Communication in health contexts

Question 1

Asnani 2009

Answer 1

Despite the knowledge of the clinician, they are unlikely to be of any help unless they can open good communication with the patient

Question 2

Empathy in communication from clinician –> colds = (symptoms) = less severe

Answer 2

Rakel et al, 2011

Question 3

Silent revolution

Answer 3

Couty and Dupont, 2005

Question 4

Availability of information = more harm than good

Answer 4

Jadad et al, 1998)

Question 5

Welton and Kay 2016

Answer 5

Shift in doctor-patient relationships from authoritarian to egalitarian

Question 6

co-designing of discharge material = productive and more in line with person-centred care philosophy

Answer 6

Smith 2016

Question 7

Demands not being met by health professionals in demanding care seen online e.g. battling false information in making valid medical choices

Answer 7

Mechanic 2001

Question 8

social circle needs to be communicated with effectively

Answer 8

Kee at al 2018

Question 9

Banaser et al 2017

Answer 9

shift rotations in doctors and nurses prevents close relationship formation and hence trust in medical advice and communication by patient

Question 10

Zhang et al 2019

Answer 10

pressure on doctor-patient relationship, increases relationship strain and decreases the likelihood of fast recovery

Question 11

Pre-conceptions and mistrust links with mis-diagnoses fears and disagreement with the care method proposed by doctor

Answer 11

DiSalvo 2009

Question 12

Alpers 2016

Answer 12

Trust = crucial for effective healthcare treatments and outcomes

Question 13

Anxiety = impact consultation, damaging relationship before it has formed

Answer 13

Tanis et al 2016

Question 14

Bagchi 2009

Answer 14

Cultural incompetency and miscommunication impacts primary care visits

Question 15

Institute of Medicine (IOM) - report on health professionals and training

Answer 15

Doctors and health professionals lack adequate training in providing high quality communication to patients

Question 16

Qual analysis - in medical interviews, info must be discovered and negotiated to be seen as valid by patients (esp. parents)

Answer 16

Tannen and Wallat 1999

Question 17

Hesse and Rauscher, 2019

Answer 17

Affectionate communication

Breaks down relationship and increases recovery time

Question 18

Suggestion that time constraints get patients to pay increased attention to doctors,, However, this is emotion-focused over problem-focused coping. So if emotions lacking, significantly decreases trust and relationship formation - dissatisfaction

Answer 18

Lockenhoff 2004

Question 19

Despite knowledge of the clinician, they are unlikely to be helpful if they are unable to open good patient communication

Answer 19

Asnani 2009

Question 20

Ogden 2009

Answer 20

Health professional may conduct as many as 150,000 patient interviews in an entire career
4-day hospital stay - interact with 50 employees

Question 21

Empathy –> colds = less severe

Answer 21

Rakel et al 2011

Question 22

Royal College of Nursing, 2016

Answer 22

Must ensure patients are given clear attention in what it said - must be clear, accurate, honest and appropriate

Question 23

Cultural barriers - patient preconceptions about doctor communication - if mismatch, can lead to lowered degree of motivation to verbally communicate by patient
Language used = important

Answer 23

Kim et al, 2000

Question 24

Verbal Exchange Health Literacy (VEHL)
The ability to speak and listen to facilitate exchanging, understanding and interpreting of health info for health-decision making and navigation of healthcare system
Highly influential of health outcomes

Answer 24

Harrington and Valerio, 2014

Question 25

Duggan 2007

Answer 25

Patient and patient family are unlikely to directly state they do not understand the caregiver, but instead rely on non-verbal communication to aid understanding

Question 26

Nonverbal communication of health professional has been proven essential for the seriously ill patients’ experience of well-being in the form of positive thoughts and emotions - significant ethical element in caring for the patient

Answer 26

Timmermann et al 2016

Question 27

Non verbal communication is important - contextually dependent, culturally intricate and socially affective

Answer 27

Yang 2017

Question 28

Neumann et al 2007

Answer 28

Empathy - decreases recovery time and improvement in patient-reported outcomes of depression and QoL

Question 29

Silent revolution - availability of info and change in power balance from authoritarian to egalitarian. Patient is more of an expert in their condition

Answer 29

Couty and Dupont, 2005

Question 30

MAGIC - making good decisions in collaboration
encourage shared decision making - helps patients feel listened to, engaged and involved e.g. men with enlarged prostates choosing between drugs, therapy or lifestyle changes

Answer 30

Ogden 2009

Question 31

York et al 2017

Answer 31

Patients should be encouraged to take an active role in their care which is not yet standard practice but should be to improve treatment efficacy

Question 32

Improvements in inclusion of patients in healthcare choices leads to clearer information and understanding

Answer 32

Lloyd et al 2017

Question 33

Ogden 2009 (issues with healthcare settings)

Answer 33

Ambient noise, busy setting, patient privacy

Question 34

Kee et al 2018

Answer 34

Relatives and family communication - should still be communicated with effectively

Question 35

Handover information - barrier in forming close relationships with professionals, damaging communications

Answer 35

Banaser et al 2017

Question 36

Foronda et al 2016

Answer 36

Lack of team communication leads to an increase in medical errors (miscommunication and poor patient outcomes)