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Results for “Communication Barriers”

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At least 289 records · Page 16Linked to original sources
PubMed2000

Understanding partner notification (Patient self-referral method) by young women.

STUDY OBJECTIVE: To understand the communication process involved in the patient-self referral method among adolescent females with chlamydia and gonococcal infection. DESIGN: A cross-sectional descriptive study using a convenience sample was conducted in 54 predominantly African-American females, 13 to 20 years-old, with gonococcal and/or chlamydia cervicitis at an urban hospital based reproductive health clinic. Subjects interviewed at their treatment visit were asked what method of notification they used to tell their partner(s). Subjects who had not notified their partner were asked about their intended communication method and what they envisioned they would say to their partner. Coding methodology was used to analyze the information. In addition to qualitative information, outcome measures were the proportion of subjects who notified their partner(s), their communication method, style, and barriers to communication. RESULTS: According to the treatment visit, 57% (31/54) of subjects reported notifying their partner. Most had notified their partner by phone or face-to-face, stated basic facts about the infection, and used a "direct" and "sensitive" communication style. Of the subjects who had not notified their partner (23/54), several barriers to notification were reported, but 82% said they intend to notify their partner(s). CONCLUSIONS: Strategies to promote the patient-self referral method among young women who do not notify their partner(s) need further assessment.

Adolescent↗
PubMed1991

A review of communication with intubated patients and those with tracheostomies within an intensive care environment.

A major aspect of nursing care within intensive care environments is communication. If nursing communication with patients is to be both effective and therapeutic nurses need to understand the principles of communication and identify the purposes of nurse-patient interactions. The main purpose of this article is to review and examine normal communication channels and the actual and potential barriers to communication between nurses and patients who are intubated or have tracheostomies. The assessment of these patients' needs for communication, planning, implementation and evaluation of nursing to meet them are discussed, and also implications for the future.

Communication Barriers↗
PubMedDate not supplied

Town vs. gown: a poor excuse for not communicating.

This study addresses barriers in the knowledge exchange process between educators and practitioners in healthcare administration. It examines and compares the attitudes of both toward the process of communication, barriers to effective communication, and methods for overcoming them. The study suggests several pragmatic linkages between educators and practitioners. A survey questionnaire was mailed to 400 randomly selected chief executive officers of hospitals and 210 healthcare administration educators. Responses were received from 49.3% of the practitioner group and 54.3% of the educator group for an overall return rate of 51.0%. The results suggest that educators and practitioners have grown remote. However, the two groups agreed on barriers to the effective flow of new knowledge between them and on mechanisms to overcome them. The study indicates that educators and practitioners can interface more effectively by forming linkages in which attitudes and information are shared. There is the potential for creating an environment more conductive to communication, role definition, and knowledge exchange than exists currently. The creation of a symbiotic environment could not only enhance the process of healthcare administration education, but also the practice of the profession.

Analysis of Variance↗
PubMedDate not supplied

Communicating with pediatricians about complementary/alternative medicine: perspectives from parents of children with down syndrome.

OBJECTIVES: Barriers to communication about complementary/alternative medicine (CAM) between parents and pediatricians are frequently documented, yet the scope of these barriers remains poorly understood. Such barriers are especially troubling when they involve children with special health needs, among whom CAM use is especially common. This pilot study of parents of children with Down syndrome (DS) used qualitative methods to explore parents' perceptions of the extent and quality of communication about CAM with pediatricians, to elicit parents' recommendations for improvement, and to formulate new research questions. DESIGN: Semistructured interviews were conducted with parents from 30 families with children with DS. Data were audiotaped and analyzed with assistance from qualitative data analysis software. RESULTS: Parents described how they advocated vigorously with their pediatricians about biomedical concerns such as the American Academy of Pediatrics healthcare guidelines for DS, but often avoided discussion of nonbiomedical concerns such as CAM. Many parents looked to pediatricians to initiate conversations about CAM. DISCUSSION: Even parents who assertively advocate for biomedical concerns in their children's health care may be unlikely to disclose and discuss CAM use with their pediatricians. Attending to parents' experiences helps to illuminate the nature and scope of current communication barriers and poses new research questions for assessing and improving parent-physician collaboration about health-related issues that may be prioritized differently by parents and pediatricians.

Adolescent↗
PubMed2001

Preliminary evaluation of "interpreter" role plays in teaching communication skills to medical undergraduates.

RATIONALE AND OBJECTIVES: Multiculturalism presents linguistic obstacles to health care provision. We explored the early introduction of "interpreter" role-play exercises in teaching medical undergraduates communication skills. The interpreter role creates a natural barrier in communication providing an active prompt for recognizing learning needs in this area. METHODS: Bilingual Cantonese first-year medical students (n=160) were randomly allocated to either "Observer" or "Interpreter" role plays at a small-group introductory communication skills workshop using a quasi experimental design, counterbalanced across tutors. Students assessed their own skill competence before and, together with their perceptions of the different role plays' effectiveness, again after the workshop, using an anonymous 16 item Likert-type scale, analysed using ANOVA and MANOVA. RESULTS: Students' assessments of their skills improved significantly following the workshop (F=73.19 [1,156], P=0.0009). Students in the observer group reported greater changes in their scores following the workshop than did students in the interpreter group (F=4.84 [1,156], P=0.029), largely due to improvement in perceived skill (F=4.38 [1,156], P=0.038) rather than perceived programme effectiveness (F=3.13 [1,156], P > 0.05). Subsequent MANOVA indicated no main effect of observer/interpreter conditions, indicating these differences could be attributed to chance alone (F=1.41 [16 141], P > 0.05). CONCLUSION: The workshop positively influenced students' perceived communication skills, but the "Interpreter" role was less effective than the "Observer" role in achieving this. Future studies should examine whether interpreter role plays introduced later in the medical programme are beneficial.

Analysis of Variance↗
PubMed1997

Speak to me! An overview of patient communication systems.

One way to match professional expertise to the insatiable demand for patient information is to use new communication technologies. Patient communication systems and the opportunities they offer are explored. When using these emerging technologies, risks also should be addressed: not only must the information be accurate, but the systems must be secure.

Communication Barriers↗
PubMed2000

Computer-mediated focus groups.

This article discusses the feasibility and effectiveness of computer-mediated (CM) focus groups. The study describes technological and practical considerations the authors learned from conducting such groups and reports on a comparison of the reactions of CM and face-to-face (FTF) participants in focus groups discussing academic dishonesty. The results suggest that the CM environment, in comparison to FTF, may lessen members' concern about what the moderator thinks of them and discourage participants from withholding embarrassing information. The article concludes with a list of suggestions for this technique and a discussion of the potential advantages and limitations associated with CM focus groups.

Adult↗
PubMed1992

Issues in the development of social work information systems: the case of hospital social work departments.

Information systems have been proposed as a valuable resource for promoting the efficient and effective operation of hospital social service departments. However, the development and implementation process must overcome the tensions inherent to collection and utilization of structured information by social work practitioners. These include the need for quantified data about qualitative phenomena, compatibility with existing work routines, compatibility with norms and perceptions of information needs at different levels, and potential versus actual utilization of the data. The authors examine these issues and present strategies for dealing with them, in the context of a project to develop a country-wide information system for social work departments in general hospitals in Israel.

Communication Barriers↗
PubMed2000

Differing attitudes between psychiatrists and primary care providers at the interface.

OBJECTIVE: Market forces caused by managed care are shaping practice styles for both psychiatrists and primary care physicians. This study offers a sample of the attitudes of both groups of practitioners highlighting the differences. METHOD: Forty-two psychiatrists and primary care physicians (PCP) completed surveys. The responses of each group were compared using chi square analyses. RESULTS: Psychiatrists and PCPs differed significantly on their: 1) degree of comfort in the other's traditional service domain--with PCPs more comfortable dealing with their patients' psychiatric problems than psychiatrists were dealing with their patients' medical problems, 2) perceived barriers to effective communication-psychiatrists acknowledge their own time constraints while PCPs blame their colleagues unavailability (actually an agreement that psychiatrists' availability is a limiting factor), 3) projected areas of interface in the future--with psychiatrists prioritizing collaboration on health maintenance while PCPs valued collaboration on prevention and referral as equally significant. CONCLUSIONS: Conflict between needs and expectations found in this pilot study, if shown in larger studies to be representative, will impact the success of changes in practice patterns encouraged by emerging managed care initiatives. These findings suggest that the discordant expectations between psychiatrists and PCPs about the interface of their practices deserve further study.

Communication Barriers↗
PubMed2004

Mental barriers.

Explore the source record for details and available documents.

Architecture↗
PubMed1996

Communicating with sedated ventilated patients in intensive care: focusing on the use of touch.

Communication with intensive care patients is of paramount importance, especially when communicating with a critically ill patient who is sedated and ventilated, and therefore unable to speak. Disclosure under these circumstances is extremely difficult, so in this situation touch is a valuable means of conveying messages. Consequently, touch as a way of communicating is discussed in this paper, highlighting the advantages and disadvantages. Barriers to communication in this environment are also discussed.

Communication Barriers↗