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Author: Pritam Kanthala Publisher: ISBN: Category : Languages : en Pages : 0
Book Description
Communication between the patient and the physician in clinical encounters has traditionally been considered a passive interaction on the side of the patient, whereby the healthcare provider examines the patient's condition and circumstances, evaluates the situation, and prescribes a certain treatment plan or procedural solution that will heal the patient's ailment. However, recent research and fundamental communications understanding strongly emphasizes that effective communication is a two-way endeavor that ideally should involve input and insight from both sides of the conversation. Treating all clinical interactions as a one-way didactic experience where a provider usually goes through a checklist of commonalities would seem to not approach the same level of patient satisfaction and understanding as active mutual participation employing common conversational and argumentative techniques by both sides of the patient-physician dyad. The Conversational Argument Coding Scheme, presented by Canary et al., was implemented in a slightly modified format to code transcripts of clinical encounters in a college setting. It was demonstrated that clinical encounters employing more forms of conversational argumentation did not statistically correlate to increased ratings of patient satisfaction/knowledge, but did not harm these ratings in a significant manner. This could be due to the limitation that the study was conducted with a patient population consisting entirely of enrolled college students on campus, implying a greater degree of health literacy and education level that highlights that a presence or lack of teach-back or other mutual participation would not significantly affect patient satisfaction/knowledge in the clinical encounter. Further research needs to be conducted to prove this correlation, but as of now, it would be in good practice and in good faith for healthcare providers to employ teach-back or to encourage mutual participation and conversation in their clinical encounters.
Author: Pritam Kanthala Publisher: ISBN: Category : Languages : en Pages : 0
Book Description
Communication between the patient and the physician in clinical encounters has traditionally been considered a passive interaction on the side of the patient, whereby the healthcare provider examines the patient's condition and circumstances, evaluates the situation, and prescribes a certain treatment plan or procedural solution that will heal the patient's ailment. However, recent research and fundamental communications understanding strongly emphasizes that effective communication is a two-way endeavor that ideally should involve input and insight from both sides of the conversation. Treating all clinical interactions as a one-way didactic experience where a provider usually goes through a checklist of commonalities would seem to not approach the same level of patient satisfaction and understanding as active mutual participation employing common conversational and argumentative techniques by both sides of the patient-physician dyad. The Conversational Argument Coding Scheme, presented by Canary et al., was implemented in a slightly modified format to code transcripts of clinical encounters in a college setting. It was demonstrated that clinical encounters employing more forms of conversational argumentation did not statistically correlate to increased ratings of patient satisfaction/knowledge, but did not harm these ratings in a significant manner. This could be due to the limitation that the study was conducted with a patient population consisting entirely of enrolled college students on campus, implying a greater degree of health literacy and education level that highlights that a presence or lack of teach-back or other mutual participation would not significantly affect patient satisfaction/knowledge in the clinical encounter. Further research needs to be conducted to prove this correlation, but as of now, it would be in good practice and in good faith for healthcare providers to employ teach-back or to encourage mutual participation and conversation in their clinical encounters.
Author: Vic Velanovich Publisher: Springer Nature ISBN: 3031303717 Category : Medical Languages : en Pages : 375
Book Description
This unique book is a major contribution to the literature on persuasion in communication, and on doctor-patient communication, in particular. Written by a physician-scientist with deep experience on the topic, the book offers a comprehensive analysis of what makes an argument in medicine persuasive, outlining the characteristics of an argument that causes people to accept that the conclusion(s) of an argument are true. Although the book focuses on medical arguments in particular, the general approach offered by the author is appropriate for any informal argument. The central emphasis is that although sound logical construction and true premises are required to establish the logical truth of a conclusion, this is insufficient for persuasion to occur. Although formal logic can exist independent of human reception, real-world arguments must have both an arguer (the individual constructing the argument) and an audience (individuals listening and evaluating the argument). Whether the audience is capable of changing their world view is as important as the logical construction of the argument, maintains the author. To illustrate all points, a plethora of examples in medical research and in diagnosis and treatment decisions are presented. Medical Persuasion: Understanding the Impact on Medical Argumentation is a unique contribution to the clinical literature and will be of immense interest to medical practitioners, researchers, and philosophers as a way of gaining insights into constructing arguments for their peers and patients. In addition, medical trainees will gain important insights in the production of medical knowledge and medical practices, and even students in the social sciences and humanities will find the work valuable as a conduit to gaining insight into the reception of an argument.
Author: S. Bigi Publisher: IOS Press ISBN: 1614996555 Category : Medical Languages : en Pages : 116
Book Description
At the start of studies on health communication, scholars were primarily concerned with showing the ethical implications of a new approach to care and with collecting evidence to demonstrate its greater effectiveness as opposed to the paternalistic and mechanistic paradigms. Well into the second decade of the 21st century, different issues need to be addressed. Aging populations and the spread of chronic diseases are challenging the sustainability of health care systems worldwide; increased awareness of health issues among the population and greater citizen participation seem to threaten clinicians’ authority. In this new scenario, it is acknowledged that the quality of verbal communication plays a crucial role, but it is still not clear how it impacts on the outcomes of care, which are its constitutive components and how it interacts with the institutional, cultural and social context of interactions. This book suggests that the time is ripe for a fresh start in health communication studies. As Debra Roter points out in her foreword, this proposal “is ambitious in attempting to integrate perspectives derived from pragmatics and argumentation theory with those derived from quantitative methods of medical interaction analysis and its prediction of outcomes”. On the other hand, as Giovanni Gobber explains in his foreword, “health communication can profit from an application of a performance-oriented linguistic analysis that pays attention to the role of the various relevant context factors in speech events related to specific activity types”. In this way, the open questions regarding communication in medical encounters are considered under a new light. The answers provided open up novel lines of research and provide an original perspective to face the new challenges in medical care.
Author: Terry L. Schraeder Publisher: Oxford University Press, USA ISBN: 0190882441 Category : Medical Languages : en Pages : 241
Book Description
Communication skills determine how the world perceives us - and how we perceive the world. Communication is at the heart of who we are and all that we do. As a clinician, your communication impacts how you take care of patients, work with colleagues, teach trainees, and engage audiences and the public. Communication encompasses all aspects of human skills, from listening and clearly articulating thoughts to an awareness of physical gestures, specific word choice, tone, and volume. Whether engaging with patients, peers, care teams, family members, residents, researchers, insurance agencies, management, or journalists, successful communication requires focusing on the importance of the relationship and the mission of each interaction. Today, due to the rise of digital technologies including electronic medical records, online forums, and video conferences, the content of information, the platform, and the audience are continuously changing and expanding for physicians. There is a great need in the physician community to learn how to facilitate the exchange of information, provide psychosocial support, partake in shared-decision making, translate complex information, and resolve controversies with sound science in a variety of settings. Addressing physicians at every level of training and practice, Physician Communication: Connecting with Patients, Peers, and the Public will enable providers to examine, analyse, and improve their skills in the art and science of communication. Divided into four sections: Face-to-face Communications; Digital Communications;Public Speaking; and Traditional Media, this book will help physicians navigate various situations using different methods and modes of communication.
Author: Esha Ghosalkar Publisher: ISBN: Category : Languages : en Pages : 0
Book Description
The United States healthcare system cares for and supports a diverse patient population. Patients come from various ethnic backgrounds, speak different languages, hold distinct religious affiliations, and more. These differences can create a chasm in the patient-provider relationship, impacting the quality of care or health outcomes. Specifically, language-discordance can affect patient-provider communication; however, technological interventions, such as access to electronic medical record tools and digital translators, can facilitate this dyadic communication. This scoping review examines the literature present on the use of digital tools to facilitate multilingual patient-provider communication. The initial search in PubMed with MeSH terms resulted in 531 studies. After studies were screened for the inclusion criteria in abstract and full-text screening, seven studies remained for data extraction. Results revealed no strong patterns regarding either type of digital technology studied, medical specialization, or clinical setting. Only one randomized controlled trial was identified. Findings highlight the need for more research in this field to determine more specific impact of the usage of technology in healthcare communication.
Author: John Gartland Publisher: CRC Press ISBN: 1315342421 Category : Medical Languages : en Pages : 186
Book Description
This book covers the theory and practice of writing and speaking in professional settings for practitioners, educators and researchers in healthcare. A thought-provoking work, written by John J. Gartland, MD, Medical Editor at Thomas Jefferson University in Philadelphia and past president of the American Academy of Orthopaedic Surgeons, it will stimulate readers and change their perspectives on all forms of communication with their patients and colleagues. Uniquely, it also shows how to prepare an interesting, well-organized and well-written grant proposal to maximize the chances of obtaining funding. An essential resource for physicians and residents in all specialties, medical students, and educators and researchers, particularly those applying for research grants or wanting to publish articles. "Developing acceptable writing and speaking skills should be major goals for all physicians to attain because the very nature of the medical profession is such that few physicians can escape the need to speak and write in their professional careers. I share with you concepts and strategies about medical writing, medical speaking, and patient communication skills that have worked well for me over a long medical career. My hope is that these suggested communication and writing strategies will work as well for you as they have for me." - John Gartland, in the foreword.
Author: Terry L. Schraeder Publisher: ISBN: 9780190882471 Category : Communication in medicine Languages : en Pages :
Book Description
'Physician Communication' presents the current world of physicians communications, from face-to-face and digital communications to public speaking and traditional media. The text explores methods and explains guidelines of exceptional physician communication
Author: Mollie Alyssa Ruben Publisher: ISBN: Category : Communication in medicine Languages : en Pages : 198
Book Description
Patient centered care is a healthcare movement that supports patients' active involvement in their health through building a quality relationship with physicians and sharing in decision making. The provider can foster patient centered care through their own verbal and nonverbal behavior. Patient centered care has been associated with many positive outcomes for patients including increased satisfaction, adherence, and less shopping around for physicians. But less research has focused on the direct impact of patient centered care on health outcomes. The present research aimed to first validate skin conductance as a measure of pain intensity in Study 1. Study 2 examined the effect and impact of physician patient centered vs. clinician centered nonverbal and verbal behavior on participants' pain experience. Finally, Study 3 examined the impact of physician communication style from Study 2, on new onlookers' assessments of pain. In Study 1, participants underwent a standardized laboratory pain procedure called the tourniquet task. Their skin conductance was monitored throughout the pain task and they made pain ratings every 30s on a scale from no pain at all (0) to the most intense pain imaginable (10). Results showed that skin conductance level and response increased from baseline to pain task. Skin conductance level was also validated as a measure of pain intensity as the correlation between participants' mean tonic SCL every 30s and their self-reported pain intensity every 30s was highly and positively correlated. Study 1 findings suggested that skin conductance is a valid and sensitive objective indicator of participants' pain intensity. In Study 2, trained and professional actors (one male and one female) were videotaped playing the part of a physician either giving patient centered nonverbal, patient centered verbal, clinician centered nonverbal or clinician centered verbal instructions on a pain task, in a fully crossed design. Participants came into the laboratory and were randomly assigned to have a one-way interaction with one of the 8 physician videos. The one-way interaction allowed for the physicians' behavior to remain constant while participants responded to the physician (when the physician asked questions or when participants had questions) as if they were talking to the physician in real life. An experimenter monitored the participant and answered any questions that the physician did not address in the videotape. Participants then underwent the same pain task as in Study 1 (the tourniquet task), their skin conductance was monitored, and they gave oral ratings of their pain intensity on the same scale as in Study 1. After participants completed the pain task and answered questions about how the pain felt led by the physician, participants completed post task questionnaires to understand the pain experience and also their satisfaction and impressions of the physician. Participants' laboratory session was video recorded in order to code the pain experience and reflection of pain. Results showed that patient centered nonverbal behaviors displayed by the physicians (more gaze, smiling, nodding, and a warm tone of voice) tended to reduce the experience of pain for participants--in their reports of pain at the time and two weeks later (for males only), and for all participants in their expressions of pain and in how long they tolerated the task. Verbal patient centeredness did not have an impact on participants' pain experience; however, verbal patient centeredness did impact the way participants talked about their pain (using more affective and emotional words and appearing less anxious and more engaged when talking about pain). Neither verbal nor nonverbal behavior of the physician impacted skin conductance level, though skin conductance level was positively correlated with pain intensity ratings. Finally, Study 3 utilized the videotaped pain experience from Study 2 to ask new participants or judges to infer how much pain each of the Study 2 participants were experiencing. Judges were more accurate at judging Study 2 participants who had initially been assigned to the nonverbally patient centered physicians compared to the nonverbally clinician centered physicians. Results of these three studies suggest that patient centered nonverbal behavior has an impact on objective and subjective indicators of pain--with a tendency to alleviate the pain experience--while patient centered verbal behavior has a direct impact on how people talk about their pain. These results can be used to train medical providers to display nonverbal and verbal expressions of patient centeredness when patients are undergoing painful procedures or reflecting on a pain experience in order to possibly reduce the pain intensity experienced and to get patients to disclose more emotional information after a pain experience.
Author: Pritam Kanthala
Author: Pritam Kanthala
Author: Jon B. Christianson
Author: Vic Velanovich
Author: S. Bigi
Author: Terry L. Schraeder
Author: Esha Ghosalkar
Author: John Gartland
Author: Karen M. Maduschke
Author: Terry L. Schraeder
Author: Mollie Alyssa Ruben