Communication Commons^™

End-Of-Life Patient Communication: Exploring Comfort, Communication And Education Of Healthcare Professionals For End-Of-Life Care, Madison Gremillion

Undergraduate Honors Theses

Historically, the medical field has viewed death and dying as incurable ‘medical failures,’ and as a result, many healthcare professionals have difficulties when facing a patient who is dying or at the end of their life. These individuals will use avoidant behavior to avoid end-of-life (EOL) patients or can have difficulty providing essential aspects of care including communication, that contribute to building a strong relationship between the healthcare provider and patient. For the healthcare professional (HCP), this can stem from anxiety related to thoughts of death and a lack of educational support or experience. The study of death is where …

Medical Tourism & Communication, Alicia Mason

Faculty Submissions

Medical tourism (MT), sometimes referred to as health tourism or medical travel, involves both the treatment of illness and the facilitation of wellness, with travel. Medical tourism is a multifaceted and multiphase process involving many agents and actors that requires careful planning and execution. The coordinated process involves the biomedical, transportation, tourism, and leisure industries. From the communication perspective, the process can be viewed as a 5-stage model consisting of the: (a) orientation, (b) preparation, (c) experiential and treatment, (d) convalescence, and (e) reflection phases. Medical tourism is uniquely situated in a nexus of academic literature related to communication, business …

The Impact Of Doctor-Patient Communication, Health Literacy, And Mental Health Among Women With Gestational Diabetes Mellitus On Healthcare Usage, Marissa Stern

Honors Projects in Communication

Pregnancy is a critical period in a woman's life. Overall, little research has been done on pregnant women. Pregnant women are considered a special population with special needs. All pregnant women must receive proper care from their providers and be a part of the decision-making process. Additionally, health care providers must provide materials to patients in hopes to increase their health literacy. Increasing health care usage and health literacy is meant to increase patient-centered care. This study plans to use the All of Us data set. We are interested in the data from the survey component of the data set. …

Intercultural Communication Competence And Empathy Among Physician Assistant Students: The Role Of International Experiences, Rachel Lerch

Honors Projects in Science and Technology

Having cultural competency and empathy towards others has become increasingly important, especially within the medical field. Experiential learning, such as study abroad has been shown to help increase intercultural communication competence (ICC) and empathy amongst students, which is important once those students enter the workforce. It is especially important for health care providers, such as Physician Assistants, to have high levels of ICC and empathy since they are in contact with patients from various cultures and need to have clear and comfortable communication with those patients. The purpose of this study is to confirm the relationship between ICC and empathy …

Communicating Comfort In Crisis: A Literature Review On Overcoming The Emergency Room Environment To Foster The Nurse-Patient Relationship, Faith G. Davenport

Senior Honors Theses

The average emergency room patient is not receiving the compassionate nurse-patient communication that patients experience on other hospital floors. Fewer positive nurse-patient interactions prompt patients to state that they feel uncomforted and dissatisfied on hospital exit surveys, inciting hospital management to investigate how to reverse this trend to retain their federal funding. Emergency room nurses cite multiple barriers inherent in their work environment that prevent them from building rapport with their patients, including a layout not conducive to private conversations, strict time constraints, and a fluctuating workload. Working for a prolonged period under these conditions is driving many nurses to …

Safety Splash: Pool Safety For Children And Adults, Rachel Lofton

Honors Theses

This outreach project was made to address the issue of too many children drowning at pools due to a lack of water safety education. The dissemination of pool safety education is imperative to reduce accidental injuries and drownings. The goal of the Safety Splash video and supplemental materials is to provide pool safety education for children and adults. By encouraging conversations between children and adults before going to the pool, there can be an intervention that reduces the risk of injury and drowning once they arrive. Through research, I compiled information to support the effectiveness of a combination video, pamphlet, …

Burnout In The Nursing Profession: Extant Knowledge And Future Directions For Research And Practice, Sara Labelle

Communication Faculty Articles and Research

Burnout is a psychological state resulting from prolonged psychological or emotional job stress, and is a culmination of three factors: emotional exhaustion, depersonalization, and reduced personal accomplishment. Due to the nature of the “people-work” they must constantly perform, along with a highly stressful and unpredictable work environment, nurses have alarmingly high rates of burnout among members of their profession. Given the importance of research on burnout to understanding the context-specific stressors and challenges of nursing, this review offers a synthesis of research published in the last decade in both nursing and communication journals, with an emphasis on discussing opportunities for …

The Efficacy Of A Communication Guide On Stress Experienced By Family Members Of Patients Admitted In The Intensive Care Unit With Covid-19, Kandace Williams

The Eleanor Mann School of Nursing Student Works

Coronavirus disease (COVID-19), first introduced in the United States on January 20, 2020, has created worldwide panic due insufficient research and understanding of the nature of this new disease. Patients suffering from COVID-19 often require intensive care unit (ICU) admissions, resulting in stress and confusion amongst patients and their families. The high transmissibility of the disease has caused hospitals to adopt firm visitor restrictions to protect the public from exposure and spread. Families experience increased anxiety and stress due to ineffective communication with staff and restricted access to their hospitalized loved ones. A needs assessment revealed a gap in care …

Assisting Nursing Students In Their Development Of Empathy: A Guide To Fostering Requisite Skills For The Art Of Empathetic Communication, Susan Mee

Open Educational Resources

This 7-week lesson plan is designed for use in clinical nursing courses. It is designed specifically for use by Nursing faculty teaching in the absence of state required patient facing clinical opportunity due to COVID restrictions. The lesson plan describes pedagogical techniques and provides video and education OER resources designed to help support the development of empathetic communication skills over 7 weeks. Refection and video debriefing techniques will be employed. Role play will culminate in the group presentation project of a brief video modeling effective therapeutic empathetic communication.

Communications In The Time Of A Pandemic: The Readability Of Documents For Public Consumption, Catherine Ferguson, Margaret Merga, Stephen Winn

Research outputs 2014 to 2021

© 2021 The Authors Objective: Government communications in a crisis can influence public health outcomes. This research aimed to investigate if written communications of the most commonly sought sources of COVID-19 information available on the internet have readability levels commensurate with those of the general public. Methods: Online documents from the World Health Organization (WHO), and the governments of Australia, the UK and the US were assessed for readability using an online instrument that calculated scores for the Flesch Reading Ease Score, the SMOG Index and the Readability Consensus Grade Level. Results: Similar to the previous research, most documents assessed …

Participation In An Interprofessional Simulation Event: Impact On Student Learning, Holly Arguelles

Honors Projects

Interprofessional education (IPE) is growing tremendously within numerous health care programs and continues to impact both healthcare professionals and patients. The significance of having IPE simulation events is to provide students with the ability to gain knowledge, awareness, and understanding of other disciplines. Focus groups following an IPE simulation event will allow for a better understanding of how these events potentially impact student learning, future learning outcomes, and knowledge of other professions. The purpose of this study was to determine the impact of participation in an IPE simulation event on students' perceptions. To examine this impact, a student focus group …

Communication Patterns Between Physicians And Physician Assistants, Joey Valentini

Senior Honors Theses

Communication is imperative to the success of any team-based organization. In healthcare, it is common for patient outcomes to be affected by variables including but not limited to the quality of extraprofessional communication. Physicians and physician assistants are two meaningful and valued members of the medical care team, and the need for collaboration amongst each other is irrefutable. Physicians are the trusted leaders of any medical team, having completed the most amount of schooling and training. Physician assistants are versatile, economically advantageous, and skill-proficient mid-level practitioners that are required by law to be supervised by a collaborating physician. The working …

Trends In American Newspaper Coverage Of Autism, Allison Miller

Master of Arts in Communication

The public's understanding of disabilities is cultivated via several media resources, including news media. Disability scholars often cite negative representations of disabilities in mass media, yet analyses of newspaper journalists' coverage of autism remain scarce. The present study explores the frames, stereotypes, stigmatizing cues, and individuals cited in news coverage of autism through a content analysis of The New York Times and USA Today coverage of autism from 2013-2016. The findings revealed that episodic frames are consistently utilized to discuss autism. References to abnormal social tendencies and coupling autism with adverse circumstances were the most common stereotypes in newspaper coverage. …

Name Of The Game: A Media Analysis Of Concussion Terminology In Documentary Film, Kaitlyn Graham

Honors Projects in Communication

This project explores the way concussions are communicated to us through the use of documentary film. By examining the use of concussion related terms, as well as the tone and general word choice, it can be seen that there are certain words and phrases that are commonly left out, and others that are used too much. The differences in the usage of these words and tones reflects the current concussion crisis occurring in many contact sports around the world. This media analysis was conducted with the goal of finding trends in how concussions are discussed depending on the sport and …

The Relationship Between Instruction Specificity And Resistiveness To Care During Activities Of Daily Living In Persons With Dementia, Jeffrey Buchanan, Britta Dejager, Sandra Garcia, Daniel Houlihan, Carolina Sears, Kathleen Fairchild, Adam Sattler

Psychology Department Publications

It is common for persons with dementia to display resistant behaviors during activities of daily living (ADLs) and caregiver communication skills can influence the likelihood of these behaviors. Previous research suggests that the type of instructions issued by caregivers is related to rates of compliance during ADLs in persons with dementia. It is unclear, however, if these instruction types affect the likelihood resistiveness to care (RTC) during ADLs. The purpose of the current study was to examine how the use of different types of instructions relate to instances of RTC during ADLs. Results indicated that vague and ambiguous instructions (i.e., …

Reducing Symptom Distress In Patients With Advanced Cancer Using An E-Alert System For Caregivers: Pooled Analysis Of Two Randomized Clinical Trials, David H. Gustafson, Lori L. Dubenske, Amy K. Atwood, Ming-Yuan Chih, Roberta A. Johnson, Fiona Mctavish, Andrew Quanbeck, Roger L. Brown, James F. Cleary, Dhavan Shah

Health and Clinical Sciences Faculty Publications

Background: Symptom distress in patients toward the end of life can change rapidly. Family caregivers have the potential to help patients manage those symptoms, as well as their own stress, if they are equipped with the proper resources. Electronic health (eHealth) systems may be able to provide those resources. Very sick patients may not be able to use such systems themselves to report their symptoms but family caregivers could.

Objective: The aim of this paper was to assess the effects on cancer patient symptom distress of an eHealth system that alerts clinicians to significant changes in the patient’s symptoms, as …

Design And Validation Of Patient-Centered Communication Tools (Pact) To Measure Students' Communication Skills, Gloria R. Grice, Nicole M. Gattas, Theresa Prosser, Mychal Voorhees, Clark D. Kebodeaux, Amy Tiemeier, Tricia M. Berry, Alexandria Garavaglia Wilson, Janelle Mann, Paul Juang

Pharmacy Practice and Science Faculty Publications

Objective. To develop a comprehensive instrument specific to student pharmacist-patient communication skills, and to determine face, content, construct, concurrent, and predictive validity and reliability of the instrument.

Methods. A multi-step approach was used to create and validate an instrument, including the use of external experts for face and content validity, students for construct validity, comparisons to other rubrics for concurrent validity, comparisons to other coursework for predictive validity, and extensive reliability and inter-rater reliability testing with trained faculty assessors.

Results. Patient-centered Communication Tools (PaCT) achieved face and content validity and performed well with multiple correlation tests with significant findings for …

Interdepartmental Rounding, Peggy Anderson, Carrie Strick, R3 Med-Surg Unit, Haley Pelletier, Suneela Nayak, Stephen Tyzik, Ruth Hanselman, Maine Medical Center Operational Excellence

MaineHealth Maine Medical Center

STRATEGIES FOR IMPROVING COMMUNICATION BETWEEN DOCTORS AND NURSES IN AN ACUTE CARE HOSPITAL

Effective interdisciplinary communication is imperative for safe patient care in an acute care hospital environment.

A surgical unit used their HCAHPs scores to assess how often patients perceived there was good communication between different doctors and nurses during their hospital stays. The data demonstrated that this occurred 22% less often than the national average.

As a result of a root cause analysis, a number of countermeasures were initiated with the goal of achieving scores greater than the national average. Post KPI inception in the second quarter of …

When Video Meets Health: Vaccine Awareness For Millennials, Alexandra Dickie

Honors Projects in Communication

The unique intersection of communication/video and science/health will be demonstrated through this honors project. The goal of the vaccine video is to inform Millennials about how vaccines work and the significance of vaccines to the community. The storyboard for a video was especially designed to communicate this information to those not in the science field, as well as those who are vaccine hesitant. The extensive process of information gathering required for the pre-production of the vaccine video will be discussed in depth – including the secondary research from the literature and the results from the formative survey and focus group …

A Bottom-Up Approach To Effectively Implementing A Good Samaritan Policy At Bryant University, Jessica Fleet

Honors Projects in History and Social Sciences

The rising numbers of substance consumption on college campuses are becoming a public concern for higher educational institutions across the United States. The thesis studies the relationship between state laws and private higher education institution laws in regards to substance abuse. Examining state laws and private universities Medical Amnesty and Good Samaritan laws were used to determine what would effectively replace Bryant University’s current Substance Abuse Policy. The current policy lacks an educational element along with stressing the word of mouth ideology that students are protected when in need of drug or alcohol assistance in a medical situation. This is …

Perspectives Of Healthcare Practitioners: An Exploration Of Interprofessional Communication Using Electronic Medical Records, Shoshana H. Bardach, Kevin Real, David R. Bardach

Graduate Center for Gerontology Faculty Publications

Contemporary state-of-the-art healthcare facilities are incorporating technology into their building design to improve communication and patient care. However, technological innovations may also have unintended consequences. This study seeks to better understand how technology influences interprofessional communication within a hospital setting based in the United States. Nine focus groups were conducted including a range of healthcare professions. The focus groups explored practitioners’ experiences working on two floors of a newly designed hospital and included questions about the ways in which technology shaped communication with other healthcare professionals. All focus groups were recorded, transcribed, and coded to identify themes. Participant responses focused …

Cognitive Aid Use Improves Transition Of Care By Graduating Medical Students During A Simulated Crisis, Brooke Bauer, Annette Rebel, Amy Dilorenzo, Randall M. Schell, Jeremy S. Dority, Faith Lukens, Paul A. Sloan

Anesthesiology Faculty Publications

Background: Residents are expected to have transition of care (ToC) skills upon entering graduate medical education. It is unclear whether experience and training during medical school is adequate.

Objective: The aim of the project was to assess: 1) graduating medical students' ability to perform ToC in a crisis situation, and 2) whether using a cognitive aid improves the ToC quality.

Methods: The authors developed simulation scenarios for rapid response teams and a cognitive aid to assist in the ToC during crisis situations. Graduating medical students were enrolled and randomly divided into teams of three students, randomly assigned into one …

Clinton Fire Prevention, Dr. Sharon Varallo, Mike Tortorelli, Grant Slater, Colin Hepner

2015-2016: Clinton, Iowa

No abstract provided.

The Role Of Patient And Physician In Establishing Patient-Physician Communication In The In-Patient Environment, Tamanna Sahni

AUCTUS: The Journal of Undergraduate Research and Creative Scholarship

Communication in the in-patient environment is crucial, and the relationship between a patient and physician can enhance patient health and improve overall wellness. Patients need to feel confident with their abilities in order to feel comfortable conversing with physicians, which would thus improve health and treat symptoms more effectively. This communication has decreased over time, hence patients are often are unable to obtain medical information from their healthcare providers. Are there psychological factors involved in a patient’s inability to communicate with a physician? What is the relationship between self-esteem and quality of patient-physician communication? In addition, what can physicians do …

The Use Of Exemplars In Audio-Based Media To Increase Behavioral Intent In Adopting Preventive Skin-Cancer Behaviors, Christine M. Lemme

Master of Arts in Communication

Skin cancer is a growing concern in the young-adult population due to the popularity of indoor ultraviolet (UV) tanning and the acceptance of numerous myths that skin cancer is not a major health concern. This thesis aims to look at the use of media exemplar perceived to be similar and credible to the target population in order to persuade the target population to adopt preventative skin-cancer behaviors. College students of both genders and various ethnicities (N = 170) were surveyed after listening to different radio exemplars on skin cancer. Results indicated that similarity and credibility play a key role in …

Comfort, Complexities, And Confrontation: Health Care Provider Communication And Prescription Drug Abuse And Misuse, Nicholas E. Hagemeier, Fred Tudiver

ETSU Faculty Works

This presentation describes (1) the role of communication in prescription drug abuse prevention and treatment and (2) the outcomes of 5 focus groups conducted in the Appalachian Region.

Etsu Didarp Project 1: Health Care Provider Communication And Prescription Drug Abuse And Misuse, Nicholas E. Hagemeier, Fred Tudiver

ETSU Faculty Works

No abstract provided.

Telling Stories, Saving Lives: Creating Narrative Health Messages, Lauren B. Frank, Sheila T. Murphy, Joyee S. Chatterjee, Meghan B. Moran, Lourdes Baezconde-Garbanati

Communication Faculty Publications and Presentations

Increasingly, health communication practitioners are exploring the use of narrative storytelling to convey health information. For this study, a narrative film was produced to provide information about the Human Papillomavirus (HPV) and cervical cancer prevention. The storyline centered on Lupita, a young woman recently diagnosed with HPV who informs her family about HPV and the availability of the HPV vaccine for her younger sister. The objective was to examine the roles of identification with characters and narrative involvement (made up of three dimensions: involvement, perceived relevance, and immersion) on perceived response efficacy, perceived severity, and perceived susceptibility to HPV and …

Survey Evaluation Of Pharmacy Practice Involving Deaf Patients, Mckenzie C. Ferguson, Leah M. Shan

Pharmacy Faculty Research, Scholarship, and Creative Activity

For a patient that is deaf, providing patient care can be more difficult due to communication barriers. This study was conducted in order to better understand pharmacists’ current means of communicating with deaf patients as well as investigating pharmacists’ knowledge of their legal responsibility to these patients.

Methods

Surveys were used to gather information from pharmacists and were distributed in areas with a large population of deaf patients.

Identifying Professional Development Opportunities For Remote Healthcare Interpreters On A Shared Network, Suzanne M. Couture

Instructional Design Capstones Collection

Many healthcare organizations are faced with the challenge of complying with an unfunded mandate to provide language services free of charge to individuals with limited English proficiency or those who are deaf or hard of hearing. One method of increasing efficiencies and reducing disparities for these vulnerable populations is to provide access to remote audio/video interpreters on a shared network. The Health Care Interpreter Network (HCIN) is a non-profit organization based in California that comprises more than forty member hospitals and offers service in twenty languages. To support the need for on-going professional development of HCIN’s interpreters, a front-end analysis …