Communication in Medical Care


Book Description

This 2006 volume provides a comprehensive discussion of communication between doctors and patients in primary care consultations. It brings together a team of leading contributors from the fields of linguistics, sociology and medicine to describe each phase of the primary care consultation, identifying the distinctive tasks, goals and activities that make up each phase of primary care as social interaction. Using conversation analysis techniques, the authors analyze the sequential unfolding of a visit, and describe the dilemmas and conflicts faced by physicians and patients as they work through each of these activities. The result is a view of the medical encounter that takes the perspective of both physicians and patients in a way that is both rigorous and humane. Clear and comprehensive, this book will be essential reading for students and researchers in sociolinguistics, communication studies, sociology, and medicine.







Patient Provider Interaction


Book Description

This book offers a much-needed introduction to the dynamics of the communication exchange between providers and patients in the health-care environment. Starting from the principle that health-care-providers and patients try to speak the same language to reach the best decisions for patient care, but often misunderstand each other whilst navigating the process of diagnosis, treatment and care, Lisa Sparks and Melinda Villagran clearly explain how health communication theory and research can help us better understand these complex interactions, and provide strategies for improving patient and provider communication. Sparks and Villagran cover a broad range of key issues and theories related to provider-patient interaction, including patient information and affective needs, barriers to effective communication in health-care contexts, and communication skills training for providers. Drawing on the most current literature in this vibrant field, they show the transformations that new technologies such as e-mail and text messaging have brought to communication with and between patients and providers, consider the roles of caregivers, both formal and informal, and illustrate how health-care organizations impact on interpersonal interactions. Throughout the book, Sparks and Villagran deftly illustrate how communicative understandings of patient-provider interaction can have positive practical outcomes, feeding into health behaviour change, creating a communication environment which can improve health literacy and ultimately lead to better health outcomes. With groundbreaking insights, on-point explanations, and deeply moving examples, Patient and Provider Interaction illuminates and enriches what is most often one of the most important interactions of our lives.







Health Professional and Patient Interaction - E-Book


Book Description

Learn how to navigate the complicated and challenging world of health care with Health Professional and Patient Interaction, 10th Edition. Covering strategies for effective communication and collaboration, this time-tested guide offers the tools needed to establish positive patient and interprofessional relationships that are built on respect. It not only covers respectful actions, communication standards, and good decision-making, but also demonstrates how those decisions directly shape successful patient outcomes. Practical examples and authentic scenarios highlight how to apply respect and professionalism to coworkers and patients of various ages and backgrounds across a wide spectrum of healthcare environments. It's the strong foundation you need to communicate effectively for positive, collaborative, and compassionate patient-centered care. - UNIQUE! Integration of respect throughout the text underscores its necessity across the many different types of interactions between the health professional and patient and establishes the foundation for positive relationships with patients and interprofessional care teams. - UNIQUE! Focus on interprofessional and intraprofessional collaboration addresses issues that apply to many different healthcare disciplines to help you identify with your specific field, as well as recognize themes that apply across a variety of healthcare delivery settings. - UNIQUE! Information on developmental and lifespan changes offers insight on the challenges experienced by patients, families, and caregivers and strategies for effective age-appropriate interactions. - UPDATED! Comprehensive, evidence-based content provides the most current information and strategies for being an effective and compassionate health professional. - Authentic patient cases and scenarios drawn from contemporary practice demonstrate strategies and tools for effective communication and collaboration with patients and colleagues in a wide range of healthcare settings. - Reflections Questions throughout the text challenge you to apply critical thinking skills and personal experience to different scenarios. - Questions for Thought and Discussion at the end of the book help you apply your knowledge to a variety of situations. - Extensive, updated references ensure content is current and applicable to today's clinical practice.




Communication Rx: Transforming Healthcare Through Relationship-Centered Communication


Book Description

A proven prescription for effective communication that will empower health professionals to deliver the highest quality care―from the Academy of Communication in Healthcare Research shows that nothing impacts patient experiences more than the quality of communication. While beneficial, the latest in cutting-edge technology and techniques aren’t enough to ensure the best possible care for patients. The key to better healthcare outcomes is communication. Over the past four decades, the Academy of Communication in Healthcare has worked tirelessly with health systems, teaching communication skills that put relationships—between patients and providers, as well as among providers—at the center of care. Now, for the first time, ACH’s proven and effective methodology is detailed in this invaluable step-by-step guide. You’ll learn communication skills that will enable you to: * Provide more accurate diagnoses and effective treatments—and improve patient outcomes * Boost patient adherence and lower hospital readmission rates * Make fewer errors and reduce malpractice risks * Increase patient satisfaction and build teamwork among providers * Further develop your communication skill set—and help others do the same In this practical—and potentially life-saving—volume, you’ll discover special sections on teamwork, coaching, shared decision-making, feedback, conflict engagement, diversity, and communicating through hierarchy. The book also provides institutional initiatives to help you implement change in your organization and outlines a field-tested blueprint for healthier communication across the entire industry. To create effective communication and meaningful connections in healthcare, trust ACH. Communication is literally its middle name.




Communication in Medical Interactions


Book Description

Individuals with communication disorders form a vulnerable patient population in health care. Their problems with communication in medical interactions can lead to higher rates of medical errors, reduced accessibility to health care, and decreased satisfaction with services when compared with the average patient population. Communication Accommodation Theory (CAT) has recently been used in research to explain communication during medical interactions involving patients with communication disorders. However, this research focuses on dyadic medical interactions between patients and physicians, failing to consider the potential effects that caregivers can have on these interactions. The purpose of this study was to explore the experiences and perspectives of patients with communication disorders, their family caregivers, and physicians related to communication during medical interactions. In addition, this study examines the feasibility of CAT to help explain and predict communication during these medical interactions. A total of 18 individuals - six patients with a primary communication disorder diagnosis of aphasia, six family caregivers, and six practicing physicians - participated in semi-structured, face-to-face interviews. Participants were asked about their experiences with communication during triadic medical interactions. Interviews were audio and/or video recorded and then transcribed. Transcripts were coded and a thematic analysis was conducted. While patients and caregivers generally described their communication experiences as positive, all participants discussed challenges and frustrations they experienced when communicating during medical interactions. Three themes emerged from participants' experiences and perspectives: 1) patients and caregivers work as a team, 2) patients and caregivers want physicians to "just try" to communicate with the patient, and 3) physicians want to try to communicate with the patient, but may not know how. Patients and caregivers provided advice to help physicians improve their communication, and physicians suggested content areas to include in future communication skills training for medical students and practicing physicians. Results of this study suggested that although the participants' experiences were generally positive, the perspectives of patients and caregivers regarding communication during medical interactions seemed to be somewhat misaligned with those of physicians. Patients and caregivers discussed how some physicians seemed to be either unaware when patients were struggling to communicate, or did not to change their communication style to help patients. Physicians, on the other hand, seemed to acknowledge the importance of changing how they communicate to make accommodations for these patients, but discussed not having the education and training to know how. Results of this study also provided support for the use of CAT to represent communication during these medical interactions, and a working model of CAT is proposed. Participants frequently discussed the need for successful accommodation, or changing the way one communicates, during medical interactions to help facilitate the patients' increased understanding and ability to express themselves. However, over- and under-accommodation were commonly reported instead. Finally, results of this study highlighted the importance of speech-language pathologists (SLPs) in helping to improve communication during medical interactions involving patients with communication disorders. Implications for future research and clinical practice for physicians and SLPs are also discussed.




Communication in Healthcare Settings


Book Description

This book presents an international snapshot of communication inhealthcare settings and examines how policies, procedures andtechnological developments influence day to day practice. Brings together a series of papers describing features ofhealthcare interaction in settings in Australasia, the U.S.A,continental Europe and the UK Contains original research data from previously under-studiedsettings including professions allied to medicine,telephone-mediated interactions and secondary care Contributors draw on the established conversation analyticliterature on healthcare interaction and broaden its scope byapplying it to professionals other than doctors in primarycare Examines how issues relating to policy, procedure or technologyare negotiated and managed throughout daily healthcarepractice




Communicating (with) Care


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.




Health Professional and Patient Interaction E-Book


Book Description

Easily navigate through the complicated and challenging world of daily on-the-job human interactions, with Health Professional and Patient Interaction, 9th Edition. Covering strategies for effective communication, this time-tested guide offers the tools you need to establish positive patient and interprofessional relationships built on respect. It not only covers respectful actions and good decision-making, but also demonstrates how those decisions directly shape your on-the-job success. Practical examples and authentic scenarios highlight how to apply respect and professionalism to coworkers and patients of various ages and various backgrounds across a wide spectrum of healthcare environments. It’s the foundation you need to effectively and successfully communicate on the job. Overall emphasis on respect sets up a basis for building positive relationships with patients and fellow health professionals through good decision-making. UNIQUE! Authentic scenarios and examples demonstrate strategies and tools for effective communication with patients of all ages in a wide range of health care settings. UNIQUE! Interdisciplinary approach addresses issues that apply to many different healthcare disciplines to help you identify with your specific field as well as recognize themes that apply across the healthcare spectrum. Authentic patient cases give you a more personal connection as to how the various communications and actions discussed in the text affect the patient. Reflections Questions throughout the text challenge you to apply critical thinking skills and your personal experience to different scenarios. Questions for Thought and Discussion at the end of each section help you apply your knowledge to a variety of situations. UNIQUE! New chapter on respectful interprofessional collaboration and communication discusses best practices for respectfully interacting with one’s coworkers across the professional health team. NEW & UNIQUE! Clearer integration of respect throughout the text underscores its necessity across the many different types of interactions between the health professional and patient. NEW! Introduction on how respect impacts a professional’s practice has been added to Part One of the text and covers critical topics such as establishing a professional identity and creating healthy, respectful relationships while being mindful of boundaries within such relationships. NEW! Updated photos feature health professionals engaged in authentic clinical activities.