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Validity of a Patient Communication Scale 患者沟通量表的有效性
IF 2.4 Q2 COMMUNICATION Pub Date : 2023-11-17 DOI: 10.3389/fcomm.2023.1271649
J. Quinn, N. Khalid, Glenn Albright
Since the 1960s, standardized patients (SPs) have been used to prepare medical students for clinical work for these patients provide a controlled domain for learners. Specifically, these type of formative experiences provide a low stakes environment for practice and feedback, thereby increasing learner comfort in communicating with patients. Communication is the cornerstone of patient care, and it is well-established as a core clinical competency for medical students by numerous medical boards, associations, and accreditation agencies. While methods for communication training are of paramount importance, no validated scales assess the impact of these trainings on patient-provider communication where measures are based on attitudinal constructs that predict behavior, such as self-efficacy and preparedness. Thus, the aim of this study is to validity of a Patient Communication Scale (PCS) using an online virtual role-play training simulation.To validate the scale, 117 medical students were administered the PCS survey before and after completing a professional development virtual role-play simulation where they practiced motivational interviewing skills, talking to a patient who insists on antibiotics for a viral infection.A confirmatory factor analysis supported the two-factor model based on the subscales of preparedness and self-efficacy. Factor loadings showed all items correlated highly with theoretical constructs (r ≥ 0.902, p < 0.001). The PCS had high internal consistency (α = 0.916). Because there is a lack of scales that have been used to assess medical student as well as medical practitioner patient communication capabilities, specifically their preparedness and self-efficacy, criterion-related validity was not assessed. Convergent, content and construct validity were established.The Patient Communication Scale appears to be a valid tool in measuring the impact of online patient-provider communication skills training and holds promise for assessing other delivery methods.
自 20 世纪 60 年代以来,标准化病人(SP)一直被用于帮助医科学生为临床工作做好准备,因为这些病人为学习者提供了一个可控领域。具体来说,这些类型的形成性经验为练习和反馈提供了一个低风险的环境,从而提高了学习者与病人沟通的舒适度。沟通是病人护理的基石,许多医学委员会、协会和认证机构都将其确立为医学生的核心临床能力。虽然沟通培训的方法至关重要,但目前还没有经过验证的量表来评估这些培训对医患沟通的影响,而这些量表是基于预测行为的态度结构,如自我效能和准备程度。为了验证该量表,117 名医科学生在完成职业发展虚拟角色扮演模拟之前和之后接受了 PCS 调查,他们在模拟中练习了动机面谈技巧,并与一名坚持使用抗生素治疗病毒感染的患者进行了交谈。因子载荷显示,所有项目与理论结构高度相关(r ≥ 0.902,p < 0.001)。PCS 具有较高的内部一致性(α = 0.916)。由于缺乏用于评估医学生和执业医师医患沟通能力的量表,特别是他们的准备程度和自我效能,因此未对标准相关效度进行评估。患者沟通量表似乎是衡量在线医患沟通技能培训效果的有效工具,并有望用于评估其他培训方法。
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引用次数: 0
Adolescents and the dark side of social media—Law enforcement perspectives 青少年与社交媒体的阴暗面--执法视角
IF 2.4 Q2 COMMUNICATION Pub Date : 2023-11-16 DOI: 10.3389/fcomm.2023.1106165
Juho Äijälä, Reetta Riikonen, A. Huhtinen, Teija Sederholm
Adolescents are the most active user group of social media sites. Due to being in a phase of both biological and psychological development, they may be particularly vulnerable to the darker side of social media, such as its illegal aspects or coordinated information influencing. With this research, we aimed to identify threats Finnish adolescents face on social media from a law-enforcement perspective. To reach this goal, we performed semi-structured interviews with police officers from Finnish preventive measures police units. To identify and structure threats that adolescents face, we employed a twofold analysis. In the first part, we conducted inductive content analysis, which revealed three primary threats: polarization, disinformation, and social media as a pathway to illegal activities. In the second part, we employed the Honeycomb-model of social media functionality as a classificatory device for structuring these threats. Our findings provide explorative insights into the threats social media might present to adolescents from the point of view of the Finnish law-enforcement system.
青少年是社交媒体网站最活跃的用户群体。由于正处于生理和心理发展阶段,他们可能特别容易受到社交媒体阴暗面的影响,例如其非法方面或协调信息的影响。通过这项研究,我们旨在从执法角度识别芬兰青少年在社交媒体上面临的威胁。为了实现这一目标,我们对芬兰预防措施警察部门的警官进行了半结构化访谈。为了识别和构建青少年面临的威胁,我们采用了双重分析方法。在第一部分,我们进行了归纳式内容分析,发现了三个主要威胁:两极分化、虚假信息和作为非法活动途径的社交媒体。在第二部分中,我们采用了社交媒体功能的蜂巢模型,作为构建这些威胁的分类工具。我们的研究结果从芬兰执法系统的角度,对社交媒体可能对青少年造成的威胁提供了探索性的见解。
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引用次数: 0
Exploring moral perception and mind uploading in Kazuo Ishiguro's ‘Klara and the Sun': ethical-aesthetic perspectives on identity attribution in artificial intelligence 探索石黑一雄《克拉拉与太阳》中的道德感知和心灵上传:从伦理-美学角度看人工智能中的身份归属问题
IF 2.4 Q2 COMMUNICATION Pub Date : 2023-11-16 DOI: 10.3389/fcomm.2023.1272556
Luis E. Echarte Alonso
Literature wields a profound influence on our cognitive processes, shaping not only how we think but also what we think about. Aesthetic experiences, in particular, seem to foster a positive impact on our ability to comprehend complexity. This influence underscores the significant role of literature in the exploration of value learning and ethics research, because evaluating any decision-making requires seeking the widest possible frame of reference. Furthermore, literature plays a pivotal role in enriching our perception of both the external world and our inner selves, thereby fostering a heightened sense of ethical discernment. In this paper, I explore this last idea by examining Kazuo Ishiguro's Klara and the Sun. In this enquiry, I reveal connections between two crucial controversies surrounding mind uploading: the epistemological debate centered on the theory of moral perception and the ontological inquiry into personal identity. Researching the intersection of these two big issues guide my decision to employ conceptual synthesis as the methodological framework. Besides, I will argue that the ideas of moral perception and personal identity that emerges in Ishiguro's dystopia are in tune with the narrativist hypothesis of Charles Taylor. In my conclusions, I defend that prospect of replacing a human being with a robot hinges on the challenge of instilling the machine with a unique moral perception. This remains an elusive goal, perhaps perpetually so, due to the inherent impossibility of objectifying a machine capable of apprehending and processing the non-objective qualities of matter. Furthermore, even if we were able to create such a machine, it would likely resist assuming a substitutive role, as it would quickly discover and appreciate its own existence. Finally, I ponder the implications of mistaking a simulation of human for an authentic replica, namely, an unsuccessful and unnoticed attempt at mind uploading—loneliness.
文学对我们的认知过程有着深远的影响,它不仅塑造了我们的思维方式,也塑造了我们的思维内容。尤其是审美体验,似乎会对我们理解复杂性的能力产生积极影响。这种影响凸显了文学在价值学习和伦理研究探索中的重要作用,因为评估任何决策都需要尽可能广泛的参照系。此外,文学在丰富我们对外部世界和内在自我的感知方面发挥着举足轻重的作用,从而提高了我们的伦理鉴别力。在本文中,我将通过研究石黑一雄的《克拉拉与太阳》来探讨最后一个观点。在这一探究中,我揭示了围绕心灵上传的两个关键争议之间的联系:以道德感知理论为中心的认识论辩论和对个人身份的本体论探究。研究这两个重大问题的交叉点,是我决定采用概念综合法作为方法论框架的指导思想。此外,我还将论证石黑浩的乌托邦中出现的道德认知和个人身份观念与查尔斯-泰勒的叙事主义假说是一致的。在结论中,我认为机器人取代人类的前景取决于向机器灌输独特的道德认知这一挑战。这仍然是一个难以实现的目标,也许永远难以实现,因为我们根本无法将能够理解和处理物质的非客观品质的机器客观化。此外,即使我们能够创造出这样一台机器,它也很可能会拒绝承担替代性角色,因为它会很快发现并欣赏自身的存在。最后,我思考了将模拟人误认为真实复制品的影响,即一次不成功且未被察觉的思想上传尝试--孤独。
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引用次数: 0
Understanding the experience of users of communication aids and applications through focus group discussions with people with aphasia and family members 通过与失语症患者及其家人进行焦点小组讨论,了解交流辅助工具和应用程序用户的使用体验
IF 2.4 Q2 COMMUNICATION Pub Date : 2023-11-16 DOI: 10.3389/fcomm.2023.1219331
N. Azevedo, G. Le Dorze, G. Jarema, Christine Alary Gauvreau, Tatiana Ogourtsova, Stéfanie Beaulieu, Christel Beaujard, Marc Yvon, E. Kehayia
The present study sought to identify the communication needs of persons with aphasia (PWA) and of their spouses, that could ultimately be addressed with current communication aids or applications (CA/A). Among users of CA/A we solicited their opinions and experiences with current CA/A. In contrast, among those not using CA/A, we explored why they did not use CA/A. A qualitative experiential research design was used through two in-person focus groups, one in English and one in French, at a large rehabilitation hospital in the Greater Montréal region (Canada). Participants' responses were recorded, transcribed and analyzed. The thematic analysis that ensued allowed the identification of four main themes. The first theme reflects participants' observations and experiences when communicating with aphasia. The second theme regrouped responses related to successful communication with the help of CA/A. The participants' challenges and dissatisfaction with CA/A were grouped into the third theme. Lastly, a fourth theme included participants' general views about CA/A and their wishes for further development. Participants' experience with communication difficulties following aphasia and the barriers and potential facilitators to adoption of CA/A were brought to the forefront. They also highlighted those features necessary to ensuring functional uptake of CA/A by those who would benefit from it. Finally, the importance of providing training to the communication partner and sensitizing the public to the impact of aphasia on people's daily lives and on the potential benefits of using CA/A were raised as necessary future actions.
本研究旨在确定失语症患者(PWA)及其配偶的交流需求,这些需求最终可以通过现有的交流辅助工具或应用程序(CA/A)来解决。在 CA/A 的使用者中,我们征求了他们对当前 CA/A 的意见和经验。相反,对于那些不使用 CA/A 的人,我们则探讨了他们不使用 CA/A 的原因。我们采用了定性体验式研究设计,在大蒙特利尔地区(加拿大)的一家大型康复医院,通过两个面对面的焦点小组,一个用英语,一个用法语。对参与者的回答进行了记录、转录和分析。随后进行的专题分析确定了四个主要专题。第一个主题反映了参与者在与失语者交流时的观察和经验。第二个主题重新组合了与借助 CA/A 成功交流有关的回答。参与者对 CA/A 的挑战和不满被归入第三个主题。最后,第四个主题包括参与者对 CA/A 的总体看法以及对进一步发展的愿望。与会者对失语症后交流困难的经历,以及采用 CA/A 的障碍和潜在的促进因素,都被放在了最重要的位置。他们还强调了那些必要的特征,以确保那些将从中受益的人在功能上接受 CA/A。最后,与会者提出了为交流伙伴提供培训的重要性,以及向公众宣传失语症对人们日常生活的影响和使用 CA/A 的潜在益处的重要性,认为这是今后必须采取的行动。
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引用次数: 0
Editorial: Towards 2030: sustainable development goal 4: quality education. A communication perspective 社论:迈向 2030 年:可持续发展目标 4:优质教育。传播视角
IF 2.4 Q2 COMMUNICATION Pub Date : 2023-11-14 DOI: 10.3389/fcomm.2023.1328002
Antonia Liguori, Philippa Rappoport, Antonella Poce, Matthew Rabagliati
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引用次数: 0
Editorial: Towards 2030: sustainable development goal 9: industry, innovation and infrastructure. A communication perspective 社论:迈向 2030 年:可持续发展目标 9:工业、创新和基础设施。传播视角
IF 2.4 Q2 COMMUNICATION Pub Date : 2023-11-13 DOI: 10.3389/fcomm.2023.1296574
Juana Du, Nadeem Akhtar, Yulei Dou
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引用次数: 0
Environmental characteristics and type 1 diabetes: students' perspectives on diabetes management in college 环境特征与1型糖尿病:大学生对糖尿病管理的看法
Q2 COMMUNICATION Pub Date : 2023-11-13 DOI: 10.3389/fcomm.2023.1208219
Ekaterina Malova, Tyler R. Harrison
Introduction Type 1 diabetes is a chronic illness requiring immense lifestyle changes to reduce the chance of life-threatening complications, which can be especially challenging during the time of transition to college. This study applies a communication design perspective to explore how students with type 1 diabetes interpret their experiences in college and what meanings they attribute to those experiences. Specifically, this study sheds light on physical and social environmental components affecting students' diabetes management. Methods Study participants were recruited from the College Diabetes Network (CDN). A total of twenty students with type 1 diabetes participated in the study. A qualitative descriptive study design with an ethnographic interview approach was applied. Results Four cultural themes emerged from the analysis: (1) Food environment, (2) Structural environment, (3) Academic life, and (4) Social life. The findings illustrate how food outlets and food accessibility, safe spaces for insulin injections, comfortable living spaces, availability of health support services, and diabetes-friendly classroom regulations constitute a higher-level environmental system affecting students' wellbeing. They also highlight a complex relationship between structural barriers to diabetes management, health disclosure, and public stigma. Discussion Results from this study advance scholarship on diabetes care in the population of emerging adults by offering insights into how college students with T1D transition to college and manage type 1 diabetes. Overall, students with T1D have specific needs beyond those of the general student population. Thus, necessary modifications in the designs of existing structures should be introduced to facilitate students' assimilation into new organizational environments.
1型糖尿病是一种慢性疾病,需要大量的生活方式改变,以减少危及生命的并发症的机会,这在大学过渡期间尤其具有挑战性。本研究运用沟通设计的视角,探讨1型糖尿病学生如何诠释他们的大学经历,以及他们赋予这些经历的意义。具体而言,本研究揭示了影响学生糖尿病管理的物理和社会环境因素。方法研究参与者从大学糖尿病网络(CDN)中招募。共有20名患有1型糖尿病的学生参加了这项研究。采用民族志访谈法的定性描述性研究设计。结果分析得出四个文化主题:(1)饮食环境,(2)结构环境,(3)学术生活,(4)社会生活。研究结果说明了食品出口和食品可及性、安全的胰岛素注射空间、舒适的生活空间、健康支持服务的可获得性以及糖尿病友好型教室规定如何构成影响学生福祉的更高层次的环境系统。他们还强调了糖尿病管理的结构性障碍、健康信息披露和公众耻辱感之间的复杂关系。本研究的结果通过提供关于T1D大学生如何过渡到大学并管理1型糖尿病的见解,促进了新兴成人人群糖尿病护理的学术研究。总的来说,患有T1D的学生比普通学生有更特殊的需求。因此,应该对现有结构的设计进行必要的修改,以促进学生融入新的组织环境。
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引用次数: 0
The politics between power and digital capital in China's cyberspace: a case study of Chinese digital games 中国网络空间中的权力与数字资本之争:以中国数字游戏为例
Q2 COMMUNICATION Pub Date : 2023-11-09 DOI: 10.3389/fcomm.2023.1224021
Juan Liu
Based on a case study of digital games, this paper explores the politics between power and digital capital ingrained in the rapidly expanding Chinese cyberspace. The results show that digital capital and power in cyberspace form a paradoxical relationship that produces four sorts of politics: alliance, semi-alliance, disjunction, and semi-disjunction. Chinese modernity, as well as China's unique capital structure and governance system, have contributed to these politics. It is these politics that have given rise to a more decentralized regulatory system, brought freedom and autonomy to cyberspace, and maximized the Chinese government's power. Then digital capitalists in cyberspace can weave digital technology quickly into various social practices and make full use of netizens' creativity. Consequently, the politics between the Chinese government and digital capitalists in cyberspace not only triggered an unexpected social transformation but also opened up a different path for Chinese digital technology.
本文以数字游戏为例,探讨了迅速扩张的中国网络空间中根深蒂固的权力与数字资本之间的政治关系。结果表明,网络空间中的数字资本与权力形成了一种悖论关系,产生了四种政治:联盟、半联盟、分离和半分离。中国的现代性,以及中国独特的资本结构和治理体系,都促成了这些政治。正是这些政治导致了更加分散的监管体系的产生,给网络空间带来了自由和自治,并使中国政府的权力最大化。网络空间的数字资本家可以将数字技术快速地编织到各种社会实践中,充分利用网民的创造力。因此,中国政府与数字资本家之间的网络空间政治不仅引发了一场意想不到的社会转型,也为中国数字技术开辟了一条不同的道路。
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引用次数: 0
Utilization of the dimensions of learning organization for enhanced hospital performance 利用学习型组织的维度提高医院绩效
Q2 COMMUNICATION Pub Date : 2023-11-02 DOI: 10.3389/fcomm.2023.1189234
Nojoud Abdullah Alrashidi, Grace Ann Lim Lagura, Ma Christina Bello Celdran
Background The healthcare system of Saudi Arabia has evolved radically into an institution that is adaptive to global change and is abreast with new advances in medical field to meet Saudi Vision 2030. The concept and practice of the dimensions of learning organization could provide a framework to significantly improve organizational performance. This study explores the practice of the seven dimensions of LO and determines their utilization toward enhanced performance at hospitals in Hail, Kingdom of Saudi Arabia (KSA). The findings of this study will help improve organizational (hospital) performance. Method This cross-sectional study included 117 nurse respondents from various government and private hospitals in the Hail region. Staff nurses were surveyed using the Dimensions of Learning Organization Questionnaire (DLOQ), and supervisors and managers were interviewed. Results Creation of continuous learning opportunities, team learning and collaboration, and strategic leadership in learning were perceived to be very satisfactorily utilized. Promotion of dialogue and inquiry, systems to capture and share learning, and empowerment and connection of the organization to the community were perceived to be satisfactorily utilized. Furthermore, the dimensions were found to be directly correlated, evidently signifying a strong relationship. Conclusion Overall, hospitals in the Hail region were found to be learning organizations. The dimensions of learning organization were utilized very satisfactorily, and the culture of learning was strongly embedded in the hospitals' systems and practices.
沙特阿拉伯的医疗保健系统已经从根本上发展成为一个适应全球变化的机构,并与医疗领域的新进展同步,以满足沙特2030年愿景。学习型组织维度的概念和实践可以为显著提高组织绩效提供一个框架。本研究探讨了LO的七个维度的实践,并确定了他们对沙特阿拉伯王国(KSA)海尔医院提高绩效的利用。本研究结果将有助于提高组织(医院)绩效。方法采用横断面调查的方法,对来自海尔地区各公立医院和私立医院的117名护士进行调查。采用学习型组织量表(Dimensions of Learning Organization Questionnaire, DLOQ)对护理人员进行调查,并对主管和管理人员进行访谈。结果持续学习机会的创造、团队学习与协作以及学习中的战略领导被认为是非常令人满意的。人们认为,促进对话和调查、建立和分享学习的制度、赋予组织权力并使其与社区建立联系都得到了令人满意的利用。此外,这些维度被发现是直接相关的,显然表明了很强的关系。结论海南地区医院总体上是学习型组织。学习型组织的维度得到了令人满意的利用,学习文化被强烈地嵌入到医院的系统和实践中。
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引用次数: 0
Adaptivity as a key feature of mobile maps in the digital era 适应性是数字时代移动地图的关键特征
Q2 COMMUNICATION Pub Date : 2023-11-01 DOI: 10.3389/fcomm.2023.1258851
Tumasch Reichenbacher, Mona Bartling
Mobile maps are an important tool for mastering modern digital life. In this paper, we outline our perspective on the challenges and opportunities associated with designing adaptive mobile maps that are useful, usable, and accessible to a wide range of users in different contexts. If we claim for adaptive mobile maps to be successful, we need to expand our understanding of map use context, including the physical and digital spaces, user behavior, and individual differences. We identify key challenges, such as the scarcity of knowledge about mobile map use behavior, the need for effective adaptation methods and strategies, user acceptance of adaptive maps, and issues related to control, privacy, trust, and transparency. We finally suggest research opportunities, such as studying mobile map usage, employing AI-based adaptation methods, leveraging the power of visual communication through maps, and ensuring user acceptance through user control and privacy.
手机地图是掌握现代数字生活的重要工具。在本文中,我们概述了我们对设计自适应移动地图相关的挑战和机遇的看法,这些地图对不同背景下的广泛用户来说是有用的、可用的和可访问的。如果我们声称自适应移动地图是成功的,我们需要扩大我们对地图使用背景的理解,包括物理和数字空间、用户行为和个体差异。我们确定了关键的挑战,如缺乏关于移动地图使用行为的知识,对有效适应方法和策略的需求,用户对自适应地图的接受程度,以及与控制、隐私、信任和透明度相关的问题。最后,我们提出了一些研究机会,例如研究手机地图的使用情况,采用基于人工智能的自适应方法,利用地图的视觉传播力量,以及通过用户控制和隐私确保用户接受。
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引用次数: 0
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Frontiers in Communication
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