Communication and Medicine最新文献_第9页

Physicians' perceptions of patient participation in the myocardial infarction pathway. 医生对患者参与心肌梗死通路的看法。

Communication and Medicine Pub Date : 2022-12-19 DOI: 10.1558/cam.20555

Elise Kvalsund Bårdsgjerde, Marit Kvangarsnes, Torstein Hole, Magne Nylenna, Bodil J Landstad

{"title":"Physicians' perceptions of patient participation in the myocardial infarction pathway.","authors":"Elise Kvalsund Bårdsgjerde, Marit Kvangarsnes, Torstein Hole, Magne Nylenna, Bodil J Landstad","doi":"10.1558/cam.20555","DOIUrl":"10.1558/cam.20555","url":null,"abstract":"Myocardial infarction is an acute, frightening and life-threatening condition for patients who are affected. They need plain and simple information about the disease and the treatment, yet patient participation might be challenging in acute situations. Previous studies have shown that patient participation leads to improved patient satisfaction, cooperation with healthcare professionals and better management of the disease. Physicians have a key role in facilitating patient participation in the healthcare services. This study explores physicians' perceptions of patient participation in the myocardial infarction pathway. In 2018 we interviewed nine experienced physicians in Norway working in different phases of the pathway. Hermeneutics was chosen as the under-pinning analytical framework. Four themes illustrated patient participation in the myocardial infarction pathway. Paternalism characterised the acute phase. During hospitalisation the physicians perceived a lack of continuity in physician-patient communication. In the discharge phase, the physicians focused on strengthening health literacy. In the rehabilitation phase, dialogue and shared decision making was central to achieving treatment adherence. We found variations in the level of patient participation along the different phases of the myocardial infarction pathway. Strengthening continuity to ensure patient participation and collaboration between healthcare professionals is essential. The physicians proposed introducing checklists for patient information to enhance interprofessional collaboration and strengthen patient participation.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"13 1","pages":"111-125"},"PeriodicalIF":0.0,"publicationDate":"2022-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90339862","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

Language brokering between deaf signing parents and healthcare professionals. 聋人手语父母与医护人员之间的语言中介。

Communication and Medicine Pub Date : 2022-12-19 DOI: 10.1558/cam.20385

Abigail Gee, Barry Wright, Jemina Napier, Victoria Ackroyd, Helen Phillips, Rachael Hayes

{"title":"Language brokering between deaf signing parents and healthcare professionals.","authors":"Abigail Gee, Barry Wright, Jemina Napier, Victoria Ackroyd, Helen Phillips, Rachael Hayes","doi":"10.1558/cam.20385","DOIUrl":"10.1558/cam.20385","url":null,"abstract":"Language brokering refers to the informal interpreting performed by children and young people, typically in migrant families. Hearing heritage signers are typically individuals who grow up using a sign language at home with deaf parents. As most of them are hearing, they often broker between their signing deaf parent(s) and hearing non-signers. Brokering has been found to occur in varied contexts, including healthcare settings. Using semi-structured interviews, this study aimed specifically to explore the experiences of hearing heritage signers brokering between their parents and healthcare professionals using British Sign Language. Hearing heritage signers' experiences of brokering in healthcare settings were found to be varied, as were their attitudes, feelings and views towards brokering. Key themes were identified: pride and pressure; insider and outsider status; conflicting roles; autonomy, dependence and independence; choice and expectation; and perceptions of high- or low-stakes brokering. Based on these findings, recommendations for healthcare providers include increasing awareness of deaf people's rights and access, recognition of children's developmental needs in these contexts and the ability to signpost hearing heritage signers to appropriate support networks.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"2 1","pages":"136-152"},"PeriodicalIF":0.0,"publicationDate":"2022-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81010895","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

A comparative study of the impact of the COVID-19 crisis on the communication practices of end-of-life care workers. COVID-19危机对临终关怀工作者沟通实践影响的比较研究

Communication and Medicine Pub Date : 2022-05-04 DOI: 10.1558/cam.19406

Margo Turnbull, Xiaoyan Ivy Wu, Bernadette Watson

{"title":"A comparative study of the impact of the COVID-19 crisis on the communication practices of end-of-life care workers.","authors":"Margo Turnbull, Xiaoyan Ivy Wu, Bernadette Watson","doi":"10.1558/cam.19406","DOIUrl":"10.1558/cam.19406","url":null,"abstract":"Previous research has identified that effective and high-quality communication between patients, families and professionals is a key contributing factor to end-of-life (EOL) care and recovery after bereavement. Increasingly, this communication work is being done by non-clinical staff in places such as homes and community settings. These additional care providers offer important pre- and post-bereavement support that can improve the quality of EOL care as well as promote healthy grieving for families, friends and communities. Despite this contribution, though, little is known about how these non-clinical workers use communication in their daily practices. This paper reports on the analysis of a set of nine in-depth interviews conducted in Hong Kong and in one region of Australia that examined in detail relational aspects of communication that shape interactions between non-clinical workers and service users. Data were collected during the COVID-19 health crisis, when the workers experienced exceptional restrictions on communication. The findings of this study highlight the fundamental importance of both verbal and non-verbal communication to the relationships established between non-clinical workers and service users. Specifically, greater support for the development of communication skills in non-clinical EOL workers will promote improvements in the quality of EOL care.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"16 1","pages":"295-306"},"PeriodicalIF":0.0,"publicationDate":"2022-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73884272","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

Exploration of the patient's voice. 探索病人的声音。

Communication and Medicine Pub Date : 2022-05-04 DOI: 10.1558/cam.18160

Phillip Cox, Shannon L Mihalko, Suzanne C Danhauer, Julienne K Kirk, Mollie Rose Canzona, Heather L Black, Sally A Shumaker

{"title":"Exploration of the patient's voice.","authors":"Phillip Cox, Shannon L Mihalko, Suzanne C Danhauer, Julienne K Kirk, Mollie Rose Canzona, Heather L Black, Sally A Shumaker","doi":"10.1558/cam.18160","DOIUrl":"10.1558/cam.18160","url":null,"abstract":"Diabetes self-management is a complex process in which individuals are asked to modify established health behaviors. Healthcare providers are instrumental in enhancing individual self-management and are encouraged to consider the patient perspective, often expressed indirectly. Using multidimensional analysis, this study analyzed talk to compare linguistic features used by adherent and non-adherent individuals with diabetes. In-depth telephone interviews were conducted with 108 individuals. Recruitment was stratified by sex, race and glycated hemoglobin (A1C) score. Interviewer contributions were removed from the transcripts, leaving only the participants' contributions. Using A1C score (<7%, >7%) the texts were divided into adherent and non-adherent datasets. Based on computer-assisted, quantitative analysis, ten linguistic features had a significant difference in frequency of use between the two groups. The participants in the adherent group used a greater frequency of linguistic features related to personal stance than the non-adherent group, and these expressions of personal stance were considered in relation to the participant's sense of agency. A better understanding of the way in which different subsets of individuals talk about diabetes self-management would facilitate greater healthcare provider understanding of the patient's perspective during clinical encounters to improve adherence.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"44 1","pages":"215-229"},"PeriodicalIF":0.0,"publicationDate":"2022-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89637880","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

Trouble-talk in therapist-resident encounters. 心理医生住院治疗中的麻烦谈话。

Communication and Medicine Pub Date : 2022-05-04 DOI: 10.1558/cam.19660

Charlotte Marie Bisgaard Klemmensen

{"title":"Trouble-talk in therapist-resident encounters.","authors":"Charlotte Marie Bisgaard Klemmensen","doi":"10.1558/cam.19660","DOIUrl":"10.1558/cam.19660","url":null,"abstract":"This article focuses on what can be labelled 'trouble-talk', and in particular how it is initiated and responded to in therapist-resident encounters. It adopts the perspective of an individual with acquired brain injury. The study is based on a video ethnography of interaction, targeted at identifying trouble-talk and its interactional consequences, and it was carried out in a Danish care home facility for residents with this kind of injury. Encounters involving a case resident, an occupational therapist, a social worker (pædagog) and participant researchers were video recorded (totaling 30 hours) during fieldwork over one year, between 2012 and 2013. The dataset has been analyzed through a combination of discourse analysis and ethnomethodological conversation analysis. The findings show that when the resident takes initiatives and/or makes criticisms, this may be heard by the occupational therapist as complaints about institutional life in general and/or as talking gibberish. Such perceived trouble-talk is responded to by the occupational therapist with misalignment and repair work. In general, trouble-talk is co-constructed; however, it is accentuated by the occupational therapist's response, which suggests an undesired institutional ramification. In promoting awareness of the impact of impairments on interaction, I discuss how trouble-talk is emergent in the interaction itself and in what ways it can be resolved or minimized.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"9 1","pages":"243-256"},"PeriodicalIF":0.0,"publicationDate":"2022-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79894340","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

Mapping contexts of care. 绘制护理背景图。

Communication and Medicine Pub Date : 2022-05-04 DOI: 10.1558/cam.19939

Kirk St Amant

引用次数: 0

What is Health Data? 什么是健康数据？

Communication and Medicine Pub Date : 2022-05-04 DOI: 10.1558/cam.17951

Claus Rehfeld, Melanie E Kreye, Helena Goldstein Wendelboe, Tove Holm-Larsen

{"title":"What is Health Data?","authors":"Claus Rehfeld, Melanie E Kreye, Helena Goldstein Wendelboe, Tove Holm-Larsen","doi":"10.1558/cam.17951","DOIUrl":"10.1558/cam.17951","url":null,"abstract":"'Health Data' is a term that is used in many different contexts, but understandings of what it encompasses are at best vague. Without an agreed definition, effective law making, ethical discussions and the development of solutions that relate to Health Data are hindered, and decisions about how and when it can be utilized will be distorted and inconsistent, meaning that the potential value of this important resource for society will not be realized. This study contributes to the healthcare literature by offering an empirical characterization of Health Data, enabling a more rigorous and informed discussion through an exploration of its characteristics and how these can support the formulation of a definition which is functional at an interdisciplinary level. Qualitative interviews with 30 Danish stakeholders working with data and health indicate that a proper definition of Health Data should acknowledge a distinction between when the focus is on the source of the data and when it is on how data is used. Further, it needs to incorporate information relating both to clinical data involving patients and to a population's health status and behaviors more generally. Lastly, it needs to encompass structural data, pertaining to the health system and to wider societal and environmental factors.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"16 1","pages":"270-282"},"PeriodicalIF":0.0,"publicationDate":"2022-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84302530","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 reported responsibilities of mental health workers and clients. 精神卫生工作者和客户报告的责任。

Communication and Medicine Pub Date : 2022-05-04 DOI: 10.1558/cam.21587

Kirsi Günther, Jenni-Mari Räsänen

引用次数: 0

Cancer warriors sharing personal experiences. 癌症勇士分享个人经历。

Communication and Medicine Pub Date : 2022-05-04 DOI: 10.1558/cam.18553

Augustus Onchari Nyakundi

{"title":"Cancer warriors sharing personal experiences.","authors":"Augustus Onchari Nyakundi","doi":"10.1558/cam.18553","DOIUrl":"10.1558/cam.18553","url":null,"abstract":"Patients sharing their illness experiences can help members of the general population to adopt measures to prevent contracting similar diseases and also improve the treatment and management outcomes of those who are sick. In this study, experiences shared by cancer patients and survivors were used to establish the appropriateness of narratives in promoting cancer literacy, as well as in describing adherence to set policies on cancer treatment and management. Anchored on the Health Belief Model, this study analysed sampled Daily Nation newspaper articles sharing the experiences of cancer patients and survivors in Kenya. The data was analysed using content analysis and compared with guidelines in national policies on cancer and the Setting Perception Invitation or Information Knowledge Empathy Summarize or Strategize (SPIKES) protocol for breaking bad news. The key findings suggest that the narratives effectively captured critical aspects on cancer literacy including detection of symptoms, diagnosis, communication of results, palliative care and treatment and management. A lack of counselling before disclosing the results of cancer diagnosis and instances of absence of shared decision making in the treatment process indicated non-adherence to national policies on cancer treatment as well as the SPIKES protocol.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"8 1","pages":"257-269"},"PeriodicalIF":0.0,"publicationDate":"2022-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84792893","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

West meets East. 西方与东方相遇。

Communication and Medicine Pub Date : 2022-02-17 DOI: 10.1558/cam.19234

Neda Akbari, Robyn Woodward-Kron

引用次数: 0