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Dissertations / Theses on the topic 'Medical communication'
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Carroll, Melissa A. "Communication Theory in Physician Training: Examining Medical School Communication Curriculum at American Medical Universities." University of Cincinnati / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1504873270954601.
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Kod, M. S. "Wireless powering and communication of implantable medical devices." Thesis, University of Liverpool, 2016. http://livrepository.liverpool.ac.uk/3004891/.
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Alexander, Diane Elizabeth. "Technical Communication, Medical Writing and I.T. Converge: An Internship at Cincinnati Children's Hospital Medical Center." Miami University / OhioLINK, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=miami1292436407.
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Afonso, Ana Filipa Pires. "Reducing linearity requirements for in-body communication in the medical implant communication service band." Master's thesis, Universidade de Aveiro, 2016. http://hdl.handle.net/10773/18395.
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Mercier, Patrick Philip. "Communication and energy delivery architectures for personal medical devices." Thesis, Massachusetts Institute of Technology, 2012. http://hdl.handle.net/1721.1/75642.
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Thesis (Ph. D.)--Massachusetts Institute of Technology, Dept. of Electrical Engineering and Computer Science, 2012.Cataloged from PDF version of thesis.
Includes bibliographical references (p. 219-232).
Advances in sensor technologies and integrated electronics are revolutionizing how humans access and receive healthcare. However, many envisioned wearable or implantable systems are not deployable in practice due to high energy consumption and anatomically-limited size constraints, necessitating large form-factors for external devices, or eventual surgical re-implantation procedures for in-vivo applications. Since communication and energy-management sub-systems often dominate the power budgets of personal biomedical devices, this thesis explores alternative usecases, system architectures, and circuit solutions to reduce their energy burden. For wearable applications, a system-on-chip is designed that both communicates and delivers power over an eTextiles network. The transmitter and receiver front-ends are at least an order of magnitude more efficient than conventional body-area networks. For implantable applications, two separate systems are proposed that avoid reimplantation requirements. The first system extracts energy from the endocochlear potential, an electrochemical gradient found naturally within the inner-ear of mammals, in order to power a wireless sensor. Since extractable energy levels are limited, novel sensing, communication, and energy management solutions are proposed that leverage duty-cycling to achieve enabling power consumptions that are at least an order of magnitude lower than previous work. Clinical measurements show the first system demonstrated to sustain itself with a mammalian-generated electrochemical potential operating as the only source of energy into the system. The second system leverages the essentially unlimited number of re-charge cycles offered by ultracapacitors. To ease patient usability, a rapid wireless capacitor charging architecture is proposed that employs a multi-tapped secondary inductive coil to provide charging times that are significantly faster than conventional approaches.
by Patrick Philip Mercier.
Ph.D.
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Lawrence, Heidi. "Conscientious Object-ion: Rhetoric, Professional Communication, and Medical Controversy." Diss., Virginia Tech, 2013. http://hdl.handle.net/10919/52864.
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Vaccination is power—power to prevent disease, power to shape populations, power to define sickness and health, and power to compel scientific beliefs into the bodies of people around the globe. It is unsurprising, therefore, that vaccinations have garnered centuries of dissent. Specifically, the conscience—the parent or patient’s perceived right to make vaccination decisions based on personal perceptions of acceptable risks—has been used since vaccination’s inception as a rationale for individual rights to refuse vaccines in the face of the very public health goals that vaccinations aim to achieve.
Existing studies of vaccine disputes in medical literature have understood vaccine questions to be a problem of scientific knowledge or literacy, claiming largely that vaccine skepticism arises from a lack of proper comprehension or understanding of the scientific and medical bases for vaccination or statistical evidence proving vaccines are safe and effective. Studies of vaccination controversy in social science, communications, and historical literatures have largely examined the role that alternative notions of risk valuation, sources of trusted health information (such as preferring the advice of friends and neighbors to doctors), or conceptions of uncertainty have played in largely parental decision making about childhood vaccinations. Despite these extensive studies of vaccine sentiment, vaccine skepticism and refusal remains a small, though significant, voice in public debate.
This dissertation examines vaccine discourses as object-oriented rhetorics—as rhetorics shaped and defined by the physicality of the vaccine’s operation—as a way of re-conceptualizing the vaccine debate. Using object-oriented theories from computer programming, philosophy, and rhetoric, this research examines the professional and public voices that make up contemporary vaccine controversy. Through three data sets, including interviews with physicians, parent discourses produced on the Internet, and survey responses from young adults, this dissertation observes that vaccines function as objects that have multiple, coexisting operations for different actors across the medical system. Consequently, vaccination controversy can be conceptualized not as accurate versus inaccurate understandings of science or as a conflict of perspectives, but instead as a by-product of multiple ontologies of vaccines at work under competing disease exigencies.Ph. D.
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Savci, Huseyin Serif. "Low-power CMOS receiver for medical implant communication services." Related electronic resource: Current Research at SU : database of SU dissertations, recent titles available full text, 2008. http://wwwlib.umi.com/cr/syr/main.
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Chatwin, John. "Communication in homoeopathic therapeutic encounters." Thesis, University of York, 2003. http://etheses.whiterose.ac.uk/14170/.
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Daly, Zuleika. "Women's experiences of communication with medical staff during complicated pregnancy." Thesis, Middlesex University, 2015. http://eprints.mdx.ac.uk/21266/.
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This study explored the ways in which women experienced non-facilitative communication with medical staff during a complicated pregnancy. Complicated pregnancy has been associated with a higher risk of mental health difficulties. The research was carried out in Ireland and focused on women’s relationships with medical hospital staff during this time as they are ideally placed to offer relational support, and potentially prevent longer term problems. In-depth interviews were conducted with six women. The qualitative methodology of interpretive phenomenological analysis was used to understand their experiences. Four superordinate themes emerged. These were ‘Information difficulties' ‘Disempowerment', ‘Empathic failure’ and ‘Relational impacts’. Crucial information was withheld, private details were discussed in public spaces and key aspects of women’s experiences were omitted from their hospital notes. Participants spoke of feeling disempowered and manipulated by staff. All participants referred repeatedly to feeling that the majority of staff failed to demonstrate empathy. Women felt isolated and unseen, with staff focused on tasks rather than holistic treatment and their infant’s needs but not those of the women. Finally, women described how their relationships with themselves, partners, and crucially, their infants had been impacted. Participants’ accounts may represent a gap in the care of women who experience the trauma of serious pregnancy complications. Findings suggest a role for counselling psychologists in providing training and consultation for medical staff in order that they might develop the capacity to offer improved support to women and infants during this time when they are more susceptible to mental health difficulties.
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Mutemwa, Muyowa. "A Mobile Deaf-to-hearing communication aid for medical diagnosis." University of the Western Cape, 2011. http://hdl.handle.net/11394/2964.
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>Magister Scientiae - MScMany South African Deaf people use their mobile phones for communication with SMSs yet they would prefer to converse in South African Sign Language. Deaf people with a capital `D' are different from deaf or hard of hearing as they primarily use sign language to communicate. This study explores how to design and evaluate a prototype that will allow a Deaf person using SASL to tell a hearing doctor how s/he is feeling and provide a way for the doctor to respond. A computer{based prototype was designed and evaluated with the Deaf people in a previous study. Results from the user trial of the computer{based mock{up indicated that Deaf users would like to see the prototype on a cell phone. Those user trial results, combined with our own user survey results conducted with Deaf people, are used as requirements. We built a prototype for a mobile phone browser by embedding SASL videos inside XHTML pages using Adobe Flash. The prototype asks medical questions using SASL videos. These questions are arranged in an organized way that helps in identifying a medical problem. The answers to the questions are then displayed in English and shown to the doctor on the phone. A content authoring tool was also designed and implemented. The content authoring tool is used for populating the prototype in a context free manner allowing for plug and play scenarios such as a doctor's office, Department of Home A airs or police station. A focus group consisting of Deaf people was conducted to help in the design and pilot trial of the system. A final user trial was conducted with more than thirty Deaf people and the results are presented and analyzed. Data is collected with questionnaires, semi-structured interviews and video recordings. The results indicate that most of the Deaf people found the system easy to learn, easy to navigate through, did not get lost and understood the sign language in the videos on the mobile phone. The hand gestures and facial expressions on the sign language videos were clear. Most of them indicated they would like to use the system for free, and that the system did not ask too many questions. Most of them were happy with the quality of the sign language videos on the mobile phone and would consider using the system in real life. Finally they felt their private information was safe while using the system. Many South African Deaf people use their mobile phones for communication with SMSs yet they would prefer to converse in South African Sign Language. Deaf people with a capital `D' are different from deaf or hard of hearing as they primarily use sign language to communicate. This study explores how to design and evaluate a prototype that will allow a Deaf person using SASL to tell a hearing doctor how s/he is feeling and provide a way for the doctor to respond. A computer{based prototype was designed and evaluated with the Deaf people in a previous study. Results from the user trial of the computer{based mock{up indicated that Deaf users would like to see the prototype on a cell phone. Those user trial results, combined with our own user survey results conducted with Deaf people, are used as requirements. We built a prototype for a mobile phone browser by embedding SASL videos inside XHTML pages using Adobe Flash. The prototype asks medical questions using SASL videos. These questions are arranged in an organized way that helps in identifying a medical problem. The answers to the questions are then displayed in English and shown to the doctor on the phone. A content authoring tool was also designed and implemented. The content authoring tool is used for populating the prototype in a context free manner allowing for plug and play scenarios such as a doctor's office, Department of Home A airs or police station. A focus group consisting of Deaf people was conducted to help in the design and pilot trial of the system. A final user trial was conducted with more than thirty Deaf people and the results are presented and analyzed. Data is collected with questionnaires, semi-structured interviews and video recordings. The results indicate that most of the Deaf people found the system easy to learn, easy to navigate through, did not get lost and understood the sign language in the videos on the mobile phone. The hand gestures and facial expressions on the sign language videos were clear. Most of them indicated they would like to use the system for free, and that the system did not ask too many questions. Most of them were happy with the quality of the sign language videos on the mobile phone and would consider using the system in real life. Finally they felt their private information was safe while using the system.
South Africa
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Cilliers, Berna. "Talking about medical talk : exploring experiences regarding communication in HIV." Master's thesis, University of Cape Town, 2005. http://hdl.handle.net/11427/2913.
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Includes bibliographical references.The challenges of communication in the multilingual and multicultural South African health care context are exacerbated by the complexities and demands introduced by HIV/AIDS. Despite the wealth of information on aspects related to the doctor-patient relationship, communication in HIV/AIDS care settings has received very little attention in the literature. South Africa leads the HIV/AlDS pandemic in numbers, yet almost no locally relevant information is available on the nature of communication in HIV/AIDS care settings. The study has aimed to address this need. A qualitative research design within an interpretive paradigm was followed. The primary aim of the study was to describe and explain communication in a paediatric outpatient HIV I AIDS clinic from the multiple perspectives of caregivers, counsellors and doctors. Semi-structured interviews with 11 caregivers of HIV positive children, four NGO trained HIVI AIDS counsellors and four doc1Drs were conducted. A phenomenological data analysis procedure was followed. Rich descriptions of the communication experiences of the three groups of participants were constructed and five central themes were identified. Communication in the clinic meant sharing meaning across differences. The language and cultural divide between caregivers and doc1Drs could be successfully bridged by a doctor facilitative conversational style and the participation of counsellors in communication. Effective communication was dependant on systemic support and infrastructure. Communication in the clinic involved more 1I1an words, was shaped by context, required the collective effort of all role players, and was transactional in nature and powerful to affect the lives of caregivers, counsellors and doctors. Recommendations regarding practice and education were made.
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Stojakovic, Jelena. "Teaching intercultural communication competence in the healthcare context." Diss., [Missoula, Mont.] : The University of Montana, 2009. http://etd.lib.umt.edu/theses/available/etd-06052009-204749.
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Frederikson, Lesley G. "The role of information in medical consultation." Thesis, University of York, 1992. http://etheses.whiterose.ac.uk/2511/.
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Record, Rachael A. "CULTIVATING MIRACLE PERCEPTIONS: CULTIVATION THEORY AND MEDICAL DRAMAS." UKnowledge, 2011. http://uknowledge.uky.edu/gradschool_theses/148.
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This thesis reports the results of a study designed to investigate the influence of exposure to televised medical dramas on perceptions of medical miracles. Four hundred and eighty-one college students participated in a survey in which they responded to different questions about their medical drama viewership and their different beliefs with regard to medical miracles. Results found that heavy medical drama viewers perceived belief in medical miracles to be less normal than non-viewers. Similarly, heavy viewers perceived medical miracles to occur less often than non-viewers. Interestingly, heavy viewers perceived medical dramas to be less credible than non-viewers. In addition, this study found that personal experience with medical miracles affected responses across all three measured viewership levels. The study concludes that, when compared to no exposure to medical dramas, heavy exposure has the potential for creating a more realistic view of medical miracles. Future research should continue to study genre-specific cultivation effects with regard to health perceptions.
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Intrator, Kira (Kira Rachel). "Mobile medical disaster relief technology : enhancing communication, medical logistics, data creation, and crisis mapping for vulnerable communities." Thesis, Massachusetts Institute of Technology, 2012. http://hdl.handle.net/1721.1/73816.
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Thesis (M.C.P.)--Massachusetts Institute of Technology, Dept. of Urban Studies and Planning, 2012.Cataloged from PDF version of thesis.
Includes bibliographical references (p. 109-116).
This thesis explores the field of disaster relief and recovery, and the application of emerging technologies that are both used by, and use the data generated by communities affected by natural disaster. This thesis analyzes humanitarian disaster relief logistics conducted in Haiti following the devastation of the January 2010 earthquake, and melds this analysis with disaster relief technology design, thus applying a need-based approach to the creation of a new disaster relief technology - Mobile Medical Emergency Responders (MMER). The first section of the thesis establishes a foundation for both the global and localized need for a telephony system such as the one I am designing - MMER. It does so by examining issues such as disaster relief coordination and information management challenges in Haiti, with the concurrent need for direct communication between volunteers and affected communities. It uncovers the challenges of disaster relief logistics and the medical supply chain, and the way in which MMER's crisis mapping component responds directly to these vulnerabilities. Low physician density and pitiful health care access is underscored, further supporting the need for the direct medical guidance and knowledge provided through MMER to its caller. Fundamentally, the global issue of illiteracy is stressed, in addition to the dearth of disaster relief technology to address this gap. This need is addressed by the unique position of MMER as a voice-enabled system. After both the context and need for MMER are established, the specification of the technology that could respond to these challenges is created and presented in MMER's system design. The concept of MMER is critiqued and vetted by disaster relief professionals, its design further revised, and a site selection analysis is carried out through geospatial exclusion to determine which region is best suited for the launch and use of MMER. Finally, a usability pilot survey is assembled in order to obtain a deeper understanding of the regional and local cultural context in which MMER would be implemented, and to analyze the interviewees' current access and use of mobile phones and medical services. A humanitarian disaster relief tool, MMER would be low (to no) cost for its immediate users. Catering to illiterate, disaster-affected communities, MMER would make it possible to unite affected communities and their self-reported needs directly to global volunteers and medical expertise, and to provide isolated communities in developing countries access to healthcare information through landlines and mobile phones.
by Kira Intrator.
M.C.P.
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Adams, Elizabeth N. "Communicating Hope and Dreams, Wishes and Fears: Medical Art Therapy and Communication Disorders in the Pediatric Hospital Setting." Ohio University Honors Tutorial College / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=ouhonors1618918702473323.
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Hagemeier, Nicholas E., Rick Hess, Kyle S. Hagen, and Emily L. Sorah. "Impact of an Interprofessional Communication Course on Nursing, Medical, and Pharmacy Students’ Communication Skill Self-Efficacy Beliefs." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/1475.
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Objective. To describe an interprofessional communication course in an academic health sciences center and to evaluate and compare interpersonal and interprofessional communication self-efficacy beliefs of medical, nursing, and pharmacy students before and after course participation, using Bandura’s self-efficacy theory as a guiding framework.
Design. First-year nursing (n=36), first-year medical (n=73), and second-year pharmacy students (n=83) enrolled in an interprofessional communication skills development course voluntarily completed a 33-item survey instrument based on Interprofessional Education Collaborative (IPEC) core competencies prior to and upon completion of the course during the fall semester of 2012.
Assessment. Nursing students entered the course with higher interpersonal and interprofessional communication self-efficacy beliefs compared to medical and pharmacy students. Pharmacy students, in particular, noted significant improvements in communication self-efficacy beliefs across multiple domains postcourse.
Conclusion. Completion of an interprofessional communications course was associated with a positive impact on health professions students’ interpersonal and interprofessional communication self-efficacy beliefs.
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Suthers, Amber L. "Evaluating Effective Communication Methods: Improving Internal Communication." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etd/3293.
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Relaying information from a Chief Communications Officer (CIO), or centralized communications departments to hospital employees is not always efficient or effective. Employees may not be informed of important changes to department protocols or hospital policies. The purpose of the study was to determine the most efficient and effective forms of internal communications in the hospital setting.
A total of 83 surveys were mailed to communication officers working in Tennessee hospitals in and east of Nashville. Sixteen communication officers responded. This low response rate may be attributed to poor designation of communication responsibilities and an abdication of responsibilities to an off campus (corporate) source. One significant difference was found regarding the preference of supervisor contact to relay feedback in the age groups of 31-40 and 51-60. Those 31-40 were less likely to prefer direct supervisor contact as their favored communications channel as opposed to 51-60 year olds who favored this method.
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Schecter, Myer. "Physician - Jewish family communication about futile medical treatment : a qualitative approach." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/NQ59223.pdf.
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Hobson, Carol Bonnin. "The role of interpreters in medical communication in the Eastern Cape." Thesis, Rhodes University, 1997. http://hdl.handle.net/10962/d1002631.
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This study aimed to investigate the role of the interpreter in medical communication in the Eastern Cape. This role was found to be a complex and varied one. Interpreters do not only change the words of one language into equivalent words in the other language, but act as advisers, explainers, cultural mediators, supervisors and advocates of the patient. In order to fulfil these functions, they communicate independently within the medical consultation and do not merely interpret what has been said by each participant. Rather, they tailor the message to the participants and the situation by adding to the message, omitting parts of it and changing it where necessary. This does not happen in an arbitrary fashion, but is subject to influence from a number of non-linguistic and linguistic contextual factors. These factors are discussed in this study and included in a suggested model of the interpreted medical consultation, which differs from other models of interpreting which were found to be more adequate for the-situation of conference interpreting than for community interpreting, of which medical interpreting is an example. Data was collected from interviews with interpreters and patients apd from interviews and questionnaires given to medical professionals. The results suggest that using trained medical interpreters in the interpreted medical consultation may solve some of the problems that arise and medical professienals should be encouraged to, learn the languages of their patients to alleviate some of the misunderstanding which occurs. The study also raises questions about the way in which we view interpreting and shows that community interpreting does not always observe the ideals envisaged by theories of interpreting.
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Beard, Ashley J. Sleath Betsy. "Cost as a feature of medication management communication in medical visits." Chapel Hill, N.C. : University of North Carolina at Chapel Hill, 2008. http://dc.lib.unc.edu/u?/etd,2047.
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Thesis (Ph. D.)--University of North Carolina at Chapel Hill, 2008.Title from electronic title page (viewed Feb. 17, 2009). "... in partial fulfillment of the requirements for the degree of Doctor of Philosophy in the Division of Pharmaceutical Outcomes and Policy." Discipline: Pharmaceutical Outcomes and Policy; Department/School: Pharmacy.
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Nestel, Debra. "Communication skills for medical students, doctors and dentists : a programme evaluation /." Thesis, Hong Kong : University of Hong Kong, 1998. http://sunzi.lib.hku.hk/hkuto/record.jsp?B19657468.
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Shiller, Elizabeth A. Shiller. "I Don’t need a Medical Degree, I Watch TV." University of Akron / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=akron1527540526477336.
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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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Cagley, Laura Marie. "Report on a MTSC Internship at a Medical Device Company." Miami University / OhioLINK, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=miami1259680980.
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Brown, Nicola, and n/a. "The development of medical students� communication skills throughout training : a longitudinal study." University of Otago. Dunedin School of Medicine, 2005. http://adt.otago.ac.nz./public/adt-NZDU20070130.160535.
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There is ample evidence that clinical communication skills deteriorate in medical students without specific training, but are improved by training. However, little is known about how well-equipped students are to communicate with patients on entering medical school, and there is limited evidence about whether all students improve with tuition in communication skills. This thesis describes a longitudinal study into these issues at the University of Otago�s Medical School. It was hypothesised that the majority of participants would demonstrate significant improvement in communication skills over their first two phases of specific tuition in communication. However, a small minority of participants were expected to fail to develop adequate skills in communication over this time, and the researcher wished to investigate whether any of the variables measured at baseline (demographic characteristics, personal qualities, academic abilities, and demonstrated interaction and interview observation skills) would predict those participants who developed superior communication skills, or who failed to demonstrate sufficient improvement by the end of eighteen months of medical education.
Participants were 232 new entrants to the Otago Medical School programme, who were evaluated at three time points over the first eighteen months of their medical training. After completing a range of baseline measures (including a pre-training videotaped interview with a simulated patient role-played by an actor), participants completed two phases of communication skills training and, at the end of each phase, undertook a further videotaped interview. Interviews were marked by trained raters, using a novel assessment tool, the Brown-Peace Interview Marking Schedule, developed specifically for this purpose. Actors and participants themselves also evaluated each interview.
Results showed that there was considerable variation in participants� abilities to perform the pre-training interview, indicating that the communication skills required in a clinical setting were not present in the majority of participants before training. Analysis of participant performance over time indicated that, while certain skills improved with training (e.g., receptive listening skills, non-verbal expression, and degree of structure in the interview) others did not improve significantly (e.g., responsiveness to the patient�s needs). As a group, participants benefited from the training, but a small sub-group of participants exhibited significant deficits in communication, even after two phases of communication skills training. It was easier to predict those participants who would develop superior communication skills than those who would continue to experience difficulties with simulated interviews. However, a small number of qualities (such as lack of familiarity with the English language, and high levels of personal qualities such as aloofness) were useful predictors of poor performance in the videotaped interviews.
Further research could clarify whether the same personal qualities influence student performance in later interviews, once students have had more experiential training and opportunities to practise interviewing in a range of settings. In terms of the practical implications of the research findings, a number of issues are highlighted, such as the range of skills required of those who teach and evaluate communication skills. Recommendations are made regarding the timing, content and implementation of communication skills training for medical students.
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Дунаєва, Марина Миколаївна, Марина Николаевна Дунаева, Maryna Mykolaivna Dunaieva, Наталія Миколаївна Садовнича, Наталия Николаевна Садовничая, and Nataliia Mykolaivna Sadovnycha. "Niche book bio-medical content, thematic priorities and social and communication practices." Thesis, Sumy State University, 2017. http://essuir.sumdu.edu.ua/handle/123456789/65523.
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In our study there will be analyzed books from specialties that establish the general laws inherent in life in all its manifestations. And that is a bio-medical direction. Just they will act as an object of study. The subject of study will become texts and illustrations in all forms of media from books on biology, genetics and ecology, humane and veterinary medicine.
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Jeong, Jihoon. "Low Power Merged LNA and Mixer Design for Medical Implant Communication Services." Thesis, Virginia Tech, 2012. http://hdl.handle.net/10919/31152.
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The FCC allocated the spectrum of 402-405 MHz for MICS (Medical Implant Communication Services) applications in 1999. The regulations for MICS band apply to devices that support the diagnostic and/or therapeutic functions associated with implanted medical electronics. The implanted devices aid organs and control body functions of patients to support specific treatments, and monitor patients continuously so that necessary action can be taken in advance to avoid serious conditions. To enable to use MICS applications, several requirements must be satisfied. An implanted wireless device should have a small size, consume ultra-low power, and achieve the date rate of at least 200 kbps within 2 m distance. The major challenge is to realize ultra-low power devices. Thus the low-power design of the RF circuit is crucial for MICS applications as the power consumption of the wireless devices is mostly contributed by RF circuits.
This thesis investigates low-power design of an LNA and a down-conversion mixer of a receiver for MICS applications. The key idea is to stack an LNA and a mixer, while the LNA operates in the normal super-threshold region and the mixer in the sub-threshold region. In addition, a gm-boosting technique with a capacitor cross-coupled at the LNA input stage is also adopted to achieve a low noise figure (NF) and high linearity, which is critical to the overall performance of the receiver. The mixer operating in the sub-threshold region significantly reduces power dissipation and relaxes the voltage headroom without sacrificing the LNA performance. The relaxed voltage headroom enables stack of the LNA and the mixer with a low supply voltage of 1.2 V. The proposed circuit is designed in 0.18 μm RF CMOS technology. The merged LNA and mixer consumes only 1.83 mW, and achieves 21.6 dB power gain. The NF of the block is 3.55 dB at 1 MHz IF, and the IIP3 is -6.08 dBm.Master of Science
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Lee, Zhi Hou. "Improved multiple input multiple output blind equalization algorithms for medical implant communication." Thesis, University of Nottingham, 2015. http://eprints.nottingham.ac.uk/28726/.
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Medical implant sensor that is used to monitor the human physiology signals is helpful to improve the quality of life and prevent severe result from the chronic diseases. In order to achieve this, the wireless implant communication link that delivers the monitored signal to a multiple antennas external device is an essential portion. However, the existing conventional narrow band Medical Implant Communications System (MICS) has low data rate because of the bandlimited channel is allocated. To improve the data rate in the radio frequency communication, ultra-wide band technology has been proposed. However, the ultra-wide band technology is relatively new and requires living human to be the test subject in order to validate the technology performance. In this condition, the test on the new technology can rise ethical challenge. As a solution, we improve the data rate in the conventional narrow band MICS. The improvement of data rate on the narrow band implies the information bandwidth is larger than the allocated channel bandwidth, and therefore the high frequency components of the information can loss. In this case, the signal suffers the intersymbol-interference (ISI). Instead of that, the multiple antennas external device can receive the signal from other transmitting implant sensor which has the same operating frequency. As a result, the signal is further hampered by co-channel interference (CCI). To recover the signal from the ISI and CCI, multiple-input multiple output (MIMO) blind equalization that has source separation ability can be exploited. Cross-Correlation Constant Modulus Algorithm (CC-CMA) is the conventional MIMO blind equalization algorithm that can suppress ISI and CCI and able to perform source separation. However, CC-CMA has only been analyzed and simulated in the modulation of Phase Shift Keying (PSK). The performance of CC-CMA in multi-modulus modulation scheme such as 4-Pulse-amplitude modulation (PAM) and 16-Quadrature amplitude modulation (QAM), which has higher data rate than PSK, has not been analyzed. Therefore, our work is to analysis and optimize CC-CMA on the multi-modulus modulation scheme. From our analysis, we found that the cost function of CC-CMA is biased cost function. Instead of that, from our simulation, CC-CMA introduces an unexpected shrinking effect whereby the amplitudes of the equalizer outputs have been reduced, especially in multi-modulus modulation scheme. This shrinking effect is not severe in PSK because the decision of a PSK symbol is based on phase, but not amplitude. Unfortunately, this is severe in multi-modulus modulation scheme. To overcome this shrinking effect in multi-modulus modulation scheme, we propose Cross-Independent Constant Modulus Algorithm (CI-CMA). Based on the convergence analysis, we identify the new optimum dispersion value and mixing parameter in CI-CMA. From the simulation results, we confirm that CI-CMA is able to perform equalization and source separation in the multi-modulus modulation scheme. In order to improve the steady state performance of CI-CMA, we perform the steady state mean square error (MSE) analysis of CI-CMA using the energy preservation theorem that was developed by Mai and Sayed in 2001, and our result is more accurate than the previous work. From our analysis, only the reduction in adaptation step size can reduce the steady state MSE, but it is well known that the MSE is indeed a tradeoff with the speed of convergence. Therefore without sacrificing convergence speed, our last effort is to propose hybrid algorithms. The hybrid algorithms are done by combining a new adaptive constant modulus algorithm (ACMA), a decision directed algorithm and a cross-correlation function. From the simulation results, we found that the hybrid algorithms can show low steady state error and thereby improve the reliability of the communication link. The main achievement of this thesis is the discovery of new dispersion value through the convergence analysis.
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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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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&.
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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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Weflen, Mark R. "Technical Writing Internship at a Medical Device Company." Miami University / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=miami1323638856.
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Lundberg, Nina. "IT in healthcare artefacts, infrastructures, and medical practices /." Göteborg : N. Lundberg, 2000. http://catalog.hathitrust.org/api/volumes/oclc/58986393.html.
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Menon, Prema Ramachandran. "Telemedicine Enhances Communication in the Intensive Care Unit." ScholarWorks @ UVM, 2016. http://scholarworks.uvm.edu/graddis/574.
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Patients admitted to the Intensive Care Unit (ICU) are critically ill and often at extremely high risk of death. These patients receive aggressive interventions to prolong their lives. Despite these measures, many patients still succumb to their illness. Although ICU physicians are good at predicting which patients have a high risk of mortality, they are still offering interventions that do not prolong life, but potentially cause more suffering at the end of life. This is because there is a lack of high quality and early communication to discuss prognosis and establish patients' goals of care. This gap in communication is even more profound when patients are transferring from rural hospitals to busy tertiary care centers.
This dissertation discusses the utilization of tele-video conferencing to enhance early communication with family members/loved ones of critically ill patients prior to their transfer from a rural hospital to a tertiary care center. It begins with a description of telemedicine and its uses in the ICU to date. Chapter 2 discusses the poor prognoses of patients receiving high intensity interventions such as cardiopulmonary resuscitation (CPR). The extremely dismal outcomes underscore the importance of early, thorough discussions regarding prognosis and goals of care in these patients. The next chapter describes a pilot study utilizing telemedicine to conduct formal unstructured telemedicine conferences with family members prior to transfer. This study demonstrated that palliative care consultations can be provided via telemedicine for critically ill patients and that adequate preparation and technical expertise are essential. Although this study is limited by the nature of the retrospective review, it is evident that more research is needed to further assess its applicability, utility and acceptability. Chapter 4 describes an investigation into the barriers and facilitators of conducting conferences via telemedicine and the perceptions of clinicians regarding the use of telemedicine for this purpose. This chapter identified unique barriers and facilitators to the use of telemedicine that will need to be addressed when designing a telemedicine intervention for conducting family conferences.
This thesis describes the importance and process of implementation of telemedicine for the novel purpose of enhancing early communication among physicians and family members of critically ill loved ones. Further studies are needed to refine and investigate patient and family centered clinical outcomes utilizing this intervention.
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McGee, Deborah Socha. "In search of patient communication competence : a test of an intervention to improve communication in the primary-care medical interview /." The Ohio State University, 1996. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487936356160687.
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Lumma-Sellenthin, Antje. "Learning professional skills and attitudes : Medical students' attitudes towards communication skills andgroup learning." Doctoral thesis, Linköpings universitet, Institutionen för medicin och hälsa, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-91722.
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Medical education aims at forming students’ professional identity. This includes skills and attitudes such as communication and teamwork skills. One of the thesis’ aims is to identify students’ typical difficulties with learning communication skills, and to understand how these affect their identity development. Group discussions of student-patient interviews were video-taped, and selected discussions were transcribed and analyzed. Students had difficulties in establishing trustful relationships with their patients, asking about sensitive topics, responding empathetically, and with applying formal structures to the consultation. Students’ professional identity was supported by peer students’ and teachers’ comments, which created a common language and fostered selfmonitoring abilities. Another aim was to study the relationship between students* attitude towards communication training, group learning, and their self-regulatory skills. In a survey study, established instruments were combined with a new questionnaire. Four medical schools participated – two with traditional and two with problem-based curricula – in Sweden and Germany. Statistical analyses revealed that female students were more positive towards learning communication skills than male students were. Good self-regulatory skills were related to a positive attitude towards group learning and clinical experience before academic studies. It was concluded that early clinical experience benefits students’ selfregulated learning, and promotes a positive attitude towards communication training. Awareness of typical difficulties can facilitate the acquisition of coping strategies.Medicinsk undervisning syftar till att forma studenternas professionella identitet. Den omfattar färdigheter och inställningar, t.ex. kommunikationsfärdigheter och förmågan att arbeta i grupp. Ett av avhandlingens syften är att identifiera studenternas typiska svårigheter med att lära sig färdighet i läkar-patient kommunikation samt att förstå hur den påverkar identitetsutvecklingen. Gruppdiskussioner av student-patient intervjuer videofilmades, utvalda diskussioner transkriberades och analyserades. Studenterna berättade om svårigheter med att etablera förtroliga relationer med patienterna, att prata om känsliga ämnen, att visa empati och att använda intervjumallen. Den professionella identiten stöttas av studenternas och lärarnas kommentarer, vilka bidrar till ett gemensamt språk och förmågan till själviakttagelse. Andra syftet är att undersöka sambandet mellan studenternas inställningar till kommunikationsfärdigheter och grupparbete, samt deras förmåga till självreglerat lärande. I en enkätundersökning kombinerades befintliga instrument med ett nytt frågeformulär. Fyra medicinska fakulteter deltog: två med traditionella och två med problembaserade undervisningsmetoder, en av varje i Sverige och i Tyskland. Statistiska analyser visade att kvinnliga studenter är, jämfört med manliga, mer positiva till att träna upp kommunikativa färdigheter. Förmågan till självreglerat lärande var relaterad till en positiv inställning till gruppinlärande och till klinisk erfarenhet innan studierna påbörjas. Slutsatsen är att tidig klinisk erfarenhet fostrar självstyrt lärande och en positiv inställning till kommunikationsträning. Medvetenhet om typiska svårigheter kan underlätta för studenter att anamma strategier att hantera dessa.
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Darooei, Zadeh A. (Afrooz). "Exploiting mobile clouds to enhance communication reliability in medical ICT scenarios:a preliminary study." Master's thesis, University of Oulu, 2015. http://urn.fi/URN:NBN:fi:oulu-201502141095.
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Medical ICT applications have developed significantly during the past years. In particular, wireless and mobile communications have provided healthcare with efficient, flexible and cost-effective solutions. Mobile networks can be used as the infrastructure supporting remote monitoring of patients. However, wireless and mobile networks are inherently unreliable, while medical ICT applications must be highly reliable. Mobile Cloud (MC) is a new and promising paradigm, which allows proximate mobile users to establish short-range connections as well as being connected through their cellular access. A mobile cloud is defined as an opportunistic cooperative cluster of wireless devices in close proximity (i.e., short-range), where each device can also be connected to access points or base stations, even simultaneously. A mobile cloud can be utilized as a possible communication technology to provide high reliability data transmission on health monitoring devices. This new paradigm is proposed to minimize the outage probability by the cooperative diversity offered by the collaborative devices in the cloud. Most of the prior works on MC are focused on the energy efficiency improvement in the nodes of mobile clouds.
Four medical ICT scenarios are considered that can use mobile clouds to improve the reliability of data transmission in this thesis. The proposed scenarios are classified based on their typical use and key communication requirements. A Wireless Body Area Network (WBAN) monitors the health or wellbeing condition of the user. Moreover, a mobile or smart-phone owned by the user/patient acts as a gateway device which collecting the measured data from the WBAN. The monitored user exploits a MC with other communication-enabled devices in its close proximity. The studied MC is operated in a single-cell involves cellular users and one BS. The Selection Amplify-and-Forward (S-AF) and All-participate Amplify-and-Forward (AP-AF) cooperative algorithms are proposed to minimize the outage probability of the system. In the S-AF case, the best node with highest transmitted SNR is selected and retransmits the data. The selection is done at the BS side. The AP-AF algorithm uses all the cooperating devices in the cloud for relaying the data. Both algorithms applied TDMA fashion for relaying the signal.
The performance of the proposed algorithms is compared with the non-cooperative transmission link. Simulation results illustrate that the offered MC model is capable to achieve significant performance gains over the non-cooperative case in terms of outage probability. Results also show that the outage probability is highly affected by the cloud size in both approaches. The S-AF scheme offers the best performance in minimizing the outage probability compared to the AP-AF and non-cooperative cases.
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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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Abbe, Marisa Kristine. "An Analysis of Cultural Competence, Cultural Difference, and Communication Strategies in Medical Care." Case Western Reserve University School of Graduate Studies / OhioLINK, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=case1283441352.
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Bendapudi, Vikram M. "Pictogram System to Resolve Language Barriers in Medical Communication, Investigation, Diagnosis and Treatment." University of Cincinnati / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1491562397712182.
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Hess, Rick, Nicholas E. Hagemeier, Reid Blackwelder, Daniel Rose, Nasar Ansari, and Tandy Branham. "Teaching Communication Skills to Medical and Pharmacy Students Through a Blended Learning Course." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/1478.
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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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Nesheim, Taylor Anthony. "THE BLE CLOAKER: SECURING IMPLANTABLE MEDICAL DEVICE COMMUNICATION OVER BLUETOOTH LOW ENERGY LINKS." DigitalCommons@CalPoly, 2015. https://digitalcommons.calpoly.edu/theses/1486.
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Historically Implantable Medical Devices (IMDs) such as pacemakers have only been able to communicate to external devices through close proximity means of communication, primarily through inductive telemetry. Because of the unlikelihood of an adversary being able to gain access to an IMD through this type of communication, these devices were never designed with security in mind. However the recent advent of IMDs that are equipped with long-range wireless capabilities has made it necessary to consider how to secure these devices from malicious attacks.
This work presents an implementation of prior work that developed a theoretical security model whose specific intent was to secure IMDs with long-range wireless capabilities against both passive and active adversaries, while also ensuring the safety of the patient. This implementation is known as the Bluetooth Low Energy (BLE) Cloaker model and provides a prototype system that uses BLE as the long-range communication medium between an emulated IMD, an external programmer, and the BLE Cloaker device itself. The BLE Cloaker acts as a secure data proxy between the IMD and the external programmer. This prototype shows the benefits and drawbacks of this theoretical model when used in a real world system as well as the security strengths and weaknesses of using BLE as the wireless link in a medical application.
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Dickerson, Dawne D. "Effects of Medical Professionals' Communication with Men Sleeping With Men and HIV/AIDS." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7795.
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The human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS) initially emerged in the 1980s and ever since, a battle has been underway with regard to understanding some of the root issues attributed to behavior and HIV/AIDS. AIDS is prevalent in the men sleeping with men (MSM) community. There is lack of studies evaluating the quality and quantity of communication between MSM and medical professionals, which can be a catalyst to help reduce HIV/AIDS within this community. The aim of this quantitative study was to evaluate the relationship between quantity and quality of medical professionals' communication and regular HIV screening and testing, as well as modifying high-risk behaviors attributing to HIV/AIDS MSM behaviors, controlled for race/ethnicity, educational level, and income. Universal precautions theory and health belief model were the theoretical framework of this study. A total of 126 MSM were evaluated via survey research. Chi-square analysis revealed that MSM who have ever visited a medical professional about HIV/AIDS were tested in significantly higher frequency compared with those that did not visit medical professional for this reason (51.5% vs. 18.5%, respectively, p < .001). Also, significantly more participants changed their sexual behavior during the last 5 years and considered that the approach of the medical professional contributed in this change, compared with those who changed their sexual behavior but did not consider this approach helpful (73.7% vs. 26.7%, p < .001). This research can provide positive social change to the MSM community as well as medical professionals, by encouraging MSM to seek more information pertaining to safe sexual health practices, prevention, and awareness.
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Lan, Wei. "Crossing the Chasm : embodied empathy in medical interpreter assessment." HKBU Institutional Repository, 2019. https://repository.hkbu.edu.hk/etd_oa/674.
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Research on medical interpreters (MIs) in recent years has informed us of the visible and active participating roles that MIs play in the doctor-interpreter-patient triadic encounter. The use of multi-faceted, authentic data has also allowed both verbal and nonverbal nuances to be studied. However, while empirical studies have shown that physician empathy in medical communication is beneficial to the patient's healthcare outcomes, empathy in medical interpreting, especially the one that is expressed nonverbally, is rarely examined in medical interpreting research, even though MI is the key communication facilitator and in principle shares a communicative goal with the doctor. This study aims to acquire a deeper understanding of how an MI's empathy is constructed nonverbally and perceived by service users, and how it affects interlocutors and the communication process. This research argues that MI empathy in communication is desired and should be incorporated in the training, assessment, and most importantly, in the interpreting practice. Three sets of research questions are thus formed: 1) How do Mis communicate empathy, if any, for and to the patient? 2) How do the other medical interview participants (doctor and patient) and observers (video observers) perceive the empathic performance of the interpreters? Is there any discrepancy? Why? and 3) How do internal and external factors such as an MI's nonverbal sensitivity and personality traits influence empathic performance? The findings are expected to inform medical interpreting training and assessment and to enhance doctors' awareness of the roles of MIs so that a more patient-centred and empathic communication environment can be nurtured.
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Winsler, Robert. "The Accidental Motivator: Florida's Medicinal Marijuana Ballot Initiative's Impact on the Youth Vote." Scholar Commons, 2014. https://scholarcommons.usf.edu/etd/5334.
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The purpose of this study was to examine single-issue voting in the youth population, specifically involving the upcoming medical marijuana ballot initiative to be voted on in Florida November, 2014. Single-issue voting is becoming a more prevalent trend in American politics. The young voter demographic has historically showed the lowest percentage of voter turnout thus giving it the highest potential to influence the outcome of an election if more voters showed up to the polls. This study sought to understand if a single issue such as medical marijuana could be that motivation to go vote. Data was gathered through conducting focus groups of students 18 to 24 years old. The content was analyzed and quotes were collected then compared against two existing mass communication theories. The qualitative nature of the work allowed the study to produce a picture of the essence of how some young voters thinks when an election is approaching. This information will be vital as the field of study begins to grow quantitatively as well.
Though no definitive result was determined, young voters may be motivated to vote by a single issue but it is doubtful that issue will not be medical marijuana. This study aids an understanding of how a young voter is perceived as well as what issues were most important to those who participated. Organizations tasked with targeting this population could use these results to help cater a more effective message and reach a demographic that has so far been nearly unattainable.
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Budyn, Cynthia Lee. ""Great Expectations" communication between stadardized patients and medical students in Objective Structured Clinical Examinations." Connect to resource online, 2007. http://hdl.handle.net/1805/1187.
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Thesis (M.A.)--Indiana University, 2007.Title from screen (viewed on January 9, 2008). Department of Communication Studies, Indiana University-Purdue University Indianapolis (IUPUI). Advisor(s): Stuart M. Schrader, Kim D. White-Mills, Elizabeth M. Goering, Jane E. Schultz. Includes vitae. Includes bibliographical references (leaves 85-94).
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Killmeyer, Mary. "Communication Between Primary Care Providers and Medical Family Therapists: Reducing Barriers to Collaborative Care." NSUWorks, 2015. http://nsuworks.nova.edu/shss_dft_etd/6.
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A review of the research related to Medical Family Therapy demonstrates that the inclusion of marriage and family therapists as part of the healthcare team offers benefits such as decreased utilization of healthcare, decreased costs, increased positive outcomes for patients and healthcare systems. However, studies demonstrate the difficulty with communication between providers limiting access to marriage and family therapists. Results of this study identified benefits to working with medical family therapists including broadening the understanding and using a collaborative effort to help the patient improve and get better. Participants also identified barriers to collaboration such as the lack of knowledge of and access to MedFTs, their inclusion in the system, MDs finding value in the MedFT profession, and that the communication process is lacking. Further need for improved communication at the referral and follow-up stages in collaborative practices is shown. In order to move more toward collaborative practices, PCPs and MedFTs need to develop and disseminate training on treatment notes, communication, team meetings, and continuance of collaborative work with one another.
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Stevens, Lillian. "Cultural Factors and Communication During Medical Consultations with HIV-Positive Racial/Ethnic Minority Patients." VCU Scholars Compass, 2010. http://scholarscompass.vcu.edu/etd/2282.
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This study examined the relationships between cultural characteristics, communication variables, and medical outcomes in HIV-positive racial/ethnic minority patients. Participants included 33 patients and 5 providers across two urban, community medical clinics. The patient sample was 61% African American, 24% Latino, and 15% Other/Mixed. The majority (73%) were male. Providers included one White female physician, one White male nurse practitioner, two White female nurse practitioners, and one White male physician assistant. In this descriptive study, patients completed self-report ratings of their desire for engagement in decision-making prior to their scheduled medical consultation. After their consultations, patients rated their provider regarding engagement in decision-making, interpersonal communication, and working alliance. Patients also completed measures of acculturation, fatalism, familism, and mistrust. Providers rated their engagement of patients in decision-making, the patients’ interpersonal style, and working alliance immediately after the consultation. Measures of CD4 count and viral load were obtained from patients’ medical records. Cultural characteristics were not related to patient desire for engagement in decision-making. Patient perceptions of being highly informed and involved in decision-making were not related to satisfaction or immune functioning. Patient perceptions of provider affiliation and control, and the complementarity between these two, were also not found to have any significant relation to satisfaction or immune functioning. Though working alliance was not found to have a significant relation to any outcome, the relation between patient perception of a stronger working alliance and higher satisfaction was marginally significant. A match between patient and provider on the bond subscale of working alliance was found to correspond to IMI affiliation complementarity. Though the hypotheses were not supported, certain demographic variables were significantly associated with outcomes. For example, use of antiretroviral medications was associated with lower viral load and gender (i.e., being male) was related to lower CD4. The limitations of this study and directions for future research are discussed.
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Wong, Lai-cheung. "A study of hospice care : [factors affecting] communication between the health care professionals and the patients /." [Hong Kong : University of Hong Kong], 1992. http://sunzi.lib.hku.hk/hkuto/record.jsp?B13409475.
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Leandersson, Tina, and Josefine Tedenlind. "EXPLORING COMMUNICATION AND INFORMATION IN RURAL AREAS FOR NURSES IN MAPUTO, MOZAMBIQUE." Thesis, Malmö universitet, Fakulteten för hälsa och samhälle (HS), 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-26662.
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Syfte: Syftet med studien var att belysa hur sjuksköterskor beskriver de kommunikations- och informationsstrategier som används för att främja unga kvinnors reproduktiva hälsa på landsbygden i Maputo provins. Bakgrund: För att kunna erbjuda god hälso- och sjukvård till kvinnor på landsbygden är det av stor vikt att kunna nå ut genom kommunikation och information. Mozambique är ett av de länder i Afrika med störst mödradödlighet. Den höga siffran av dödsfall grundar sig delvis i bristen på självbestämmande hos kvinnor, avstånd till sjukhus och bristen på ekonomiskt stöd för transport samt medicinska kostnader. Det förstärks av fattigdom, ung ålder, ojämlikhet samt avsaknad av ekonomiska rättigheter till att fatta egna beslut. Metod: Semistrukturerade intervjuer genomfördes med sju olika sjuksköterskor på fyra olika sjukhus i Maputo provinsen. Den insamlade data blev transkriberad, kodad och sedan analyserad. Kvalitativ innehållsanalys tillämpades. Resultat: Två huvudkategorier framkom från den insamlade data. Den första huvudkategorin berörde vilka verktyg sjuksköterskorna använde sig av för att nå ut på landsbygden med information och kommunikation och den andra huvudkategorin som uppkom handlade om utmaningarna som sjuksköterskorna i studien ställdes inför angående kommunikation och information. De två kategorierna hade tre underkategorier vardera. I resultatet påvisades att sjuksköterskorna var tvungna att tillhandahålla information på modersmål och använda sig av anpassade kommunikationsverktyg, vilket i sin tur skulle underlätta sjuksköterskans arbete. Konklusion: Olika strategier och verktyg identifierades av sjuksköterskorna i syfte att främja unga kvinnors reproduktiva hälsa. Sjuksköterskorna påpekade vikten av att ge information på patientens modersmål, för att nå ut till alla på landsbygden.Aim: The aim of this MFS study is to illuminate how nurses describe the communication and information strategies used in order to promote young women's reproductive health in rural settings, Maputo province. Background: To be able to provide good healthcare to women in rural areas it is crucial for the nurses to reach out with communication and information. Mozambique has one of the highest maternal mortality rates in Africa. The high number of deaths is partly due to a lack of self-determination among women, a long distance to reach health care centers and lack of economic support for transportation and medical costs. This is intensified by poverty, young age, inequality, and less economic rights of making own decisions. Method: Semi-structured interviews were conducted on a sample of seven nurses at four different hospitals in Maputo province. The collected data was transcribed, coded and analyzed by a qualitative content analysis. Results: From the data, two main categories emerged, which focus on specific tools to give information to reach out in rural areas and the challenges that the nurses face regarding information and communication. It was shown in the result that the nurses had to provide individualized information in mother tongue and provide more aid in communication, which in turn would ease the nurse’s work. Conclusion: Different strategies and tools were identified among the nurses to promote young women's reproductive health. The nurses pointed out the importance of providing information in mother tongue to reach out in rural areas.