The Effects of Job-Related Stress on Medical Center Employee Communicator Style

Pettegrew, Loyd S.; Thomas, Richard; Ford, Julia; Costello, Daniel E.

doi:10.1080/23808985.1981.11923861

Cited by 2 publications

(5 citation statements)

References 28 publications

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“…Stress is defined as “the difference between [family] satisfaction—as represented by individual need fulfillment—and the realities of the [home] situation as experienced by the individual” (25, p. 626). The test was derived from stress-communication research conducted by Pettegrew and colleagues (24, 25, 26). In a stress study of 310 subjects, Pettegrew was “able to correctly classify 90 percent of the low-stress cases and 86 percent of the high-stress cases…much higher than is generally found in the social sciences” (25, p. 643).…”

Section: Methodsmentioning

confidence: 99%

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Systems theory applied to families with a diabetic child.

Caldwell¹,

Pichert²

1985

Family Systems Medicine

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Thirty families with two or more children, one of whom had insulindependent diabetes, were studied to test the effects of communicative functioning on the children's knowledge about diabetes, siblings' perceived responsibility for the diabetic child's care, the children's self-concepts, and the stress felt by each family member. The hypotheses, derived from family systems theory, were that families with "functional" communication patterns would score higher on the first three variables and lower on the last than "dysfunctional" families. After families were videotaped interacting on four tasks, two raters scored the communication patterns. The hypotheses were only partially borne out. Mothers and both children in "functional" families felt less stress. Family functioning was also weakly related to siblings' knowedge about diabetes.This study explored patterns of communication in 30 families with two or more children, one of whom had insulin-dependent diabetes. The goal was to discover relationships between patterns of communication and outcome variables which, according to family systems theory, might be influenced by the way family members communicate with one another. These variables included: siblings' and diabetic children's knowledge about diabetes, siblings' perceived responsibility for the diabetic child's care, and siblings' and diabetic children's self-concepts. The final variable considered was family stress as perceived by the children, their mother and father, and the family as a whole. Relationships among the variables were then analyzed for their implications for diabetes management. The essentials of diabetes management have been recently summarized in this journal by Anderson and Kornblum (3).

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Section: Methodsmentioning

confidence: 99%

“…The researchers, therefore, concluded that the instrument had very good dis-criminative power. The reliability of the various subscales of the test “using Cronbach’s alpha ranged from .73 to .88” (26).…”

Section: Methodsmentioning

confidence: 99%

Systems theory applied to families with a diabetic child.

Caldwell¹,

Pichert²

1985

Family Systems Medicine

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“…Dr Fierie would wait until the week before he was to go on vacation to let management know, forcing last minute changes to on-call schedules and patient appointments. With fellow physicians and staff he was a dominant, contentious, open, precise, but not an attentive or dramatic communicator (Norton, 1978; Pettegrew et al , 1981; Turkat and Pettegrew, 1983).…”

Section: The Scrc Settingmentioning

confidence: 99%

“…Everyone, especially his patients, was fond of him. His communication with other physicians and staff was dominant, animated, friendly and attentive (Norton, 1978; Pettegrew et al , 1981; Turkat and Pettegrew, 1983). He could not tolerant nor was he equipped to handle defiant patients effectively.…”

Section: The Scrc Settingmentioning

confidence: 99%

“…Dr Robertson, or Dr Rob as he liked being called, was the Medical Director at SCRC and kept the organization in equilibrium. He was a dominant, open, dramatic, relaxed and friendly communicator (Norton, 1978; Pettegrew et al , 1981; Turkat and Pettegrew, 1983). Some might question his humor, but he interacted appropriately with female patients and staff members.…”

Section: The Scrc Settingmentioning

confidence: 99%

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An ethnography of humor, ritual and defiance in a cancer care setting

Pettegrew

2017

Journal of Org Ethnography

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Purpose Health care organizational research should pay greater attention to the specific settings where health is practiced. An ethnographic account of humor, ritual and defiance is presented from 29 months spent in a private, concierge-type radiation oncology center. A thick description of the setting and interaction among center staff and patients is offered in an attempt to establish why qualitative research of health care settings is so important. Findings are compared to Ellingson’s work on health care setting. Humor, ritual and defiance have therapeutic value and deserve greater attention in cancer treatment centers and health care organizations more broadly. The paper aims to discuss these issues. Design/methodology/approach An ethnographic account of humor, ritual and defiance is presented from 29 months spent in a private, concierge-type radiation oncology center through thick description. Findings This study reinforces the literature on the value of institutionalizing humor and ritual to improve patients’ experience in cancer care given the dominance of large public institutions, most easily accessed by academic researchers. Suncoast Coast Radiation Center’s “institutionalized humor” is an important finding that should be examine further. Scholarship can also illuminate the use of ritual in settings where health care is practiced. Research limitations/implications This study is limited to a particular research setting which is a private, concierge care radiation oncology treatment center in the Southeastern USA. Practical implications Cancer care centers should consider carefully institutionalizing humor and ritual into their daily practices. Further, patient defiance should be reinterpreted not as a patient deficiency but as a therapeutic coping mechanism by patients. Social implications While nearly half of cancer care in the USA is offered in private, for-profit institutions, the vast majority of the understanding of cancer care comes only from non-profit and government-run institutions. Shining a light of these neglected cancer care settings will add to the understanding and the ability to improve the care offered to patients. Originality/value This is the first health ethnography in a concierge care, cancer care treatment setting. It tests the proposition that humor, ritual and defiance play an important role in a private concierge cancer care organization.

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The Effects of Job-Related Stress on Medical Center Employee Communicator Style

Cited by 2 publications

References 28 publications

Systems theory applied to families with a diabetic child.

Systems theory applied to families with a diabetic child.

An ethnography of humor, ritual and defiance in a cancer care setting

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