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Incorporating verbal and nonverbal aspects to enhance a model of patient communication in cancer care: A grounded theory study.
Guetterman, Timothy C; Sakakibara, Rae; Baireddy, Srikar; Babchuk, Wayne A.
Afiliación
  • Guetterman TC; University of Michigan, Ann Arbor, Michigan, USA.
  • Sakakibara R; University of Michigan, Ann Arbor, Michigan, USA.
  • Baireddy S; University of Michigan, Ann Arbor, Michigan, USA.
  • Babchuk WA; University of Nebraska-Lincoln, Lincoln, Nebraska, USA.
Cancer Med ; 13(14): e70010, 2024 Jul.
Article en En | MEDLINE | ID: mdl-39001678
ABSTRACT

PURPOSE:

High-quality communication is essential to patient-centered care. Existing communication models and research tends to focus on what is said verbally with little attention to nonverbal aspects of communication. In sensitive and emotionally intensive healthcare encounters, such as in cancer care, provider and patient nonverbal behavior may be particularly important for communicating with empathy. Therefore, the aim of this study was to develop a conceptual model of communication that accounts for nonverbal behavior.

METHODS:

We followed a systematic grounded theory design that involved semi-structured interviews with 23 providers, including nurse practitioners, physicians, surgeons, and physician's assistants. Using constant comparative analysis, we analyzed transcripts and developed a grounded theory model of communication accounting for nonverbal behavior.

RESULTS:

The major themes included building rapport, gauging how patients will take bad news, ensuring patients' understanding of their conditions, staying honest but hopeful, centering but guiding patient through cancer care, conveying empathy while managing heightened emotions, and ensuring patient understanding. Throughout the process, providers synthesize both verbal and nonverbal information and apply what they learn to future encounters.

CONCLUSIONS:

The results extend existing models of patient-centered communication and invite communication intervention and research that incorporates nonverbal behavior. The model contributes an understanding of the full process of communication in clinical encounters.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Relaciones Médico-Paciente / Atención Dirigida al Paciente / Empatía / Teoría Fundamentada / Neoplasias / Comunicación no Verbal Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Cancer Med Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Relaciones Médico-Paciente / Atención Dirigida al Paciente / Empatía / Teoría Fundamentada / Neoplasias / Comunicación no Verbal Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Cancer Med Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos