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Negotiation of meaning in physician-...

Holmes, Barbara Carlile.

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Negotiation of meaning in physician-patient communication during cancer treatment.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Negotiation of meaning in physician-patient communication during cancer treatment./
Author:	Holmes, Barbara Carlile.
Description:	281 p.
Notes:	Source: Dissertation Abstracts International, Volume: 57-06, Section: B, page: 4069.
Contained By:	Dissertation Abstracts International57-06B.
Subject:	Speech Communication. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9633193

Negotiation of meaning in physician-patient communication during cancer treatment.
Holmes, Barbara Carlile.

Negotiation of meaning in physician-patient communication during cancer treatment. - 281 p.

Source: Dissertation Abstracts International, Volume: 57-06, Section: B, page: 4069.

Thesis (Ph.D.)--The University of Texas at Austin, 1996.

The goal of communication between physicians and patients is shared information. For patients with cancer, the shared information is of a life and death nature. In this study, patient understanding and satisfaction were considered as outcomes of effective communication. Research in classroom education has articulated the role of understanding in student learning. Medical communication literature to date has not addressed patient comprehension, nor patient satisfaction related to communication.Subjects--Topical Terms:

1017408
Speech Communication.

Negotiation of meaning in physician-patient communication during cancer treatment.
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035 $a (UMI)AAI9633193
035 $a AAI9633193
040 $a UMI $c UMI
100 1 $a Holmes, Barbara Carlile. $3 1672779
245 1 0 $a Negotiation of meaning in physician-patient communication during cancer treatment.
300 $a 281 p.
500 $a Source: Dissertation Abstracts International, Volume: 57-06, Section: B, page: 4069.
500 $a Supervisor: Diane L. Schallert.
502 $a Thesis (Ph.D.)--The University of Texas at Austin, 1996.
520 $a The goal of communication between physicians and patients is shared information. For patients with cancer, the shared information is of a life and death nature. In this study, patient understanding and satisfaction were considered as outcomes of effective communication. Research in classroom education has articulated the role of understanding in student learning. Medical communication literature to date has not addressed patient comprehension, nor patient satisfaction related to communication.
520 $a In this study, communication patterns were examined in the interactions of patients with cancers of the breast, lung, or lymphatic system, and their medical oncologists. The questions for this dissertation were: (1) What are the main types and critical features of the conversational processes that occur between cancer patients and physicians? (2) How do these conversational processes relate to patient understanding and patient satisfaction? Literature from classroom education research informed the direction of the questions and methodology in this study.
520 $a Twenty-two patients and seven physicians participated in this study. Each patient completed the Krantz Health Opinion Survey prior to the physician-patient interaction, which was audio- and videotaperecorded. The physicians and patients were interviewed after the interaction in order to assess intent and understanding. The outcomes of patient understanding and satisfaction were validated by stimulated recall procedures (for the first nine patients) and peer debriefing. Qualitative methodology was used to gather and to analyze the data. Descriptive quantitative statistics were used to organize the data.
520 $a Negotiated meaning was the central phenomenon that emerged from the data. In order for the outcomes of patient understanding and patient satisfaction to be met, meaning had to be negotiated between physician and patient. Pre-existing conditions (e.g. age, educational level and physical distress of the patient) contributed to the negotiation of meaning. The two causal conditions for negotiation of meaning were (1) the conversational processes of quantity, quality, manner, and relation, and (2) the attentiveness of the physician, patient and family member/significant other (when present). Six strategies were identified that assisted physicians and patients in negotiating the meaning of their respective verbal transactions, thereby leading to a higher level of patient understanding and patient satisfaction.
590 $a School code: 0227.
650 4 $a Speech Communication. $3 1017408
650 4 $a Psychology, Industrial. $3 520063
650 4 $a Health Sciences, Health Care Management. $3 1017922
650 4 $a Health Sciences, Oncology. $3 1018566
690 $a 0459
690 $a 0624
690 $a 0769
690 $a 0992
710 2 $a The University of Texas at Austin. $3 718984
773 0 $t Dissertation Abstracts International $g 57-06B.
790 1 0 $a Schallert, Diane L., $e advisor
790 $a 0227
791 $a Ph.D.
792 $a 1996
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9633193