Effective Clinician–Patient Communication: Strategies for Communicating Medical Knowledge

Author(s):  
Diana Slade ◽  
Marie Manidis ◽  
Jeannette McGregor ◽  
Hermine Scheeres ◽  
Eloise Chandler ◽  
...  
Author(s):  
Diana Slade ◽  
Marie Manidis ◽  
Jeannette McGregor ◽  
Hermine Scheeres ◽  
Eloise Chandler ◽  
...  

2020 ◽  
Vol 41 (6) ◽  
pp. 672-679 ◽  
Author(s):  
Hayli R. Hruza ◽  
Tania Velasquez ◽  
Karl J. Madaras-Kelly ◽  
Katherine E. Fleming-Dutra ◽  
Matthew H. Samore ◽  
...  

AbstractBackground:Acute respiratory tract infections (ARIs) are commonly diagnosed and major drivers of antibiotic prescribing. Clinician-focused interventions can reduce unnecessary antibiotic prescribing for ARIs. We elicited clinician feedback to design sustainable interventions to improve ARI management by understanding the mental framework of clinicians surrounding antibiotic prescribing within Veterans’ Health Administration clinics.Methods:We conducted one-on-one interviews with clinicians (n = 20) from clinics targeted for intervention at 5 facilities. The theory of planned behavior guided interview questions. Interviews were audio recorded and transcribed for qualitative analysis. An iterative coding approach identified 6 themes.Results:Emergent themes: (1) barriers to appropriate prescribing are multifactorial and include challenges of behavior change; (2) antibiotic prescribing decisions are perceived as autonomous yet, diagnostic uncertainty and perceptions of patient demand can make prescribing decisions difficult; (3) clinicians perceive variation in peer prescribing practices and influences; (4) clinician-focused interventions are valuable if delivered with sensitivity; (5) communication strategies for educating patients are preferred to a shared decisions process; and (6) team standardization of practice and communication are key to facilitate appropriate prescribing. Clinicians perceived audit-and-feedback with peer comparison, academic detailing, and enhanced patient communication strategies as viable approaches to improving appropriate prescribing.Conclusion:Implementation strategies that enable clinicians to overcome diagnostic uncertainty, perceived patient demand, and improve patient education are desired. Implementation strategies were welcomed, and some were more readily accepted (eg, audit feedback) than others (eg, shared decision making). Implementation strategies should address clinicians’ perceptions of antibiotic prescribing practices and should enhance their patient communication skills.


Author(s):  
Antonella Benucci ◽  
Giulia Grosso

Healthcare institutions are among the contexts which are heavily characterised by interlingual and intercultural contact. In these contexts communicative ‘short circuits’ can occur due to incomprehension resulting from linguistic and cultural difficulties. Such situations can compromise founding principles of medicine, amongst which equal opportunities for patients’ treatment, scrupulous attention and providing accurate information. The study investigates the perception of the effectiveness of mutual doctor-immigrant patient communication, the linguistic-cultural ‘imagery’ that results from it and the nature and/or absence of specific communication strategies.


2016 ◽  
Vol 6 (1) ◽  
Author(s):  
Davide Mazzi

AbstractOver the last twenty years, medical discourse has attracted a great deal of scholarly research. Language in healthcare settings has been more generally analysed through genres – whether in terms of expert-to-expert or expert-to-lay communication – whereas more specific aspects include the study of discourse strategies behind the expression of empathy, problems of media representation of healthcare issues, and the role played by cultural variables in healthcare contexts. While substantial research exists on medical discourse and the transmission of medical knowledge, a number of works still tend to focus on accuracy and comprehensiveness of content rather than on the linguistic analysis of communication strategies. In light of that, the aim of this work is to substantiate the findings in the literature published so far by bringing a genuinely discourse-based perspective to bear on them. To achieve this goal, a corpus investigation was carried out of web-based resources employed by a leading nationwide organisation to communicate to the public about cancer. The study focuses on the discourse functions of frequently occurring phraseology, in the attempt to address the following questions: (a) Are there any recurrent discourse patterns that tend to be reiterated across the sections of informative healthcare materials? (b) How are patients’ needs addressed through the language of such materials? (c) More generally, how can findings be interpreted with a view to both their relevance to the context under analysis and their possible application in the language-learning classroom?


ASHA Leader ◽  
2016 ◽  
Vol 21 (3) ◽  
pp. 46-51 ◽  
Author(s):  
Kathryn M. Yorkston ◽  
Carolyn R. Baylor ◽  
Michael I. Burns

Contraception ◽  
2014 ◽  
Vol 89 (4) ◽  
pp. 278-285 ◽  
Author(s):  
Jody E. Steinauer ◽  
Jema K. Turk ◽  
Felisa Preskill ◽  
Sangita Devaskar ◽  
Lori Freedman ◽  
...  

ASHA Leader ◽  
2010 ◽  
Vol 15 (4) ◽  
pp. 5-6
Author(s):  
Cindy B. Pichler

2014 ◽  
Vol 23 (4) ◽  
pp. 173-186 ◽  
Author(s):  
Deborah Hinson ◽  
Aaron J. Goldsmith ◽  
Joseph Murray

This article addresses the unique roles of social work and speech-language pathologists (SLPs) in end-of-life and hospice care settings. The four levels of hospice care are explained. Suggested social work and SLP interventions for end-of-life nutrition and approaches to patient communication are offered. Case studies are used to illustrate the specialized roles that social work and SLP have in end-of-life care settings.


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