A pragmatic study of the communication skills in doctor-patient discourse
Keywords:
communication skills, discourse tact, doctor-patient, medical curricula, pragmatic studyAbstract
As people rely heavily on sharing information, they need to increase focus on having good communication skills. Hence, poor communication between doctors and patients has a direct and indirect impact on the quality of medical care provided to patients. This study focuses on communication skills and discourse tact in diagnosis because of their wonderful role in strengthening the doctor-patient relationships. It was conducted by collecting the medical discourse by only visiting al-Sadr Teaching Hospital as it includes the largest number of doctors in Najaf. It further emphasized the incorporation of some elements of pragmatics into medical curricula for their great communicative benefits in creating collaborative interlocutors, specifically, Grice’s (1975) Cooperative Principle and Ayeloha’s (2019) types of discourse devices. The study aims to identify the strong and weak points in doctor-patient discourse, evaluate the linguistic tools and communication strategies used in this discourse to assess the efficiency of the interaction between doctors and patients, and highlight the impact of the integrative curriculum adopted by University of Kufa on doctors’ communication with patients in comparison with the traditional curriculum taught at Jabir Ibin Hayyan Medical University.
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Aljumily, R. (2021). Who was the translator of the anonymous 1821 of Goethe’s Faustus? Could the translator have been Coleridge?. International Journal of English and Comparative Literary Studies, 2(2), 50-63.
Andriitso, V. M., Tsyhanyk, M. I., Shevtsova, I. M., Shiutiv, M. A., & Kutsyk, O. P. (2021). Features of communication between the stage director and members of the group during the preparation of choreographic performances. Linguistics and Culture Review, 5(S2), 697-707. https://doi.org/10.21744/lingcure.v5nS2.1412
Ariyanfar, S., & Mitchell, R. (2020). Teaching writing skills through genre: applying the genre-based approach in Iran. International Research Journal of Management, IT and Social Sciences, 7(1), 242-257. https://doi.org/10.21744/irjmis.v7n1.843
Arora, N. K. (2003). Interacting with cancer patients: the significance of physicians’ communication behavior. Social science & medicine, 57(5), 791-806.
Ayeloja, A. A. (2019). Conversational maxims in doctor-patient verbal
bad news and managing patient reactions to illness. Cancer. 86:887-897.
Baile, W. F., Kudelka, A. P., Beale, E. A., Glober, G. A., Myers, E. G., Greisinger, A. J., ... & Lenzi, R. (1999). Communication skills training in oncology: description and preliminary outcomes of workshops on breaking bad news and managing patient reactions to illness. Cancer: Interdisciplinary International Journal of the American Cancer Society, 86(5), 887-897.
BARNARD, M. D. (2019). Investigating The ‘Attainment Challenge’policy Discourse In Scotland And Its Effect On Emergent Teacher Agency. In Cambridge Conference Series| December 2019 (p. 38).
Bravo, R. E. S., & Gámez, M. R. (2021). Information and communication technologies, their impact on the teaching-learning process. International Research Journal of Management, IT and Social Sciences, 9(1), 19-25. https://doi.org/10.21744/irjmis.v9n1.1981
Brinkman, W. B., Geraghty, S. R., Lanphear, B. P., Khoury, J. C., del Rey, J. A. G., DeWitt, T. G., & Britto, M. T. (2006). Evaluation of resident communication skills and professionalism: a matter of perspective?. Pediatrics, 118(4), 1371-1379.
Carroll, J. G., Lipkin, M., Nachtigall, L., & Weston, W. W. (1995). A developmental awareness for teaching doctor/patient communication skills. In The Medical Interview (pp. 388-396). Springer, New York, NY.
Deveugele, M., Derese, A., De Maesschalck, S., Willems, S., Van Driel, M., & De Maeseneer, J. (2005). Teaching communication skills to medical students, a challenge in the curriculum?. Patient education and counseling, 58(3), 265-270. https://doi.org/10.1016/j.pec.2005.06.004
Deveugele, M., Derese, A., De Maesschalck, S., Willems, S., Van Driel, M., & De Maeseneer, J. (2005). Teaching communication skills to medical students, a challenge in the curriculum?. Patient education and counseling, 58(3), 265-270. https://doi.org/10.1016/j.pec.2005.06.004
Duch, B. J., Groh, S. E., & Allen, D. E. (2001). Why problem-based learning? A case study of institutional change in undergraduate education. The Power of Problem-Based Learning.
Flor, A. M., Guerra, A. F., & Juan, E. U. (Eds.). (2003). Pragmatic competence and foreign language teaching (Vol. 13). Publicacions de la Universitat Jaume I.
Foucault, M. (1972). The discourse on language in the archaeology of knowledge. New York, itd: Harper and Row.
Glasgow, R. E., & Riley, W. T. (2013). Pragmatic measures: what they are and why we need them. American Journal of Preventive Medicine, 45(2), 237-243. https://doi.org/10.1016/j.amepre.2013.03.010
Grice, H. P. (1975). Logic and conversation. In Speech acts (pp. 41-58). Brill.
Handover, S. (2004). Safe Patients: Guidance on Clinical Handover for Clinicians and Managers. National Patient Safety Agency. British Medical Association. Care, 27(3 Suppl.), S110–S127. https://doi.org/10.1097/00005650-
Jones, R., Higgs, R., De Angelis, C., & Prideaux, D. (2001). Changing face of medical curricula. The Lancet, 357(9257), 699-703. https://doi.org/10.1016/S0140-6736(00)04134-9
Kaplan, S. H., Greenfield, S., & Ware Jr, J. E. (1989). Assessing the effects of physician-patient interactions on the outcomes of chronic disease. Medical care, S110-S127.
Krupat, E., Rosenkranz, S. L., Yeager, C. M., Barnard, K., Putnam, S. M., & Inui, T. S. (2000). The practice orientations of physicians and patients: the effect of doctor–patient congruence on satisfaction. Patient education and counseling, 39(1), 49-59. https://doi.org/10.1016/S0738-3991(99)00090-7
Levinson, S. C. (1983). Pragmatics Cambridge University Press. Cambridge UK.
Lipkin, M., Frankel, R. M., Beckman, H. B., Charon, R., & Fein, O. (1995). Performing the interview. In The medical interview (pp. 65-82). Springer, New York, NY.
Matusitz, J., & Spear, J. (2014). Effective doctor–patient communication: an updated examination. Social work in public health, 29(3), 252-266.
Mey, J. L. (2001). Pragmatics: an introduction.
Morris, C. W. (1938). Foundations of the Theory of Signs. In International encyclopedia of unified science (pp. 1-59). Chicago University Press.
Nordquist, R. (2019). The Cooperative Principle in Conversation. Retrieved from thoughtco website: https://www. thoughtco.
Noveck, I. A., & Reboul, A. (2008). Experimental pragmatics: A Gricean turn in the study of language. Trends in cognitive sciences, 12(11), 425-431. https://doi.org/10.1016/j.tics.2008.07.009
Nunan, D. (1993). Introducing discourse analysis. Penguin Books.
Ranjan, A., & Sahu, H. B. (2014). Advancements in communication and safety systems in underground mines: present status and future prospects.
Rashid, M. H., Ye, T., Hui, W., Li, W., & Shunting, W. (2021). Analyse and challenges of teaching writing among the English teachers. Linguistics and Culture Review, 6(S2), 199-209. https://doi.org/10.21744/lingcure.v6nS2.2004
Rees, C., Sheard, C., & McPherson, A. (2004). Medical students’ views and experiences of methods of teaching and learning communication skills. Patient education and counseling, 54(1), 119-121. https://doi.org/10.1016/S0738-3991(03)00196-4
Rinartha, K., Suryasa, W., & Kartika, L. G. S. (2018). Comparative Analysis of String Similarity on Dynamic Query Suggestions. In 2018 Electrical Power, Electronics, Communications, Controls and Informatics Seminar (EECCIS) (pp. 399-404). IEEE.
Sarah, B., & Oladayo, M. M. (2021). Code-Switching and Code Mixing in the Selected Tracks of the Hip Hop Music of Flavour and 9ice. International Journal of English and Comparative Literary Studies, 2(3), 55-70.
Silverman, J. E. (2013). Skills for Communicating with Patients.
Simpson, P. K. (1991). Artificial neural systems: foundations, paradigms, applications, and implementations. McGraw-Hill, Inc..
Sinha, K. K. (2021). The Role of Pragmatics in Literary Analysis: Approaching Literary Meaning from a Linguistic Perspective. International Journal of English and Comparative Literary Studies, 2(2), 29-40.
Slotta, J. (2018). Pragmatics.
Sutcliffe, K. M., Lewton, E., & Rosenthal, M. M. (2004). Communication failures: an insidious contributor to medical mishaps. Academic medicine, 79(2), 186-194.
Swasey, M. L. (2013). Physician and patient communication: A grounded theory analysis of physician and patient Web-Logs (Doctoral dissertation, Southern Utah University. Department of Communication. 2013.).
Taha, Q. (2019). Pragmatics Dfinitions, Historical Background and Scope.
Tongue, J. R., Epps, H. R., & Forese, L. L. (2005). Communication skills for patient-centered care: research-based, easily learned techniques for medical interviews that benefit orthopaedic surgeons and their patients. JBJS, 87(3), 652-658.
Tortoriello, T. R., Blatt, S. J., & DeWine, S. (1978). Communication in the organization: An applied approach. McGraw-Hill Book Comp..
Urzúa, A., & Vásquez, C. (2008). Reflection and professional identity in teachers’ future-oriented discourse. Teaching and teacher education, 24(7), 1935-1946. https://doi.org/10.1016/j.tate.2008.04.008
Virtanen, H., Leino-Kilpi, H., & Salanterä, S. (2007). Empowering discourse in patient education. Patient education and counseling, 66(2), 140-146. https://doi.org/10.1016/j.pec.2006.12.010
Willems, S., De Maesschalck, S., Deveugele, M., Derese, A., & De Maeseneer, J. (2005). Socio-economic status of the patient and doctor–patient communication: does it make a difference?. Patient education and counseling, 56(2), 139-146. https://doi.org/10.1016/j.pec.2004.02.011
Willkomm, A. C. (2018). Five Types of Communication.
Windle, R. (2017). Communication Skills.
Zulvany, V. (2020). Macrolinguistics: texts and discourses, conversation interactions and conversation components. Macrolinguistics and Microlinguistics, 1(2), 104–116. Retrieved from https://mami.nyc/index.php/journal/article/view/10
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