scholarly journals Enhancing intergroup communication in healthcare: The role of the receiver

2021 ◽  
Vol 22 (3) ◽  
pp. 78-84
Author(s):  
Melanie Barlow
Keyword(s):  
Financial Resources ◽  
Speaking Up ◽  
Communication Behaviour ◽  
Personal Story ◽  
Intergroup Communication ◽  
Power Differentials ◽  
Barriers To Communication ◽  
Speak Up ◽  
Professional Impact

This paper explores how the communication behaviour of another can have significant personal and professional impact and, in turn, put others in harm’s way. In healthcare, in a continual attempt to address known barriers to communication, such as fear, hierarchy and power differentials, significant human and financial resources are deployed to develop and teach new and existing methods of how to speak up. Despite the effort, speaking up remains difficult, and as a result, patients are still being harmed. The author’s personal story highlights the fact that maybe, until now, we have not been addressing the whole issue.

Speaking up in the perioperative setting

2020 ◽  
Vol 31 (1-2) ◽  
pp. 11-14
Author(s):  
Mark Dorrance
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Health Care Workers ◽  
Speaking Up ◽  
Care Workers ◽  
Speak Up

Patient safety is a key role for all staff who work in the perioperative environment. Being able to raise concerns and have these concerns listened to is a big part of maintaining patient safety. Freedom to Speak Up Guardians were introduced to assist health care workers in raising concerns; however, their access to perioperative areas may be restricted. This article therefore looks to explain the role of Freedom to Speak Up Guardians and how this new role impacts on how concerns should be raised.

scholarly journals Communicating with patients about breakdowns in care: a national randomised vignette-based survey

2019 ◽  
Vol 29 (4) ◽  
pp. 313-319 ◽  
Author(s):  
Kimberly A Fisher ◽  
Thomas H Gallagher ◽  
Kelly M Smith ◽  
Yanhua Zhou ◽  
Sybil Crawford ◽  
...  
Keyword(s):  
Online Survey ◽  
Slow Response ◽  
Speaking Up ◽  
Missed Opportunities ◽  
Opportunities To Respond ◽  
Care Specialist ◽  
Willingness To Recommend ◽  
Speak Up ◽  
The Impact

BackgroundMany patients are reluctant to speak up about breakdowns in care, resulting in missed opportunities to respond to individual patients and improve the system. Effective approaches to encouraging patients to speak up and responding when they do are needed.ObjectiveTo identify factors which influence speaking up, and to examine the impact of apology when problems occur.DesignRandomised experiment using a vignette-based questionnaire describing 3 care breakdowns (slow response to call bell, rude aide, unanswered questions). The role of the person inquiring about concerns (doctor, nurse, patient care specialist), extent of the prompt (invitation to patient to share concerns) and level of apology were varied.SettingNational online survey.Participants1188 adults aged ≥35 years were sampled from an online panel representative of the entire US population, created and maintained by GfK, an international survey research organisation; 65.5% response rate.Main outcomes and measuresAffective responses to care breakdowns, intent to speak up, willingness to recommend the hospital.ResultsTwice as many participants receiving an in-depth prompt about care breakdowns would (probably/definitely) recommend the hospital compared with those receiving no prompt (18.4% vs 8.8% respectively (p=0.0067)). Almost three times as many participants receiving a full apology would (probably/definitely) recommend the hospital compared with those receiving no apology (34.1% vs 13.6% respectively ((p<0.0001)). Feeling upset was a strong determinant of greater intent to speak up, but a substantial number of upset participants would not ‘definitely’ speak up. A more extensive prompt did not result in greater likelihood of speaking up. The inquirer’s role influenced speaking up for two of the three breakdowns (rudeness and slow response).ConclusionsAsking about possible care breakdowns in detail, and offering a full apology when breakdowns are reported substantially increases patients’ willingness to recommend the hospital.

The mediating role of medical professionalism on financial self-interest GPs

2018 ◽  
Vol 68 (suppl 1) ◽  
pp. bjgp18X697193
Author(s):  
David McCaffrey ◽  
Chris O’Riordan ◽  
Felicity Kelliher
Keyword(s):  
General Practitioners ◽  
Financial Resources ◽  
Medical Professionalism ◽  
Fiscal Constraints ◽  
Policy Initiatives ◽  
Mediating Role ◽  
Documentary Analysis ◽  
Self Interest ◽  
Fluid Interpretation

BackgroundWhile no normative definition exists, medical professionalism emphasises a set of values, behaviours and relationships that underpin public trust in a physician. The empirical setting for this study is the Irish health care system where GPs receive income through a unique mix of private fee income and state funded capitation. GPs’ income per patient has fallen by 33% under state schemes between 2008 and 2013 due to changes in health policy and national fiscal constraints.AimThis paper examines how general practitioners conceptualise and operationalise medical professionalism and financial self-interest in the Irish healthcare system.MethodTo address this research aim, a historical documentary analysis (2009–2016) of national and medical newspapers was used to investigate GPs’ expressions of medical professionalism and financial self-interest.ResultsThe vagueness of language in differing definitions of medical professionalism may lead to a GP having a fluid interpretation depending on the situation. While general practitioners expressed core humanistic values, such as empathy and compassion, the expression of altruistic values were limited when practitioners indicated there was constraint on the financial resources of a practice.ConclusionCentral to the analysis of a medical practitioner’s treatment of patients and receipt of fee income is the tension between medical professionalism and financial self-interest. Developing an understanding of this tension has implications for those undertaking healthcare policy initiatives and the recruitment and retention of general practitioners in primary care.

scholarly journals Internal and External Resources of the Lifestyle Leaders

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 612-612
Author(s):  
Martina Raue ◽  
Lisa D’Ambrosio ◽  
Taylor Patskanick ◽  
John Rudnik ◽  
Adam Felts ◽  
...  
Keyword(s):  
Physical Health ◽  
Significant Role ◽  
Oldest Old ◽  
Well Being ◽  
Self Esteem ◽  
Financial Resources ◽  
External Resources ◽  
Resource Decline ◽  
New Challenges

Abstract With older age, people experience declines in resources and face new challenges. The goal of this study was to understand how resource decline affects the oldest olds’ well-being, but also to learn who they trust and where they go for advice in areas such as health, finances, and technology. This sample of 30 participants between the ages of 85 and 95 was generally resource-rich, scoring highest on self-esteem and optimism and lowest on mastery. Self-esteem and optimism correlated with financial resources, indicating a significant role of finances in this rather wealthy sample. Well-being was predicted by self-esteem and physical health. Presumably, their high levels of self-esteem compensate for the loss of other resources among the oldest old. The majority of lifestyle leaders trust in other people, and while friends and family are very important sources of advice, searching online was equally often mentioned as a source when looking for advice.

When Does Psychological Fit Matter? The Moderating Role of Price on Self-Brand Congruity

2021 ◽  
pp. 194855062110283
Author(s):  
Joe J. Gladstone ◽  
Emily N. Garbinsky ◽  
Sandra C. Matz
Keyword(s):  
Brand Personality ◽  
Effect Study ◽  
Financial Resources ◽  
High Price ◽  
Psychological Profile ◽  
Psychological Mechanism ◽  
Brand Attributes ◽  
First Time ◽  
Moderating Role

People prefer brands whose perceived image reflects their own psychological profile, a finding referred to as the self-brand congruity effect. For the first time, we test this effect in the field by utilizing over 17,000 real bank transaction records (Study 1, N = 405). We demonstrate that the strength of self-brand congruity is related to the financial resources a person must spend to acquire the brand, such that the effect holds only when the brand being purchased has a high (vs. low) price. We conceptually replicate the effect (Study 2, N = 354) and provide causal evidence through an experiment (Study 3, N = 404), manipulating price and brand personality while holding other brand attributes constant. We also provide evidence for one psychological mechanism underlying why price moderates self-brand congruity, finding personality-matched brands elicit fewer concerns about postpurchase regret, a bigger risk for high-price brands (Study 4, N = 300).

scholarly journals Speaking up about care concerns in the ICU: patient and family experiences, attitudes and perceived barriers

2018 ◽  
Vol 27 (11) ◽  
pp. 928-936 ◽  
Author(s):  
Sigall K Bell ◽  
Stephanie D Roche ◽  
Ariel Mueller ◽  
Erica Dente ◽  
Kristin O’Reilly ◽  
...  
Keyword(s):  
Perceived Barriers ◽  
Family Education ◽  
Speaking Up ◽  
Academic Medical Centre ◽  
Know How ◽  
Family Attitudes ◽  
Conflicting Information ◽  
Academic Medical ◽  
Internet Sample ◽  
Speak Up

BackgroundLittle is known about patient/family comfort voicing care concerns in real time, especially in the intensive care unit (ICU) where stakes are high and time is compressed. Experts advocate patient and family engagement in safety, which will require that patients/families be able to voice concerns. Data on patient/family attitudes and experiences regarding speaking up are sparse, and mostly include reporting events retrospectively, rather than pre-emptively, to try to prevent harm. We aimed to (1) assess patient/family comfort speaking up about common ICU concerns; (2) identify patient/family-perceived barriers to speaking up; and (3) explore factors associated with patient/family comfort speaking up.MethodsIn collaboration with patients/families, we developed a survey to evaluate speaking up attitudes and behaviours. We surveyed current ICU families in person at an urban US academic medical centre, supplemented with a larger national internet sample of individuals with prior ICU experience.Results105/125 (84%) of current families and 1050 internet panel participants with ICU history completed the surveys. Among the current ICU families, 50%–70% expressed hesitancy to voice concerns about possible mistakes, mismatched care goals, confusing/conflicting information and inadequate hand hygiene. Results among prior ICU participants were similar. Half of all respondents reported at least one barrier to voicing concerns, most commonly not wanting to be a ‘troublemaker’, ‘team is too busy’ or ‘I don’t know how’. Older, female participants and those with personal or family employment in healthcare were more likely to report comfort speaking up.ConclusionSpeaking up may be challenging for ICU patients/families. Patient/family education about how to speak up and assurance that raising concerns will not create ‘trouble’ may help promote open discussions about care concerns and possible errors in the ICU.

İssues of assessing the investment climate in Azerbaijan

2021 ◽  
Vol 15 (3) ◽  
pp. 94-96
Author(s):  
Aysel Rövşən qızı Baxşəliyeva ◽  
Keyword(s):  
Key Words ◽  
Energy Security ◽  
Economic Assessment ◽  
Investment Policy ◽  
Financial Resources ◽  
Investment Climate ◽  
Investment Activity ◽  
Foreign Countries ◽  
The World

Our country, which is constantly developing economically and carrying out political reforms in parallel, thereby achieving a further increase in its international prestige. One of the important factors contributing to the regular strengthening of Azerbaijan's position in the international arena is the growing role of our country in the field of energy security, as well as its active investment policy. At present, our country is becoming one of the most advanced potential investors in the world. The number of foreign countries expecting to invest in Azerbaijan is constantly growing. Azerbaijan, which has great financial resources, has been investing in various foreign countries in recent years, provided that its interests are ensured. Key words: investment activity, economic assessment, dynamic indicators, economic indicators

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