Discourse strategies by physicians in China : a case study of bad news delivery

2018 ◽  
Author(s):  
Yue Chen
Keyword(s):  
Bad News ◽  
Discourse Strategies ◽  
Bad News Delivery

‘Cyber hate’ vs. ‘cyber deliberation’

2017 ◽  
Vol 16 (6) ◽  
pp. 759-781 ◽  
Author(s):  
Niku Dorostkar ◽  
Alexander Preisinger
Keyword(s):  
Freedom Of Expression ◽  
Editorial Staff ◽  
Linguistic Features ◽  
Online Newspaper ◽  
Discourse Strategies ◽  
Racist Discourse ◽  
Automated Tools ◽  
Discourse Historical Approach

Abstract Our contribution deals with an Austrian case study on racist discourse strategies in the forums of the Austrian online newspaper derStandard.at. First, we will consider forums as a communicative form characterised by specific linguistic features as well as its technical and functional design. Furthermore, we will present an analysis of the reader’s postings from a critical-discursive perspective following the discourse-historical approach, where the readers’ comments on articles on migration and language are investigated against the background of online-specific communication. Another subject of discussion will be areas of conflict between freedom of expression, deliberation and the ‘censorship’ of the forums by the editorial staff with the help of semi-automated tools for filtering out explicit racist postings. Finally, we discuss chances and risks of the investigated forums regarding discursive and social practices within democratically constituted societies and address the question which actions can be taken to improve the quality of such forums.

scholarly journals Conflict Resolution Strategies in Media Discourse: The Case Study of: “Ɂəl xayT ləbyəD” “The Mediator”

2018 ◽  
Vol 6 (5) ◽  
pp. 24
Author(s):  
Ilham Malki
Keyword(s):  
Conflict Resolution ◽  
Conversation Analysis ◽  
Rhetorical Strategies ◽  
Interpersonal Conflicts ◽  
Discursive Strategies ◽  
Video Recordings ◽  
Conflict Resolution Strategies ◽  
Discourse Strategies ◽  
Tv Show

This study examines the way discourse can contribute to conflict resolution. The study focuses on the discourse strategies used by the disputants in ‘the Mediator’ TV show to resolve their interpersonal conflicts. It also identifies the different tactics that the disputants in ‘the Mediator’ TV show use to negotiate their conflicts collaboratively and hence reach joint outcomes. Taking into consideration the significant role argumentation plays in the management of conflict, the study also seeks to underline the different rhetorical strategies and argumentative fallacies through which the contestants in ‘the Mediator’ TV show achieve their goals.Within a data corpus based on video-recordings of disputants in ‘the Mediator’ TV show, a number of interactional exchanges are phonetically transcribed, translated into English and qualitatively analyzed. The study analytical approach includes conversation analysis (Sacks (1974) Jefferson & Schegloff (1974)) as the methodological framework to investigate the contestants’ discourse strategies during conflict resolution process. The qualitative analysis of the selected data reveals different discourse and negotiating strategies adopted by the disputants to reach a resolution. These strategies contain discourse strategies of integrative conflict resolution, discourse strategies of cooperative competing conflict resolution, avoiding discursive strategies to conflict resolution, and finally discourse strategies of compromising conflict resolution. Strikingly is the fact that the results of the study identify accommodating, as the only style that has not been adopted by the disputants in ‘The Mediator’ TV show during the process of resolving their conflict.

scholarly journals Lithuanian language discourses and family language policies of Lithuanian families in Sweden: A case study

2019 ◽  
Vol 43 ◽  
pp. 126-142
Author(s):  
Frederik H. Bissinger
Keyword(s):  
Language Policy ◽  
Language And Identity ◽  
Language Policies ◽  
Family Language Policy ◽  
Ethnic Language ◽  
The Family ◽  
External Threat ◽  
Discourse Strategies ◽  
Family Language

Lithuanian language discourses and family language policies of Lithuanian families in Sweden: A case studyThis case study shares first insights of the family language policy of a Lithuanian family in Sweden. It identifies Lithuanian language discourses that might affect this policy and analyses discourse strategies applied by the family members. The aim is to shed some new light on the negotiation processes of family language policies that either support the maintenance of an ethnic language as the means of intra-family communication in immigrant contexts or, conversely, work against it. Applying a linguistic ethnographical approach, the study indicates that in this case the family language policy is mostly shaped by the mother in a protective and monolingual way in order to foster the maintenance of the Lithuanian heritage in anticipation of an external threat for Lithuanian language and identity. Litewskie dyskursy językowe a polityki językowe litewskich rodzin w Szwecji. Studium przypadkuNiniejszy artykuł przedstawia wstępne uwagi analityczne dotyczące polityki językowej litewskiej rodziny mieszkającej w Szwecji. Autor identyfikuje litewskie dyskursy językowe, które mogą mieć wpływ na jej politykę językową, i analizuje strategie dyskursu stosowane przez jej członków. Celem studium jest nowe spojrzenie na procesy negocjacji rodzinnych polityk językowych (family language policies), które mogą być pomocne w utrzymaniu ojczystego języka jako środka komunikacji w rodzinach emigrantów lub temu nie sprzyjać. Przedstawione badania opierają się na metodach etnografii lingwistycznej (linguistic ethnography) i wykazują, że w tym przypadku rodzinna polityka językowa jest kształtowana głównie przez matkę, jest jednojęzyczna i ma charakter ochronny – jest nakierowana na zachowanie litewskiego dziedzictwa kulturowego w związku z przewidywanymi zagrożeniami zewnętrznymi dla języka litewskiego i tożsamości litewskiej.

scholarly journals Qualitative Assessment of Bad News Delivery Practices during Miscarriage Diagnosis

2019 ◽  
Vol 30 (2) ◽  
pp. 258-267
Author(s):  
Maria Brann ◽  
Jennifer J. Bute ◽  
Susanna Foxworthy Scott
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Treatment Options ◽  
Bad News ◽  
Qualitative Assessment ◽  
Care Providers ◽  
Patient Centered ◽  
Communication Behaviors ◽  
Training Techniques ◽  
Bad News Delivery

Miscarriage is one of the most common pregnancy complications health care providers discuss with patients. Previous research suggests that women’s distress is compounded by ineffective communication with providers, who are usually not trained to deliver bad news using patient-centered dialogue. The purpose of this study was to use a patient-centered approach to examine women’s experiences with and perspectives of communication during a miscarriage to assist in the development of communication training tools for health care providers. During focus groups, 22 women who had experienced miscarriage discussed video-recorded standardized patient-provider interactions and recalled communication during their own miscarriages. Results of a pragmatic iterative analysis of the transcripts suggest training techniques and communication behaviors that should guide education for providers to deliver the diagnosis of and treatment options for early pregnancy loss, such as demonstrating empathy, creating space for processing, checking for understanding, and avoiding medical jargon and emotionally charged language.

scholarly journals Paramedic delivery of bad news: a novel dilemma during the COVID-19 crisis

2020 ◽  
Vol 47 (1) ◽  
pp. 16-19
Author(s):  
Iain Campbell
Keyword(s):  
Ethical Dilemma ◽  
Current Practice ◽  
Family Members ◽  
Bad News ◽  
Hospital Environment ◽  
New Model ◽  
Global Pandemic ◽  
Set Up ◽  
The Uk ◽  
Bad News Delivery

As a result of the COVID-19 global pandemic, paramedics in the UK face unprecedented challenges in the care of acutely unwell patients and their family members. This article will describe and discuss a new ethical dilemma faced by clinicians in the out-of-hospital environment during this time, namely the delivery of bad news to family members who are required to remain at home and self-isolate while the critically unwell patient is transported to hospital. I will discuss some failings of current practice and reflect on some of the ethical and practical challenges confronting paramedics in these circumstances. I conclude by making three recommendations: first, that dedicated pastoral outreach teams ought to be set up during pandemics to assist family members of patients transported to hospital; second, I offer a framework for how bad news can be delivered during a lockdown in a less damaging way; and finally, that a new model of bad news delivery more suited for unplanned, time-pressured care should be developed.

scholarly journals Patient Expectations on How Doctors Deliver Bad News (Case Study of Cancer Patients in Jambi City)

2021 ◽  
Vol 2 (3) ◽  
pp. 755-766
Author(s):  
Leila Mona Ganiem ◽  
Hasanah Suryani Utami
Keyword(s):  
Cancer Patients ◽  
Case Study Research ◽  
Patient Expectations ◽  
Bad News ◽  
Breast Cancer Patients ◽  
Empathic Response ◽  
Diagnosis And Prognosis ◽  
Knowledge Strategy ◽  
Delivering Bad News

Abstract: Research related to patient expectations has existed, but not specifically in Indonesia, especially in Jambi. For this reason, this study is aimed, firstly, to find out the patient's opinion on how doctors deliver bad news according to the SPIKES stage. The second objective was to explore patients' opinions regarding their expectations about the way doctors communicate bad news, namely cancer diagnosis and prognosis in breast cancer patients, taking into account the SPIKES protocol. This case study research uses a qualitative approach. Research in the city of Jambi in January - November 2019, used interviews with eight informants, namely female patients who saw an oncologist (cancer). Interviews were conducted with each informant and also to the group. Doctors only use some stages, namely stages, interview, giving knowledge, strategy, and summary. The patients studied think that the doctor passes through stages, perception, and invitation. There was a large tendency in the Emotions with the empathic response stage, patients who felt that they were given attention to the patient's emotional condition with an empathetic response, only a small proportion did not feel the doctor's empathic response. Expectations of patients, doctors pay attention to the stages of SPIKES as well as the dimensions of content and dimensions of relationships in delivering bad news about a diagnosis of the disease.

scholarly journals A study of Chinese medical students’ communication pattern in delivering bad news: an ethnographic discourse analysis approach

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jack Pun
Keyword(s):  
Medical Students ◽  
Treatment Options ◽  
Role Play ◽  
Bad News ◽  
Emotional Needs ◽  
Chinese Context ◽  
Chinese Medical Students ◽  
Discourse Strategies ◽  
Critical Conversation ◽  
Delivering Bad News

Abstract Background Breaking bad news is inevitable for prospective doctors, it is important for medical students to learn how to humanely communicate devastating news to patients. This study explores the discourse strategies used by Chinese medical students when conducting critical conversations via role-play scenarios. Methods Fifty Year-6 medical students attending the ‘Serious Illness Communication Module’ were recruited from a local medical school in Hong Kong. They were asked to participate voluntarily in two role-play scenarios requiring them to break bad news to a simulated patient in Cantonese. The verbal interactions were video-recorded and analysed using an ethnographic discourse approach to unpack the quality of the observed interaction sequences and identify the discourse strategies strategically used by the medical students to overcome any communication breakdowns (e.g. linguistic expressions conveying diagnoses) and show empathy to patients. Results Six discourse strategies for delivering bad news were identified in the Chinese context: (1) placing great emphasis on patients’ emotional needs; (2) informing patients with a balanced focus on medical and emotional needs; (3) directing patients’ attention to treatment options; (4) acknowledging concerns about dying patients’ physical discomfort and wishes; (5) directing bad news disclosure to patients; and (6) addressing the family expectations of patients. The majority of the Chinese medical students in this study used a patient-oriented approach to cater to the patients’ emotional and physical needs. They also often informed and acknowledged the patients’ family members. Conclusions When delivering bad news, medical students should be equipped with discourse strategies that effectively balance interpersonal communication with the communication of medical expertise, which is integral to ensuring patients’ participation, their understanding and satisfaction with their clinicians. This is in accordance with the existing communication frameworks for critical conversation and demonstrates awareness of the needs in the Chinese context. However, some students demonstrated poor sensitivity to non-verbal cues, such as tone, manners and attitude. Thus, more training using a culturally appropriate model of   communication for critical conversation should be promoted.

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