scholarly journals Comparative assessment of content overlap between written documentation and verbal communication: an observational study of resident sign-outs

JAMIA Open ◽  
2018 ◽  
Vol 1 (2) ◽  
pp. 210-217 ◽  
Author(s):  
Joanna Abraham ◽  
Imade Ihianle ◽  
Charlotte E Ward ◽  
Vineet M Arora ◽  
Thomas G Kannampallil
Keyword(s):  
General Medicine ◽  
Verbal Communication ◽  
Medical Record Number ◽  
Face To Face ◽  
Code Status ◽  
Medicine Service ◽  
Verbal Content ◽  
And Gender ◽  
Transfer Of Information ◽  
High Degree

Abstract Objective Effective sign-outs involve verbal communication supported by written or electronic documentation. We investigated the clinical content overlap between sign-out documentation and face-to-face verbal sign-out communication. Methods We audio-recorded resident verbal sign-out communication and collected electronically completed (“written”) sign-out documentation on 44 sign-outs in a General Medicine service. A content analysis framework with nine sign-out elements was used to qualitatively code both written and verbal sign-out content. A content overlap framework based on the comparative analysis between written and verbal sign-out content characterized how much written content was verbally communicated. Using this framework, we computed the full, partial, and no overlap between written and verbal content. Results We found high a high degree of full overlap on patient identifying information [name (present in 100% of sign-outs), age (96%), and gender (87%)], past medical history [hematology (100%), renal (100%), cardiology (79%), and GI (67%)], and tasks to-do (97%); lesser degree of overlap for active problems (46%), anticipatory guidance (46%), medications/treatments (15%), pending labs/studies/procedures (7%); and no overlap for code status (<1%), allergies (0%) and medical record number (0%). Discussion and Conclusion Three core functions of sign-outs are transfer of information, responsibility, and accountability. The overlap—highlighting what written content was communicated—characterizes how these functions manifest during sign-outs. Transfer of information varied with patient identifying information being explicitly communicated and remaining content being inconsistently communicated. Transfer of responsibility was explicit, with all pending and future tasks being communicated. Transfer of accountability was limited, with limited discussion of written contingency plans.

scholarly journals Improving Data Quality with Sociodemographic Matching?: About the Effects and Implications of Age and Gender Matching in Face-to-Face Interviews

2021 ◽  
pp. 193672442199825
Author(s):  
Felix Bittmann
Keyword(s):  
Data Quality ◽  
European Social Survey ◽  
Item Nonresponse ◽  
Age And Gender ◽  
Social Survey ◽  
Face To Face ◽  
Dependent Variables ◽  
And Gender ◽  
High Degree ◽  
Gender Matching

According to the theory of liking, data quality might be improved in face-to-face survey settings when there is a high degree of similarity between respondents and interviewers, for example, with regard to gender or age. Using two rounds of European Social Survey data from 25 countries including more than 70,000 respondents, this concept is tested for the dependent variables amount of item nonresponse, reluctance to answer, and the probability that a third adult person is interfering with the interview. The match between respondents and interviewers is operationalized using the variables age and gender and their statistical interactions to analyze how this relates to the outcomes. While previous studies can be corroborated, overall effect sizes are small. In general, item nonresponse is lower when a male interviewer is conducting the interview. For reluctance, there are no matching effects at all. Regarding the presence of other adults, only female respondents profit from a gender match, while age is without any effect. The results indicate that future surveys should weigh the costs and benefits of sociodemographic matching as advantages are probably small.

Student Perceptions of Face-to-Face and Online Discussions: The Advantage Goes To . . .

2008 ◽  
Vol 11 (4) ◽  
Author(s):  
Katrina A. Meyer
Keyword(s):  
Higher Education ◽  
Affirmative Action ◽  
Student Perceptions ◽  
Online Discussions ◽  
Political Tolerance ◽  
Self Assessment ◽  
Face To Face ◽  
The Face ◽  
Online Setting ◽  
And Gender

Thirteen students in a graduate-level course on Historical and Policy Perspectives in Higher Education held face-to-face and online discussions on five controversial topics: Diversity, Academic Freedom, Political Tolerance, Affirmative Action, and Gender. Students read materials on each topic and generated questions for discussion that were categorized by Bloom’s taxonomy so that the level of questions in the two discussion settings would be closely parallel. Upon completion of each discussion, they answered questions that addressed depth and length of the discussion, ability to remember, and a self-assessment of how the student learned. Students’ assessments show a consistent preference for the face-to-face discussion but a small number of students preferred the online setting. However, what is perhaps more interesting is a minority of approximately one-third of the students who perceived no difference between the settings, or that the two settings were perhaps complementary.

scholarly journals POS1489-HPR TELEMEDICINE CONSULTATIONS IN RHEUMATOLOGY: IDENTIFIED PROBLEMS OF NEW TECHNOLOGY

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1029.1-1029
Author(s):  
Y. Livshits ◽  
O. Teplyakova ◽  
A. Sarapulova
Keyword(s):  
New Technology ◽  
Rapid Development ◽  
Study Data ◽  
Alternative Form ◽  
Remote Communication ◽  
Maximum Information ◽  
Technical Problems ◽  
Face To Face ◽  
The Face ◽  
High Degree

Background:Telemedicine counseling (TMC) has gained rapid development during the COVID-19 pandemic. The prospect of using this technology in rheumatology was based on the possibility of getting maximum information about the patient during the survey, examination and interpretation of laboratory and instrumental data, that is excepting direct contact with the patient. Several rheumatological clinics have reported on the success of using TMC. However, there is very little data of the difficulties that can be encountered when organizing this process.Objectives:To characterize the identified problems during TMC in rheumatology, to suggest potential directions for their elimination.Methods:Since June 2021, on the basis of the Medical Association “New Hospital”, Yekaterinburg, Russian Federation, 76 TMCs have been performed on the profile of rheumatology in patients aged 29 to 71 years. Of these, 13 applied to the primary TMC, the other patients were preliminarily examined in person. The consultation included the preliminary acquaintance with the examination results, a 20-minute video communication and writing of a conclusion. After each TMC, a survey was conducted between the doctor and the patient, including the identified deficiencies in counseling. The frequency of identified problems is presented as an absolute indicator and as a percentage of the total number of TMCs performed.Results:We noted a high degree of patient satisfaction: 74 (97.4%) responded that they received answers to all. However, according to the doctor, the following groups of problems were identified.[1]Technical problems in 29 (38.2%): most often there were various problems with the Internet, but there were also registered: the end of the charge on the patient’s tablet, the patient was not registered in the electronic queue. Elimination of these violations depends on the work of IT-specialists, but each consulting physician should be prepared for an immediate transition to an alternative form of communication (for example - telephone).[2]Lack of objective examination, leading to the impossibility of correct remote diagnosis - 8 (10.5%). This problem was identified due to the inability to establish the presence or absence of arthritis during the initial diagnosis (6 cases) and to clarify the nature of the rash (2 cases). All patients are invited for a face-to-face consultation.[3]The need to write prescriptions for psychotropic drugs - 12 (15.8%), which under the conditions of national legislation cannot be done in the TMC regime.[4]The time spent directly on remote communication with the patient was 17.2 minutes (from 8 to 31), however, taking into account the study data and writing the conclusion, the total time was 40.7 minutes (from 21 to 73). Thus, it turned out that the average time for remote and face-to-face consultations is the same, while TMC’s payment is only about 50% of the face-to-face consultation. This situation reduces the doctor’s interest in carrying out TMC. The solution to the problem is associated with reducing the time for the documentation process through technical improvements. In addition, of the 9 patients in whom the TMC process lasted 60 minutes or more, 5 were diagnosed with fibromyalgia. It is possible that with a previously established diagnosis of fibromyalgia, only face-to-face counseling should be recommended to patients.Conclusion:The TMC system is promising, however, there are a number of problems that need to be improved, since they can reduce the doctor’s interest in using this technology.Disclosure of Interests:None declared

A comparative study of teleconsultations versus face-to-face consultations

2001 ◽  
Vol 7 (5) ◽  
pp. 257-265 ◽  
Author(s):  
E J Nordal ◽  
D Moseng ◽  
B Kvammen ◽  
M-L Løchen
Keyword(s):  
General Practitioner ◽  
Comparative Study ◽  
Complete Agreement ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Partial Agreement ◽  
Face To Face ◽  
High Degree ◽  
Made In

We compared the diagnoses made by one dermatologist via telemedicine with those of another dermatologist made in a face-to-face consultation. The patients first underwent a teledermatology consultation and then a face-to-face consultation. A general practitioner was present with the patient in the videoconference studio. Videoconferencing equipment connected at 384 kbit/s was used. The doctor-patient relationship and the satisfaction of the patients and dermatologists in the two settings were assessed, as well as technical conditions during the videoconferences. There were 121 patients, with a mean age of 40 years (range 17-82 years). There was a high degree of concordance between the two sets of diagnoses, with 72% complete agreement and 14% partial agreement between the two dermatologists. A total of 116 patients (96% of those included) completed a questionnaire. Both the patients and the dermatologists were in general satisfied with the videoconferences. Videoconferencing with a participating general practitioner may be useful in dermatology, but the technique should be used only for selected patients.

scholarly journals The Labour Market Participation of Immigrant Women : A Study on Immigrant Women in the Flemingdon Park Area

2021 ◽  
Author(s):  
Sew Ming Tian
Keyword(s):  
Labour Market ◽  
Work Experience ◽  
Immigrant Women ◽  
Labour Force ◽  
Working Environment ◽  
Work Place ◽  
Family Responsibilities ◽  
Face To Face ◽  
Park Area ◽  
And Gender

Through face-to-face interviews with seven immigrant women living in the Flemingdon Park area, this paper explores the barriers that immigrant women encounter in accessing the labour market, and the challenges they face in the labour market. The findings suggest that lack of work experience, language barriers, absence of networks, lack of education, and family responsibilities and gender roles are major barriers that immigrant women have to cope with while accessing the Canadian labour market. Working environment and underemployment appeared to be the challenges that immigrant women who are, or have been in the labour force, had to deal with in the work place.

scholarly journals Acceptance of Teledermoscopy by General Practitioners and Dermatologists in Denmark

2021 ◽  
pp. e2021033
Author(s):  
Tine Vestergaard ◽  
Merethe K. Andersen ◽  
Anette Bygum
Keyword(s):  
General Practitioners ◽  
Waiting Time ◽  
Response Rate ◽  
Previous Experience ◽  
Face To Face ◽  
Skin Cancers ◽  
Management Plans ◽  
Degree Of Acceptance ◽  
High Degree

Background: Teledermoscopy can be used to triage referrals of suspected skin cancers, thereby reducing waiting time and number of face-to-face consultations with a dermatologist. However, the success of the implementation of this technology in part relies on the acceptance of the providers. Objectives: This study assessed the attitudes towards teledermoscopy of referring general practitioners and consultant dermatologists. Methods: General practitioners from 48 practices and 3 dermatologists in the region of Southern Denmark, who had previous experience with teledermoscopy, were invited to answer questionnaires on their acceptance of the technology. Results: General practitioners from 23 practices responded. All domains of the questionnaire received high scores, indicating a high degree of acceptance of teledermoscopy among respondents. All 3 dermatologists agreed that teledermoscopy was useful for triaging referrals, but they were less confident in their diagnoses and management plans proposed by teledermoscopy than in traditional face-to-face evaluations of patients. Two of the 3 dermatologists were satisfied with using teledermoscopy as a consult method. Conclusions: This study reports high levels of provider acceptance of teledermoscopy. However, a low response rate among general practitioners may limit its generalizability.

scholarly journals A sociolinguistic analysis of verbal greetings, address forms and paralinguistic behaviours in Kisubi

2021 ◽  
Vol 2 (1) ◽  
pp. 41-61
Author(s):  
Ibrahim D. Rwakakindo
Keyword(s):  
Sampling Technique ◽  
Educational Status ◽  
Snowball Sampling ◽  
Face To Face ◽  
Address Forms ◽  
Interview Methods ◽  
Kinship Relations ◽  
And Gender ◽  
Authentic Data

This paper analyses the greeting system of Kisubi. It specifically seeks: to identify temporal greeting patterns in Kisubi; to determine whether age and gender do dictate the kind of verbal greetings, address forms and paralinguistic behaviours that are used in particular greeting events; to examine different kinship-specific verbal greetings, address forms and paralinguistic behaviours that are used in particular greeting events; and lastly, to assess the role of context in the Kisubi greeting system. Observation and face-to-face interview methods were used to gather data from 36 participants who were obtained using snowball sampling technique, and afterwards they were stratified into different strata depending on age, gender and educational status of a person. This stratification led to the attainment of authentic data. The obtained data were subjected to content analysis from which different themes emerged. It was established that there are four temporal chunks in Kisubi, each of which is associated with its own greeting term. Age, gender, context and kinship relations also determine the type of greeting terms and the honorifics or deferential terms to use. However, the use of honorifics and/or deferential terms is declining gradually.

scholarly journals Mutual conditioning of gender and love: Towards a non-gendered idea of humanity

2019 ◽  
Vol 43 (1) ◽  
Author(s):  
Jennifer Slater
Keyword(s):  
Gender Diversity ◽  
Human Condition ◽  
Cultural Norms ◽  
Sex And Gender ◽  
Philosophical Debate ◽  
Face To Face ◽  
Gender Divisions ◽  
And Gender ◽  
Cultural Freedom ◽  
Cultural Constructions

It is a presumed opinion that gender and love mutually condition each other and that this presumption ought to be embraced by cultural norms, religion, human rights and the ethic of freedom. The notion of mutual conditioning presupposes a healthy and principled environment that facilitates the free dynamic interaction between gender and love. It is the purpose of this article to explore the outcomes of the gender revolution and the additional strands of complexities that it contributed to the human condition. Although feminism has created terminologies such as sex and gender, it is believed that these words have outlived their usefulness to make way for the present-day evolution towards a non-gendered idea of humanity. Gender diversity seeks mutuality, and true love accommodates multiplicity; hence, the interacting and intra-acting of gender and love inevitably come face-to-face with cultural, legal, social, religious and moral milieus that hamper or even contradict the concept of mutual conditioning. This article seeks to trace the evolution of gender within diverse cultural constructions created by new liberal living conditions, but which have not yet infiltrated the diverse cultural domains where gender remains an entity without cultural freedom and therefore undermines the process of mutual conditioning of gender and love. The idea of gender as transcending bodily sex forms part of an old theological and philosophical debate; it, however, resurfaces here while revisiting Aristotle’s idea of a non-gendered society or humanity. A degendered society implies a society that is free from dependence on gender, whereas a non-gendered humanity transcends gender divisions and associations, with its aspirations linked to the transcendence or consciousness of human nature. Love, in this sense, transcends all human dissections, and this article ascertains its capacity to mutually condition the diversity of gender and love.

scholarly journals The Communicative Informativeness and Efficiency of Connected Discourse by Adults With Aphasia Under Structured and Conversational Sampling Conditions

1995 ◽  
Vol 4 (4) ◽  
pp. 130-134 ◽  
Author(s):  
Patrick J. Doyle ◽  
Amy J. Goda ◽  
Kristie A. Spencer
Keyword(s):  
Verbal Communication ◽  
Conversational Discourse ◽  
Correct Information ◽  
Connected Discourse ◽  
Sampling Conditions ◽  
High Degree

Measuring communicative informativeness under conversational discourse conditions is perhaps the most valid means of determining the interpersonal verbal communication abilities of adults with aphasia. Nevertheless, the data derived from such analyses are expensive to collect and subject to unknown sources of variability. In this study, samples of connected discourse were obtained from 20 subjects with aphasia under structured and conversational sampling conditions to determine the extent to which they were related on measures of communicative informativeness. Results revealed that subjects produced significantly greater percentages of informative words [i.e., correct information units (Nicholas & Brookshire, 1993)] under conversational discourse conditions, but that the percentage of correct information units produced during structured discourse tasks could be used to predict performance under conversational conditions with a high degree of accuracy.

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