Patient-physician communication in intercultural settings: An integrative review

Alkhamees, Mohammad; Alasqah, Ibrahim

doi:10.1016/j.heliyon.2023.e22667

Cited by 3 publications

(1 citation statement)

References 71 publications

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“…Nonverbal norms and behaviors may vary given cultural differences and be particularly important when providers and patients are from different racial, ethnic, or cultural backgrounds. [23][24][25] Even among the generally agreed emotional expressions (e.g., happiness, sadness, surprise, disgust, fear, and anger), how those nonverbal expression are perceived in interactions differs across cultures. 26 The present research extends the existing models by organizing important aspects of verbal and nonverbal communication into the process of an encounter.…”

Section: Discussionmentioning

confidence: 99%

Incorporating verbal and nonverbal aspects to enhance a model of patient communication in cancer care: A grounded theory study

Guetterman,

Sakakibara,

Baireddy

et al. 2024

Cancer Medicine

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PurposeHigh‐quality communication is essential to patient‐centered care. Existing communication models and research tends to focus on what is said verbally with little attention to nonverbal aspects of communication. In sensitive and emotionally intensive healthcare encounters, such as in cancer care, provider and patient nonverbal behavior may be particularly important for communicating with empathy. Therefore, the aim of this study was to develop a conceptual model of communication that accounts for nonverbal behavior.MethodsWe followed a systematic grounded theory design that involved semi‐structured interviews with 23 providers, including nurse practitioners, physicians, surgeons, and physician's assistants. Using constant comparative analysis, we analyzed transcripts and developed a grounded theory model of communication accounting for nonverbal behavior.ResultsThe major themes included building rapport, gauging how patients will take bad news, ensuring patients' understanding of their conditions, staying honest but hopeful, centering but guiding patient through cancer care, conveying empathy while managing heightened emotions, and ensuring patient understanding. Throughout the process, providers synthesize both verbal and nonverbal information and apply what they learn to future encounters.ConclusionsThe results extend existing models of patient‐centered communication and invite communication intervention and research that incorporates nonverbal behavior. The model contributes an understanding of the full process of communication in clinical encounters.

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Section: Discussionmentioning

confidence: 99%

Incorporating verbal and nonverbal aspects to enhance a model of patient communication in cancer care: A grounded theory study

Guetterman,

Sakakibara,

Baireddy

et al. 2024

Cancer Medicine

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Enhancing Digital Health Engagement in Chronic Disease: The Role of Doctor–Patient Communication and Media Use in Acceptance of Digital Health Care Among End-Stage Kidney Disease Patients

Park,

Son,

Lee

et al. 2024

Cyberpsychology, Behavior, and Social Networking

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Perinatal continuity of care for mothers with depressive symptoms: perspectives of mothers and clinicians

Barr,

Nguyen,

Pickup

et al. 2024

Front. Psychiatry

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BackgroundMothers with mild to moderate depression in pregnancy are at risk of developing postpartum depression. Midwife-led continuity of care may support maternal mental health throughout the perinatal period. Research is needed to better understand how continuity of care may support mothers experiencing depression in pregnancy. This study aimed to investigate the perspectives of mothers with mild to moderate depression and clinicians regarding continuity of care in the perinatal period.MethodFourteen mothers and clinicians participated in individual interviews or a focus group. Analysis was conducted using inductive reflexive thematic analysis with a constructivist orientation.ResultsFrom the perspectives of mothers and clinicians, continuity of care during the antenatal period benefitted mothers’ mental health by providing connection and rapport, information about pregnancy and referral options, and reassurance about whether pregnancy symptoms were normal. The experience of seeing multiple clinicians was noted by mothers to increase distress while participants discussed the value of extending continuity of care into the postpartum period, including having someone familiar checking in on them. The importance of having a second opinion and not always relying on a single provider during pregnancy was highlighted by some mothers and clinicians. Mothers also described how multiple modes of communication with a midwife can be helpful, including the ease and accessibility of text or email.ConclusionMothers and clinicians perceived benefits of continuity of care for maternal mental health. Offering midwife-led continuity of care to mothers with mild to moderate depression during the perinatal period is recommended.

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Patient-physician communication in intercultural settings: An integrative review

Cited by 3 publications

References 71 publications

Incorporating verbal and nonverbal aspects to enhance a model of patient communication in cancer care: A grounded theory study

Incorporating verbal and nonverbal aspects to enhance a model of patient communication in cancer care: A grounded theory study

Enhancing Digital Health Engagement in Chronic Disease: The Role of Doctor–Patient Communication and Media Use in Acceptance of Digital Health Care Among End-Stage Kidney Disease Patients

Perinatal continuity of care for mothers with depressive symptoms: perspectives of mothers and clinicians

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