I think it is fair to say that the thoughtful comments on my paper were less ‘rejoinders’ than additions and elaborations. In that spirit, what follows is a summary of the arguments made and the critical questions that remain, also drawing on some personal communications I have received.
{"title":"Collecting qualitative data during a pandemic","authors":"D. Silverman","doi":"10.1558/CAM.19256","DOIUrl":"https://doi.org/10.1558/CAM.19256","url":null,"abstract":"I think it is fair to say that the thoughtful comments on my paper were less ‘rejoinders’ than additions and elaborations. In that spirit, what follows is a summary of the arguments made and the critical questions that remain, also drawing on some personal communications I have received.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79456675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Empathy is believed to play a key function in clinical consultations. As online medical consultation (OMC) has become increasingly popular in the past decade, studies addressing empathic communication in the OMC context have started to attract research interest. However, previous studies have mainly addressed empathic communicative acts by online doctors. There is still a research gap as regards exploring online empathic communication from both doctors’ and patients’ perspectives, particularly in the context of China where there is a promising growth in OMC activities. The present study examines 150 text-based OMC cases that involve empathic interaction between doctors and patients/caregivers in the Chinese context. Adopting a theme-oriented discourse analysis approach, the paper aims to identify empathic communication sequences. Four types of sequence organization are identified, and these are discussed with relevant examples. The findings illustrate that OMC communication involves dynamic empathic sequential patterns, which can be optimally drawn upon by health professionals and medical students to practise their empathic communication skills.
{"title":"Empathic communication sequences in online medical consultations","authors":"Yu Zhang","doi":"10.1558/CAM.19694","DOIUrl":"https://doi.org/10.1558/CAM.19694","url":null,"abstract":"Empathy is believed to play a key function in clinical consultations. As online medical consultation (OMC) has become increasingly popular in the past decade, studies addressing empathic communication in the OMC context have started to attract research interest. However, previous studies have mainly addressed empathic communicative acts by online doctors. There is still a research gap as regards exploring online empathic communication from both doctors’ and patients’ perspectives, particularly in the context of China where there is a promising growth in OMC activities. The present study examines 150 text-based OMC cases that involve empathic interaction between doctors and patients/caregivers in the Chinese context. Adopting a theme-oriented discourse analysis approach, the paper aims to identify empathic communication sequences. Four types of sequence organization are identified, and these are discussed with relevant examples. The findings illustrate that OMC communication involves dynamic empathic sequential patterns, which can be optimally drawn upon by health professionals and medical students to practise their empathic communication skills.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88216643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K. Tsuchiya, F. Coffey, Andrew Mackenzie, Sarah Atkins, Małgorzata Chałupnik, S. Timmons, A. Whitfield, M. Vernon, D. Crundall
A team leader’s request is a crucial factor for successful team interaction to ensure patient safety in emergency care. This study examines how team leaders accomplish and frame immediate requests through language use and corresponding eye-movement patterns in emergency care simulation, focusing on when the team is led by a senior doctor (SD) and when it is led by a junior doctor (JD). The team included two foundation doctors, who are in their first two years in medical practice, two emergency department (ED) nurses and one ED expert. They were recorded undertaking separate simulated operations on a simulated patient, and the team leader wore eye-tracking glasses. Interactional linguistic and multimodal analyses of video, audio and eye-movement data revealed that SD made immediate requests to the team members with multimodal emphasis – i.e., gazed at the recipients and addressed them verbally, especially when asking for recipients’ actions – while JD often used only gaze in requesting such actions. Although our study has limitations in terms of the small size of the data, the findings nevertheless highlight that the leader’s requesting was framed and ascribed in the continuum from a question to an instruction through co-construction of joint action with recipients in the social interaction.
{"title":"Framing trauma leaders’ request in emergency care interactions","authors":"K. Tsuchiya, F. Coffey, Andrew Mackenzie, Sarah Atkins, Małgorzata Chałupnik, S. Timmons, A. Whitfield, M. Vernon, D. Crundall","doi":"10.1558/cam.18248","DOIUrl":"https://doi.org/10.1558/cam.18248","url":null,"abstract":"A team leader’s request is a crucial factor for successful team interaction to ensure patient safety in emergency care. This study examines how team leaders accomplish and frame immediate requests through language use and corresponding eye-movement patterns in emergency care simulation, focusing on when the team is led by a senior doctor (SD) and when it is led by a junior doctor (JD). The team included two foundation doctors, who are in their first two years in medical practice, two emergency department (ED) nurses and one ED expert. They were recorded undertaking separate simulated operations on a simulated patient, and the team leader wore eye-tracking glasses. Interactional linguistic and multimodal analyses of video, audio and eye-movement data revealed that SD made immediate requests to the team members with multimodal emphasis – i.e., gazed at the recipients and addressed them verbally, especially when asking for recipients’ actions – while JD often used only gaze in requesting such actions. Although our study has limitations in terms of the small size of the data, the findings nevertheless highlight that the leader’s requesting was framed and ascribed in the continuum from a question to an instruction through co-construction of joint action with recipients in the social interaction.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72564205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Adaptability and change","authors":"S. Ziebland","doi":"10.1558/cam.19755","DOIUrl":"https://doi.org/10.1558/cam.19755","url":null,"abstract":"<jats:p>.</jats:p>","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78621701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"(Inter)visibility","authors":"Rodney H. Jones","doi":"10.1558/cam.19977","DOIUrl":"https://doi.org/10.1558/cam.19977","url":null,"abstract":"(Inter)visibility","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79066170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The present study examines newspaper coverage of hand, food and mouth disease (HFMD) and cancer, to compare how infectious and non-infectious diseases are represented in Malaysia. The Health Belief Model was used as the framework for selecting themes relevant to health actions for the content analysis of 69 articles (32,808 words in total) from the New Straits Times. It was found that more emphasis was given to HFMD (51 articles) than to cancer (18 articles). The information most frequently included in the articles was recommended health actions (3.8 mentions per article for HFMD; 1.1 for cancer). The articles represented HFMD as posing a greater threat than cancer, as more information on susceptibility (1.6 for HFMD; 0.3 for cancer) was included compared to severity (0.5 for HFMD; 0.2 for cancer). The HFMD articles stressed the outbreak of HFMD: incidence and deaths, symptoms, causes and preventive measures. However, the cancer articles were usually not incident-specific and focused on promoting a healthy lifestyle to avoid cancer and to warn readers of cancer prevalence. Only 17% of the cancer articles carried treatment themes. The findings suggest that news coverage of cancer should include medical research and advances to create better awareness of cancer.
{"title":"Newspaper representations of hand, foot and mouth disease (HFMD) and cancer in a Malaysian newspaper","authors":"S. Ting, Nursilah Kapiten","doi":"10.1558/CAM.17603","DOIUrl":"https://doi.org/10.1558/CAM.17603","url":null,"abstract":"The present study examines newspaper coverage of hand, food and mouth disease (HFMD) and cancer, to compare how infectious and non-infectious diseases are represented in Malaysia. The Health Belief Model was used as the framework for selecting themes relevant to health actions for the content analysis of 69 articles (32,808 words in total) from the New Straits Times. It was found that more emphasis was given to HFMD (51 articles) than to cancer (18 articles). The information most frequently included in the articles was recommended health actions (3.8 mentions per article for HFMD; 1.1 for cancer). The articles represented HFMD as posing a greater threat than cancer, as more information on susceptibility (1.6 for HFMD; 0.3 for cancer) was included compared to severity (0.5 for HFMD; 0.2 for cancer). The HFMD articles stressed the outbreak of HFMD: incidence and deaths, symptoms, causes and preventive measures. However, the cancer articles were usually not incident-specific and focused on promoting a healthy lifestyle to avoid cancer and to warn readers of cancer prevalence. Only 17% of the cancer articles carried treatment themes. The findings suggest that news coverage of cancer should include medical research and advances to create better awareness of cancer.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89312717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Small talk (ST) refers to talk that is seen as space filling or aimless because of its non-goal-oriented purpose in comparison with work-related talk. This article examines ST in Jordanian medical encounters to explore the sequence structure in which ST occurs in combination with goal-oriented talk and the different forms and contexts of its occurrence. The framework of conversation analysis is used to analyze naturally occurring data, in particular exploring how talk orients to and departs from the medical agenda. The findings reveal both the forms and functions of ST in the dataset. The findings show various aspects related to ST: compliments, joking, laughter and ST linked to personal biography. This study offers insights into Arabic medical interaction in terms of the occurrence of ST, and it offers the possibility of designing training courses to employ ST as a communication technique in medical encounters.
Small talk (ST)是指与工作相关的谈话相比，由于没有目标导向的目的而被视为填补空间或漫无目的的谈话。本文考察了约旦医学遭遇中的ST，以探索ST与目标导向谈话相结合的序列结构及其发生的不同形式和背景。对话分析的框架用于分析自然发生的数据，特别是探索谈话如何导向和偏离医疗议程。研究结果揭示了数据集中ST的形式和功能。研究结果显示了与ST相关的各个方面:赞美、开玩笑、大笑以及与个人履历有关的ST。本研究就性侵的发生提供了对阿拉伯医疗互动的见解，并提供了设计培训课程以将性侵作为医疗接触中的沟通技术的可能性。
{"title":"Small talk in Arabic medical encounters","authors":"R. Abu-Elrob","doi":"10.1558/CAM.17885","DOIUrl":"https://doi.org/10.1558/CAM.17885","url":null,"abstract":"Small talk (ST) refers to talk that is seen as space filling or aimless because of its non-goal-oriented purpose in comparison with work-related talk. This article examines ST in Jordanian medical encounters to explore the sequence structure in which ST occurs in combination with goal-oriented talk and the different forms and contexts of its occurrence. The framework of conversation analysis is used to analyze naturally occurring data, in particular exploring how talk orients to and departs from the medical agenda. The findings reveal both the forms and functions of ST in the dataset. The findings show various aspects related to ST: compliments, joking, laughter and ST linked to personal biography. This study offers insights into Arabic medical interaction in terms of the occurrence of ST, and it offers the possibility of designing training courses to employ ST as a communication technique in medical encounters.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82103874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"It’s not all bad","authors":"F. Stevenson","doi":"10.1558/CAM.19748","DOIUrl":"https://doi.org/10.1558/CAM.19748","url":null,"abstract":"<jats:p>.</jats:p>","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86318934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Studying social relations in a pandemic","authors":"J. Ruusuvuori","doi":"10.1558/CAM.19750","DOIUrl":"https://doi.org/10.1558/CAM.19750","url":null,"abstract":"","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84578176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Participant observation combined with video monitoring","authors":"F. Erickson","doi":"10.1558/CAM.19756","DOIUrl":"https://doi.org/10.1558/CAM.19756","url":null,"abstract":"","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89619657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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