Abstract
Leonard et al. (The Human Factor: The Critical Importance of Effective Teamwork and Communication in Providing Safe Care. Quality and Safety in Health Care, 13(Suppl 1), i85–i90, 2004) stated that 70% of patient adverse events were caused by communication failure. To date, interventions to improve communication have not reduced adverse events (Zegers et al., Evidence-Based Interventions to Reduce Adverse Events in Hospitals: A Systematic Review of Systematic Reviews. BMJ Open, 6(9), e012555, 2016). This chapter examines why communication competence skills training interventions have not led to effective communication between different health professions. It argues that, while communication skills interventions are critical to establishing quality patient care, by themselves they are insufficient. An applied theoretical approach is required, which takes account of intergroup dynamics and socio-technical structures in health settings. These factors are most often ignored in communication competence training interventions. By linking practical interventions with a robust theory of communication such as communication accommodation theory, it is possible to bring theory and practice together. This will enable health professionals to recognise how the health context influences their day-to-day interactions with other health professionals and patients.
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References
Anderson, E. S., & Lennox, A. (2009). The Leicester Model of Interprofessional Education: Developing, Delivering and Learning from Student Voices for 10 Years. Journal of Interprofessional Care, 23(6), 557–573.
Ashforth, B. E., & Mael, F. (1989). Social Identity Theory and the Organization. Academy of Management Review, 14, 20–39.
Auraaen, A., Klazinga, N. S., & Slawormiski, L. (2017). The Economics of Patient Safety. OECD Health Working Papers, 106, 1–57. https://doi.org/10.1787/5a9858cd-en.
Barnes, M. (2011). Findings of the Inquest into the Death of Ryan Charles Saunders (Rockhampton Coroner’s Court, Ed.). Brisbane, QLD: Office of the State Coroner.
Chevalier, B. A. M., Watson, B., Barras, M., & Cottrell, W. N. (2017). Investigating Strategies Used by Hospital Pharmacists to Effectively Communicate with Patients During Medication Counselling. Health Expectations, 20(5), 1121–1132. https://doi.org/10.1111/hex.12558.
Chevalier, B. A. M., Watson, B. M., Barras, M. A., & Cottrell, W. N. (2018). Hospital Pharmacists’ and Patients’ Views About What Constitutes Effective Communication Between Pharmacists and Patients. International Journal of Pharmacy Practice, 26(5), 450–457. https://doi.org/10.1111/ijpp.12423.
Chevalier, B. A. M., Watson, B., Barras, M., Cottrell, W., & Angus, D. (2019). Using Discursis to Enhance the Qualitative Analysis of Hospital Pharmacist–Patient Interactions. PLoS ONE, 13(5), e0197288. https://doi.org/10.1371/journal.pone.0197288.
Coupland, N., Wiemann, J. M., & Giles, H. (1991). Talk as “problem” and Communication As “miscommunication”: An Integrative Analysis. In N. Coupland, H. Giles, & J. M. Wiemann (Eds.), “Miscommunication” and Problematic Talk (pp. 1–17). Newbury Park, CA: Sage.
Dragojevic, M., & Giles, H. (2014). Language and Interpersonal Communication: Their Intergroup Dynamics. In C. R. Berger (Ed.), Handbook of Interpersonal Communication (pp. 29–51). Berlin: De Gruyter Mouton.
Emry, R., & Wiseman, R. L. (1987). An Intercultural Understanding of Ablebodied and Disabled Persons’ Communication. International Journal of Intercultural Relations, 11(1), 7–27. https://doi.org/10.1016/0147-1767(87)90029-0.
Fiol, C. M., Pratt, M. G., & O’Connor, E. J. (2009). Managing Intractable Identity Conflicts. Academy of Management Review, 34, 32–35.
Foronda, C., MacWilliams, B., & McArthur, E. (2016). Interprofessional Communication in Healthcare: An Integrative Review. Nurse Education in Practice, 19, 36–40.
Frenk, J., Chen, L., Bhutta, Z. A., Cohen, J., Crisp, N., Evans, T., Fineberg, H., Garcia, P., Ke, Y., Kelley, P., Kistnasamy, B., Meleis, A., Naylor, D., Pablos-Mendez, A., Reddy, S., Scrimshaw, S., Sepulveda, J., Serwadda, D., & Zurayk, H. (2010). Health Professionals for a New Century: Transforming Education to Strengthen Health Systems in an Interdependent World. The Lancet, 376(9756), 1923–1958.
Gallois, C., Ogay, T., & Giles, H. (2005). Communication Accommodation Theory: A Look Back and a Look Ahead. In W. Gudykunst (Ed.), Theorizing about Intercultural Communication (pp. 121–148). Thousand Oaks, CA: Sage.
Gallois, C., Watson, B. M., & Giles, H. (2018). Intergroup Communication: Identities and Effective Interactions. Journal of Communication, 68(2), 309–317.
Giles, H. (2016). The Social Origins of CAT. In H. Giles (Ed.), Communication Accommodation Theory: Negotiating Personal Relationships and Social Identities across Contexts (pp. 1–12). Cambridge, USA: Cambridge University Press.
Grice, A., Gallois, C., Jones, E., Paulsen, N., & Callan, V. J. (2006). “We Do It, but They Don’t”: Multiple Categorizations and Work Team Communication. Journal of Applied Communication Research, 34(4), 331–348.
Hewett, D. G., Watson, B. M., & Gallois, C. (2015). Communication Between Hospital Doctors: Underaccommodation and Interpretability. Language & Communication, 41, 71–83.
Hewett, D. G., Watson, B. M., Gallois, C., Ward, M., & Leggett, B. A. (2009a). Communication in Medical Records: Intergroup Language and Patient Care. Journal of Language and Social Psychology, 28(2), 119–138.
Hewett, D. G., Watson, B. M., Gallois, C., Ward, M., & Leggett, B. A. (2009b). Intergroup Communication Between Hospital Doctors: Implications for Quality of Patient Care. Social Science and Medicine, 69(12), 1732–1740.
Jones, L., Woodhouse, D., & Rowe, J. (2007). Effective Nurse Parent Communication: A Study of Parents’ Perceptions in the NICU Environment. Patient Education and Counseling, 69(1–3), 6.
Kish-Gephart, J. J., Detert, J. R., Treviño, L. K., & Edmondson, A. C. (2009). Silenced by Fear: The Nature, Sources, and Consequences of Fear at Work. Research in Organizational Behavior, 29, 163–193.
Leonard, M., Graham, S., & Bonacum, D. (2004). The Human Factor: The Critical Importance of Effective Teamwork and Communication in Providing Safe Care. Quality and Safety in Health Care, 13(Suppl 1), i85–i90.
Lewin, S., & Reeves, S. (2011). Enacting “team” and “teamwork”: Using Goffman’s Theory of Impression Management to Illuminate Interprofessional Practice on Hospital Wards. Social Science & Medicine, 72(10), 1595–1602.
Lingard, L., Espin, S., Evans, C., & Hawryluck, L. (2004). The Rules of the Game: Interprofessional Collaboration on the Intensive Care Unit Team. Critical Care, 8(6), 403–408.
Lingard, L., Schryer, C. F., Spafford, M. M., & Campbell, S. L. (2007). Negotiating the Politics of Identity in an Interdisciplinary Research Team. Qualitative Research, 7(4), 501–519.
Manias, E., Geddes, F., Watson, B., Jones, D., & Della, P. (2015). Communication Failures during Clinical Handovers Lead to a Poor Patient Outcome: Lessons from a Case Report. SAGE Open Medical Case Reports, 3.
Palomares, N. A., Giles, H., Soliz, J., & Gallois, C. (2016). Intergroup Accommodation, Social Categories, and Identities. In H. Giles (Ed.), Communication Accommodation Theory: Negotiating Personal Relationships and Social Identities Across Contexts (pp. 123–151). Cambridge: Cambridge University Press.
Pitts, M. J., & Harwood, J. (2015). Communication Accommodation Competence: The Nature and Nurture of Accommodative Resources Across the Lifespan. Language & Communication, 41, 89–99.
Rittel, H. W. J., & Webber, M. M. (1973). Dilemmas in a General Theory of Planning. Policy Sciences, 4(2), 155–169.
Singer, S., & Vogus, T. J. (2013). Safety Climate Research: Taking Stock and Looking Forward. Quality and Safety in Health Care, 22, 1–4.
Tajfel, H. (1982). Social Psychology of Intergroup Relations. Annual Review of Psychology, 33, 1–39.
Tajfel, H., & Turner, J. C. (1986). The Social Identity Theory of Intergroup Behavior. In S. Worchel & W. G. Austin (Eds.), Psychology and Intergroup Relations (pp. 7–24). Chicago: Nelson-Hall.
Teal, C. R., & Street, R. L. (2009). Critical Elements of Culturally Competent Communication in the Medical Encounter: A Review and Model. Social Science & Medicine, 68(3), 533–543.
Thomson, K., Outram, S., Gilligan, C., & Levett-Jones, T. (2015). Interprofessional Experiences of Recent Healthcare Graduates: A Social Psychology Perspective on the Barriers to Effective Communication, Teamwork, and Patient-Centred Care. Journal of Interprofessional Care, 29, 634–640.
Vogus, T. J., Sutcliffe, K. M., & Weick, K. E. (2010). Doing No Harm: Enabling, Enacting, and Elaborating a Culture of Safety in Health Care. Academy of Management Perspectives, 24(4), 60–77.
Watson, B. M., & Gallois, C. (1998). Nurturing Communication by Health Professionals Toward Patients: A Communication Accommodation Theory Approach. Health Communication, 10, 343–355.
Watson, B. M., & Gallois, C. (1999). Communication Accommodation Between Patients and Health Professionals: Themes and Strategies in Satisfying and Unsatisfying Encounters. International Journal of Applied Linguistics, 9(2), 167–183.
Watson, B. M., Gallois, C., Hewett, D. G., & Jones, E. (2012a). Culture and Health Care: Intergroup Communication and Its Consequences. In J. Jackson (Ed.), The Routledge Handbook of Intercultural Communication (pp. 512–524). London: Routledge.
Watson, B. M., Hewett, D. G., & Gallois, C. (2012b). Intergroup Communication and Healthcare. In H. Giles (Ed.), The Handbook of Intergroup Communication (pp. 293–305). New York: Routledge.
Watson, B. M., Jones, L., & Hewett, D. G. (2016). Accommodating Health. In H. Giles (Ed.), Communication Accommodation Theory: Negotiating Personal Relationships and Social Identities across Contexts (pp. 152–168). Cambridge: Cambridge University Press.
Williams, A., Giles, H., Coupland, N., Dalby, M., & Manasse, H. (1990). The Communicative Contexts of Elderly Social Support and Health: A Theoretical Approach. Health Communication, 2, 123–143.
Williams, K. N. (2006). Improving Outcomes of Nursing Home Interactions. Research in Nursing & Health, 29(2), 121–133.
World Health Organization. (2010). Framework for Action on Interprofessional Education and Collaborative Practice. World Health Organization.
Zegers, M., Hesselink, G., Geense, W., Vincent, C., & Wollersheim, H. (2016). Evidence-Based Interventions to Reduce Adverse Events in Hospitals: A Systematic Review of Systematic Reviews. BMJ Open, 6(9), e012555.
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Watson, B.M. (2020). Communication Accommodation Theory as an Intervention Tool to Improve Interprofessional Practice in Healthcare. In: Mullany, L. (eds) Professional Communication. Communicating in Professions and Organizations. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-030-41668-3_9
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