Communication and Medicine最新文献

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Clinical implications of covert recording. 隐蔽记录的临床意义

Q4 Medicine

Communication and Medicine

Pub Date : 2024-01-16 DOI: 10.1558/cam.22766

Rolf Wynn, Gunnar Ellingsen

A rejoinder to the review by Elywn and colleages.

这是Elywn和他的同事对评论的回应。

引用次数: 0

A response to the rejoinders. 对反驳的回应

Q4 Medicine

Communication and Medicine

Pub Date : 2024-01-16 DOI: 10.1558/cam.24968

Glyn Elwyn

A response to the rejoinders to Elwyn and colleages.

对Elwyn和同事们的回应。

引用次数: 0

How can the law better enable consultation recording? 法律如何更好地实现咨询记录?

Q4 Medicine

Communication and Medicine

Pub Date : 2024-01-16 DOI: 10.1558/cam.23424

Amelia Hyatt, Megan Prictor

A rejoinder to the review by Elywn and colleages.

这是Elywn和他的同事对评论的回应。

引用次数: 0

Physicians' feelings and reactions in Taiwan. 台湾医师的感受与反应

Q4 Medicine

Communication and Medicine

Pub Date : 2024-01-16 DOI: 10.1558/cam.23425

Wen-Hsuan Hou

A rejoinder to the review by Elywn and colleages.

这是Elywn和他的同事对评论的回应。

引用次数: 0

Patients and consultations. 病人和咨询

Q4 Medicine

Communication and Medicine

Pub Date : 2024-01-16 DOI: 10.1558/cam.23724

Angus Clarke, Lisa Ballard, Shane Doheny

A rejoinder to the review by Elywn and colleages.

这是Elywn和他的同事对评论的回应。

引用次数: 0

Social understanding of inattention 对注意力不集中的社会理解

Q4 Medicine

Communication and Medicine

Pub Date : 2024-01-16 DOI: 10.1558/cam.22379

Sara Vilar-Lluch

Inattention, one of the defining traits of Attention Deficit Hyperactivity-Impulsivity Disorder (ADHD), is occasionally perceived as less worrying than hyperactivity and impulsivity. However, those individuals who manifest it are often targets of negative misjudgements. This paper examines how the symptom of inattention is understood among three social groups with an active role in the ADHD diagnosis: the medical, the educational and the family communities. It pays particular attention to (1) similarities across the groups and (2) evaluations relating to the symptom. As datasets, for the medical community the study considers the section of the DSM-5 concerning ADHD; for the teaching community, educational guidelines; and for the family, forum threads retrieved from addforums.com. A qualitative linguistic analysis was performed for each dataset to examine the representation and evaluation of the behavioural trait. The analysis draws on Systemic Functional Grammar, including Appraisal. Inattention is consistently evaluated negatively in all three datasets, as impacting not only activities that require strong cognitive involvement, but also a wide range of ordinary activities. Differences in the representation of the symptom of inattention are explained by the pragmatic functions of the three textual genres examined.

注意力不集中是注意力缺陷多动障碍（ADHD）的显著特征之一，偶尔会被认为不如多动和冲动那么令人担忧。然而，那些表现出注意力不集中的人往往成为负面误判的目标。本文探讨了在多动症诊断中扮演积极角色的三个社会群体（医学界、教育界和家庭界）是如何理解注意力不集中这一症状的。本文特别关注：(1) 各群体之间的相似性；(2) 与该症状相关的评价。作为数据集，对于医学界，研究考虑了 DSM-5 中有关多动症的部分；对于教育界，研究考虑了教育指南；对于家庭，研究考虑了从 addforums.com 检索到的论坛主题。对每个数据集都进行了定性语言分析，以检查行为特征的表征和评价。分析借鉴了系统功能语法，包括评价。在所有三个数据集中，注意力不集中始终受到负面评价，不仅影响到需要强烈认知参与的活动，还影响到各种普通活动。所研究的三种文本体裁的语用功能解释了注意力不集中症状表征的差异。

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引用次数: 0

The role of electronic leaflets in improving access to medication-related information. 电子传单在改善获得药物相关信息方面的作用

Q4 Medicine

Communication and Medicine

Pub Date : 2024-01-16 DOI: 10.1558/cam.20418

Anna Bryndís Blöndal, Einar Magnússon, Silvia Ravera

Background: Language discrepancies may create barriers to healthcare, compromise the quality of care and worsen health outcomes. This study explored what European countries currently do to ensure that foreign patients receive sufficient information about their medications if they do not understand the country's national language.

Methods: A questionnaire was distributed to the delegates of two Council of Europe committees. The recipients were asked to provide insights on how their country facilitates access to the necessary product information when patients do not understand the national language.

Results: Seventeen out of 39 delegates completed the questionnaire. The majority of the respondents indicated that all healthcare professionals experience difficulties in providing guidance and advice to foreign patients. The results also showed that different methods are used nationally to present the necessary information to foreigners. Finally, the observations from this survey suggested that electronic leaflets in the patient's primary language could be a valuable option to improve access to medication-related information.

Conclusions: Healthcare professionals seem to encounter challenges in providing foreign patients with information associated with medication use. Electronic leaflets can be one of the tools for improving communication between these patients and healthcare professionals to ensure that medicines are used safely and effectively.

背景:语言差异可能会对医疗保健造成障碍，损害护理质量并使健康结果恶化。这项研究探讨了欧洲国家目前如何确保外国患者在不懂本国语言的情况下获得有关其药物的充分信息。方法:向欧洲理事会两个委员会的代表分发问卷。受助人被要求提供见解，说明在患者不懂本国语言的情况下，他们的国家如何为获取必要的产品信息提供便利。结果:39名代表中有17人完成了问卷调查。大多数答复者表示，所有保健专业人员在向外国病人提供指导和建议方面都遇到困难。研究结果还表明，各国在向外国人展示必要信息时采用了不同的方法。最后，这项调查的观察结果表明，以患者的主要语言制作的电子传单可能是一个有价值的选择，可以改善获得药物相关信息的途径。结论:医疗保健专业人员在向外国患者提供与药物使用相关的信息时似乎遇到了挑战。电子传单可以成为改善这些患者与卫生保健专业人员之间沟通的工具之一，以确保安全有效地使用药物。

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引用次数: 0

Individuals recording clinical encounters. 记录临床接触的个人

Q4 Medicine

Communication and Medicine

Pub Date : 2024-01-16 DOI: 10.1558/cam.20257

Glyn Elwyn, Jaclyn Engel, Peter Scalia, Carmel Shachar

Background: Clinicians and their employers, concerned with privacy and liability, are often hesitant to support the recording of clinical encounters. However, many people wish to record encounters with healthcare professionals. It is therefore important to understand how existing law applies to situations where an individual requests to record a clinical encounter.

Methods: We searched for and reviewed relevant legal documents that could apply to recording clinical encounters. We limited the scope by purposefully examining relevant law in nine countries: Australia, Brazil, Canada, France, Germany, India, Mexico, the United Kingdom and the United States. We analyzed legal texts for consents needed to record a conversation, whether laws applied to remote or face-to-face conversations and penalties for violations.

Findings: Most jurisdictions have case law or statutes, derived from a constitutional right to privacy, or a wiretapping or eavesdropping statute, governing the recording of private conversations. However, little to no guidance exists on how to translate constitutional principles and case law into advice for people seeking to record their medical encounters.

Interpretation: The law has not kept pace with people's wish to record clinical interactions, which has been enabled by the arrival of mobile technology.

背景:临床医生和他们的雇主，关心隐私和责任，往往犹豫是否支持记录临床遭遇。然而，许多人希望记录与医疗保健专业人员的接触。因此，了解现行法律如何适用于个人要求记录临床遭遇的情况是很重要的。方法:检索并查阅可用于记录临床接触的相关法律文件。我们有目的地考察了澳大利亚、巴西、加拿大、法国、德国、印度、墨西哥、英国和美国这九个国家的相关法律，从而限制了范围。我们分析了记录对话所需的同意的法律文本，法律是否适用于远程或面对面的对话，以及对违规行为的处罚。调查结果:大多数司法管辖区都有判例法或成文法，源自宪法隐私权，或窃听或窃听法规，对私人谈话的录音进行管理。然而，关于如何将宪法原则和判例法转化为为寻求记录其医疗经历的人提供的建议，几乎没有任何指导。解读:由于移动技术的到来，人们希望记录临床互动，而法律并没有跟上这种愿望的步伐。

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引用次数: 0

Subliminal linguistic effects in dementia interaction 痴呆症互动中的潜意识语言效应

Q4 Medicine

Communication and Medicine

Pub Date : 2023-12-27 DOI: 10.1558/cam.26767

J. Chatwin, A. Capstick, Katherine Ludwin

Subliminal linguistic effects occur when words or phrases that are overheard by an interlocutor become subconsciously assimilated into their ongoing talk. Such effects are a common feature of everyday interaction. Yet by their nature they are ephemeral, extremely difficult to capture empirically and have not previously been studied at the micro-interactional level. However, broader ethnographic observations made in dementia care settings appear to indicate that subliminal linguistic effects are operationalised differently in people who have dementia, when compared to those without cognitive problems. This exploratory study focuses on over 200 hours of naturalistic multiparty field recordings collected in two UK dementia care settings. It utilises conversation analysis (CA) to examine the reproduction of naturally occurring subliminal linguistic effects in the speech and communication patterns of people with dementia and provides the first systematic micro-analysis of the phenomenon. The position of subliminal linguistic effects in relation to existing sociolinguistic research on overhearing and repetition and the role that features such as intonational emphasis may play in generating subliminal cues are discussed. The study confirms that it is possible to capture examples of subliminal linguistic effects in naturalistic settings and that there are potentially a number of micro-interactional features associated with the phenomenon in dementia communication which could form the basis of a novel, non-intrusive measure of cognitive impairment.

当对话者无意中听到的单词或短语潜移默化地融入他们正在进行的谈话时，就会产生潜意识语言效应。这种效应是日常互动的常见特征。然而，就其本质而言，它们是短暂的，极难用经验来捕捉，而且以前从未在微观互动层面对其进行过研究。然而，在痴呆症护理环境中进行的更广泛的人种学观察似乎表明，与没有认知问题的人相比，痴呆症患者的潜意识语言效应在操作上有所不同。这项探索性研究的重点是在英国两个痴呆症护理机构中收集到的 200 多个小时的多方自然现场录音。它利用会话分析法（CA）研究了痴呆症患者的言语和交流模式中自然出现的潜意识语言效应的再现，并首次对这一现象进行了系统的微观分析。本研究讨论了潜意识语言效应与现有社会语言学研究中关于偷听和重复的关系，以及语调强调等特征在产生潜意识线索中可能扮演的角色。研究证实，在自然环境中捕捉潜意识语言效应的例子是可能的，而且在老年痴呆症的交流中，有可能存在一些与潜意识语言效应现象相关的微观互动特征，这些特征可以构成一种新颖的、非侵入性的认知障碍测量方法的基础。

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引用次数: 0

On knowing what you do (not) know 关于了解你所不知道（不知道）的事情

Q4 Medicine

Communication and Medicine

Pub Date : 2023-12-22 DOI: 10.1558/cam.26707

Marilize Pretorius

Overseas educated nurses’ (OENs) professional identity becomes threatened when limited communicative competence in the local language of their host country results in communication problems. While training is essential for increasing OENs’ communicative competence, their own perceptions of their competence should not be neglected. This article focuses on the impact of an English-language training programme on the self-perceived communicative competence of OENs (n = 68) in the United Kingdom. The effects of the training on their actual and self-perceived communicative competence, comprising competence in Task Focus (TF) and Rapport Building (RB), was examined using quantitative analysis based on pre- and post-training questionnaire and test data. It was found that there was a significant increase in the OENs’ self-perceived communicative competence from pre- to post-training. Further, Actual Task Focus (ATF) and Perceived Task Focus (PTF) competence correlated before and after training, whereas Actual Rapport Building (ARB) competence and Perceived Rapport Building (PRB) competence were not correlated before training, but did correlate after training. The pre-training lack of correlation seems to be due to an overestimation of competence. In sum, participants formed more accurate perceptions of their ARB competence through training. The results hold implications for developing OENs’ accommodative competence.

受过海外教育的护士（OENs）在东道国当地语言方面的沟通能力有限，导致沟通出现问题，其专业身份就会受到威胁。虽然培训对提高海外护士的交际能力至关重要，但也不应忽视他们自己对自身能力的看法。本文重点研究了英语培训项目对英国外籍人员（68 人）自我认知的交际能力的影响。通过对培训前后的问卷和测试数据进行定量分析，研究了培训对他们实际交际能力和自我认知交际能力（包括任务焦点（TF）和建立亲和力（RB）的能力）的影响。结果发现，从培训前到培训后，网络教育学院学生的自我认知交际能力有了显著提高。此外，实际任务焦点（ATF）和感知任务焦点（PTF）能力在培训前后存在相关性，而实际融洽关系建立（ARB）能力和感知融洽关系建立（PRB）能力在培训前不存在相关性，但在培训后存在相关性。培训前缺乏相关性似乎是由于学员高估了自己的能力。总之，通过培训，学员对自己的 ARB 能力形成了更准确的认知。这些结果对提高开放教育工作者的适应能力具有重要意义。

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