Pharmacists shared their perceptions of their roles and goals in patient medication counselling, and barriers and facilitators in meeting their goals.
Audio recorded transcripts were thematically analysed and goals identified by pharmacists were successfully mapped onto the five CAT strategies. Results of phase one helped inform the contents of the semi-structured interview guides utilised in phase two. Phase two represented the major portion of this PhD, and took place at a large hospital with multiple specialities.
Twelve pharmacists engaged four patients for a total of 48 medication counselling sessions. Each individual session took place first, followed by separate semi-structured interviews with pharmacists and patients.
Counselling sessions and interviews were audio recorded and observational field notes were taken. Transcribed recordings were selectively coded for the five CAT strategies in pattern-based discourse analysis. Discursis software, as an adjunct to qualitative analysis, was used to visualise pharmacist-patient speech patterns, episodes of engagement, and to identify CAT strategies employed by pharmacists within these episodes. Patients completed two medication taking behaviour measures, Beliefs about Medications Questionnaire BMQ and Morisky Medication Adherence Scale MMAS-8 prior to their conversation with the pharmacist and then again by telephone four weeks after leaving hospital.
Non-accommodation occurred when pharmacists spoke too quickly, used terms not understood by patients, and did not include patients in the initial, agenda-setting phase. Discursis software identified pharmacist-patient engagement episodes, often revealing effectively applied CAT strategies. Semi-structured interviews with pharmacists and patients about their medication counselling experience indicated many shared CAT related themes.
Pharmacists assessed themselves higher for emotional expression and discourse management and lower for interpretability and interpersonal control behaviours. Pharmacists and patients provided insights about what made pharmacist-patient conversations effective.
An overarching shared goal was that patients need to be confident in managing their medications at home. Almost all patient assessed pharmacist communication behaviours and levels of patient satisfaction were strongly correlated, but few correlations were detected with the BMQ or MMAS This exploratory research is a valuable foundation for future work as it provides some preliminary process mapping of the pharmacist-patient communication to outcomes.
This thesis invoked theory CAT to investigate the effectiveness of hospital pharmacist-patient communication. The research demonstrated the dynamics that commonly occur in these types of interactions. Many areas of strength were identified as well as communication skills that require improvement. The far-reaching training implications for both pharmacy practitioners and students are discussed and ways that they can learn and further develop effective communication skills through theory-based research informed training are proposed.
Howard Giles et Tania Ogay A look back and a look ahead. Intragroup status and social presence in online fan groups. Language choice, identity and social distance: Ethnic minority students in Vietnam. We observe that enhancing the ethnolinguistic vitality of the home and the community in which senior members hold the key to language maintenance should be considered vital in reducing the new in-group distance created by young members.
Moreover, multilingual policies which enable flexible attainment goals for all languages may provide a way forward for equity and reduction of social distance between different ethnic groups in society.
Obaidul Hamid Please inbox me for full text. This paper is written about augmented reality in medicine. The major factors about The major factors about depth-Convergence, Accommodation, Relative size are tested.
Expertise judgment and communication accommodation in linguistic styles in computer-mediated and face-to-face groups. Taking a communication approach to expertise, this study examined emergence of expertise through communication accommodation in 46 four-person face-to-face FtF and text-based computer-mediated communication CMC groups.
We found that FtF members with a lower pre-discussion task confidence accommodated to the linguistic styles of those with a higher pre-discussion task confidence.
When mike got an opportunity to interact with him, he glorified the beauty of a painting the officer has been displayed in his office which pleased the officer. In this situation mike accommodated his behaviour according to the situation and thus could create an impression on his senior officer.
Its really good and understandable word I like it very much. Its very better for every student of m. Suggesting the addition of the third accommodation process: This process may be considered as a combination of both convergence and divergence in some situations. Honey Honey March 24, , Bre April 20, , Giselle Goddard March 22, , 8: Please subscribe or login to access full text content.
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The Theoretical Framework of the Communication Accommodation Theory The Communication Accommodation Theory (CAT) was developed by Howard Giles, pro- fessor of communication, at the .
Communication accommodation theory is known to be the one of the most prominent theories in the interactional basis of human communication (Giles, Linz, Bonilla, & Gomez, ). It is the basis of understanding why individuals interact with others in the most peculiar ways/5(1).
This theory-driven research employs qualitative, quantitative and mixed methods. Communication accommodation theory (CAT) was the theoretical framework invoked to study, analyse and interpret . In the nearly four decades since its inception as speech accommodation theory, communication accommodation theory has been used in multidisciplinary, multilingual, and multicultural contexts for understanding when, how, and why we, as speakers, accommodate to each other’s languages and styles of communication.
Communication accommodation is a communication theory which emphasis the adjustments that people does while communicating. Communication accommodation theory, related to social identity theory, is about people adjusting to communicate by minimizing social differences. The theory was developed by Howard Giles, a professor teaching communication at the University of California in The theory is an advancement of speech adjustment theory talking about psychological concepts on dynamics of speech.