Patients’ and physicians’ experiences with remote consultations in primary care, during the covid-19 pandemic: a multi-method rapid review of the literature.

BackgroundDuring the COVID-19 pandemic, many countries implemented remote consultations in primary care to protect patients and staff from infection.AimThe aim of this review was to synthesise the literature exploring patients’ and physicians’ experiences with remote consultations in primary care, during the pandemic, with the further aim of informing their future delivery.Design & settingRapid literature review.MethodWe searched PubMed and PsychInfo for studies that explored patients’ and physicians’ experiences with remote consultations in primary care. To determine the eligibility of studies, we reviewed their titles and abstracts, prior to the full paper. We then extracted qualitative and quantitative data from those that were eligible, and synthesised the data using thematic and descriptive synthesis.ResultsA total of twenty-four studies were eligible for inclusion in the review. Most were performed in the United States of America (n=7, 29%) or Europe (n=7, 29%). Patient and physician experiences were categorised into perceived ‘advantages’ and ‘issues’. Key advantages experienced by patients and physicians included: ‘Reduced risk of COVID-19’ and ‘Increased convenience’, while key issues included: ‘a lack of confidence in / access to required technology’ and a ‘loss of non-verbal communication’, which exacerbated clinical decision making.ConclusionThis review identified a number of advantages and issues experienced by patients and physicians using remote consultations in primary care. The results suggest that, while remote consultations are more convenient, and protect patients and staff against COVID-19, they result in the loss of valuable non-verbal communication, and are not accessible to all.

Phonological Characteristics Shared By Questioner And Responder: A Comparison Between Individuals With And Without Autism Spectrum Disorder

How typically developed (TD) persons modulate their speech rhythm while talking to individuals with autism spectrum disorder (ASD) remains unclear. We aimed to elucidate the characteristics of phonological hierarchy in the verbal communication between ASD individuals and TD persons. TD and ASD respondents were asked by a TD questioner to share their recent experiences on 12 topics. We included 87 samples of ASD-directed speech (from TD questioner to ASD respondent), 72 of TD-directed speech (from TD questioner to TD respondent), 74 of ASD speech (from ASD respondent to TD questioner), and 55 of TD speech (from TD respondent to TD questioner). We analysed the amplitude modulation structures of speech waveforms using probabilistic amplitude demodulation based on Bayesian inference and found similarities between ASD speech and ASD-directed speech and between TD speech and TD-directed speech. Prosody and the interactions between prosodic, syllabic, and phonetic rhythms were significantly weaker in ASD-directed and ASD speech than those in TD-directed and TD speech, respectively. ASD speech showed weaker dynamic processing from higher to lower phonological bands (e.g. from prosody to syllable) than TD speech. The results indicate that TD individuals may spontaneously adapt their phonological characteristics to those of ASD speech.

RELATIONSHIP BETWEEN VERBAL AND NON-VERBAL COMMUNICATION OF NURSES WITH COMMUNICATION BARRIERS TO FAMILIES OF PRE-SURGERY PATIENTS IN THE INTENSIVE CARE ROOM AT THE ACEH GENERAL HOSPITAL IN 2020

Background: The nurse's verbal and non-verbal communication greatly affects the readiness of the patient and the patient's family to undergo surgery. Unclear communication causes misperceptions and the emergence of communication barriers in the nurse-client interaction process. The limited time and information provided are the causes of communication barriers in the client care process. This of course greatly affects patient care, especially in conditions that require intensive care. Methods: This study aims to determine the relationship between verbal and non-verbal communication between nurses and perceptions of communication barriers in families of pre-surgery patients in the intensive care unit, with a correlation design using a Cross Sectional study approach. The number of samples was 95 families of preoperative patients in the intensive care unit using purposive sampling technique. Results: 51.6% of nurses' verbal communication was good, and 50.5% of nurses' nonverbal communication was good, and there were no communication barriers between nurses and patients' families (54.7%). There was a significant relationship between nurses' verbal communication with perceptions of family communication barriers in pre-surgery patients in the intensive room (P=0.001) and there was a correlation between nurses' nonverbal communication with perceptions of family communication barriers in pre- surgery patients in the intensive room (P=0.002). Recommendation: Nurses are expected to continue to communicate effectively verbal and non-verbal with patients and families to prevent barriers in communication

Verbalizing spiritual needs in palliative care: a qualitative interview study on verbal and non-verbal communication in two Danish hospices

Denmark is considered one of the World’s most secular societies, and spiritual matters are rarely verbalized in public. Patients report that their spiritual needs are not cared for sufficiently. For studying spiritual care and communication, twelve patients admitted to two Danish hospices were interviewed. Verbal and non-verbal communication between patients and healthcare professionals were identified and analysed. Methodically, the Interpretative Phenomenological Analysis was used, and the findings were discussed through the lenses of existential psychology as well as philosophy and theory of caring sciences. Three themes were identified: 1. When death becomes present, 2. Direction of the initiative, and 3. Bodily presence and non-verbal communication. The encounter between patient and healthcare professional is greatly influenced by sensing, decoding, and interpretation. A perceived connection between the patient and the healthcare professional is of great importance as to how the patient experiences the relationship with the healthcare professional.The patient’s perception and the patient’s bodily experience of the healthcare professional are crucial to whether the patient opens up to the healthcare professional about thoughts and needs of a spiritual nature and initiates a conversation hereabout. In this way we found three dynamically connected movements toward spiritual care: 1. From secular to spiritual aspects of care 2. From bodily, sensory to verbal aspects of spiritual care and 3. From biomedical to spiritual communication and care. Thus, the non-verbal dimension becomes a prerequisite for the verbal dimension of spiritual communication to develop and unfold. The behaviour of the healthcare professionals, characterised by the way they move physically and the way they touch the patient, was found to be just as important as verbal conversation when it comes to spiritual care. The healthcare professional can create a connection to the patient through bodily and relational presence. Furthermore, the healthcare professionals should let their sensing and impressions guide them when meeting the patient in dialog about matters of a spiritual nature. Their perception of the patient and non-verbal communication are a prerequisite for being able to meet patient’s spiritual needs with care and verbal communication.

Being present: is it the most important communication skill?

The COVID-19 pandemic has made people rely on the presence of the internet to run their business. Businesses, schools, retail, religious gatherings, and other components are all required to use an internet platform in some way. People can meet face-to-face and the feature of the contact is reinforced by both verbal and non-verbal communication prior to the viral eruption, making conversation much easier. The goal of this study is to emphasize the importance of being present during the COVID-19 Pandemic as well as the future projection of presence post-pandemic. Being present, as before the pandemic, comes effortlessly without conscious reflection because the interaction takes place offline without any restrictions. The result from this research that being present is the most crucial communication skill; it is the foundation of communication and can aid in more effective engagement on all levels (perception, comprehension, reasoning, memory, and production).

Communications Patterns in The Traditional Market “Pasar Sari Mulia” Kapuas City

Abstrak: Penelitian ini membahas tentang investigasi pola komunikasi di pasar tradisional “Pasar Sari Mulia” di Kota Kapuas. Masalah utama dalam penelitian ini adalah pola komunikasi yang digunakan di pasar tradisional. Selain itu, penelitian ini juga menemukan tentang bagaimana komunikasi nonverbal pembeli dan penjual di pasar tradisional. Dengan menggunakan pendekatan kualitatif dan data dianalisis tentang pengaruh budaya suatu bahasa dan bagaimana bahasa itu sendiri akan membentuk suatu budaya dalam suatu domain. Data diperoleh dari observasi dan menggunakan studi kepustakaan. Hasil penelitian menunjukkan bahwa bahasa Banjar merupakan bahasa yang umum digunakan di pasar tradisional. Alih kode dan kalimat persuasif biasa digunakan dalam melakukan transaksi. Pembeli dan penjual menggunakan pola komunikasi yang unik dan komunikasi non-verbal terutama dalam menarik, proses tawar-menawar dan ekspresi penutupan perdagangan. Namun bagi penjual, komunikasi yang digunakan cenderung membujuk pembeli untuk segera membeli barangnya. Abstract: This research deals with the investigation of communication patterns in the traditional market “Pasar Sari Mulia” in Kapuas City. The major issues in this research were the communication patterns which were used in the traditional market. Besides, this research also found about how are non-verbal communication of buyer and seller in the traditional market. Using qualitative approach and the data were analyzed about culture influences a language and how language itself will make a culture in a domain. The data were gotten from observation and used library research. The results showed that the Banjarese language was a common language which was used in the traditional market. Code switching and persuasive sentence were commonly used in doing transaction. The buyers and sellers used unique communication patterns and non-verbal communication especially in attracting, bargaining process and closing expression of trading. However, for the sellers, the communication used tends to persuade buyers to immediately buy their goods.