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Author: Pun
Publisher:
ISBN: 9781473979697
Category : Hospitals
Languages : en
Pages :
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Book Description
Using ethnographic discourse analysis in an Emergency Department in Hong Kong, this study explored the features of doctor-patient interactions in a hospital setting. By audio-recording 10 patient journeys, from triage to disposition, we analyzed the complexity of turn-taking patterns in spoken interactions between patients and doctors, as well as the subsequent complexities in this communication process. In particular, we traced the flow of communication surrounding the patients medical conditions at different stages of their journeys (e.g., taking patient history, making diagnosis and translating medical information in a bilingual environment). Communication in this Emergency Department, as in all Emergency Departments in Hong Kong, involves repeated translation from spoken Cantonese interactions to the written English patient notes and vice versa. For this study, the ethnographic discourse analysis includes different layers of detailed language diagnoses of the observed interactions (e.g., turn-taking strategies, speech functions and exchange structures). In this analysis, we examined the strategies that doctors used to transfer medical knowledge to their patients and with other clinicians; this research illustrated how a series of contextual factors (e.g., time pressure, staff shortages) were linked with the quality of doctorpatient communication. To illuminate the path for future research, we developed a dual-goal communication framework focusing on both medical and interpersonal aspects of the doctorpatient relationship. We strongly recommend the application of this framework for training medical students, junior clinicians and clinicians in practice.
Author: Pun
Publisher:
ISBN: 9781473979697
Category : Hospitals
Languages : en
Pages :
Get Book Here
Book Description
Using ethnographic discourse analysis in an Emergency Department in Hong Kong, this study explored the features of doctor-patient interactions in a hospital setting. By audio-recording 10 patient journeys, from triage to disposition, we analyzed the complexity of turn-taking patterns in spoken interactions between patients and doctors, as well as the subsequent complexities in this communication process. In particular, we traced the flow of communication surrounding the patients medical conditions at different stages of their journeys (e.g., taking patient history, making diagnosis and translating medical information in a bilingual environment). Communication in this Emergency Department, as in all Emergency Departments in Hong Kong, involves repeated translation from spoken Cantonese interactions to the written English patient notes and vice versa. For this study, the ethnographic discourse analysis includes different layers of detailed language diagnoses of the observed interactions (e.g., turn-taking strategies, speech functions and exchange structures). In this analysis, we examined the strategies that doctors used to transfer medical knowledge to their patients and with other clinicians; this research illustrated how a series of contextual factors (e.g., time pressure, staff shortages) were linked with the quality of doctorpatient communication. To illuminate the path for future research, we developed a dual-goal communication framework focusing on both medical and interpersonal aspects of the doctorpatient relationship. We strongly recommend the application of this framework for training medical students, junior clinicians and clinicians in practice.
Author: Marisa Cordella
Publisher: John Benjamins Publishing
ISBN: 9027295182
Category : Language Arts & Disciplines
Languages : en
Pages : 272
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Book Description
This book introduces a unique model of medical discourse that identifies the forms of talk – voices – that doctors and patients use during the consultation, and studies the dynamic interaction as it unfolds particularly in follow-up visits. Natural recordings, semi-structured interviews, questionnaires and ethnographic observations provide the data for the research, which was carried out in an Outpatient Clinic in Santiago, Chile. Using an interactional sociolinguistic approach, analysis of the data identifies doctor–patient communication as a micro-performance of broader socio-cultural realities, in which social status, power, knowledge and personal beliefs and values all find expression in the consultative setting. Importantly, while both doctor and patient voices are shown to contribute to an essentially asymmetrical exchange, the study also identifies the holistic and empathic Fellow Human voice, which places doctors and patients on a more equal footing. In connection with this voice, the Spanish concept of simpatía is also discussed.While the model in this study was developed within a specific socio-cultural framework, it is hoped that it will be adapted and modified more widely and contribute to a better understanding between doctors and their patients.
Author: Walburga von Raffler-Engel
Publisher: John Benjamins Publishing
ISBN: 9027283370
Category : Language Arts & Disciplines
Languages : en
Pages : 334
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Book Description
This volume covers many of the ways of speaking that create problems between doctor and patient. The questions under consideration in the present book are the following: How is the doctor-patient interaction structured in a particular culture? What takes place during the process? What causes misunderstandings, lack of cooperation and even total non-compliance? What is the outcome of the interaction and how does the patient benefit from it? Finally, and this is the ultimate purpose of this book: How can the interaction be improved so that an optimum outcome is assured for the patient with maximum satisfaction to the physician?
Author: Juan Eduardo Bonnin
Publisher: Routledge
ISBN: 1351331981
Category : Language Arts & Disciplines
Languages : en
Pages : 171
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Book Description
This book is the result of years of fieldwork at a public hospital located in an immigrant neighborhood in Buenos Aires, Argentina. It focuses on the relationships between diversity and inequality in access to mental healthcare through the discourse practices, tactics and strategies deployed by patients with widely varying cultural, linguistic and social backgrounds. As an action-research process, it helped change communicative practices at the Hospital’s outpatient mental healthcare service. The book focuses on the entire process and its outcomes, arguing in favor of a critical, situated perspective on discourse analysis, theoretically and practically oriented to social change. It also proposes a different approach to doctor-patient communication, usually conducted from an ethnocentric perspective which does not take into account cultural, social and economic diversity. It reviews many topics that are somehow classical in doctor-patient communication analysis, but from a different point of view: issues such as the sequential organization of primary care encounters, diagnostic formulations, asymmetry and accommodation, etc., are now examined from a locally grounded ethnographic perspective. This change is not only theoretical but also political, as it helps understand patient practices of resistance, identity-making and solidarity in contexts of inequality.
Author: G. H. Morris
Publisher: Routledge
ISBN: 1136690344
Category : Language Arts & Disciplines
Languages : en
Pages : 362
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Book Description
This collection of original papers by scholars who closely analyze the talk of the clinic features studies that were conceived with the aim of contributing to clinical practitioners' insight about how their talk works. No previous communication text has attempted to take such a practitioner-sensitive posture with its research presentations. Each chapter focuses on one or more performances that clinical practitioners -- in consort with their clients or colleagues -- must achieve with some regularity. These speech acts are consequential for effective practice and sometimes present themselves as problematic. Rather than calling for research to be simplified or reoriented in order for practitioners to understand it, these authors interpret state-of-the-art descriptive analysis for its practical import for clinicians. Each contributor delves deeply into clinical practice and its wisdom; therefore, each is positioned to identify alternative clinical practices and techniques and to appreciate practitioners' means of performing effectively. When reflective practitioners encounter these new pieces of work, productive alterations in how their work is done can be stimulated. By reading this work, reflective practitioners will now have new ways of considering their talk and new possibilities for speaking effectively. The volume is uniquely constructed so as to engage in dialogue with these reflective practitioners as they struggle to articulate their work. A practical wisdom-as-research trend has recently emerged in the clinical fields stimulating these practitioners to explore new and more informative ways -- communication and literary theory, ethnography, and discourse analysis -- to express what they do in clinics and hospitals. With the studies presented in this book, the editors build upon this dialectical process between practitioner and researcher, thus helping this productive conversation to continue.
Author: S. Bigi
Publisher: IOS Press
ISBN: 1614996555
Category : Medical
Languages : en
Pages : 116
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Book Description
At the start of studies on health communication, scholars were primarily concerned with showing the ethical implications of a new approach to care and with collecting evidence to demonstrate its greater effectiveness as opposed to the paternalistic and mechanistic paradigms. Well into the second decade of the 21st century, different issues need to be addressed. Aging populations and the spread of chronic diseases are challenging the sustainability of health care systems worldwide; increased awareness of health issues among the population and greater citizen participation seem to threaten clinicians’ authority. In this new scenario, it is acknowledged that the quality of verbal communication plays a crucial role, but it is still not clear how it impacts on the outcomes of care, which are its constitutive components and how it interacts with the institutional, cultural and social context of interactions. This book suggests that the time is ripe for a fresh start in health communication studies. As Debra Roter points out in her foreword, this proposal “is ambitious in attempting to integrate perspectives derived from pragmatics and argumentation theory with those derived from quantitative methods of medical interaction analysis and its prediction of outcomes”. On the other hand, as Giovanni Gobber explains in his foreword, “health communication can profit from an application of a performance-oriented linguistic analysis that pays attention to the role of the various relevant context factors in speech events related to specific activity types”. In this way, the open questions regarding communication in medical encounters are considered under a new light. The answers provided open up novel lines of research and provide an original perspective to face the new challenges in medical care.
Author: Bernadette Watson
Publisher: Springer Nature
ISBN: 9811543895
Category : Social Science
Languages : en
Pages : 304
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Book Description
This book explores the ways in which Eastern and Western medical knowledge inform each other in the treatment of people in Asia across a wide range of health issues. To do so, it brings together health communication scholars from diverse disciplines both in Hong Kong and worldwide and combines their observations and expertise with those of clinicians working in healthcare in Asia to provide a topical portrait of the expanding horizons of healthcare in Asia. Social scientists and clinicians discuss their research and clinical practice respectively using a range of analytic approaches that include traditional qualitative and quantitative methodologies, as well as cutting-edge computer diagnostics that digitally visualize health interactions across time. The book presents an innovative and interdisciplinary investigation of Eastern and Western perspectives on healthcare in Asia. It covers topics concerned with a range of mental and physical problems that are currently confronting Asia. Importantly, the views and experiences of front line clinicians delivering patient care in Asia are also included. Accordingly, the book offers varied and innovative perspectives on health communication issues in China, Singapore, Bangladesh and Australia.
Author: Sylvie Fainzang
Publisher: Routledge
ISBN: 1317182081
Category : Social Science
Languages : en
Pages : 158
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Book Description
In the era of health democracy, where a patient’s right to be informed is not only widely advocated but also guaranteed by law, what is the real situation regarding patient information? Do patients receive the information that they request with regard to their diagnosis, prognosis or treatments? And what information do patients themselves give to their doctors? Drawing on observational research in hospitals and covering the exchanges between doctors and patients on the subject of cancer treatment and that of other pathologies, this book reveals that the practice of telling lies is widespread amongst parties on both sides of the medical relationship. With attention to the manner in which information of various types is withheld and the truth concealed on either side of the doctor-patient relationship, the author explores the boundaries between what is said and what is left unsaid, and between those who are given information and those who are lied to. Considering the misunderstandings that occur in the course of medical exchanges and the differences between the lies told by doctors and patients, An Anthropology of Lying: Information in the Doctor-Patient Relationship analyses the role of mendacity in the exercise of, and resistance to power. A fascinating study of the mechanisms at work and social conditions surrounding the accomplishment of lying in medical settings, this book casts fresh light on a subject that has so far been overlooked. As such, it will appeal not only to sociologists and anthropologists of health and medicine, but also to medical professionals.
Author: Jack Pun
Publisher: Taylor & Francis
ISBN: 1000873811
Category : Language Arts & Disciplines
Languages : en
Pages : 269
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Book Description
Jack Pun’s book offers up the latest research in a variety of health communication settings to highlight the cultural differences between the East and the West. It focuses on the various clinical strands in health communication such as doctor-patient interactions, nurse handover, and cross-disciplinary communication to provide a broad, comprehensive overview of the complexity and heterogeneity of health communication in the Chinese context, which is gradually moving beyond a preference for Western-based models to one that considers the local culture in understanding and interpreting medical encounters. The content highlights the cultural difference between the East and the West, and focuses on how traditional Chinese values underpin the nature of clinical communication in various clinical settings and how Chinese patients and practitioners conduct themselves during medical encounters. The book also covers various topics that are unique to Chinese contexts such as the use of traditional Chinese medicine in primary care, and how clinicians translate Western models of communication when working in Chinese contexts with Chinese patients. This volume will appeal to researchers working in health communication in both the East and West as well as clinicians interested in understanding what makes effective communication with multicultural patient cohorts.
Author: Jim McKinley
Publisher: Routledge
ISBN: 100073417X
Category : Education
Languages : en
Pages : 666
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Book Description
The Routledge Handbook of Research Methods in Applied Linguistics provides a critical survey of the methodological concepts, designs, instruments and types of analysis that are used within the broad field of applied linguistics. With more than 40 chapters written by leading and emerging scholars, this book problematizes and theorizes applied linguistics research, incorporating numerous multifaceted methodological considerations and pointing to the future of good practice in research. Topics covered include: key concepts and constructs in research methodology, such as sampling strategies and mixed methods research; research designs such as experimental research, case study research, and action research; data collection methods, from questionnaires and interviews to think-aloud protocols and data elicitation tasks; data analysis methods, such as use of R, inferential statistical analysis, and qualitative content analysis; current considerations in applied linguistics research, such as a need for transparency and greater incorporation of multilingualism in research; and recent innovations in research methods related to multimodality, eye-tracking, and advances in quantitative methods. The Routledge Handbook of Research Methods in Applied Linguistics is key reading for both experienced and novice researchers in Applied Linguistics as well as anyone undertaking study in this area.
