to assess how students are educated about health literacy and how their health literacy education and skills are evaluated.</p><p><strong>Methods: </strong>Study selection followed guidelines outlined in PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). We searched PubMed, CINAHL, SocINDEX (EBSCOhost), Lexis Advance and Public Health (ProQuest) for English-language publications of health literacy education studies across seven disciplines at U.S.-based institutions. Inclusion criteria included: 1) methods describing a primary health literacy educational intervention, 2) professional education in one or more of the seven disciplines, 3) educational institutions in the United States, and 4) articles published in peer-reviewed journals between 2000 and 2020.</p><p><strong>Results: </strong>The searches yielded 44 articles. Health literacy education is evident in six of the seven studied disciplines, and varies widely in the quality, quantity, timing and mode of education and evaluation. Despite the presence of health literacy accreditation requirements, none of the seven disciplines has developed and implemented a standard, rigorous health literacy education program for students.</p><p><strong>Conclusions: </strong>Graduating institutions and professional accreditation organizations that set the standards for education must lead the way by implementing upstream changes in health literacy professional education. Teaching health literacy to students in health professions is one strategy to help close gaps in patient/client professional communication for graduates and those they serve.</p>","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":" ","pages":"51-67"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10287296","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":"Delivering bad or difficult news. An innovative simulation-based education approach to prepare interdisciplinary fellowships.","authors":"Timothy C Clapper, Taylor B Sewell, Winifred Shen, Kevin Ching, Aliza B Solomon, Kyle P Burns, Paul B Martin, Meredith L Turetz, Carl V Crawford, Christine L Joyce, Inna V Landres, Kapil Rajwani","doi":"10.1080/17538068.2023.2192578","DOIUrl":"10.1080/17538068.2023.2192578","url":null,"abstract":"<p><strong>Background: </strong>There is limited data on the effectiveness of training interventions to improve the delivery of bad news.</p><p><strong>Methods: </strong>This preliminary research included pre-post assessments and an open-ended survey to evaluate the effectiveness and perceived value of training on delivering bad news for 26 first- and second-year fellows from five adult and pediatric fellowship programs.</p><p><strong>Results: </strong>There was a significant increase in faculty assessment scores (34.5 vs. 41.0, respectively, Z = -3.661, <i>p </i>< 0.001) and Standardized Patient (SP) assessment scores (37.5 vs .44.5, respectively, Z = -2.244, <i>p</i> = 0.025). Fellows valued having a standard framework to aid in the delivery of bad news; receiving targeted feedback and having the opportunity to apply their skills in a subsequent case.</p><p><strong>Conclusions: </strong>A one-hour, four-phase lesson plan that includes an individualized training approach and simulation do-overs can be effective and valuable for preparing fellows to deliver bad news.</p>","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":" ","pages":"44-50"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9169837","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":"Expectancy violations and boundary management when giving birth during a pandemic: implications for supporting women.","authors":"Jennifer J Bute, Maria Brann, Susanna Foxworthy Scott, Nicole L Johnson","doi":"10.1080/17538068.2023.2267844","DOIUrl":"10.1080/17538068.2023.2267844","url":null,"abstract":"<p><strong>Background: </strong>Few life events are as profound as the birth of a child. Yet for those who gave birth during the COVID-19 pandemic, the birth experience and the care of their newborn child were altered in significant ways.</p><p><strong>Method: </strong>In this study, we examined the stories of women who gave birth during the COVID-19 pandemic using expectations violations theory and communication privacy management theory.</p><p><strong>Results: </strong>Based on focus group interviews with 65 women from 19 states across the U.S., we found that policies imposed by institutions and visitation rules negotiated by women were prominent in women's birth stories. Policies that affect territorial access to mothers and babies shaped communication to manage health and safety, resulted in intense emotional responses, and affected relationships with women's partners and families.</p><p><strong>Conclusions: </strong>Our findings offer practical implications for both health care systems and health care providers. Systems must communicate proactively to offer compassionate patient care, and physicians should offer guidance to help new parents manage visitors.</p>","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":" ","pages":"92-100"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41215284","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":"Health-related needs of survivors of hypertensive disorders of pregnancy: implications for health communication interventions.","authors":"Emily M Cramer, Bukky Babalola, Lillian E Agosto Maldonado, Jae Eun Chung","doi":"10.1080/17538068.2023.2298522","DOIUrl":"10.1080/17538068.2023.2298522","url":null,"abstract":"<p><strong>Background: </strong>Hypertensive disorders of pregnancy (HDP) are key contributors to maternal morbidity, mortality, and future risk of cardiovascular disease. This exploratory study aimed to unearth the health-related needs of women with a reported history of HDP by inquiring about preferences for care.</p><p><strong>Method: </strong>Deductive, qualitative analysis was conducted of HDP survivors' retrospective 'wishes' about the care received.</p><p><strong>Results: </strong>In analyzing 244 open-ended, online survey responses, we identified a taxonomy of health-related needs arising across the trajectory of HDP: <i>clinical information</i>, needs requiring clinical knowledge, such as information about the etiology or prognosis of HDP; <i>medical</i>, needs associated with HDP intervention and management; <i>logistical</i>, needs regarding practical information, such as how to contact a provider or obtain the correct medical device; <i>emotional</i>, needs involving a desire for support or validation; and <i>communication</i>, needs for improved explanations and recognition of HDP.</p><p><strong>Conclusions: </strong>A taxonomy of diverse health-related needs may assist clinicians in approaching HDP patients more holistically. Additionally, opportunities exist for health communication research to inform standard approaches to HDP-related communication flowing from provider to patient.</p>","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":" ","pages":"101-110"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075329","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":"A qualitative analysis of the breastfeeding experiences of mothers who are nurses and nutritionists.","authors":"Maria J Mendoza-Gordillo","doi":"10.1080/17538068.2023.2189366","DOIUrl":"10.1080/17538068.2023.2189366","url":null,"abstract":"<p><strong>Background: </strong>From a medical standpoint, breastmilk is the optimal option for feeding a baby, relegating the cultural, social, and material determinants to breastfeeding. Worldwide, breastfeeding rates are low, especially among working mothers. Healthcare providers have low breastfeeding rates due to several barriers to lactation, i.e. work schedule andlack of private places for pumping.</p><p><strong>Method: </strong>A descriptive qualitative methodology was applied to examine the breastfeeding experiences of Ecuadorian mothers who are healthcare professionals. Twenty healthcare professionals who breastfed their babies took part in the research. Data gathering employed synchronous semi-structured interviews in Spanish. The data analysis followed the Phronetic Iterative Approach.</p><p><strong>Results: </strong>Women shifted the preconceived idea of the ideal breastfeeding scenario concerning duration, promotion, and support, ideals which are constructed in their training as healthcare professionals. Although these women believe that breast milk and breastfeeding is the best way to feed a baby, the internalized ideal of breastfeeding shifted with the experience of motherhood. Although they had that clash between the ideal and the external reality, they continued breastfeeding their babies, and those experiences resulted in them improving their professional practice.</p><p><strong>Conclusions: </strong>This study demonstrated that breastfeeding for this group of women appears to be a unique relational and identity negotiation process. The findings emphasize that experiencing breastfeeding for this group of healthcare providers positively shifted how they communicate breastfeeding with their patients in the clinical encounter. Ensuring that healthcare professionals acquire a different approach for educating and communicating about lactation is an essential determinant in efforts to improve breastfeeding rates in Ecuador.</p>","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":" ","pages":"84-91"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9117097","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":"2023 year in review.","authors":"Renata Schiavo","doi":"10.1080/17538068.2024.2318970","DOIUrl":"10.1080/17538068.2024.2318970","url":null,"abstract":"","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":"17 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140121015","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":"Transitioning towards a culture of healing: embracing non-violent communication and resonance for the holistic well-being of health professionals.","authors":"Carina Schmid","doi":"10.1080/17538068.2024.2312720","DOIUrl":"10.1080/17538068.2024.2312720","url":null,"abstract":"","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":" ","pages":"4-6"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139693121","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":"Language access research for community health: provider perspectives on language access techniques and the role of communication technology.","authors":"Carmen Gonzalez, Janessa M Graves, Joana Ramos, Monica S Vavilala, Megan Moore","doi":"10.1080/17538068.2023.2237351","DOIUrl":"10.1080/17538068.2023.2237351","url":null,"abstract":"<p><strong>Background: </strong>In the United States, 66 million people speak a language other than English at home. Patients with diverse language needs often face significant health disparities. Information and communication technologies have expanded the realm of modalities for patient-provider communication. However, the extent to which digital language access tools are utilized by healthcare providers is unknown. This research examines provider perspectives on language assistance techniques and the role of communication technology when serving patients with non-English language preference (NELP).</p><p><strong>Methods: </strong>Between April and July 2019, an online survey was administered to 3,033 healthcare providers (doctors, nurse practitioners, pharmacists, and dentists) in Washington State. Providers reported on their language access practices and perspectives on communication technology.</p><p><strong>Results: </strong>Most providers reported using <i>ad hoc</i> language access techniques when engaging patients with NELP, such as a patient's family member or friend (75.8%), a patient's child specifically (61.9%), or a bilingual staff member (64.3%). Professional techniques, such as in-person interpretation (53.5%), phone interpretation (57%), and video remote interpretation (38.8%), were used less often. Dissatisfaction with the language access processes of healthcare providers' place of work was associated with a higher reliance on a patient's family or friend for language interpretation.</p><p><strong>Conclusions: </strong>Findings suggest that providers might be under-utilizing professional and digital interpreter services while relying on <i>ad hoc</i> techniques. Such practices reveal systemic constraints on language access that might make it difficult for providers to access timely and reliable options for professional language interpretation, despite federal regulations that mandate such services for patients with NELP.</p>","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":" ","pages":"7-14"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9828308","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":"Missed opportunities for prenatal family-centered care during the COVID-19 pandemic: a qualitative study.","authors":"Natalie S Poulos, Erin E Donovan, Michael Mackert, Dorothy J Mandell","doi":"10.1080/17538068.2024.2313246","DOIUrl":"10.1080/17538068.2024.2313246","url":null,"abstract":"<p><strong>Background: </strong>The purpose of this study was to describe the impact of COVID-19 on fatherhood experiences during pregnancy.</p><p><strong>Methods: </strong>A semi-structured interview guide was developed to collect qualitative data from fathers about their experiences in pregnancy and prenatal care, how they communicated with providers, strategies for information seeking, and social support they received during the pregnancy. One-time, virtual interviews were conducted via Zoom with fathers that were either expecting a baby or fathers who had a baby after March 2020 and were 18 years or older. Thematic analysis was used to identify themes that highlighted the fatherhood experience.</p><p><strong>Results: </strong>In total, 34 interviews with new or expectant fathers were completed. Two central themes that highlight the experiences of fathers: missed opportunities to shift toward family-centered care and inequity in the parent dyad during pregnancy. Additional supporting themes included: limited patient-provider relationship, lack of telemedicine use, inadequate uncertainty management for parents, unidirectional information sharing between parents, and limited opportunities for achieving role attainment during pregnancy.</p><p><strong>Conclusion: </strong>The COVID-19 pandemic created a decision point for prenatal care. Instead of focusing on family-centered practices, prenatal care exclusively centered on the mother and fetus, resulting in problematic experiences for fathers including limited access to information about the pregnancy and health of the mother and fetus, heightened stress related to COVID-19 safety requirements, and few opportunities to attain their role as a father. Prenatal care should actively seek robust strategies to improve family-centered care practices that will withstand the next public health emergency.</p>","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":" ","pages":"111-117"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139693120","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":"On trust and trustworthiness: listening to community leaders.","authors":"John Davids, Emma Maceda-Maria, Khanh Ho, Sophie Randall, Frances Feltner, Alma Manabat Parker","doi":"10.1080/17538068.2023.2277600","DOIUrl":"10.1080/17538068.2023.2277600","url":null,"abstract":"","PeriodicalId":38052,"journal":{"name":"Journal of Communication in Healthcare","volume":"16 4","pages":"339-343"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138811565","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}