Communication and Medicine最新文献_第3页

Communication and Medicine Pub Date : 2023-07-12 DOI: 10.1558/cam.23724

Angus Clarke, L. Ballard, Shane Doheny

引用次数: 0

The relationship between facilitating emotional cues and medical students’ clinical communication performance in qualifying exams 促进性情绪线索与医学生资格考试临床沟通表现的关系

Communication and Medicine Pub Date : 2023-05-17 DOI: 10.1558/cam.21492

P. Leadbetter, I. Fletcher, H. O’Sullivan

引用次数: 0

‘One size does not fit all’ in organ donation and transplantation 在器官捐赠和移植领域，“一刀切”是行不通的

Communication and Medicine Pub Date : 2023-05-17 DOI: 10.1558/cam.21434

A. A. Grossi, D. Paredes, V. Palaniswamy, N. Jansen, M. Picozzi, G. Randhawa

引用次数: 3

Anticipated shame and professional identity formation 预期羞耻与职业身份形成

Communication and Medicine Pub Date : 2023-05-17 DOI: 10.1558/cam.21481

P. Lusk

{"title":"Anticipated shame and professional identity formation","authors":"P. Lusk","doi":"10.1558/cam.21481","DOIUrl":"https://doi.org/10.1558/cam.21481","url":null,"abstract":"Developing a professional identity in physicians-in-training is a central, but contested, outcome of medical education. In recent years scholars have argued for the importance of including affective experiences, especially shame, in the discourse around medical training. This discourse reflects projection and anticipation around both shame and professional identity, and the question of how shame impacts the latter is critical. Shame is an affect that arises when the self is confronted by the gaze, judgment or awareness of an Other; it can have profound impacts on identity and self-concept, and is highly prevalent in medicine and healthcare. This article posits ‘anticipated shame’ as a potent factor implicit in the experience of developing a medical professional identity, and connects shame to stigma and marginalization in medical training. Shame, and the anticipation of shame in student–teacher and trainee–patient interactions, highlights aspects of interpersonal communication within medical training and then practice. The concept of anticipated shame offers rich ground to theorize the effects of affect in medical education, and how trainees internalize medical cultural values and then enter the field of clinical practice.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74035047","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

Argumentative pro-vaccination and anti-vaccination narratives in the MMR vaccine-autism controversy 在MMR疫苗与自闭症的争论中，赞成接种疫苗和反对接种疫苗的叙述

Communication and Medicine Pub Date : 2023-05-17 DOI: 10.1558/cam.21505

C. Fiammenghi

{"title":"Argumentative pro-vaccination and anti-vaccination narratives in the MMR vaccine-autism controversy","authors":"C. Fiammenghi","doi":"10.1558/cam.21505","DOIUrl":"https://doi.org/10.1558/cam.21505","url":null,"abstract":"This paper presents a discourse analysis of the public’s response to UK press coverage of the debate surrounding the measles, mumps and rubella (MMR) vaccine and its alleged link to autism from 1998 to 2019. The analysis focuses on published readers’ letters to the editor in a newspaper corpus comprising 12 national British newspapers, and on comments posted by users on the Guardian’s and the Daily Mail’s Facebook pages. These social media pages are dialogic sites of individual participation that allow users to discuss how the latest events and debates affect their daily lives, as well as how they interpret them through their own ideological, cultural, social and personal lenses. The findings show that medico-scientific issues such as vaccination are often personalised by the parents and legal guardians of young children, and that they regard individual experiences with vaccination or with vaccine-preventable diseases as valid evidence on which to base their argumentation. The findings thus highlight the need to devise effective communication to foster the science of vaccines and to counter vaccine hesitancy without belittling a person’s genuine experiences and sincere beliefs.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86217145","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

Dental professionals’ role perceptions in relation to periodontal (gum) disease explanations 牙科专业人员在牙周(牙龈)疾病解释中的角色认知

Communication and Medicine Pub Date : 2023-05-09 DOI: 10.1558/cam.20929

Marion C. Bowman, Isobel Sale, Ruth Payne, K. Vinall-Collier, A. Tugnait

{"title":"Dental professionals’ role perceptions in relation to periodontal (gum) disease explanations","authors":"Marion C. Bowman, Isobel Sale, Ruth Payne, K. Vinall-Collier, A. Tugnait","doi":"10.1558/cam.20929","DOIUrl":"https://doi.org/10.1558/cam.20929","url":null,"abstract":"Objective: To use a discourse analysis approach to identify salient features in the lived experiences of dental professionals in relation to explaining periodontal (gum) disease to patients.\u0000Methods: Interview data from 13 UK-trained and three internationally-trained dental professionals was examined using thematic discourse analysis. The first stage (discourse analysis) focused on the identification of language patterns in the interview data. This stage forms the focus of this paper.\u0000Findings: Six discourse categories (Clinician, Collaborator, Educator, Rapport Builder, Mentor and Professional) were identified that related to the participants’ perceived professional roles. The categories were associated with differing worldviews and language use patterns, but with some overlap. All interviewees used a variety of discourse categories in their accounts, but a few relied predominantly on one category, e.g., Clinician or Mentor.\u0000Conclusions: The local discourse categories identified in this study reflect broader discourses in healthcare relating to the roles of providers and patients, which have evolved through time.\u0000Practice implications: Practising dental professionals are faced with a diverse range of patients who have different communication preferences. A suite of discourse categories can act as a ‘toolbox’ that dental professionals can flexibly draw on when needing to adopt a role that could predispose a particular patient to positive oral health behaviour change.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76095286","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

Public hospitals’ risk communication strategies during COVID-19 新冠肺炎期间公立医院风险沟通策略

Communication and Medicine Pub Date : 2023-04-12 DOI: 10.1558/cam.20521

Pablo Medina Aguerrebere, David Santandreu Calonge, Patrik T. Hultberg, M. Shah, M. Connor

引用次数: 0

Are schizophrenia patients’ response latencies in semi-structured diagnostic interviews merely a sign of pathology or are they context sensitive? 精神分裂症患者在半结构化诊断访谈中的反应延迟仅仅是一种病理迹象，还是他们对环境敏感?

Communication and Medicine Pub Date : 2023-04-12 DOI: 10.1558/cam.21790

Pertti Hella, S. Werner, H. Koivumaa-Honkanen, J. Hintikka, H. Koponen

{"title":"Are schizophrenia patients’ response latencies in semi-structured diagnostic interviews merely a sign of pathology or are they context sensitive?","authors":"Pertti Hella, S. Werner, H. Koivumaa-Honkanen, J. Hintikka, H. Koponen","doi":"10.1558/cam.21790","DOIUrl":"https://doi.org/10.1558/cam.21790","url":null,"abstract":"Prolonged pause duration in speech is a typical phenomenon of schizophrenia. Despite this, however, studies have not previously focused on prolonged pause in clinical diagnostic interviews, nor has there been any consideration of whether silences occur within turns or in turn-transitions. The present study is based on videotaped semi-structured clinical diagnostic interviews with three persons with schizophrenia. We measured duration of silence or overlap in every turn-transition using Praat software. The participants differed considerably from each other. All of them seemed to display more delays in responding to manual-based questions taken from the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID I) and to questions concerning supra-categories and proverbs. Qualitative analysis of the interview with the most dysfluent participant showed that topic-shifting and new-sequence-beginning questions caused more prolonged latencies than sequence-continuing questions. Moreover, questions that required more detailed description or reflection of psychotic experiences seemed to be problematic. We observed that the doctor adapted his tempo to the participant’s fluency. In addition, the doctor often produced expansions or tag questions when he noticed that the participant had difficulties in responding without a latency. Based on the measures and findings of the qualitative analyses, we presume that both individual psychopathology and contextual factors affect turn-transitional response patterns.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81329170","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

Securing patient understanding in nurse–patient discharge discussions 在护患出院讨论中确保患者理解

Communication and Medicine Pub Date : 2023-04-12 DOI: 10.1558/cam.21939

Inkeri Lehtimaja

{"title":"Securing patient understanding in nurse–patient discharge discussions","authors":"Inkeri Lehtimaja","doi":"10.1558/cam.21939","DOIUrl":"https://doi.org/10.1558/cam.21939","url":null,"abstract":"The aim of this study is to describe the communicative strategies nurses and patients use on a micro level to ensure patient understanding during discharge discussions. The data of the study consist of 16 videotaped discharge encounters (total duration 1 h 40 mins) between nurses and patients in Finland, which were analyzed using conversation analysis. The findings reveal that patients express understanding or troubles in understanding by subtle means, such as response particles. Nurses monitor patients’ reactions and adapt their subsequent actions to them, for instance by moving on to the next topic or by giving additional explanations. They also pursue expressions of understanding when needed, e.g., by prolonging the topic. This gives the patient time to react and more material to get a grip on the topic, thus facilitating displays of understanding. As a result, even if the discharge discussions consist mostly of information delivery that resembles a monological practice, the interaction is collaboratively constructed to secure patient understanding. A raised awareness of good practices already in use to secure understanding can contribute to further developing the guidelines for discharge education.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81751800","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

Generic characteristics of patients’ e-consultations with general practitioners 全科医生患者电子会诊的一般特征

Communication and Medicine Pub Date : 2023-04-12 DOI: 10.1558/cam.22885

Ditte Laursen, Matilde Nisbeth Brøgger, Antoinette Fage-Butler, Jane Ege Møller, Anette Grønning

{"title":"Generic characteristics of patients’ e-consultations with general practitioners","authors":"Ditte Laursen, Matilde Nisbeth Brøgger, Antoinette Fage-Butler, Jane Ege Møller, Anette Grønning","doi":"10.1558/cam.22885","DOIUrl":"https://doi.org/10.1558/cam.22885","url":null,"abstract":"Electronic communication between patients and general practitioners (GPs), known as e-consultations, was introduced in Denmark as a cost-effective and convenient means for patients to access their GP and receive test results as well as answers to quick questions. Research on e-consultations internationally has found that patients are generally very positive, while doctors are more hesitant. Most studies of e-consultations have involved survey or interview methodologies, while studies of their content, form or language are limited. In this study, we address this gap by proposing that genre may be a productive concept for comprehending textual aspects of e-consultations. We explore the following two questions: (1) what are the generic characteristics of the e-consultation?; and (2) do e-consultations belong to the email genre? Based on an analysis of two Danish corpora of patients’ first turns in e-consultations with their GPs, we identify an underlying move structure: subject, opening, update, problem presentation, request, argumentation, closing. We argue that the e-consultation is an example of an email genre with identifiable conventions, which are both specific to the communicative function of e-consultations and aligned with generic features of emails.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75008118","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