Politeness Strategies in Health Care Providers and Patients’ Communication

Mariam I. Athuman, E. Tibategeza
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Abstract

This paper focuses on politeness strategies used by health care providers and patients in their interaction. Data collection was done in four hospitals within Nyamagana Municipality in Mwanza using observation and interview methods. The study employed content qualitative method and the theory of politeness as provided by Brown and Levinson (1987) for the analysis and presentation of data. The study employed the theory of politeness by Brown and Levinson (1987). Key findings reveal that different politeness strategies such as positive, negative, off-record and bald on record were employed in the communication between health care providers and patients. The study indicates that among the four politeness strategies employed, positive politeness was the dominant one while bald on record was rarely used. Moreover, the study reveals that there are different cases in which inappropriate use of the strategies of politeness led to impoliteness. It is recommended that health care providers and patients should consider using language in a way that will reduce the social distance between them which can impact their communication and health outcomes. This can be achieved by an appropriate application of politeness strategies in their interaction
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医护人员与患者沟通中的礼貌策略
本文主要研究医疗服务提供者和患者在互动中使用的礼貌策略。采用观察法和访谈法在姆万扎尼亚马加纳市的四家医院收集数据。本研究采用内容定性方法和Brown and Levinson(1987)的礼貌理论对数据进行分析和呈现。本研究采用了Brown和Levinson(1987)的礼貌理论。主要研究结果表明,在医护人员与患者之间的沟通中,采用了积极礼貌策略、消极礼貌策略、不记录礼貌策略和记录礼貌策略。研究表明,在四种礼貌策略中,积极礼貌策略占主导地位,而记录秃顶策略很少使用。此外,研究还发现,在不同的情况下,礼貌策略的不当使用导致了不礼貌。建议卫生保健提供者和患者应考虑以减少他们之间的社会距离的方式使用语言,这可能会影响他们的沟通和健康结果。这可以通过在他们的互动中适当应用礼貌策略来实现
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