Dissertations / Theses: 'Communication in medicine – Cameroon'

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Ekue, N. F. "The epidemiology of African swine fever in Cameroon." Thesis, University of Surrey, 1989. http://epubs.surrey.ac.uk/847398/.

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The epizootiology of African swine fever in the North West, South West and West Provinces of Cameroon was studied between 1982 and 1988. The enzootic area of ASF was determined using the data from a serological survey and interviews with pig farmers and it covered the southern parts of the N. W. and S. W. Provinces and all of the West Province except the districts of Malantouen and Massangam where pigs are not kept. The highest prevalence of seropositive pigs for ASF antibody was in the West Province where 10. 2% of the pigs sampled between January-June 1988 were positive. Restriction enzyme analysis and restriction enzyme site mapping of genomes of isolates from different parts of the enzootic area failed to distinguish between the 1982, 1985, 1987 and 1988 isolates but the 1986 isolate differed from the others in two fragments occurring within the last 10Kbp from the right terminus and another occurring within the central region of the genome (89-91Kbp). The restriction enzyme fragments of the genomes of the Cameroon viruses were similar to the West and South West African isolates from Senegal (Dakar/59), Zaire (Katanga/67) Angola (Angola/70; Angola/72) and Namibia (Namibia/86-1), and were also very similar to the recent European isolates from Malta (1978), Sardinia (1978,1982), Italy (1983), Portugal (1984) and Belgium (1985). In contrast, the Cameroon isolates were genetically very different from the East and South East African isolates from Tanzania, Malawi, Zambia and Mozambique. The genome of the CAM/82 isolate remained unchanged when the virus was passaged in either domestic pigs or PBM cultures. The Cameroon virus isolates shared the same haemadsorption antigens with the recent European isolates and those from Angola and Namibia. They also produced the same lesions and clinical signs in infected domestic pigs which were similar to those produced by some recent European isolates when inoculated into domestic pigs. No evidence for the presence of soft ticks of the Ornithodoros moubata complex was found during a survey of ASF carried out between 1985 and 1988 in the West Province and southern parts of the North West and South West Provinces of Cameroon. The absence of warthogs (Phacochoerus aethiopicus) from these areas was also recorded.

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Kim, Paul. "Emergency care assessment tool for health facilities: a validity study in Cameroon." Master's thesis, University of Cape Town, 2018. http://hdl.handle.net/11427/29865.

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Background To date, health facilities in Sub-Saharan Africa have not had an objective measurement tool for evaluating comprehensive emergency service provision. One major obstacle is the lack of consensus on a standardised evaluation framework, applicable across a variety of resource settings. The African Federation for Emergency Medicine (AFEM) developed an assessment tool specifically for these settings - the Emergency Care Assessment Tool (ECAT) - that assesses provision of key medical interventions. These interventions are referred to as signal functions for the six sentinel conditions that occur prior to death: respiratory failure, shock, altered mental status, severe pain/trauma, and dangerous fever. A signal function represents the culmination of knowledge of interventions, supplies, and infrastructure capable for the management of an emergent condition. Previous studies aimed at the refinement and context modification of the ECAT have already been performed in multiple African countries. We undertook a validation study to help determine the applicability of the tool in assessment of emergency services throughout the continent. Aims and Objectives The aim of this study was to determine the content, construct, and face validity of the AFEM Emergency Care Assessment Tool in Cameroon. To achieve this, the study had the following objectives: (1) Employ the ECAT in district, regional, and central hospitals in Cameroon. (2) Use direct observation to determine whether the signal functions can be performed in these facilities. Methods This was an observational study at a convenience sample of five hospitals in Cameroon: three district, one regional, and one central. The goal of this study was to validate the instrument, not the facility, and so the sample size was related to the number of signal functions witnessed rather than the number of facilities visited. The tool was administered with the Head of Emergency at each facility. This completed ECAT was then compared with direct observations of the signal functions, a process which was conducted by the partner local emergency care specialists accompanied by the ECAT researcher. Results In general, the higher the level of facility, the greater the emergency care capacity and the greater the number of signal functions that could be performed correctly and consistently. Discrepancies in funding, supplies, resource allocation, and care delivery ability were apparent through ECAT results, expounding on barriers to care delivery, and direct observation. McNemar tests on the ECAT results versus direct observation at each facility yielded statistically significant support for tool validation at the national level emergency unit as well as two of the district level emergency units. Concordance between reported and observed signal functions could not be achieved at the regional facility and one of the district facilities. Conclusions The ECAT has good potential for facility level assessment of emergency care provision, and collects meaningful information that can guide effective improvements in the delivery of emergency care.

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Ebong, Balbina. "The use of indigenous techniques of communication for language learning: The case of Cameroon." Doctoral thesis, Universitätsbibliothek Chemnitz, 2004. http://nbn-resolving.de/urn:nbn:de:swb:ch1-200401147.

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This study aimed at determining whether the use of indigenous techniques of communication can have a positive impact on the motivation of the learner of English as a foreign language in Cameroon. By indigenous techniques of communication we mean techniques like role-play, songs, the telling of folktales, riddles and proverbs. This work is intended as a contribution to the search for improvement of student motivation and enthusiasm, whereby they can be more responsive as they participate spontaneously in learning English as a foreign language. Some writers agree that it is beneficial to learn a foreign language using the material that the learners are familiar with (Lado 1964, Gee 1987, Post and Rathet 1996). The telling of folktales, role-play, songs, and the use of riddles and proverbs are found in all societies and every indigenous society uses them in teaching in one way or the other. Most foreign language learners are familiar with them. Their abundance in the Cameroonian society presents an excellent opportunity for foreign language teaching/learning. My interest in this research has been substantially influenced by my experience of working for almost a decade with learners of English as a foreign language in Francophone secondary/high schools in Cameroon. This work led me to the realization that students respond to English language teaching with very little motivation and enthusiasm. They make little or no progress in learning the language, much less in communicating in it. One of the major questions I have often asked myself is why Francophone students find English language learning boring and what could be done to solve the problem of teaching English to these students. I have tried on a number of occasions to tell folktales or teach a song in class when I found the students were bored with the lessons and discovered that the students immediately became alert. Their alertness was probably not for the direct purpose of making any linguistic gain but for the sheer entertainment of listening to a story or taking part in the singing, all of which they seemed to enjoy. Based on this positive change in the students, it was hypothesized that the introduction of some indigenous techniques of communication in the foreign language classroom might help improve its learning. The results from this study indicate that the recommendations for the use of these techniques in language teaching will help improve on the present negative attitude of foreign language learners. This study is significant to foreign language teaching/learning in all developing countries but most especially to the Cameroonian educational system where the study was carried out. Its relevance is due to the fact that most of the facilities that are presently used for the teaching of foreign languages in advanced countries are absent in developing countries. To help improve on the enthusiasm of the learner of a foreign language therefore, educational planners should resort to the use of indigenous techniques, which this study has found out could be very helpful in any foreign language classroom if properly applied
Es ist allgemein anerkannt, dass es für Schüler, die eine Fremdsprache erlernen sollen, von Vorteil ist, wenn ihnen vertrautes Material im Unterricht verwendet wird (Lado 1964, Post und Rathet 1996). Das Ziel der vorliegenden Studie ist deshalb, die positive Wirkung von indigenen Kommunikationsstrategien und techniken auf die Lernermotivation kamerunische Schülern und Schülerinnen zu ermitteln, welche Englisch als Fremdsprache erwerben. Unter indigenen Kommunikationstechniken verstehen wir Rollenspiele, Lieder, das Erzählen von Märchen, Rätseln und Sprichwörtern. Die vorliegende Studie soll einen Beitrag bei der Suche nach Verbesserungsmöglichkeiten von Schülermotivation und Enthusiasmus leisten und dazu beitragen, das Schülerinteresse durch spontanes, teilnehmendes Erlernen zu wecken

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[Verfasser], Kolyang. "Information and Communication Technology in Cameroon : Contribution of second hand computers to development / Kolyang." Aachen : Shaker, 2013. http://d-nb.info/1050345940/34.

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Bong, Carine Kuo, and Joseph Bayiah Ngang. "The use of Information and Communication Technology in disaster management : The case of Cameroon." Thesis, Jönköping University, JIBS, Business Informatics, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-13235.

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The frequency of natural disasters and its negative consequences in terms of the number of people killed, property destroyed and negative environmental impacts caused in the affected communities constitute one of the basic foundations and motivations for the development and use of ICT and other means of preventing as well as responding to disasters in the world today. This is simply because disaster management constitutes an important part of any developmental framework. Unfortunately a majority of these natural disasters occur in developing countries where information flow is greatly hampered because the national actors in disasters lack the skills to use ICT to prepare for and to response to disasters in their communities. Current study aims at studying the use of ICT in disaster management in Cameroon-a less developing country south of the Sahara

To achieve the aim of this study, a quantitative research approach was chosen. A total sample of 150 organisations was selected from a population of 285 organisations within Cameroon, that are directly or indirectly involved with disaster management or developmental issues of any nature. In total 150 questionnaires were administered to these selected national actors by mail, internet, telephone and self-administration and 85 of the organisations respondended to the questionnaire.

After collecting and analysing the data, the authors came to the conclusions that; disasters occur in Cameroon on frequent bases causing lots of damages thus the need for ICT use in humanitarian logistics to move information and material. Results showed that national actors use the radio and local TV (CRTV) for disaster preparedness and the mobile phone for disaster response, while the internet and computer techonology, foreign TV, Fixed phone and fax had a very low usage rate or sometimes not used at all. The reason for low usage or no usage was due to problems encountered by national actors in an attempt of trying to use them. Against this background, the authors suggested a number of recommendations that could improve the degree of ICT usage. One of them was that the Cameroon government should partner with private sector firms to make ICT infrastructure available by investing more and improving on the telecommunication sector in the country. This will solve the problem of poor ICT infrastructure, poor radio and TV signals, limited internet connectivity accessibility and availability in Cameroon.

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Taiwé, Kolyang Dina [Verfasser]. "Information and Communication Technology in Cameroon : Contribution of second hand computers to development / Kolyang." Aachen : Shaker, 2013. http://nbn-resolving.de/urn:nbn:de:101:1-201404278277.

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Chapnkem, Wenceslaw Chap. "Perceptions of Access to Healthcare in Cameroon by Women of Childbearing Age." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6981.

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Increased poverty and unemployment rates, minimal investment in social amenities, a shortage of healthcare professionals, poor infrastructure, inadequate social services, and poor institutional and political leadership have weakened the healthcare status of Cameroon's women who have reached the age of childbearing. The World Health Organization expressed increased urgency for healthcare providers and patients to develop new healthcare policies to eliminate health-related disparities. The aim of this phenomenological study was to examine the perceptions of women of childbearing age living in Mamfe rural community in regard to Cameroon's healthcare system and its impact on their lives. The theoretical foundation of the study was the healthcare utilization model. Interviews were conducted with 10 women participants, ages between 18 and 45. The data collected through semistructured interviews were analyzed using NVivo 11 and the Colaizzi 7-step processes to identify themes and subthemes. Study findings revealed systemic challenges that affected healthcare access which need to be adequately addressed to reduce maternal and child mortality among women of child-bearing age. The study findings could foster social change by improving the development of healthcare standards, as well as illustrating methods of increasing the level of access to healthcare services among women of childbearing age.

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Carstens, Charl. "Major Incident Communication Cascade Evaluation." Master's thesis, University of Cape Town, 2009. http://hdl.handle.net/11427/2858.

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Moorhead, Robert George. "Communication skills training for general practice." Title page, contents and abstract only, 2000. http://web4.library.adelaide.edu.au/theses/09MD/09mdm825.pdf.

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Bibliography: leaves 554-636. Examines aspects of teaching medical students communication skills at a time when they are entering their clinical years. Integrates reports of 12 data-gathering exercises centred on medical student communication skills with the international literature, and with the author's reflections as an experienced educator and G.P. Recommends that communication skills training in a general practice setting should be a crucial factor in all future training of medical students.

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Fonju, Ndemesah Fausta <1977&gt. "Communicating communication; HIV/AIDS prevention and care in rural and urban Cameroon, the case of Bangem and Douala." Doctoral thesis, Alma Mater Studiorum - Università di Bologna, 2009. http://amsdottorato.unibo.it/2188/.

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Vuza, Xolisa. "Social and technical issues of IP-based multi-modal semi-synchronous communication: rural telehealth communication in South Africa." Thesis, University of the Western Cape, 2005. http://etd.uwc.ac.za/index.php?module=etd&amp.

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Most rural areas of developing countries are faced with problems like shortage of doctors in hospitals, illiteracy and poor power supply. Because of these issues, Information and Communication Technology (ICT) is often sees as a useful solution for these areas. Unfortunately, the social environment is often ignored. This leads to inappropriate systems being developed for these areas. The aims of this thesis were firstly, to learn how a communication system can be built for a rural telehealth environment in a developing country, secondly to learn how users can be supported to use such a system.

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Bassah, Nahyeni. "Education that makes a difference to palliative and end of life care at the bedside in a resource-poor context : the situation of Cameroon." Thesis, University of Nottingham, 2016. http://eprints.nottingham.ac.uk/33147/.

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Background: Current demographic trends giving rise to an ageing population worldwide, and changes in disease patterns, are increasing demands for palliative and end of life care. Nurses play a fundamental role in the care of patients with chronic and life-threatening illnesses, making it critical that nurses entering the profession should be competent and confident to provide palliative care. However, some preregistration nursing curricula, particularly those in resource-poor settings, do not include any palliative care content. Existing research identifies a lack of palliative care competencies among practising nurses, both newly graduated and student nurses. Aim: The aim of this study was to develop, pilot and evaluate the impact of a palliative care course on Cameroonian preregistration nursing students’ palliative care knowledge and self-perceived competence and confidence in palliative care provision, using Kirkpatrick’s (1967) framework for training programme evaluation. Design: This study is situated within the World Health Organisation’s public health model for palliative care as an overarching theoretical framework. It employed a longitudinal quasi-experimental pretest/posttest design, using both quantitative and qualitative methods. It was conducted in 3 phases. In the first phase, a 30 hours classroom based palliative care course, underpinned by experiential learning theory, was developed. In the second phase, the course was delivered to second and third year nursing students in one University in Cameroon, by nurse educators, a chaplain and palliative care trained nurses in Cameroon. In the third phase, an evaluation of the impact of the course on students’ palliative care knowledge, self-perceived competence and confidence in palliative care, and transfer of learning to practice was conducted. Course evaluation data was collected via a pretest/posttest survey, 3 focus groups and 10 individual critical incident interviews. Both descriptive and inferential statistics were used to analyse the quantitative data. The qualitative data was analysed thematically using the framework approach. Findings: This study revealed a deficiency in the palliative care content of the pilot University’s preregistration nurse training curriculum, and very poor palliative care knowledge and self-perceived competence and confidence in palliative care provision, among preregistration nursing students of this University. A 30 hour classroom based palliative care course, delivered by nurse educators, palliative care nurses and a chaplain in Cameroon was found to statistically significantly improve students’ overall palliative care knowledge. In this study students’ also had improvements in their self-perceived competence and confidence in palliative care provision, though this was not statistically significant. Student nurses in receipt of palliative care education were able to transfer their learning to practice. They reported recognizing patients with palliative care needs, providing patients with physical, psychosocial and spiritual support and communicating patient information to the wider care team. Notwithstanding this positive finding, some factors, related to the student themselves, the qualified nurses, the practice setting or the patient and family, were found to negatively impact on the learning transfer process. The students generally felt that the course was an ‘eye opener’ and met with their expectations. They perceived the major strength of the course was the use of interactive and stimulating educational strategies, but felt that the absence of a supervised clinical practice component with dying patients was a major weakness of this course. Conclusion: There is a need for a curriculum revision to include palliative care content in the preregistration nurse training curricula of the pilot University. This seems to reflect a general need by all preregistration nursing students in this country. This study’s findings reveal the need to advocate for palliative care education and practice policies, and for adequately preparing clinical placement sites for nursing students’ palliative care learning and transfer of learning in Cameroon, and possibly other resource poor settings.

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Ngoasong, Michael Zisuh. "The role of global health partnerships in shaping policy practices on access to medication in Cameroon : theory, models and policy practices." Thesis, University of Nottingham, 2010. http://eprints.nottingham.ac.uk/11949/.

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This thesis argues that health policy practices on access to medication in Cameroon have been shaped by global health partnerships (GHPs), with the result that the capacity of the state has been undermined and the national health system fragmented, with no resultant reduction in the incidence and burden of malaria and HIV I AIDS. GHPs have played an increasing part in relation to access to medication in a number of developing countries in Africa, defined in terms of potential and actual access to pharmaceuticals and healthcare services. GHPs are supposed to provide a better policy response to the practical problem of access to medication by combining the expertise of UN agencies, the pharmaceutical industry, international civil society organizations, national government and local groups to formulate and implement country-specific policies. Ostensibly, they are able to bridge the gap between medical technology and the public health needs of poor societies. Neither of these claims can be substantiated. Theoretical approaches to models, embodied knowledge and social constructionism are used to provide a conceptual framework to study the role of GHPs on access to medication. GHPs are conceptualised as 'models' that occupy the intermediate position between theory and policy practices, within which are found three major narratives, based on public health, economistic and human rights approaches to the issue of access to medication. These narratives became embodied within GHPs, and are analysed to show how they shape different elements of policy practices. The operation of GHPs within a 'transcalar network', this 'social space' in which global-national-local linkages are formed and interactions take place is also examined. Global and national (country-specific) perspectives on the emergence of the GHP as a facilitator of access to medication are identified, and the role of GHPs in determining national health policy and local delivery practices for achieving access to medication for the poor and most vulnerable population is investigated. Two programmes in Cameroon are used as case studies: 1) National Malaria Programme created on Roll Back Malaria partnership guidelines and 2) National HIV/AIDS Programme created on Accelerating Access Initiative and Equitable Access Initiative guidelines respectively. The empirical evidence from this thesis supports a critical evaluation. GHPs emphasise specific medical intervention programmes, and are effective only in this narrow technical sense. Even though their efforts have not reduced the incidence and burden of malaria and HIV I AIDS, they have legitimised the direct intervention of international agencies, private corporations and civil society organizations at the local level. The GHPs' pursuit of 'quick results' has fragmented the national health system and undermined the role of the state. This thesis suggests that the key to reducing disease burden and improving public health is a strengthened national health system, one that the current GHP model does not offer. Developed to address the supposed failure of African states to ensure access to medication, GHPs have further marginalised the role of the Cameroon state, thereby reducing its capacity to protect and advance the health of its citizens.

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Hales, Kevin. "The Moving Finger: A Rhetorical, Grammatological and Afrinographic Exploration of Nsibidi in Nigeria and Cameroon." Ohio University / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1431071905.

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Keller, Alyse. "Performing Narrative Medicine: Understanding Familial Chronic Illness through Performance." Scholar Commons, 2017. http://scholarcommons.usf.edu/etd/6876.

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This study presents the process of creating a performance ethnography of my family’s narratives about familial chronic illness and disability. I label this process performing narrative medicine. By documenting and granularly analyzing the process of my performance ethnography, the following chapters provide a step-by-step discussion of how families communicate about chronic illness/disability through storytelling and humor, and how/what performance does as a method, metaphor and object of study to further our current communicative practices and understandings of chronic illness and disability in families. I argue that performing narrative medicine is a heuristic for families living with chronic illness and disability, and a method that may be used and applied outside the context of my own family. The chapters in my dissertation directly address the following questions: How does my performance work as embodied knowledge to gain greater understanding of the lived experience of familial disability/chronic illness? How does the use of humor as a communicative construct, and performance ethnography work as a practice of “performing narrative medicine?” What are our scholarly stakes in performing narrative? How too might binding narrative medicine to performance inform how we do qualitative research? How do the respective motions of narrative medicine and research practices/principles of performance ethnography converge and cross-fertilize each other? Does a work like narrative medicine endow storytelling and performance with a consequentiality? This performance ethnography of familial disability and chronic illness contributes to understandings of families dealing with chronic illness/disability, extends narrative medicine as a theoretical construct, and speaks to a long tradition of the practice of performance ethnography. Overall, performing narrative medicine reveals the underlying communication competencies at work in families living with chronic illness and disability. Through the use of humor and performance as a communication practice, I reveal the power of empathy. The power in realizing our own human capacities to relate to one another across differences, and continue the work of “living well.” This dissertation emphasizes the power of performance to constitute alternative ways of performing and understanding familial chronic illness, by emphasizing the work of creating, implementing and studying performance.

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Gaag, Anna van der. "Evaluating the communication skills of adults with learning disabilities." Thesis, University of Strathclyde, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.341636.

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Dapi, Nzefa Léonie. "Socioeconomic and sex differences in adolescents’ dietary intake, anthropometry and physical activity in Cameroon, Africa." Doctoral thesis, Umeå University, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-68922.

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Background: People in Cameroon are experiencing a dietary transition characterized by changing from traditional food habits to increased intake of highly processed sweet and fatty food. The rapid change in food pattern combined with an increased sedentary lifestyle has resulted in a rather high prevalence of obesity, hypertension, cardiovascular diseases and type 2 diabetes. Nutritional intake is important during adolescence for growth spurt, health, cognitive development and performance in school. Objective: The aim of this thesis was to assess dietary intake, anthropometry and physical activity of adolescents according to sex and socioeconomic status (SES) and to investigate food perceptions of adolescents living in urban and rural areas of Cameroon. Methods: Girls and boys, 12-16 years of age, were randomly selected from schools in urban and rural areas. Food frequency questionnaire, 24-hour dietary and physical activity recalls, anthropometric measurements, qualitative interviews and a background questionnaire were used for data collection. Results: The proportion of overweight was three times higher in girls (14%) compared to boys (4%). Stunting and underweight were more common among boys (15% and 6%) than girls (5% and 1%). The prevalence of stunting was two times higher among the urban adolescents with low SES (12%) compared to those with high SES (5%). The rural adolescents had the highest proportion of stunting but more muscle that the urban adolescents. The rural adolescents ate in order to live and to maintain health. Urban adolescents with low SES ate in order to maintain health, while those with high SES ate for pleasure. More than 30% of the adolescents skipped breakfast in the urban area. Urban adolescents with high SES and girls reported a more frequent consumption of in-between meals and most food groups compared to the rural adolescents, boys and those with low SES. Over 55% of the adolescents had a protein intake below 10% of the energy (E%). Twenty-six percent of the adolescents had fat intake below 25 E%, and 25% had fat intake above 35 E%. A large proportion of the adolescents had an intake of micronutrients below the estimated average recommendation. Boys and the adolescents with low SES reported a higher energy expenditure and physical activity level than girls and the adolescents with high SES, respectively. Both under- and over-reporting of energy intake were common among the adolescents. Conclusions: The present study showed that nutrient inadequacy, stunting, underweight, as well as overweight and obesity were common among the adolescents in Cameroon. Therefore an intervention program targeting both under- and overnutrition among school adolescents is needed. Sex and socioeconomic differences also need to be considered.

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Thacker, Alice Joanna. "The manifestation of schizophrenic formal communication disorder in sign language." Thesis, St George's, University of London, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.300411.

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Ishmael, Shu Aghanifor. "Information and Communication Technology in developing economies : A literature review on the reasons for failures of ICT; The case of Cameroon." Thesis, Örebro universitet, Handelshögskolan vid Örebro universitet, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-17218.

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Nickell, Debra Faith. "SCREEN DOOR MEDICINE: THE INFORMAL MEDICAL CONSULTATION." UKnowledge, 2010. http://uknowledge.uky.edu/gradschool_diss/6.

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This study explores the phenomenon of the informal medical consultation, a communication event in which an individual asks for medical information, advice, or care from an off-duty health professional with whom the individual has no formal patient-provider relationship. Using surveys and interviews, the study describes these consultations from the perspective of the health care professional and the informal patient. The study explores foundational theories that offer explanations for the phenomenon. The theories considered include social support, decision-making, social exchange, perceived partner responsiveness to needs, and uncertainty management. This study suggests health care providers perceive informal medical consultations to be more problematic than do the informal patients who consult them. The problematic nature of informal consultations increases as the type of request moves from purely informational to a request for treatment. Informal patients do not perceive this distinction. The informal patient’s motivation to pursue an informal consultation instead of a formal consult is affected by the relationship with, trust in, and access to the informal consultant. The willingness of the informal consultant to engage in an informal consultation is affected by the relationship with the informal patient, the type of request made, and perception of risk/benefit for both the provider and the patient. The study supports the idea that informal medical consultations are potentially problematic within the current medico-legal-ethical environment. Alternately, these consultations may be viewed as offering positive contributions to the health and well-being of informal patients. The study suggests translational research is needed to guide health professionals in considering requests for informal medical consultations.

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Lavelle, Mary. "Nonverbal communication in schizophrenia : a 3-D analysis of patients' social interactions." Thesis, Queen Mary, University of London, 2012. http://qmro.qmul.ac.uk/xmlui/handle/123456789/2485.

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Background: Schizophrenia is a severe mental illness affecting approximately 0.4% of the population. A core feature of schizophrenia is social dysfunction, however, the precise nature of patients’ social deficits remain unknown. During face-to-face interaction we use nonverbal cues to coordinate, regulate and manage conversation. Patients have difficulty perceiving nonverbal cues in social cognitive tests, but it is unclear if this difficulty persists in their social encounters. The aim of this thesis is to determine if patients’ social deficits are manifest in the nonverbal behaviour of their social interactions, specifically investigating; (1) interpersonal coordination between the head movements of interacting partners and (2) the head and hand movements of patients and their partners in the context of conversation role. The relationship between nonverbal behaviour and patients’ symptoms, social cognition, rapport and social outcomes will also be assessed. Methods: The experimental study involved twenty patient (1 patient, 2 healthy participants) and twenty control (3 healthy participants) three-way groups. Groups were motion captured while discussing a moral dilemma. Healthy participants were unaware a patient was present. Results: (1) interpersonal coordination was reduced in patients’ three-way interactions (2) patients displayed less head and hand movement, while their healthy participant partners displayed more. Increased patients’ negative symptoms intensified this pattern and were associated with reduced patient rapport. Patients spending more time actively involved in their three-way interactions had poorer social outcomes. Patients’ performance on social cognitive assessments showed no association with their nonverbal behaviour. Interpretation: Patients’ three-way interactions display atypical patterns of nonverbal behaviour. The presence of a patient changes the behaviour of the healthy participants they are interacting with; even when they are unaware a patient is present. Patients’ symptoms mediate the behaviour of patients and their partners, and influence patients’ rapport.

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Howell, Erin. "Volunteer Tourism: Fulfilling the Needs for God and Medicine in Latin America." Scholar Commons, 2017. http://scholarcommons.usf.edu/etd/6865.

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This study seeks to understand how short-term medical missions fulfill health needs for their recipients in Honduras, and how in turn, mission participants experience need fulfillment as well. By using the theoretical concept of co-construction of health to see how health needs are or are not met, I conducted a thematic analysis of the Baptist Medical and Dental Mission International (BMDMI) resulting in the following themes: 1.) Mission workers receive fulfillment from their experiences in the mission field. 2.) Mission recipients receive partial fulfillment of needs from the mission. 3). Through a calling, missions are a means to an end. Through these themes, this projects examines ethical stances on missions, communication about health in mission contexts, and whose needs are met, privileged, and silenced.

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Frean, Isobel. "Modelling communication requirements in aged care using HL7 V3 methods." Access electronically, 2006. http://www.library.uow.edu.au/adt-NWU/public/adt-NWU20070221.131236/index.html.

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Bi, Hongwei. "A doctor-patient communication tool (DPCT) Ryodoroku application on the web." CSUSB ScholarWorks, 2002. https://scholarworks.lib.csusb.edu/etd-project/2044.

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Animbom, Ngong Paul. "Towards the development of a therapeutic theatre in Cameroon: Investigating its practice and reception through a cross-case evaluation." Doctoral thesis, Universite Libre de Bruxelles, 2014. http://hdl.handle.net/2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/209340.

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Le théâtre thérapeutique est une espèce de spectacle vivant qui augmente la sensibilité des participants afin qu’ils puissent améliorer leur habileté à exprimer des émotions et des pensées verbales et gestuelles. Comme genre hybride, il fonctionne de la même manière que le théâtre pour le changement social (TPCS) dans lequel la praxis théâtrale est utilisée pour le changement des participants et des communautés ainsi que pour la promotion du bien-être. Cette pratique (le TPCS) est donc utilisée pour le changement social, mental, et surtout émotionnel. Au cours de ces dernières décennies, ces deux pratiques ont été considérées et traitées distinctement. Contrairement à cette perception historique, cette thèse prétend qu’il existe un paradigme dans lequel ces formes se rejoignent. Appelé théâtre thérapeutique, il est beaucoup plus appliqué au Cameroun dans des communautés. Ce cas hypothétique est examiné sous le titre :« Pour un Développement du Théâtre Thérapeutique au Cameroun :enquête sur sa pratique et sa réception à travers une évaluation de cas. » Trois productions du TPCS/théâtre thérapeutique sont donc utilisées :The Boomerang, Ndop et SOS Village Mbalmayo workshops.

Le cadre théorique convoqué à cet effet est la sémiologie théâtrale telle que vue et énoncée par André Helbo. Développée de la pragmatique, sa sémiologie théâtrale est basée sur l’émission et la réception d’un message dans le spectacle. À cet égard, il existe des fonctions réciproques d’acteurs et de spectateurs dans l’événement théâtral. Ceci signifie que la distinction entre la production et la réception est tout simplement considérée comme une « distinction pédagogique ».

Le langage du théâtre dans sa production et/ou sa réception fonctionne dans un contexte d’expérience sociale partagée. Dans cette perspective, Helbo parle de « codes de spectacle (conventions spécifiquement applicables au spectacle, au genre, à la période historique), de codes généraux (linguistiques, idéologiques/culturels, perceptuels), et de codes mixtes (codes généraux fonctionnant dans un contexte spécifique de spectacle) » .Néanmoins, dans la démarche sémiologique d’Helbo tout comme dans ce travail, le privilège est accordé au dépassement de la division précédemment mentionnée, pour aboutir à ce qu’il nomme « l’énonciation collective » et la « notion d’observateur actant ».

Ces concepts dépassent le modèle de la communication linéaire évoqués par Mounin, pour souligner que les participants dans un phénomène théâtral sont impliqués dans le processus de création collective ou de l’énonciation collective sous des normes culturelles spécifiques. Dans ce processus, l’observateur représente une fonction spécifique, l’une des conditions de l’existence de l’énoncé spectaculaire. La notion de l’observateur actant « raffine considérablement l’analyse de l’identification initiée par Brecht », notion qui a été incorporée ou prolongée dans le théâtre thérapeutique de la même manière que le processus de co-création. Ce qui est central dans l’application de la sémiologie théâtrale dans cette thèse, c’est le postulat selon lequel le destinataire d’aujourd’hui deviendra le destinateur de demain.

À la fin de cette étude, nous montrons (sans chercher une reproduction du modèle occidental), que le théâtre thérapeutique est pratiqué au Cameroun. L’utilisation des techniques théâtrales favorise le bien-être des participants et contribuent au changement à tous les niveaux de la vie. Cette approche est orientée vers la communauté et par conséquent constitue un paradigme thérapeutique à visé communautaire nommé « théâtre communautaire à visé thérapeutique ». Considéré comme tel, ce paradigme peut être utilisé concomitamment dans le cadre de la santé mentale et de la santé communautaire au Cameroun. Dans ce cas, il sert comme une modalité thérapeutique intégrée et établit un lien entre le spectacle vivant, la santé en générale et la santé mentale en particulier.

Therapeutic theatre is an improvisational method of performing arts that heightens participants' sensitivity to improve their ability to communicate feelings and thoughts verbally and by gestures. As a hybrid form, it functions in the same way as theatre for social change (TFSC) wherein theatre praxis is used to change participants or communities and promote wellbeing. TFSC is seen as an articulated intention to use theatre praxis in the service of change (social, mental, and emotional). Tradition has held these practices distinctly for the past decades. This thesis however, contends that despite these historic perceptions, there is a paradigm where these forms, previously viewed as distinctly different, come together in a spectacle that is therapeutic and applied to mental health in hospitals and community settings in Cameroon. This hypothetical case is examined under the general topic: ‘Towards the development of a therapeutic theatre in Cameroon: investigating its practice and reception through a cross-case evaluation.’ This thesis is based on the analysis of three TFSC/therapeutic theatre productions from the same practitioner: The Boomerang, Ndop and SOS Village Mbalmayo workshop productions respectively.

The research is inserted under theoretical considerations of theatre semiology and particularly, André Helbo's semiotic concepts. Developed from pragmatics, this method of theatre semiology focuses on the manner in which a message is sent and received. In this respect, there are reciprocal functions of actor and spectator in the theatrical event. From this, semiology is applied to understand the theatrical phenomenon in its entirety: production and reception. This implies, the division between production and reception is viewed as “a pedagogical distinction” only. Privilege in this thesis therefore is given to the surpassing of the aforementioned division to what he terms “enunciating collective” (co-creation process), and the “notion of the observer actant”.

These concepts go beyond the linear form of communication in theatre evoked by Mounin to highlight that the participants in a theatrical phenomenon are involved in a collective creation process or enunciating collective under specific cultural norms, and the observer represents a specific function, one of the conditions of existence of the performance utterance (l’énoncé spectaculaire). The notion of the observer actant in effect “refines considerably the analysis of identification initiated by Brecht” and which has been incorporated or prolonged in therapeutic theatre in the same way as the process of co-creation. Vital therefore to the application of theatre semiology in this work is the postulate that the theatrical phenomenon is an act of interaction wherein today’s receiver can be transformed into tomorrow’s sender.

At the end of this research, it is proven that without seeking a reproduction of a Western form, "therapeutic theatre" is practised in Cameroon. The utilisation of theatrical techniques fosters participants’ wellbeing and enhance change at all levels. It is community centred thereby constituting a community-based therapeutic paradigm which is named "community-based therapeutic theatre". Understood as such, this paradigm can be used concomitantly in cases of mental and community health in Cameroon. In this case, it serves as an integrated therapeutic modality and bridges the gap that exists in the health domain in general and mental health in particular.

Doctorat en Information et communication
info:eu-repo/semantics/nonPublished

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Arora, Aarti B. "Communication in Complementary and Alternative Medicine: A Situated Exploration of Communication Interactions Between Yoga Students and Their Yoga Teachers in India." Ohio University / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1597683490208638.

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Wong, Sau-Yee. "Determinants of patient satisfaction towards medication information in SOPD patients DISMIS study /." Click to view the E-thesis via HKUTO, 2004. http://sunzi.lib.hku.hk/hkuto/record/B31972330.

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Wu, Yingli, and 吳映莉. "The effects of Chinese medical terms on patient comprehension of information in a simulated clinical consultation." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2015. http://hdl.handle.net/10722/208579.

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Doctor's use of medical terms is generally considered to be one of the reasons for patients' poor comprehension of medical information. However, little research has been done on the effects of Chinese medical terms, which are constructed rather differently compared to English medical terms. This study manipulated the use of Chinese medical terms in a simulated clinical consultation, to investigate its effects on patients’ comprehension of medical information and their confidence for seeking further information. One hundred and eighty one eligible Hong Kong laypersons were randomly assigned to watch one of three video clips, which differed in the use of words explaining the underlying pathological changes and the treatment of prolapsed intervertebral disc: one with lay terms only (group 1), another with medical terms alone (group 2), and another one with medical terms supplemented with lay terms (group 3). After that, a computer-based questionnaire was used to assess the participants' comprehension of the information and confidence for seeking further information, followed by a semi-structured face-to-face interview on their perceptions of the utility of Chinese medical terms. Results suggested that although Chinese medical terms were perceived to be useful in assisting patients to look for further information on their diseases, the use of Chinese medical terms, either used with or without the supplements of lay terms, did not add to patients' comprehension of medical information and confidence for seeking further information. Regression models showed a significant trend of decreasing comprehension of the cause of the disease (β = -0.241, P = 0.002) and knowledge test scores (β = -0.214, P = 0.006) with increasing age of the participant. However, older persons had better comprehension of the word used (β = 0.238, P = 0.001). Participants' educational level was the most important determinant of knowledge test scores (β = 0.364, P < 0.001). In addition, persons with higher education (β = 0.207, P = 0.024), professional occupation (β = 0.173, P = 0.015) had better comprehension of the cause of disease. The findings of the study have implications for doctor-patient communication as well as medical education. To improve the effectiveness of doctor-patient communication, it may be more rewarding to enhance doctors' overall communication skills, rather than simply advocating their use or not use of medical language.
published_or_final_version
Anatomy
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Master of Philosophy

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Atechi, Samuel Ngwa. "The intelligibility of native and non-native English speech: A comparative analysis of Cameroon English and American and British English." Doctoral thesis, Universitätsbibliothek Chemnitz, 2004. http://nbn-resolving.de/urn:nbn:de:swb:ch1-200400880.

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The purpose of this work is to measure the degree of intelligibility of native and non-native English speech as well as analyse the major sources of intelligibility failure when speakers of these varieties of English interact. British and American English (henceforth BrE and AmE) and Cameroon English (hereafter CamE) are used as a case study with focus on segmental and supra segmental features. The study was motivated by a number of concerns, several of which are more prominent: First, it was motivated by the trepidation scholars like Gimson (1965, 1980); Prator (1968); etc. nursed that the unprecedented spread of English across the globe and the emergence of non-native varieties would cause English to disintegrate into mutually unintelligible languages, in the way Romance languages devolved from their Latin ancestor. The second motivation was that previous researchers (Bansal 1969, Tiffen 1974) on intelligibility have often concentrated their efforts on the traditional approach, which sees intelligibility from a one-sided perspective. To them, the non-native varieties of English are deficient and not different varieties from the native varieties. They were seen as substandard, incorrect, and unintelligible and thus needed remediation at all costs. The native varieties were seen as prestigious, correct, intelligible and the sole norm that must be emulated by non-native English speakers. In this way any interaction between a native speaker and a non-native speaker should be characterised by the non-native speaker making all the efforts to be understood as well as to understand the native English-speaking partner. This explains in large part why these researchers concentrated on measuring the intelligibility of non-native speech to native speakers and never vice versa. It was as if it was treasonable to measure the intelligibility of native speech to non-native speakers. Even if some researchers managed to do this, the comments that followed such data still showed that the aim was not to test the intelligibility of native speakers but to find out how efficient the non-native speakers were in understanding the native speaker. Another aim could also be to reinforce the teaching of the native norm, which was seen as correct against non-native features, which were seen as incorrect, to measuring intelligibility. While accepting that these studies reflected the conventional wisdom of the time, this study aims to move the debate forward by looking at intelligibility from a two-sided perspective. It sees communication between speakers of different varieties as a game of give and take, where both participants tune in to make the process successful rather than one participant being obliged to make all the efforts because s/he speaks a new English variety. That explains why we are testing not only the intelligibility of non-native speakers to native speakers but also native speakers to non-native speakers
Gegenstand der vorgelegten Promotionsarbeit ist die Untersuchung der gegenseitigen Verständlichkeit von muttersprachlichem und nicht-muttersprachlichem Englisch. Im besonderen werden die Hauptquellen und Ursachen des Scheiterns von Verständlichkeit in einer empirischen Studie bestimmt, klassifiziert und analysiert. Die Untersuchung wird exemplarisch anhand des Kamerunischen Englisch einerseits und des Britischen und Amerikanischen Englisch anderseits vorgenommen. Motiviert ist diese Arbeit vor allem durch folgende Punkte. Erstens bedarf es der Auseinandersetzung mit den durch eine Reihe von Autoren geäußerten Befürchtungen (z.B. Gimson 1965, 1980 und Prator 1968), daß die Herausbildung und Entwicklung neuer Varianten des Englischen letztlich zu einer Auflösung des Englischen in gegenseitig nicht mehr verständliche Sprachen führt, ein Prozeß, wie er sich historisch bei der Entstehung der romanischen Sprachen aus dem Lateinischen vollzog. Derartige Befürchtungen werden genährt durch die bisher ohnegleichen fortschreitende Verbreitung des Englischen über den gesamten Globus. Hier ergibt sich die dringende Notwendigkeit vergleichender Studien zur gegenseitigen Verständlichkeit zwischen den bestehenden Varianten. Zweitens folgen die meisten zu diesem Thema vorliegenden Untersuchungen im wesentlichen einer traditionellen, überkommenen Grundperspektive: die nicht-muttersprachlichen Varianten des Englischen werden als abweichend bzw. sogar defizitär aus Sicht der muttersprachlichen betrachtet, nicht aber als eigenständige Sprachformen (z.B. Bansal 1969; Tiffen 1974). Dies führt nach Auffassung des Autors zu einer einseitigen Betrachtung und Bewertung. Im besonderen wird in der sprachlichen Interaktion bei einem solchen Zugang die Last zu verstehen und für den Kommunikationspartner verständlich zu sein einseitig dem nicht-muttersprachlichen Sprecher übertragen. Auf diesem Hintergrund untersuchen die vorliegenden Studien anderer Autoren primär die Verständlichkeit nicht-muttersprachlicher Sprachformen für den muttersprachlichen Sprecher, nicht jedoch die umgekehrte Konstellation. Wenn die umgekehrte Perspektive überhaupt berücksichtigt wird, so zeigen die Kommentare, daß nicht die Verständlichkeit muttersprachlicher Sprecher für den Nichtmuttersprachler eigentliches Ziel und Gegenstand der Untersuchung war, sondern vielmehr die Frage, wie effizient sich Nichtmuttersprachler beim Verstehen muttersprachlicher Äußerungen zeigten. Des weiteren stehen diese Studien oft im Kontext des Bestrebens, im institutionalisierten Spracherwerb die muttersprachlichen Normen gegen die nicht-muttersprachlichen Merkmale durchzusetzen, die als nicht korrekt angesehen werden. Diese Positionen, der zugrundeliegende Zugang und die einseitige Ausrichtung bedürfen einer kritischen Auseinandersetzung

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Pineda, Kimberly Rose. "Intercultural communication in healthcare interpreting : an exploration of possibilities." Scholarly Commons, 2010. https://scholarlycommons.pacific.edu/uop_etds/754.

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This thesis will present an exploration of how healthcare interpreters utilize intercultural communication skills as they interact with cultural differences in their work. I will review the literature on healthcare interpreting, including provision laws, standards, codes of ethics, paradigms, and roles. I will focus on intercultural communication literature in order to demonstrate possible ways that it can be applied to the healthcare interpreting field. In order to better understand how intercultural communication is being used in healthcare interpreting, I will conduct interviews with healthcare interpreters who have had intercultural training. In conclusion, elements of a training framework will be introduced that could be developed in order to train advanced interpreters who are interested in using an intercultural approach in their work.

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Tuell, Dawn S., Beth A. Fox, and Ivy A. Click. "Let’s Give Them Something to Talk About: Assessment of Communication Skills in Pediatric Residents." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/6369.

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Objective To assess whether utilization of a validated communication tool corresponds with faculty assessment and resident self-assessment on the pediatric communication milestone continuum. Methods Pediatric residents were recruited to participate in the communication skills assessment. Continuity clinic faculty completed an assessment of each residents communication skills utilizing the 6 pediatric milestones that address interpersonal and communication skills. Each participating resident completed a self-assessment of their own communication skills utilizing the same milestones. After being placed on the milestones, the residents participated in a standardized patient interview that was recorded and subsequently evaluated by a faculty observer utilizing the Common Ground Instrument. Results 16/16 of pediatric residents participated in the study. The milestones and common ground instrument were scored on a scale from 1 to 5 with 5 representing an expert rating. For PGY-1 residents, the average faculty score on the milestones was 3.17, self-assessed average score was 2.92 and common ground average score was 3.67. For PGY-2 residents, the average faculty score on the milestones was 4.40, self-assessed score average was 4.10 and common ground average score was 3.20. For PGY-3 residents, the average faculty score on the milestones was 4.70, self-assessed score average was 4.10 and common ground average score was 3.60. PGY-1s had significantly lower self and faculty assessments than PGY-2s or -3s. There were no significant differences among PGYs on the Common Ground Interview score. Faculty rated residents significantly higher than they rated themselves. Previous clinical skills training, standardized patient training, and English as a first language had no significant effect on the self-assessment, faculty assessment or Common Ground Instrument score. Conclusion Faculty and residents observe an improvement in communication skills as residents progress through training; however, scores on a validated communication tool do not reflect this improvement.

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Clifford, Julie Veronica. "Computers in general practice consultations : impact on doctor-patient relationships /." Title page, contents and abstract only, 1999. http://web4.library.adelaide.edu.au/theses/09MPM/09mpmc637.pdf.

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LaBarge, Monica Claire. "Integral affect and attitude strength in health communications /." view abstract or download file of text, 2007. http://proquest.umi.com/pqdweb?did=1421612801&sid=1&Fmt=2&clientId=11238&RQT=309&VName=PQD.

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Thesis (Ph. D.)--University of Oregon, 2007.
Typescript. Includes vita and abstract. Includes bibliographical references (leaves 189-197). Also available for download via the World Wide Web; free to University of Oregon users.

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Ding, Huiling. "Rhetoric of a global epidemic intercultural and intracultural professional communication about SARS /." online access from Digital Dissertation Consortium, 2007. http://libweb.cityu.edu.hk/cgi-bin/er/db/ddcdiss.pl?3291232.

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Chasi, Colin Tinei. "A Kierkegaardian-existentialist critique of pragmatic communication on HIV/AIDS, with respect to selected Ikageng residents / C.T. Chasi." Thesis, Potchefstroom University for Christian Higher Education, 2001. http://hdl.handle.net/10394/2745.

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Yavner, Steven David. "Stress, fatigue, and medical students' study resource selection| Implications for the design of educational multimedia." Thesis, New York University, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10129593.

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BACKGROUND AND METHOD: Medical students are generally considered to be a unique group of experienced learners, functioning under high levels of stress and fatigue. The use of multimedia in digital environments has become a standard feature in most medical schools, but it has met with limited success. A study was designed to investigate the impact of stress and fatigue on general study resource selection, with particular interest in multimedia, and its limited uptake by medical students. A series of 58 focus groups with 107 third and fourth year medical students at the NYU School of Medicine was conducted in the spring of 2015. A survey instrument was also administered. Quantitative data analysis was conducted in SPSS-23; the qualitative data analysis was conducted through open coding and grounded theory procedures in ATLAS.ti.

FINDINGS: Results produced a model of stress and fatigue for third-year medical students, and showed a statistically significant increase in multimedia usage under fatigue but not under stress alone, and a statistically significant decline in textbook preference under conditions of stress and/or fatigue. Practice questions (i.e., “question banks”) and text-based websites (evidence-based, clinical decision resources related to diagnosis and case management) were the preferred study resources under all conditions. Further analysis of the qualitative data regarding multimedia’s strengths and weaknesses under stress and fatigue produced a series of 12 multimedia design and implementation factors.

DISCUSSION While these findings are based on the specific medical student population, there may be significant implications for the general learner population, which is also confronting increased stress and fatigue. As on-line learners and other populations of learners start to look more like medical students – trying to study when they are tired, stressed, and under severe time pressure – it’s worth considering that many of the suggestions for making multimedia resources more appealing to medical students might also have the same effects with other populations.

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Danis, Ajau. "Health communication and health literacy : participants perspectives on the PROSTAR Health Promotion Programme." Thesis, Liverpool John Moores University, 2006. http://researchonline.ljmu.ac.uk/5800/.

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Dickson, Brett William. "Wireless communication options for a mobile ultrasound system." Worcester, Mass. : Worcester Polytechnic Institute, 2008. http://www.wpi.edu/Pubs/ETD/Available/etd-090208-162440/.

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BARTZ, CLAUDIA CAROL. "NURSE-PATIENT COMMUNICATION DURING CRITICAL ILLNESS EVENTS." Diss., The University of Arizona, 1986. http://hdl.handle.net/10150/183833.

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The purpose of this study was to explore and describe nurse-patient communication during critical illness events. The theoretical structure of the study was drawn from communication, sociolinguistic, and nursing theory. Data were collected in a 374-bed private hospital in the Southwest. The sample consisted of six registered nurses and nine patients experiencing cardiac surgery. Nine observed and audiotaped nurse-patient interactions, and fourteen audiotaped partcipant interviews provided the data base for analysis. Content analysis was used to organize the data. Findings were presented in terms of language, paralanguage, and nonverbal expression, and in terms of content, process, and product of nurse-patient communication. Participants used biomedical-technical language and casual-everyday language during the interactions. Nurses talked about what patients would experience while patients talked about themselves as a way of establishing their credibility within the biomedical setting. Nurses viewed nurse-patient communication as variable depending on the patients' needs and responses. Patients viewed nurse-patient communication as straightforward, not requiring adjustment for the needs of the participants. Products of communication for patients involved increased knowledge, reassurance, and increased confidence. Products of communication for nurses involved relieving the patients' anxieties, considering the patients' remembering, and increasing the nursing staff's knowledge about the patient while helping the patient to know the goals of the nursing staff. The introduction and closure segments of the six nurse-patient interactions for preoperative preparation of the patient were analyzed. Nurses began the introductions by assuming that the patients needed relief from anxiety but the patients demonstrated politeness more than anxiety. Nurses used strategies of questioning, starting the physical assessment, topic persistence, and self-monitoring to control the closure segments. Patients used narratives and humor as control strategies. The study findings suggest conceptual areas relevant to nurse-patient communication which may ground theoretical model development for nurse-patient communication. Nurses in clinical settings can compare their patient communication experiences with the findings of the study in order to increase their understanding of expression, form, and function of nurse-patient communication.

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Hägglund, Karin, and Helena Roos. "Cultural Meetings in Child Health Centers : An Interview Study about Child Health Nurses experience of Intercultural Communication." Thesis, Kristianstad University College, Department of Health Sciences, 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-3290.

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Increasing immigration to Sweden has transformed a culturally homogeneous society into a more heterogeneous one. As a consequence intercultural communication and interaction have been increasing. Child health care agencies have encountered these increases. The aim of this study was to examine what the health care professionals experienced and communicated in these intercultural environments. Eight interviews with child health care nurses were carried through at four child health care centers in the south of Sweden. The results have shown that the child health nurses were affected by their different backgrounds and cultural diversity. An ethnocentric approach, including biased values of right and wrong, caused unsuccessful encounters with families from foreign countries. A culturally sensitive approach, on the other hand, with an understanding of cultural differences, proved to be successful and associated to plain communication and trust. A conclusion is that the nurses in childcare services should be provided with the opportunity to develop the necessary knowledge and tools needed for managing problems and obstacles they may encounter in their practices. Furthermore it was found that reflection was used for learning. We conclude that the nurses should be provided with opportunity to learn this way about their own culture and cultural relativity. A culturally sensitive approach leads to a better acceptance for cultural difference. From a health promotion point of view, this means that the prospect of promoting good health for immigrant children in the long run can be increased.

Keywords: Intercultural communication, child health centers, ethnocentrism, cultural sensitivity, reflection.

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Moran, Janette Elizabeth. "Assessing communication strategies in routine aonsultations between health professionals and patients with type I and II diabetes." Thesis, University of Leeds, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.275559.

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Leydon, Geraldine Marie-Claire. "Communication in UK outpatient oncology consultations." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.429092.

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Forde, Colin Ainsworth. "Emergency Medicine Triage as the Intersection of Storytelling, Decision-Making, and Dramaturgy." Scholar Commons, 2014. https://scholarcommons.usf.edu/etd/5354.

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This dissertation presents a comprehensive qualitative study of the decision-making aspects of emergency department (ED) triage at a large urban Trauma I hospital in the Southeast. Specifically, this study addresses the following research questions: (1) What do triage nurses perceive as the primary role of the triage process? (2) How do triage nurses interpret patient performances? These questions are explored through illuminating the intricacies of triage decision-making by the use of semi-structured interviews and observations. The findings of this study indicate: (1) a better understanding of the triage decision- making process yielding more practical insights related to the informal, emergent, and often improvisational ways patients are received, categorized, and treated was needed, and (2) providing a clearer understanding of the processes involved in sorting patients may provide much-needed insight regarding clinical concerns and/or issues regarding patient categorization, adverse clinical events, and excessive patient wait times. These findings are of particular importance due to the widespread overuse of EDs for nonemergent care. Essentially, EDs are designed for patients to visit due to an alteration in their physical and/or mental state. Once a patient enters the ED, a medical professional is tasked with the responsibility of interpreting the physical and/or mental state of the patient, which is generally achieved by interpreting the patient story - the precipitating event that brought them into the ED. What this study contributes to the literature is a deeper understanding of the communicative processes that ED triage nurses leverage to make sense of patient stories.

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Kaplan, Rachel S. W. "The Rhetoric of the Opioid Crisis and Addiction to Prescription Pain Medicine." Thesis, Duquesne University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10787609.

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In this historical moment, the United States is amidst an opioid crisis killing the young and the old; at least seventy-eight people die every day from an opioid-related overdose (Enomoto in Murthy III). Changing mindsets of the doctors who prescribe opioids is just as important as asking the patients who are prescribed them to demand an alternative medication. The different parties involved in the crisis all have a different agenda and their rhetorical bias is explored throughout this project. The pharmaceutical companies have launched aggressive marketing campaigns expressing the benefits of opioids and encouraged physicians to prescribe, the CDC has encouraged physicians to stop the overprescribing of opioids, and local police departments and hospitals are overwhelmed with overdoses. Future generations are now being affected by their parents’ opioid usage; one must stop and realize opioids are not the solution. Perhaps one of the most important implications from this project is to suggest all women, regardless of socioeconomic status and level of health literacy, be warned of the dangers opioids pose to her and any future children. When taking opioids during pregnancy, NAS is not the only concern; but also the larger concern is the complete dysfunction that opioid addiction brings and the personal chaos it creates for addicts and their families

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Wiens, Miriam E. "Family communication and genetics: Developing a framework for effective interventions." Thesis, University of Ottawa (Canada), 2008. http://hdl.handle.net/10393/28037.

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Objective. To create a theory-based framework to guide the development of interventions for assisting genetics health services clients to communicate results of genetic testing to at-risk family members. Methods. Systematic review methods were used to collect evidence on the barriers and facilitators of disclosure. After appraisal of several theories against key criteria, the Theory of Planned Behaviour (TPB) was chosen as the theory to base the framework on. The framework was developed through a qualitative process which incorporated the all the available evidence from the literature. A preliminary examination of the utility of the framework was done through a cross-sectional survey. Results. The framework explains the act of disclosing a genetic test results to at-risk family members in terms of the TPB. Results from the cross-sectional survey, conducted in a population not previously studied, were generally consistent with the information presented in the framework and found in the literature. Conclusions. The framework has potential to be used in developing interventions; however, results need to be replicated in prospective studies with larger samples.

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Thompson, Laura. ""So you feel a bit anxious?" : psychiatrist-patient communication and treatment adherence in schizophrenia." Thesis, Queen Mary, University of London, 2013. http://qmro.qmul.ac.uk/xmlui/handle/123456789/8561.

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24 million people worldwide are affected by schizophrenia. Its complex psychopathology, including changes in perception, can incur substantial personal distress and economic burden. Finding appropriate treatment that attracts voluntary adherence is an ongoing challenge for clinicians to prevent relapse and poor prognosis. This thesis conceives the psychiatrist-patient alliance - mediated through talk - as an intervention point that demands analytic attention. Conceptualising ‘good’ communication is however hindered by a lack of a) conceptual clarity on its constituents b) knowledge of what actually happens in psychiatric encounters. Abstract ideals of ‘Patient Centredness’ and ‘Shared Decision Making’ are widely endorsed as beneficial to adherence, but do not pragmatically translate into specific practices, conducive to training. Following a preparatory systematic review, this thesis addresses a gap in literature by observing psychiatric communication in 3 mixed method studies. Synthesising coding methodologies and statistical analyses with principles of conversation analysis, two studies explore the association - and explanatory mechanism - between adherence and specific communication practices: patient other-initiated repair and psychiatrist questions. Treatment decisions, the precursor to adherent behaviour, are also examined: alternative resources that psychiatrists employ and their interactional consequences are mapped, with a focus on patients’ overt resistance. The findings collectively extend knowledge on medical interaction and demonstrate the utility of a novel approach to outcome research in field dominated by cross sectional studies. Clinical, methodological and theoretical contributions are yielded relating to six themes 1) the consequentiality of psychiatrists’ communicative choices 2) the manifestation of alliance and adherence in clinical talk 3) orientations to experiential expertise and the contingencies of antipsychotic medication adherence 4) reconceptualising ‘good’ communication: misalignment as key to clinical success 5) evidence of the interaction order in schizophrenia 6) reconciling the nuances of naturalistic interaction with global clinical outcomes.

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Bohannon, Katie Lynn. "Women in white coats : female physician role enactment in medical clinic interactions /." [Boise, Idaho] : Boise State University, 2009. http://scholarworks.boisestate.edu/td/43/.

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Hess, Rick, Nicholas E. Hagemeier, Reid B. Blackwelder, Daniel Rose, Nasar Ansari, and Tandy Branham. "Teaching Communication Skills to Medical and Pharmacy Students Using a Blended Learning Course." Digital Commons @ East Tennessee State University, 2016. https://doi.org/10.5688/ajpe80464.

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Objective. To evaluate the impact of an interprofessional blended learning course on medical and pharmacy students’ patient-centered interpersonal communication skills and to compare precourse and postcourse communication skills across first-year medical and second-year pharmacy student cohorts. Methods. Students completed ten 1-hour online modules and participated in five 3-hour group sessions over one semester. Objective structured clinical examinations (OSCEs) were administered before and after the course and were evaluated using the validated Common Ground Instrument. Nonparametric statistical tests were used to examine pre/postcourse domain scores within and across professions. Results. Performance in all communication skill domains increased significantly for all students. No additional significant pre/postcourse differences were noted across disciplines. Conclusion. Students’ patient-centered interpersonal communication skills improved across multiple domains using a blended learning educational platform. Interview abilities were embodied similarly between medical and pharmacy students postcourse, suggesting both groups respond well to this form of instruction.

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Klein, Susan. "The effects of cancer patient participation in teaching communication skills to medical undergraduates a follow-up evaluation /." Thesis, Available from the University of Aberdeen Library and Historic Collections Digital Resources, 1996. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?application=DIGITOOL-3&owner=resourcediscovery&custom_att_2=simple_viewer&pid=59664.

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Boulanger, Karen Therese. "Factors related to satisfaction, pain and affect outcomes in massage therapy clients." Thesis, The University of Iowa, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3711080.

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Massage therapy is often used to treat musculoskeletal symptoms and to promote wellness. While evidence regarding its effectiveness is increasing, research related to actual practice and studies seeking to understand the mechanisms of massage therapy are needed. The purpose of this research was to describe the characteristics of massage therapists and their clients and to understand the role of communication in massage therapy outcomes. The first study examined the outcome expectations, expectancies, and behaviors of a random sample of massage therapists in Iowa (n=151) using a cross-sectional survey. The second study used a practice-based research design incorporating two samples of massage therapy clients (n=320 and n=321) to develop and validate a measure of client expectations of massage, the Client Expectations of Massage Scale (CEMS). The third study examined the influence of client expectations and massage therapists' interpersonal attractiveness on pain and satisfaction following massage. Social Cognitive Theory and Expectancy Violation Theory were used as frameworks to demonstrate how health behavior and communication theories can provide insight to massage therapy research. Results indicated that massage therapists had high expectations regarding the benefits of massage therapy and engaged in a variety of behaviors that reflect the clinical, educational, and interpersonal nature of massage therapy. In addition to using a variety of manual therapies, the massage therapists educated their clients in areas such as diet, stress management, and exercise to improve client health. Similarly, clients had positive expectations as measured by the outcome, clinical, educational, and interpersonal subscales of the CEMS. Positive outcome expectations predicted significant improvements in pain and serenity. High interpersonal expectations were related to negative changes in serenity. The third study revealed that high satisfaction was influenced by positive interpersonal attractiveness but more research is needed to understand the influence of client expectations being met on satisfaction. Initially high educational expectations, exceeded educational expectations, violated interpersonal expectations, and positive interpersonal attractiveness were related to less pain following massage. In conclusion, this research demonstrated that client expectations and massage therapist interpersonal attractiveness are important constructs to consider when evaluating the effects of massage therapy.

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Dissertations / Theses on the topic 'Communication in medicine – Cameroon'

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