Communication and Medicine最新文献

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Individuals recording clinical encounters. 个人记录临床接触。
Communication and Medicine Pub Date : 2024-01-16 DOI: 10.1558/cam.20257
Glyn Elwyn, Jaclyn Engel, Peter Scalia, Carmel Shachar
{"title":"Individuals recording clinical encounters.","authors":"Glyn Elwyn, Jaclyn Engel, Peter Scalia, Carmel Shachar","doi":"10.1558/cam.20257","DOIUrl":"10.1558/cam.20257","url":null,"abstract":"<p><strong>Background: </strong>Clinicians and their employers, concerned with privacy and liability, are often hesitant to support the recording of clinical encounters. However, many people wish to record encounters with healthcare professionals. It is therefore important to understand how existing law applies to situations where an individual requests to record a clinical encounter.</p><p><strong>Methods: </strong>We searched for and reviewed relevant legal documents that could apply to recording clinical encounters. We limited the scope by purposefully examining relevant law in nine countries: Australia, Brazil, Canada, France, Germany, India, Mexico, the United Kingdom and the United States. We analyzed legal texts for consents needed to record a conversation, whether laws applied to remote or face-to-face conversations and penalties for violations.</p><p><strong>Findings: </strong>Most jurisdictions have case law or statutes, derived from a constitutional right to privacy, or a wiretapping or eavesdropping statute, governing the recording of private conversations. However, little to no guidance exists on how to translate constitutional principles and case law into advice for people seeking to record their medical encounters.</p><p><strong>Interpretation: </strong>The law has not kept pace with people's wish to record clinical interactions, which has been enabled by the arrival of mobile technology.</p>","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"45 1","pages":"58-76"},"PeriodicalIF":0.0,"publicationDate":"2024-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87146511","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
Subliminal linguistic effects in dementia interaction 痴呆症互动中的潜意识语言效应
Communication and Medicine Pub Date : 2023-12-27 DOI: 10.1558/cam.26767
J. Chatwin, A. Capstick, Katherine Ludwin
{"title":"Subliminal linguistic effects in dementia interaction","authors":"J. Chatwin, A. Capstick, Katherine Ludwin","doi":"10.1558/cam.26767","DOIUrl":"https://doi.org/10.1558/cam.26767","url":null,"abstract":"Subliminal linguistic effects occur when words or phrases that are overheard by an interlocutor become subconsciously assimilated into their ongoing talk. Such effects are a common feature of everyday interaction. Yet by their nature they are ephemeral, extremely difficult to capture empirically and have not previously been studied at the micro-interactional level. However, broader ethnographic observations made in dementia care settings appear to indicate that subliminal linguistic effects are operationalised differently in people who have dementia, when compared to those without cognitive problems. This exploratory study focuses on over 200 hours of naturalistic multiparty field recordings collected in two UK dementia care settings. It utilises conversation analysis (CA) to examine the reproduction of naturally occurring subliminal linguistic effects in the speech and communication patterns of people with dementia and provides the first systematic micro-analysis of the phenomenon. The position of subliminal linguistic effects in relation to existing sociolinguistic research on overhearing and repetition and the role that features such as intonational emphasis may play in generating subliminal cues are discussed. The study confirms that it is possible to capture examples of subliminal linguistic effects in naturalistic settings and that there are potentially a number of micro-interactional features associated with the phenomenon in dementia communication which could form the basis of a novel, non-intrusive measure of cognitive impairment.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"83 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139153119","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
On knowing what you do (not) know 关于了解你所不知道(不知道)的事情
Communication and Medicine Pub Date : 2023-12-22 DOI: 10.1558/cam.26707
Marilize Pretorius
{"title":"On knowing what you do (not) know","authors":"Marilize Pretorius","doi":"10.1558/cam.26707","DOIUrl":"https://doi.org/10.1558/cam.26707","url":null,"abstract":"Overseas educated nurses’ (OENs) professional identity becomes threatened when limited communicative competence in the local language of their host country results in communication problems. While training is essential for increasing OENs’ communicative competence, their own perceptions of their competence should not be neglected. This article focuses on the impact of an English-language training programme on the self-perceived communicative competence of OENs (n = 68) in the United Kingdom. The effects of the training on their actual and self-perceived communicative competence, comprising competence in Task Focus (TF) and Rapport Building (RB), was examined using quantitative analysis based on pre- and post-training questionnaire and test data. It was found that there was a significant increase in the OENs’ self-perceived communicative competence from pre- to post-training. Further, Actual Task Focus (ATF) and Perceived Task Focus (PTF) competence correlated before and after training, whereas Actual Rapport Building (ARB) competence and Perceived Rapport Building (PRB) competence were not correlated before training, but did correlate after training. The pre-training lack of correlation seems to be due to an overestimation of competence. In sum, participants formed more accurate perceptions of their ARB competence through training. The results hold implications for developing OENs’ accommodative competence.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"53 37","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138946141","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 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 : 2023-07-06 DOI: 10.1558/cam.21492
Peter Leadbetter, Ian Fletcher, Helen O'Sullivan
{"title":"The relationship between facilitating emotional cues and medical students' clinical communication performance in qualifying exams.","authors":"Peter Leadbetter, Ian Fletcher, Helen O'Sullivan","doi":"10.1558/cam.21492","DOIUrl":"10.1558/cam.21492","url":null,"abstract":"<p><p>A cross-sectional study design explored the relationship between medical students' Objective Structured Clinical Examination (OSCE) clinical communication ratings and their responsiveness to simulated patient (SP) verbal emotional cues in their qualifying OSCE. Data were collected from two cohorts of fourth-year medical students (n = 37), and responses to patient cues that facilitated further disclosure or related discussion - known as provide space responses - from two OSCE communication stations were measured by coding video footage with the Verona Coding Definition of Emotional Sequences (VR-CoDES). The 37 medical students were representative of the larger cohort (n = 508) in terms of age. A significant positive correlation with a medium effect was found between OSCE clinical communication ratings and provide space responses. OSCE clinical communication ratings could differentiate between students who adopted patient-centred facilitative behaviours and those who did not.</p>","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"118 1","pages":"258-271"},"PeriodicalIF":0.0,"publicationDate":"2023-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87108165","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 : 2023-07-06 DOI: 10.1558/cam.20929
Marion C Bowman, Isobel Sale, Ruth Payne, Karen Vinall-Collier, Aradhna Tugnait
{"title":"Dental professionals' role perceptions in relation to periodontal (gum) disease explanations.","authors":"Marion C Bowman, Isobel Sale, Ruth Payne, Karen Vinall-Collier, Aradhna Tugnait","doi":"10.1558/cam.20929","DOIUrl":"10.1558/cam.20929","url":null,"abstract":"<p><strong>Objective: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Findings: </strong>Six discourse categories (Clinician, Mentor, Educator, Collaborator, Rapport Builder, 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.</p><p><strong>Conclusions: </strong>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.</p><p><strong>Practice implications: </strong>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.</p>","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"208 1","pages":"223-240"},"PeriodicalIF":0.0,"publicationDate":"2023-07-06","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
'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 : 2023-07-06 DOI: 10.1558/cam.21434
Alessandra Agnese Grossi, David Paredes, Vijayanand Palaniswamy, Nichon Jansen, Mario Picozzi, Gurch Randhawa
{"title":"'One size does not fit all' in organ donation and transplantation.","authors":"Alessandra Agnese Grossi, David Paredes, Vijayanand Palaniswamy, Nichon Jansen, Mario Picozzi, Gurch Randhawa","doi":"10.1558/cam.21434","DOIUrl":"10.1558/cam.21434","url":null,"abstract":"<p><p>With increasing immigration to Europe, migrants and ethnic minorities (MEMs) are progressively represented on transplant waiting lists. However, they remain underrepresented among the pools of both deceased and living donors (LD). Further, studies report inferior knowledge and/or understanding of organ donation and transplantation among these populations, with the potential for detrimental impacts on accessibility, quality and outcomes of care. The ethnic and cultural diversity characterising European societies poses additional challenges to the complexity inherent to communication in transplant settings. This study addresses the ethical, theoretical and practical implications of targeting/tailoring interventions for MEM populations in the transplant continuum. It puts forward a call for action on the emergent issue of how institutional actors and healthcare professionals should interact more effectively with MEM publics, potential donors and/or their families and MEM transplant candidates/recipients/LDs.</p>","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"12 1","pages":"241-257"},"PeriodicalIF":0.0,"publicationDate":"2023-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73172954","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
Anticipated shame and professional identity formation. 预期羞耻与职业身份形成。
Communication and Medicine Pub Date : 2023-07-06 DOI: 10.1558/cam.21481
Penelope Lusk
{"title":"Anticipated shame and professional identity formation.","authors":"Penelope Lusk","doi":"10.1558/cam.21481","DOIUrl":"10.1558/cam.21481","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"66 1","pages":"272-283"},"PeriodicalIF":0.0,"publicationDate":"2023-07-06","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
Editorial. 社论。
Communication and Medicine Pub Date : 2023-07-06 DOI: 10.1558/cam.26459
Srikant Sarangi
{"title":"Editorial.","authors":"Srikant Sarangi","doi":"10.1558/cam.26459","DOIUrl":"https://doi.org/10.1558/cam.26459","url":null,"abstract":"","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"18 3","pages":"219-222"},"PeriodicalIF":0.0,"publicationDate":"2023-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366135","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 : 2023-07-06 DOI: 10.1558/cam.21505
Carlotta Fiammenghi
{"title":"Argumentative pro-vaccination and anti-vaccination narratives in the MMR vaccine-autism controversy.","authors":"Carlotta Fiammenghi","doi":"10.1558/cam.21505","DOIUrl":"10.1558/cam.21505","url":null,"abstract":"<p><p>COMET 2021 Researcher Award 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.</p>","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"94 1","pages":"284-296"},"PeriodicalIF":0.0,"publicationDate":"2023-07-06","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
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 Hultberg, Mariam Aman Shah, Melissa Connor
{"title":"Public hospitals' risk communication strategies during COVID-19.","authors":"Pablo Medina Aguerrebere, David Santandreu Calonge, Patrik Hultberg, Mariam Aman Shah, Melissa Connor","doi":"10.1558/cam.20521","DOIUrl":"10.1558/cam.20521","url":null,"abstract":"<p><p>This exploratory study analyses studies pertaining to the risk communication strategies adopted by Spanish public hospitals to inform their stakeholders during the first COVID-19 wave, in order to better understand effective communication of 'health messages' during a pandemic. After reviewing 155 academic works, 12 articles that were published between January 2020 and September 2020 met full inclusion criteria. Implementing a thematic synthesis approach yielded five themes: (1) transparency of crisis; (2) hospital health leadership crisis; (3) crisis management communication; (4) crisis management strategy; and (5) crisis management stakeholders. Based on these identified themes, 10 evidence-based recommendations for hospital communication preparedness and implementation during health crises are offered.</p>","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"22 1","pages":"199-217"},"PeriodicalIF":0.0,"publicationDate":"2023-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82575334","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
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