132 research outputs found

    A Cognitive-affective Model of Relational Expectations in the Provider-patient Context

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    Patients and health-care providers bring a number of expectations to the medical encounter. Relational expectations are especially salient in this context given the emphasis placed on the need for effective communication. Relational expectations vary from one patient to the next and can vary widely among health- care professionals. These expectations are based on an individual's past history of similar relationships and a perception of current conditions. The purpose of this work is to advance a model of relational expectations based on the cognitive and affective processes that function before and during the communication interaction. A conceptual analysis will synthesize previous work, culminating in the construction of a theoretical model of relational expectations. Further, implications of relational expectations will be noted as they affect the relationship quality, communication patterns and health outcomes of both patients and providers.Yeshttps://us.sagepub.com/en-us/nam/manuscript-submission-guideline

    The Boundary-spanning Role of Democratic Learning Communities: Implementing the IDEALS

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    This multi-case study investigates characteristics and practices in schools that expand the traditional boundaries of school leadership and transform schools into democratic learning communities based on the level of implementation of the IDEALS framework. This investigation serves as a modus to illuminate democratic processes that change schools and address the needs of the students, not the needs of the adults in the system. A sample of five purposefully selected high schools, from the Midwest USA, was utilized. The schools serve Grade 9—12 students, but vary in size, residential area and socioeconomic status of the students. This study illuminates some of the challenges and strategies that facilitate or impede the process of creating more democratic schools that expand the boundaries of inquiry and discourse to include a broader range of community stakeholders and that respect and embrace issues of equity.Yeshttps://us.sagepub.com/en-us/nam/manuscript-submission-guideline

    The Influences of Human Communication on Health Outcomes

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    This article examines the many assertions made in the health communication literature about the importance of communication as an essential process in promoting effective health care. If these assertions are true, then researchers should be able to demonstrate the ways in which communication influences the accomplishment of health care goals—how communication influences health outcomes. The links between health communication and health outcomes are examined, as well as the health outcomes literature. The authors propose a conceptual model of the role of communication in achieving advantageous outcomes in health care and health promotion based on the systems transformation model. The model can serve as a template for both guiding research on communication and health outcomes and for directing the health communication activities of interdependent participants in the modern health care system to promote desired health outcomes in health care/health promotion efforts.Yeshttps://us.sagepub.com/en-us/nam/manuscript-submission-guideline
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