Matches in SemOpenAlex for { <https://semopenalex.org/work/W2288974890> ?p ?o ?g. }
- W2288974890 abstract "Despite recent well-known advancements in patient care in the medical fields, such as patient-centeredness and evidence-based medicine and practice, there is rather less known about their effects on the particulars of clinician-patient encounters. The emphasis in clinical encounters remains mostly on treatment and diagnosis and less on communicative competency or engagement for medical professionals. The purpose of this narrative study was to explore interactive competencies in diagnostic and therapeutic encounters and intake protocols within the context of the physicians’, nurses’, and medical receptionists’ perspectives and experiences. Literature on narrative medicine, phenomenology and medicine, therapeutic relationships, cultural and communication competency, and non-Western perspectives on human communication provided the guiding theoretical frameworks for the study. Three data sets including 13 participant interviews (5 physicians, 4 nurses, and 4 medical receptionists), policy documents (physicians, nurses, and medical receptionists) and a website (Communication and Cultural Competency) were used. The researcher then engaged in triangulated analyses, including N-Vivo, manifest and latent, Mishler’s (1984, 1995) narrative elements and Charon’s (2005, 2006a, 2006b, 2013) narrative themes, in recursive, overlapping, comparative and intersected analysis strategies. A common factor affecting physicians’ relationships with their clients was limitation of time, including limited time (a) to listen, (b) to come up with a proper diagnosis, and (c) to engage in decision making in critical conditions and limited time for patients’ visits. For almost all nurse participants in the study establishing therapeutic relationships meant being compassionate and empathetic. The goals of intake protocols for the medical receptionists were about being empathetic to patients, being an attentive listener, developing rapport, and being conventionally polite to patients. Participants with the leastivamount of training and preparation (medical receptionists) appeared to be more committed to working narratively in connecting with patients and establishing human relationships as well as in listening to patients’ stories and providing support to narrow down the reason for their visit. The diagnostic and intake “success stories” regarding patient clinical encounters for other study participants were focused on a timely securing of patient information, with some acknowledgement of rapport and emapathy. Patient-centeredness emerged as a discourse practice, with ambiguous or nebulous enactment of its premises in most clinical settings." @default.
- W2288974890 created "2016-06-24" @default.
- W2288974890 creator A5087918408 @default.
- W2288974890 date "2014-12-02" @default.
- W2288974890 modified "2023-09-26" @default.
- W2288974890 title "A Narrative Study of Patient Encounter Accounts of Physicians, Nurses, and Medical Receptionists after Two Decades of a Paradigm of Patient-Centered Care" @default.
- W2288974890 cites W109922458 @default.
- W2288974890 cites W115394847 @default.
- W2288974890 cites W1216021476 @default.
- W2288974890 cites W1480414464 @default.
- W2288974890 cites W1509377948 @default.
- W2288974890 cites W1510426010 @default.
- W2288974890 cites W1514172731 @default.
- W2288974890 cites W1515587369 @default.
- W2288974890 cites W1516534262 @default.
- W2288974890 cites W1522869446 @default.
- W2288974890 cites W1526703352 @default.
- W2288974890 cites W1527311855 @default.
- W2288974890 cites W1527893199 @default.
- W2288974890 cites W1528022241 @default.
- W2288974890 cites W1538286663 @default.
- W2288974890 cites W1540123439 @default.
- W2288974890 cites W1559189446 @default.
- W2288974890 cites W1560157233 @default.
- W2288974890 cites W1572121282 @default.
- W2288974890 cites W1600192393 @default.
- W2288974890 cites W1600301616 @default.
- W2288974890 cites W1605824561 @default.
- W2288974890 cites W1631767606 @default.
- W2288974890 cites W168705875 @default.
- W2288974890 cites W172173926 @default.
- W2288974890 cites W172944379 @default.
- W2288974890 cites W1734796177 @default.
- W2288974890 cites W1741321747 @default.
- W2288974890 cites W180436215 @default.
- W2288974890 cites W1806799305 @default.
- W2288974890 cites W1868976149 @default.
- W2288974890 cites W1874560819 @default.
- W2288974890 cites W1884784240 @default.
- W2288974890 cites W1889834672 @default.
- W2288974890 cites W194222065 @default.
- W2288974890 cites W1971366485 @default.
- W2288974890 cites W1974092151 @default.
- W2288974890 cites W1979406688 @default.
- W2288974890 cites W1981845439 @default.
- W2288974890 cites W1983556031 @default.
- W2288974890 cites W1984560729 @default.
- W2288974890 cites W1999068081 @default.
- W2288974890 cites W2000117884 @default.
- W2288974890 cites W2003153723 @default.
- W2288974890 cites W2017770438 @default.
- W2288974890 cites W2018122654 @default.
- W2288974890 cites W2019585945 @default.
- W2288974890 cites W2021463887 @default.
- W2288974890 cites W2021746131 @default.
- W2288974890 cites W2021895826 @default.
- W2288974890 cites W2022778969 @default.
- W2288974890 cites W2038786007 @default.
- W2288974890 cites W2038984521 @default.
- W2288974890 cites W2039264823 @default.
- W2288974890 cites W2043841590 @default.
- W2288974890 cites W2045403074 @default.
- W2288974890 cites W2045592350 @default.
- W2288974890 cites W2049738798 @default.
- W2288974890 cites W2055433145 @default.
- W2288974890 cites W2063097440 @default.
- W2288974890 cites W2064005130 @default.
- W2288974890 cites W2064343711 @default.
- W2288974890 cites W2065142936 @default.
- W2288974890 cites W2067270820 @default.
- W2288974890 cites W2070349754 @default.
- W2288974890 cites W2075238916 @default.
- W2288974890 cites W2083831221 @default.
- W2288974890 cites W2086795174 @default.
- W2288974890 cites W2088513972 @default.
- W2288974890 cites W2092007630 @default.
- W2288974890 cites W2093506771 @default.
- W2288974890 cites W2097002972 @default.
- W2288974890 cites W2099847706 @default.
- W2288974890 cites W2105389249 @default.
- W2288974890 cites W2106478370 @default.
- W2288974890 cites W2106952837 @default.
- W2288974890 cites W2109379638 @default.
- W2288974890 cites W2111678399 @default.
- W2288974890 cites W2120688845 @default.
- W2288974890 cites W2126192745 @default.
- W2288974890 cites W2144402810 @default.
- W2288974890 cites W2146425425 @default.
- W2288974890 cites W2146691185 @default.
- W2288974890 cites W2151443139 @default.
- W2288974890 cites W2151489741 @default.
- W2288974890 cites W2151621121 @default.
- W2288974890 cites W2152089399 @default.
- W2288974890 cites W2152403969 @default.
- W2288974890 cites W2156362806 @default.
- W2288974890 cites W2158554224 @default.
- W2288974890 cites W2161314418 @default.
- W2288974890 cites W2165887719 @default.
- W2288974890 cites W2166531344 @default.
- W2288974890 cites W2170080889 @default.