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Communication & Medicine

Alan Zemel, Timothy Koschmann
This paper examines how time is made explicitly relevant in the way the attending surgeon monitors and corrects the performance of a resident during a kidney transplant surgery. In so doing, we observe how the attending constitutes time as a significant and constituent feature of the surgical actions performed by the resident. In order to instruct temporal competence in the performance of surgical procedures, the attending surgeon identifies and makes instructably observable the temporally significant features of the surgical work just as that work is performed, by (a) producing countdowns, pace prompts, and temporal accounts when and as avoidable errors occur, and (b) planning and coordinating current and upcoming actions in relation to other actions...
2015: Communication & Medicine
Val Williams, Sue Porter
Adopting a conversation analysis (CA) perspective, this paper explores data which include disabled people in three-party contexts, where the institutional goal is to focus on the wishes, voice and agency of the disabled person. It explores 274 occasions where a third party self-selects for a turn, during social care planning meetings and research interviews. Five broad action patterns are discussed, showing how third parties used their epistemic closeness to the disabled person in order to (1) clarify, (2) respond, (3) prompt, (4) expand and (5) challenge...
2015: Communication & Medicine
Paula John, Husnara Khanom, Michela Cameli, Rose McCabe, Stefan Priebe
Valuing patients underlies good communication in psychiatry and mediates positive outcomes. The aim of this study was to (1) identify and reliably assess valuing and devaluing communicative behaviour of psychiatrists in routine consultations, and (2) explore whether valuing behaviour is associated with patient satisfaction. In an inductive study, psychiatrists’ valuing and devaluing behaviours were operationalized and identified in 100 video-recorded consultations with patients with psychosis. Inter-rater reliability of identifying these behaviours was assessed...
2015: Communication & Medicine
Evelyn Y Ho, Chelsea Lalancette, Genevieve Leung
Type 2 diabetes affects Chinese Americans at an alarming rate and many Chinese Americans use Chinese medicine principles to deal with their diabetes. In this article, we examine interviews with Chinese medicine practitioners about the best ways to treat diabetes and xiaoke (Chinese medicine’s closest equivalent to diabetes). These interviews were conducted to examine how practitioners would promote a particular form of integrative medicine – in this case, using Chinese medicinal principles to suggest food treatments for diabetes or xiaoke...
2015: Communication & Medicine
Pertti Olavi Hella, Jussi Niemi, Jani-Matti Tirkkonen, Jukka Hintikka, Hannu Koponen, Heli Koivumaa-Honkanen
The present study is the first to investigate, using conversation analysis, the effects of a family member’s participation in conversation regarding the assessment of need for treatment. We aim at describing the course of a treatment negotiation, focusing on interactional dynamics and on disclosure of paranoid symptoms in a clinically challenging situation characterized by an acutely psychotic patient with (1) disorganized discourse, (2) poor insight, (3) aspiration to avoid hospital treatment, and (4) a relative who was supporting in-patient care...
2015: Communication & Medicine
Katie Ekberg, Markus Reuber
There are many areas in medicine in which the diagnosis poses significant difficulties and depends essentially on the clinician’s ability to take and interpret the patient’s history. The differential diagnosis of transient loss of consciousness (TLOC) is one such example, in particular the distinction between epilepsy and ‘psychogenic’ non-epileptic seizures (NES) is often difficult. A correct diagnosis is crucial because it determines the choice of treatment. Diagnosis is typically reliant on patients’ (and witnesses’) descriptions; however, conventional methods of history-taking focusing on the factual content of these descriptions are associated with relatively high rates of diagnostic errors...
2015: Communication & Medicine
Simon Cocksedge, Nicky Barr, Corinne Deakin
In UK health policy ‘sharing good information is pivotal to improving care quality, safety, and effectiveness. Nevertheless, educators often neglect this vital communication skill. The consequences of brief communication education interventions for healthcare workers are not yet established. This study investigated a three-hour interprofessional experiential workshop (group work, theoretical input, rehearsal) training healthcare staff in sharing information using a clear structure (PARSLEY). Staff in one UK hospital participated...
2015: Communication & Medicine
Bartłomiej Kruk
Narrative of personal experience, as a subjective interpretation of a set of events, constitutes a particularly fertile site for the construction of identity. It enables the teller to voice and (re-)organize disruptive phenomenological experiences, socialize emotions or forge interpersonal relations. Consequently, the narrator is able to access various facets of their identity and ‘bring multiple, partial selves to life’ (Ochs and Capps 1996: 19). Informed by the methods and insights of computer- mediated discourse analysis, conversation analysis and membership categorization analysis, and positioning narrative as a situated practice within social interaction, this paper scrutinizes publicly accessible data (15 forum threads) nested within a UK-based online Alzheimer’s support group to demonstrate how Alzheimer’s patients’ family caregivers co-construct their sense of self when disclosing morally delicate aspects of their identities...
2015: Communication & Medicine
Vaidehi Ramanathan
This paper addresses issues around the automatic repetition of particular memories in the narratives / blog accounts of individuals with Post Traumatic Stress Disorder (PTSD). Based on a long-term project that examines how people with various body-related conditions and ailments write or speak about their bodies, the focus of this paper is on 80 blog accounts wherein individuals with PTSD write both about living with the condition and about their steps towards healing themselves. The paper pays special attention to how the act of repeated blogging counters the paralyzing repetition in their heads, leading them to re-cognize particular distressing life-events and thus creating alternate episodic structures (Gee 1992)...
2015: Communication & Medicine
Wyke Stommel, Fleur Van Der Houwen
In this article, we examine problem presentations in e-mail and chat counseling. Previous studies of online counseling have found that the medium (e.g., chat, email) impacts the unfolding interaction. However, the implications for counseling are unclear. We focus on problem presentations and use conversation analysis to compare 15 chat and 22 e-mail interactions from the same counseling program. We find that in e-mail counseling, counselors open up the interactional space to discuss various issues, whereas in chat, counselors restrict problem presentations and give the client less space to elaborate...
2015: Communication & Medicine
Gabrina Pounds, Carlos De Pablos -Ortega
Existing studies on the online asynchronous consultation mode afforded by ‘Ask-the-Expert’ health websites (e.g. Thomson et al. 2012) are concerned with the possible loss in the quality of interaction between patients and clinicians in this type of consultation. The potential loss is worrying, given the central role of patient-centred communication (PCC), particularly empathy, in medical consultation practice and patients’ increasing use of and reliance on online consultations. This study addresses the following three related questions: (1) To what extent is PCC represented in ‘Ask-the-Expert’ healthcare websites? (2) Are there noticeable differences in PCC between sites operating in different linguistic and cultural settings (the UK, Spain and Italy)? (3) What are the implications of the above? Seventy exchanges from the leading independent health websites NetDoctor (UK), Netdoctor (Spain) and Medicitalia (Italy) were analysed, adapting a framework developed for the linguistic analysis of clinical empathy (combining discourse analytical and pragmatic categories – Pounds 2011) and drawing on existing definitions of PCC and classifications of advice-giving structures...
2015: Communication & Medicine
Louise Mullany, Catherine Smith, Kevin Harvey, Svenja Adolphs
This article explores the communicative choices of adolescents seeking advice from an internet-based health forum run by medical professionals. Techniques from the disciplines of sociolinguistics and corpus linguistics are integrated to examine the strategies used in adolescents’ health questions. We focus on the emergent theme of Weight and Eating, a concern which features prominently in adolescents’ requests to medical practitioners. The majority of advice requests are authored by adolescent girls, with queries peaking at age 12...
2015: Communication & Medicine
Kari Hagen, Grete Hummelvoll
A pilot programme was developed for training professionals to communicate in counselling situations via videoconferencing, with participants from Norwegian resource centres for rare disorders. The programme was conducted at three videoconferencing studios, and entailed three sessions involving role play, feedback, reflection, and discussion. After each session, participants received a short web-based questionnaire. The programme was generally perceived as realistic, with 95% of participants considering it to be a suitable training method and 94% reporting greater awareness of how to engage successfully in dialogue during videoconferencing...
2015: Communication & Medicine
Marianna Lya Zummo
This paper questions the nature of the communicative event that takes place in online contexts between doctors and web-users, showing computer-mediated linguistic norms and discussing the nature of the participants’ roles. Based on an analysis of 1005 posts occurring between doctors and the users of health service websites, I analyse how doctor–patient communication is affected by the medium and how health professionals overcome issues concerning the virtual medical visit. Results suggest that (a) online medical answers offer a different service from that expected by users, as doctors cannot always fulfill patient requests, and (b) net consultations use aspects of traditional doctor–patient exchange and yet present a language and a style that are affected by the computer-mediated environment...
2015: Communication & Medicine
Ryan Goble, Caroline H Vickers
The purpose of this paper is to examine the role of the computer in medical consultations in which English- Spanish-bilingual medical providers interact with Spanish-monolingual patients. Following previous studies that have revealed that the presence of the computer in consultations detracts from direct provider– patient communication, we pay specific attention to how the use of the computer in Spanish-language medical consultations can complement or adversely affect the co-construction of the patient’s health narrative...
2015: Communication & Medicine
Giovanni Biglino, Claudio Capelli, Lindsay-Kay Leaver, Silvia Schievano, Andrew M Taylor, Jo Wray
OBJECTIVE: To develop a participatory approach in the evaluation of 3D printed patient-specific models of congenital heart disease (CHD) with different stakeholders who would potentially benefit from the technology (patients, parents, clinicians and nurses). METHODS: Workshops, focus groups and teaching sessions were organised, targeting different stakeholders. Sessions involved displaying and discussing different 3D models of CHD. Model evaluation involved response counts from questionnaires and thematic analysis of audio-recorded discussions and written feedback...
2015: Communication & Medicine
Sally Burford, Sora Park, Paresh Dawda, John Burns
Type 2 diabetes is a prevalent, chronic disease, which places significant burden on societies and individuals. This article reports the participatory research design of an exploratory study that introduces mobile tablet devices in the self-management of type 2 diabetes in a primary healthcare setting. Strategies from democratic dialogic theory were used in the design of the research to steer the participatory engagement between researchers and healthcare practitioners. The outcome of this phase of the research was the issue of six ‘invitations’ to 28 people with diabetes to frame their use of a mobile tablet device in managing their health...
2015: Communication & Medicine
Henriette Langstrup, Anja Elkjær Rahbek
Patient-engaging e-health is promoted as a means to improve care and change the social order of healthcare – most notably the roles of patients and healthcare professionals. Nevertheless, while researchers across various fields expect and praise such changes, these social aspects are rarely addressed rigorously in the literature on the effects of e-health. In this paper we review the scientific literature on patient-engaging e-health, with the purpose of articulating the different ways in which role is conceptualized in the various strands of literature and what explicit and implicit assumptions such conceptualizations entail...
2015: Communication & Medicine
Antoinette Mary Fage-Butler, Matilde Nisbeth Jensen
Email communication is being integrated relatively slowly into doctor–patient communication. Patients have expressed enthusiasm for the medium, while doctors are generally more reluctant. As existing health communication models have characteristically assumed the co-presence of doctor and patient and primarily reflect medical practitioners’ perspectives, their suitability in relation to email communication and patients’ perspectives warrants further investigation. Following a two-step process and using the methodology of the integrative literature review, 29 articles from 2004–2014 are analysed with the aim of investigating the advantages and disadvantages of the medium of email from the patient’s perspective...
2015: Communication & Medicine
Srikant Sarangi, Rolf Wynn
No abstract text is available yet for this article.
2015: Communication & Medicine
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