Health Communication for Health Care Professionals

Promotes an interdisciplinary approach to the study of health communication

According to the Joint Commission, over 75% of all serious medical errors in this country result from miscommunication. Based in these adverse realities and the author philosophy that communication is a clinical skill integral to effective health care delivery, this comprehensive text addresses thetheories and abilities needed by all health care providers. The only text written specifically for students of nursing, medicine, physical therapy,pharmacy, dentistry, physician assistants and opticians, this book incorporates recommendations for specific multimedia, suggestions for class discussion and interactive case studies to provide a rich and multi-perspective learning experience for gaining optimal expertise in effective health communication

The author underscores the importance of developing and maintaining successful relationships with patients, peers, and colleagues as a cornerstone ofeffective health care outcomes. With an emphasis on interactive learning, the text utilizescommunication theories to analyze verbal and non-verbalbehaviors in diverse health care contexts and assess which are more effective and why. Summaries at the end of each chapter discuss health communicationoutcomes. Chapters cover interpersonal and gendered communication, provider-patient communication, intercultural communication, organizationalcommunication, team communication, malpractice, palliative care, end-of-life communication, and many other topics.

Key Features:

• Fosters a patient-centered, interdisciplinary, multidimensional learning experience for health care students
• Recommends experiential learning using videos, films, and related discussion exercises
• Presents case study role-plays
• Provides companion case study resource to enhance learning objectives

Michael P. Pagano, PhD, PA-C, is an associate professor (tenured) in the Department of Communication, Fairfield University, Fairfield, Connecticut. His areas of research interest include health communication, health care organizations, health care pedagogy, pharmaceutical marketing, electronic medical records, and interpersonal and gendered communication. He teaches numerous courses and has been an invited speaker on these topics and has published widely in all of these areas. Dr. Pagano has authored five books, all of which are on health communication, and three book chapters, including “Enhancing Communication Skills Through Simulation,” published in Campbell and Daley’s Simulation Scenarios for Nurse Educators: Making It Real, second edition (Springer Publishing Company, 2013). Dr. Pagano is the invited associate editor of the Health Behavior & Policy Review Journal and sits on the editorial board of the Nursing Communication Journal. Among other honors, he was elected Fairfield University Cura Personalis Faculty Mentor of the Year 2008 to 2009 and again in 2012 to 2013. He served 3 years as a medical corpsman in the U.S. Army, including 1 year in Vietnam as a combat medic. Dr. Pagano currently serves as thesis adviser to several graduate students. He works per diem as a physician assistant in the emergency department, Stamford Hospital, Stamford, Connecticut.

Contents

Foreword Teresa L. Thompson, PhD

Preface

1. A Brief History of U.S. Health Care

Health Communication

A Historical Overview of Health Communication: The First American Hospital

Impact of Wars on Health Care Delivery

Bartering for Health Care

A Disease-Centered Approach

The Rise and Impact of Technology

Pharmaceutical Contributions to Health and Costs

Contemporary American Health Care and its Impact on Health Communication

Reflections

Skills Exercise

Health Communication Outcomes

2. Health Care Pedagogy

Health Communication: A Generalist Approach

Training Providers: The Early Years

Training Providers: The Flexner Report

Biomedical Model

Biomedical, Technological Specialization

The Nursing Coculture

Biopsychosocial Model

The Culture of Health Care

Reflections

Skills Exercise

Health Communication Outcomes

3. Interpersonal and Gendered Communication

Interpersonal Communication and Health Care

Building Relationships

Verbal and Nonverbal Competencies

Role, Self, and Goal Competencies

Sex versus Gender

Masculine- Versus Feminine-Gendered Communication

Reflections

Skills Exercise

Health Communication Outcomes

4. Provider–Patient Communication

Narratives

Listening Versus Talking

Audience Analysis: Across the Life Cycle

Age

Education

Sex

Gender

Socioeconomic Status

Stereotypes and Marginalized Populations

Health Literacy

Reflections

Skills Exercise

Health Communication Outcomes

5. Intercultural Communication in Health Care

Health Care Culture—Providers

Reflections

Skills Exercise

Health Communication Outcomes

6. Ethics and Health Care

Autonomy

Truth Telling