Communication and Medicine最新文献

‘But this is a wizardry something that has to be removed first’ 但这是一个必须先移除的魔法阵。

Communication and Medicine Pub Date : 2024-07-22 DOI: 10.1558/cam.24273

Daniel Oluwafemi Ajayi

引用次数: 0

Team talk and the evaluation of medical guidance documentation 团队谈话和医疗指导文件评估

Communication and Medicine Pub Date : 2024-07-12 DOI: 10.1558/cam.25960

K. N. Jenkings

引用次数: 0

Implications of HIV status disclosure 披露艾滋病毒感染状况的影响

Communication and Medicine Pub Date : 2024-07-12 DOI: 10.1558/cam.24959

Rachel G. A. Thompson, J. J. Nutor, Pascal Agbadi, E. Agbaglo, Geoffrey Anguyo

{"title":"Implications of HIV status disclosure","authors":"Rachel G. A. Thompson, J. J. Nutor, Pascal Agbadi, E. Agbaglo, Geoffrey Anguyo","doi":"10.1558/cam.24959","DOIUrl":"https://doi.org/10.1558/cam.24959","url":null,"abstract":"Disclosure of HIV status is critical for HIV prevention and control. However, although the benefits of HIV disclosure have received extensive documentation, the same cannot be said for its drawbacks. In the current study, we used a descriptive qualitative study design to highlight the implications of disclosure among 30 pregnant and postpartum women living with HIV in Uganda. We conducted a qualitative content analysis and found that healthcare professionals responded positively and supportively when HIV-positive pregnant and postpartum women disclosed their status, and that individuals who disclosed their status to their husbands but not to wider circles also experienced no mistreatment or discrimination. Contrarily, however, some husbands reacted unfavourably to their wife’s HIV-positive status when a larger audience was involved in the disclosure. In particular, we discovered that co-wives and in-laws promoted stigmatization, including violence, by husbands. The interaction between these HIV-positive women and their mothers also demonstrated both positive and negative implications. This counterintuitive attitude has the consequence of reducing the uptake of antiretroviral drugs. There is therefore a need for policies and initiatives that not only encourage disclosure to health professionals, spouses and a few close relatives or friends but prevent stigmatization, violence and other forms of abuse against HIV-positive women.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141652712","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}

引用次数: 0

Tensions between institutional and professional frames in team talk in gerontological social work 老年社会工作团队谈话中制度与专业框架之间的紧张关系

Communication and Medicine Pub Date : 2024-07-12 DOI: 10.1558/cam.25959

Elisabet Cedersund, Anna Olaison, Susanne Kvarnström

{"title":"Tensions between institutional and professional frames in team talk in gerontological social work","authors":"Elisabet Cedersund, Anna Olaison, Susanne Kvarnström","doi":"10.1558/cam.25959","DOIUrl":"https://doi.org/10.1558/cam.25959","url":null,"abstract":"Team meetings are central to social workers’ decision-making practices. These meetings often function as a forum for collegial consultations, when applications are processed and recommendations on decisions are discussed. In this paper, we present findings from a case study on team talk and decision-making practices in gerontological social work. The data come from a body of material gathered within the framework of a larger project covering the process of assessing elder care for older persons in three Swedish municipalities. The case concerns an application, due to homelessness, from a couple for an apartment in special housing. The team meeting was analysed using a data-driven perspective within a micro-analytical approach to talk, focusing in detail on how conflicting perspectives in the assessment of the couple’s needs are dealt with, and how tensions between divergent views and opinions are handled in relation to institutional and professional conversational frames. The findings show how the care managers (in Sweden the professional title for social workers working in elder care) negotiated the boundaries of responsibility and power within both the institutional and professional frames, revealing that the institutional frame dominated when it came to making decisions. The findings have implications for practice, as they give insight into the interactional dynamics involved in social workers’ assessments when navigating different conversational frames within their decision-making practices.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141655728","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}

引用次数: 0

Communication skills, expertise and ethics in healthcare education and practice 医疗保健教育和实践中的沟通技巧、专业知识和道德规范

Communication and Medicine Pub Date : 2024-05-01 DOI: 10.1558/cam.24729

Srikant Sarangi, Maria Grazia Rossi

引用次数: 1

Persuasion in healthcare needs virtue, narrative and a relational concept of autonomy 医疗保健中的说服需要美德、叙事和自主的关系概念

Communication and Medicine Pub Date : 2024-04-08 DOI: 10.1558/cam.26268

L. Kaldjian

引用次数: 0

Formulating problems in psycho-social rehabilitation 提出社会心理康复方面的问题

Communication and Medicine Pub Date : 2024-04-08 DOI: 10.1558/cam.25958

Chiara Piccini, Antonella Carassa

{"title":"Formulating problems in psycho-social rehabilitation","authors":"Chiara Piccini, Antonella Carassa","doi":"10.1558/cam.25958","DOIUrl":"https://doi.org/10.1558/cam.25958","url":null,"abstract":"This article presents a study on team talk in psychosocial rehabilitation with reference to collective decision making. It focuses on problem formulation processes that occur during weekly team meetings in a Swiss organization providing psychosocial rehabilitation to chronic mental health patients.\u0000The corpus of team meetings (34 hours of recorded talk) was analyzed along three narrative dimensions: participation framework, timeline organization and forms of evaluation. The analysis was supported by ethnographic information (field notes collected during participant observation over ten months), in order to access the local conception and organization of rehabilitation work, which is repeatedly referred to and reshaped through discourse.\u0000The discursive practices identified show that team members learn to formulate problems in a way that allows them to identify and plan interventions in line with their rehabilitation model and the actual opportunities they have. Further, the role-related forms of participation highlight how different professionals contribute to the problem formulation in specific ways.\u0000In sum, the interaction turns out to be strongly centralized around the role of a meeting coordinator, who is able to enhance the participation of the other team members and to build institutional narratives on the basis of individual contributions, carrying out discursive work that can be metaphorically described as the weaving and knotting threads that make up a tapestry.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140732376","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}

引用次数: 0

The patient or lay person as expert 病人或非专业人士作为专家

Communication and Medicine Pub Date : 2024-04-08 DOI: 10.1558/cam.26000

Rolf Wynn

引用次数: 0

Communicating at face value 以表面价值进行沟通

Communication and Medicine Pub Date : 2024-04-08 DOI: 10.1558/cam.25999

Michael C. Brannigan

引用次数: 0

Evaluating the referred students’ coaching programme through student surveys 通过学生调查评估转介学生的辅导计划

Communication and Medicine Pub Date : 2024-02-28 DOI: 10.1558/cam.24819

Katharine Weetman, C. Wiskin, J. Skelton, Katharine Heathcock

{"title":"Evaluating the referred students’ coaching programme through student surveys","authors":"Katharine Weetman, C. Wiskin, J. Skelton, Katharine Heathcock","doi":"10.1558/cam.24819","DOIUrl":"https://doi.org/10.1558/cam.24819","url":null,"abstract":"Background: Students completing a healthcare degree can experience difficulties, both academic and non-academic. Early intervention for struggling students may present an opportunity for remediation. Students may be coached in academic performance, clinical communication, values-based learning and development of professional identity The referred students’ coaching programme at the University of Birmingham is a unique offering, encompassing eight different healthcare programmes. Referrals can be triggered by academic performance and ‘concern forms’ by stakeholders. Concerns by referrers include exam failure, performance anxiety, lack of confidence, poor team and/or patient/public communication or inadequate self-presentation as well as issues with attitudes/values, study methods, organisation, writing, language, motivation and conduct. Each student referred to the programme receives a bespoke coaching service. Sessions may include role play, narrative reflection, review and revision of academic work, structured feedback and signposting of resources.\u0000Methods and analysis: A qualitative evaluation is carried out of students referred to the Interactive Studies Unit at the University of Birmingham for coaching support with language, communication and professional development. This evaluation explores the experiences of referred students via qualitative surveys. The results are examined using thematic analysis and corpus linguistics. There is a minimum target of 15 participants.\u0000Dissemination: The findings will be published and shared internally for training and internal process improvement purposes.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140421025","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}

引用次数: 0