Health 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 …

Healthcare Providers’ Perceptions Of Deaf-Hearing Interpreter Teams: Impact Of Interpreting Approaches, Julayne Feilbach

Journal of Interpretation

This study explores the perceptions and preferences of healthcare providers who work with Deaf Interpreter-Hearing Interpreter (DI-HI) teams. Healthcare providers depend on interpreters' ability to bridge the communication and cultural gap to assess and treat patients accurately. Although there have been studies on healthcare providers’ perceptions of interpreters to date, none of the research explores the impact of healthcare providers’ perceptions on their experiences with DI-HI teams. To address this, interviews with nine healthcare practitioners were conducted. As part of the interview, participants were shown a video of two interpreting samples to illustrate different approaches to interpreting. Data were analyzed …

Examining The Effect Of Physician Language On Physician Impressions, Kathleen L. Hopps, Anna H. Rini, Maggie E. Williams, Gina A. Paganini, E. Paige Lloyd

DU Undergraduate Research Journal Archive

Previous research provides evidence that stigma can be perpetuated through language with consequences for well-being and quality of care. For example, providers who use stigmatizing language transmit bias toward patients with implications for care provided by other healthcare professionals. The current work extends upon this research by investigating perceptions of physicians who use stigmatizing or humanizing language. The current work sought to document the negative consequences of providers’ indelicate language on impressions of the provider, thereby motivating thoughtful language choices. To this end, the current work experimentally manipulated the language (stigmatizing, identity-first and destigmatizing, person-first) that hypothetical providers used to …

Healthcare Provider Uncertainty And Communicative Management Strategies, Katie Benson

Graduate Student Theses, Dissertations, & Professional Papers

Uncertainty exists ubiquitously within provider-patient interactions. Healthcare providers (HCPs) often face uncertainty during patient-provider interactions, for reasons including inconclusive test results, ambiguous communication, and lacking the resources to make diagnoses. When healthcare providers experience uncertainty, their behavior and communication can be negatively impacted. For example, prior research suggests when HCPs experience uncertainty, they may engage in authoritative, prejudiced and assumption-ridden behavior towards patients (Dietta & Rand, 2007; Drewniak et al., 2017: Portnoy et al., 2013; Poteat et al., 2013). To date, research on HCP uncertainty has been limited to specific health conditions and contexts such as cancer, vascular anomalies, and …

Global Child And Family-Centered Care Fellowship, Education And Mentorship For Pediatric Healthcare Professionals: A Literature Review, Ashley Zheng, Bobbijo Pansier

Patient Experience Journal

Child- and family-centered care (FCC) is increasingly accepted and implemented to optimize the healthcare experience for patients, their families, and healthcare professionals. Standish Foundation for Children, a 501(c)(3) non-profit, has designed and piloted a fellowship to educate pediatric healthcare professionals in FCC & psychosocial care via an inquiry and mentorship model in Tbilisis, Georgia. This review aimed to evaluate and synthesize existing literature on psychosocial and FCC mentorship for pediatric healthcare professionals in four parts: ongoing need, effects on healthcare professionals, effects on children and their families and/or caregivers, and in cross-country healthcare settings. Reviewers searched open-source databases for articles …

Beyond Service Education: Impacting The Human Experience With Sustained Training Utilizing The Experience Model Of Communication, Jennifer S. Packard, Rebecca A. Brustad, Jane M. Hoplin, Sheila K. Stevens

Patient Experience Journal

Patients scheduling or checking in for medical appointments often share with frontline employees’ details of their stories, including their worries, prior negative experiences, and hopes. These interactions require employees to not only complete their task, but also to be mindfully present, picking up on important social cues and showing appropriate emotional congruence and empathic understanding. Based on a review of recorded patient calls, a gap was identified in the communication skills of desk and scheduling staff at this large academic medical center, and a sustained training program was created to fill this gap. The training is centered on an evolving …

Development Of The Patient Propensity Indicator: Measuring And Predicting Antecedents Of Insights Into The Individual Management Of Healthcare, Julie Monroid

Student Theses and Dissertations

This research describes the development of the Patient Propensity Indicator (PPI), a reliable and valid measure, which is grounded in the rigorous conceptualization and operationalization of psychometric (ability, attitude, belief), health literacy, and learning preferences constructs and their effect on medication adherence. Adopting a well-established protocol for instrument development (DeVillis, 2017) the PPI’s multi-construct items were developed based on the findings from an extensive literature review both within and outside of healthcare.

An expert assessment of 130 items was conducted by a distinguished judging panel who provided validation of the constructs and item reduction (87). Refined constructs and items were …

Documenting & Describing Experiences Of Marginalized Gender Identities In Healthcare, Laura Stepnowski

Gettysburg Social Sciences Review

Despite its importance to quality and length of life, health varies widely among the U.S. population depending on various sociodemographic factors, such as age, race, gender, and income. This research focuses on the perception of treatment for those with marginalized gender identities. There is a long history of discrepancies in healthcare, but no time such as the present seems to be filled with such a nuanced perspective of quality of treatment for those with marginalized gender identities. This became evident through the focus groups conducted for this study. Findings show that participants used more collaborative language when discussing their positive …

Communication Accommodation Of Surgeons With Student-Athletes, Emily Womble

Electronic Theses and Dissertations

Health communication is a topic that has been broadly researched for a while. It is an area that holds significance everyday due to the number of people involved and the number of people who rely on healthcare in general. Student-athletes sustain over a million injuries annually, over half of which required surgery (Corlette et al., 2015). However, the specific topic of communication between a surgeon and their studentathlete is one that is not studied much at all. Utilizing Communication Accommodation Theory as the theoretical framework, this study explored how surgeons currently use accommodation in their communication to their student-athletes. It …

Social Media By Providers And Patients In Healthcare, Madison K. Howell, Jirakamon Silapabanleng

Theses, Dissertations and Capstones

Introduction: Social media platforms such as Facebook, YouTube, and Twitter have been used in various industries to create direct-to-consumer interactive opportunities. 74% of the US population were social media active users. Around 40% of adults gather their health information from Facebook, a free social networking site, which has been available on various devices and can help many organizations advertise their services as well as communicate with their patients. Social networks had a powerful influence in making health decisions because it could be used as a means to spread either positive or negative health information.

Purpose of study: The …

Perceptions Of Care & Patient-Provider Communication By Varying Identity Groups In A Collegiate Health Clinic, Yewande O. Addie, Tatiana Maser, Cecilia Luna, Casey Rayfield, Kelli R. Agrawal

Patient Experience Journal

LGBTQ patients experience discrimination and poor access to quality health care, but there is little inquiry on the experiences of LGBTQ patients in student health clinic. The purpose of this study was to examine the quality of patient-provider communication (PPC) among sexual and gender minority patients, especially those who have intersecting minority identities, in a student healthcare setting. An online survey measured PPC using the Communication Assessment Tool (CAT) and contextual questions regarding identity and perceptions of judgment. Analysis tested intersectional variance in both. A convenience and snowball sample of 102 respondents, 18+, that utilized health services at a public …

Health Care Access For Children In Latinx Immigrant Families In The Greater Philadelphia Area, Sophia King

Politics Honors Papers

This work examines the gap that exists in access to health care in the Greater Philadelphia Region for children of Latinx immigrant families in comparison to other children in the nation. It provides a critical analysis of the gap in access to coverage, noting that this exists despite wide support for a human right to health. This study draws on existing scholarly research as well as interviews with staff at two health clinics and one community outreach center that are located in Greater Philadelphia. It demonstrates that Latinx immigrant families are less likely to have health insurance and get primary …

Investigating The Impact Of Explanation On Repairing Trust In Ai Diagnostic Systems For Re-Diagnosis, Lamia Alam

Dissertations, Master's Theses and Master's Reports

AI systems are increasingly being fielded to support diagnoses and healthcare advice for patients. One promise of AI application is that they might serve as the first point of contact for patients, replacing routine tasks, and allowing health care professionals to focus on more challenging and critical aspects of healthcare. For AI systems to succeed, they must be designed based on a good understanding of how physicians explain diagnoses to patients, and how prospective patients understand and trust the systems providing the diagnosis, as well as the explanations they expect. In this thesis, I examine this problem across three studies. …

Healthcare, Foucault, And The Politics Of Covid-19, Canyon Smith

Communication Senior Capstones

As of April 2020, the United States is in a state of complete and utter crisis. This paper seeks to acknowledge and critique the inherent failings present in the neoliberal system of healthcare adopted by the United States. By identifying and criticizing components of insurance, employment, and the fetishization of marketplace competition, I will make a Foucauldian analysis of the flawed power structures existing within a privatized health system. The goal of this article is to articulate and make clear the case for the implementation of a single-payer system in the United States, which would see a much vaster and …

Patient-Perceived Stigma & Communication In Mental Healthcare: Predictors Of Medication Adherence And Mental Health Outcomes, Cameron A. Cloud

Honors Theses

Patients with mental illness often report feeling stigmatized by their mental healthcare providers, which may deter them from seeking care services altogether. Although workplace interventions can be implemented to reduce stigma, outcomes are limited and may not be long-lasting. The objectives of this study are to investigate which variables of interpersonal communication are significant predictors of medication adherence and mental health outcomes in patients with mental illness. This study surveyed 258 participants from the United States who were at least 18 years of age and reported seeing a mental healthcare provider and taking psychotropic medication within the past five years. …

The Language Barrier In Healthcare: Quality Of Care And Health Literacy, Jacob Warren Garrett

Honors Theses

As the number of Spanish speaking immigrants coming to the United States increases, there will also be an increase in the number of LEP patients will seek medical care. In Hattiesburg, Mississippi alone there are over 7,000 people listed as Hispanic/Latino (2010 Census, U.S.gov). This research examines the experiences of LEP patients in the Hattiesburg area and focuses on three main areas: (1) if a language barrier exists for these patients when they seek care (2) if the quality of care of these patients is affected by the inability of the patient and provider to orally communicate (3) if the …

Effects Of A Hospital-Wide Physician Communication Skills Training Workshop On Self-Efficacy, Attitudes And Behavior, Minna Saslaw, Dana R. Sirota, Deborah P. Jones, Marcy Rosenbaum, Steven Kaplan

Patient Experience Journal

Hospital systems interested in improving patient experience and physician engagement may look to physician communication skills training (CST) as a means of improving both. This study examines a 7.5-hour, multi-specialty, hospital-wide physician CST workshop in a large academic hospital system and its effects on participants’ self-efficacy, attitudes, and behaviors related to communicating with patients. Data was gathered from October 2014 through June 2016 through a web-based questionnaire sent to participants 6-weeks post-workshop which focused on skills taught in the course, attitudes toward communication training, and provider behaviors when communicating with patients. Along with demographic questions, a ten question retrospective pre-post …

Deaf Access To Healthcare, Jennifer L. Yates

Senior Honors Theses

Modern medical professionals strive to provide culturally competent care; however, Deaf[1] culture remains overlooked. Common language and experience draw deaf individuals together as a cultural group. Ignorance about Deaf culture perpetuates barriers to holistic care in the medical setting. Deaf patients receive misdiagnoses, delayed treatment, and privacy breaches. Deaf culture understandably avoids healthcare and is characterized by numerous health disparities as a result. Obstacles hindering Deaf access to healthcare are directly opposed to the intended therapeutic relationship and holistic care. Increased awareness of Deaf culture is required to improve the Deaf’s access to healthcare.

[1] The word deaf should …

Preference-Sensitive Decisions Of Patients With Metastatic Breast Cancer: The Need For Decision Support, Julie Van De Haterd, Helene Voogdt-Pruis, Ilse Raats, Rianne Van Den Brink, Haske Van Veenendaal

Patient Experience Journal

Because of disease progression and the increasing number of treatment options, patients with metastatic breast cancer face multiple decisions over time. Our aim was to identify the multiple decisions patients with metastatic breast cancer face in order to decide which decision aids will be developed. First, we analyzed the clinical practice guidelines to identify decisions encountered by patients with metastatic breast cancer and healthcare professionals. Furthermore, an online questionnaire for patients, a focus group interview with patients and interviews with healthcare professionals were performed. In addition, we performed a systematic literature research and internet search to identify relevant decision support …

An Analysis Of Kaiser Permanente’S Crisis Communication Strategy, Ingrid Greene

Seaver College Research And Scholarly Achievement Symposium

Issues management in today’s quickly changing world can be a very delicate, and in the case of the spread of Ebola, with legal implications. Kaiser Permanente (KP) became deeply involved due to the involvement of its medical staff during the spread of the disease in the United States. All hospitals and medical staff in the U.S. are under the direction of the U.S. Department of Health and Human Services Center for Disease Control (CDC), including KP. In addition, KP needed to ensure the safety of the patients it serves. This case study examines how the corporate communications team at KP …

The Effects Of Social Status On The Quality And Affordability Of Healthcare, Robert O. Burns

Honors College Theses

Access to healthcare is very important in today's society, as is the quality of said healthcare. The socioeconomic status (SES) of an individual is the most important factor when it comes to determining both the accessibility and quality of said care, and as such has been studied extensively. Across different countries, lower SES has been linked to the decreased affordability and success rates of medical treatments such as coronary heart disease medication or health risk prevention regimes. In many cases, low SES patients were found to be less likely to seek treatment than higher SES patients as the debt they …

Accessing Healthcare: The Experience Of Individuals With Asd In Maine Report Summary, Alan Kurtz, Nancy Cronin

Health and Well-Being

A summary of report findings from the published research report, Accessing Healthcare: The Experience of Individuals with Autism Spectrum Disorders in Maine (2014).

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 …

Psychological Safety As A Mediator Of Relational Coordination In Interdisciplinary Hospital Care Units, Barry C. Henrichs

Master's Theses (2009 -)

This thesis presents an examination of the relationship between psychological safety and relational coordination within interdisciplinary health care teams. Based on previous research, a model is proposed in which psychological safety--the perceived safety of interpersonal interaction--partially mediates the link between the relational dimensions--shared goals, shared knowledge, and mutual respect--and the communication dimensions--frequent, accurate, timely, and solution-oriented communication--of relational coordination. The proposed model was tested using multiple linear regression of survey data from 158 obstetricians, anesthesiologists, and nurses who work in the labor and delivery units at two large teaching hospitals. The findings do not support the proposed model; however, an …

Analysis United Kingdom And United States Healthcare, Joyce K. Kutin

Joyce K Kutin RN, MSN, MOL

United Kingdom and the United States are two dissimilar health systems each having uniquely differing focuses, where the primary differences are a parliamentary verses a republic government application toward the socioeconomic requirements of the populace. The United Kingdom’s National Health Service interprets health care as a public service rather than the commodity. The United States healthcare system is riddled with disparities regarding quality, access and cost. The socioeconomic poor and or homeless are less likely to utilize the healthcare system when compared to others who are more fortunate. Health care systems are facing the same challenges around the world with …

Supporting Healthy Lives And Vibrant Places: Learning About And Living The Collaborative Leadership Model, Lisa Deangelis, Maureen A. Scully, Andrea Wight

Emerging Leaders Program Team Projects

The 31 fellows in the 2012 UMass Boston Emerging Leaders Program (ELP) worked with community partners to investigate the theme, “Supporting Healthy Lives and Vibrant Places.” They worked in peer self-managed teams, in order to learn collaborative leadership skills first-hand, while engaging with stakeholders and issues where collaboration makes a difference. Their team projects addressed: best practices in corporate wellness initiatives, outreach to support health care access for homeless people, ways to grow awareness of the wide need for affordable housing, ideas for arts-based local economic development, broader funding sources to support innovative research on poverty, and ways to continue …

The Scenario-Oriented Method For Recording And Playing-Back Healthcare Information, Yi Ding, Bing Wu, Erqiang Zhou, Jianfeng Wu

Conference papers

This paper proposes a new method, called the scenario-oriented method, to support the idea of recording and replaying the healthcare information such that the reporting and decision-support capabilities can be enhanced. In order to play back the changing history of certain information units, the scenario- oriented method attempts to organize related information and knowledge elements as a context so that the history of real medical activity can be recorded, and then be queried as a continuous, on-the-fly, understandable and playing-back information scenario through replay operations.