From Vulnerability to Disclosure: A Normative Approach to Understanding Trust in Obstetric and Intrapartum Nurse-Patient Communication.

Abstract:

:This study qualitatively examined how nurses, nurse practitioners, and nurse midwives construct the meaning of patient trust in their work caring for pregnant and laboring women. Twenty-two interviews were conducted with nurse participants employed at clinics, hospitals, and birth centers across Southeastern United States. Using a normative theoretical approach within the multiple goals framework, we identified five emergent themes that characterize trust as it shapes nurses' communicative goals: trust as the woman's acceptance of vulnerability and risk, the woman relinquishing control, the woman conceding to the nurse's expertise, the woman feeling heard, and the woman's disclosure of information. The results support previous studies, which conceptualized trust as vulnerability, risk, and disclosure whereas the remaining themes are original to this study. The results are interpreted both in light of existing links between trust and communication and the shifting and conflicting goals of nurses as they attempt to achieve their primary goal of optimal health outcomes. Passive constructions of trust that conflate it with women's acquiescent behaviors could have implications for the quality of communication between nurses and patients. In addition, trust, as understood by these participants, becomes situated as an instrumental means to achieving patient cooperation and desired health outcomes rather than a relational goal that supports women's agency throughout obstetric and intrapartum processes. This may be at odds with the modern movement toward patient-centered care and shared decision-making in U.S. maternity care.

journal_name

Health Commun

journal_title

Health communication

authors

Dalton ED,Pjesivac I,Eldredge S,Miller L

doi

10.1080/10410236.2020.1733225

subject

Has Abstract

pub_date

2020-03-02 00:00:00

pages

1-14

eissn

1041-0236

issn

1532-7027

pub_type

杂志文章
  • Taking Care, Bringing Life: A Post-structuralist Feminist Analysis of Maternal Discourses of Mothers and Dais in India.

    abstract::My post-structuralist feminist reading of the antenatal and birthing practices of women (N = 25) living in a basti in India makes visible how the meanings of maternal experiences constituted as our ways open discursive spaces for the mothers and dais as procreators to: challenge (i.e., question the authority of), co-o...

    journal_title:Health communication

    pub_type: 杂志文章

    doi:10.1080/10410236.2016.1278492

    authors: Agarwal V

    更新日期:2018-04-01 00:00:00

  • The death of Loving: maternal identity as moral constraint in a narrative testimonial advocating physician assisted suicide.

    abstract::This article considers the narrative testimonial as a rhetorical form in the service of public judgment, with particular attention to the witness's credibility and communicative competence. The author argues that a narrator and witness, as a participant-observer of the events recounted, must generate a story that does...

    journal_title:Health communication

    pub_type: 杂志文章

    doi:10.1207/S15327027HC1402_5

    authors: Kenny RW

    更新日期:2002-01-01 00:00:00

  • Listening to Chinese Immigrant Restaurant Workers in the Midwest: Application of the Culture-Centered Approach (CCA) to Explore Perceptions of Health and Health Care.

    abstract::This study engages with the culture-centered approach (CCA) to explore Chinese immigrant restaurant workers' perception of the U.S. health care system and their interactions with the health care system in interpreting meanings of health. Chinese restaurant workers are marginalized because of their struggles on the job...

    journal_title:Health communication

    pub_type: 杂志文章

    doi:10.1080/10410236.2014.989383

    authors: Gao H,Dutta M,Okoror T

    更新日期:2016-01-01 00:00:00

  • Indirect Effects of Social Skills on Health Through Stress and Loneliness.

    abstract::The social skills deficit vulnerability model predicts that people with inadequate social skills are at risk for a range of psychosocial problems, especially when confronted with stress. People with poor social skills often experience stress and loneliness and these two constructs were tested as potential pathways by ...

    journal_title:Health communication

    pub_type: 杂志文章

    doi:10.1080/10410236.2017.1384434

    authors: Segrin C

    更新日期:2019-01-01 00:00:00

  • Narrative Mapping: Participant-Generated Visual Methodology for Health Communication Research and Pedagogy.

    abstract::Narrative mapping is a newly emergent form of participant-generated visual methodology. This essay differentiates narrative mapping from other visual methodologies and from other genres of mapping by examining a shared epistemological framework undergirding both the construction of narratives and the crafting of maps....

    journal_title:Health communication

    pub_type: 杂志文章

    doi:10.1080/10410236.2020.1733228

    authors: Thompson M

    更新日期:2020-03-12 00:00:00

  • Practitioners' Dilemmas and Strategies in Decision-making Conversations Where Patients and Companions Take Divergent Positions on a Healthcare Measure: An Observational Study Using Conversation Analysis.

    abstract::The presence of companions adds complexity to healthcare interactions. Few studies have characterized challenges arising when interactions involve healthcare professionals (HCPs), patients, and companions, or how those challenges are managed. Using conversation analysis, we examined recorded episodes where patients an...

    journal_title:Health communication

    pub_type: 杂志文章

    doi:10.1080/10410236.2020.1813952

    authors: Pino M,Doehring A,Parry R

    更新日期:2020-09-22 00:00:00

  • Using Communication Theory of Identity to Evaluate Decision Aids: Focus Group Research with African American Prostate Cancer Survivors.

    abstract::Prostate cancer remains a significant health concern for U.S. adults, especially African American men, who have higher rates of diagnosis than other racial/ethnic groups. The current study evaluated five prostate cancer decision aids (PCDAs) focused on diagnosis and treatment via seven focus groups with 30 African Ame...

    journal_title:Health communication

    pub_type: 杂志文章

    doi:10.1080/10410236.2019.1700437

    authors: Upshaw SJ

    更新日期:2019-12-09 00:00:00

  • Motivational and Parental Mediation Factors Related to Kenyan Adolescents' Intake of Sexual Radio and TV Content.

    abstract::Research on the influence of media on youths' sexual behavior in sub-Saharan Africa has focused almost entirely on the effects of multimedia health communication campaigns and edutainment programming. Scholarly literature is nearly silent about the influence of the multiple hours that young people in many sub-Saharan ...

    journal_title:Health communication

    pub_type: 杂志文章

    doi:10.1080/10410236.2017.1306909

    authors: Ngula KW,Miller AN,Mberia HK

    更新日期:2018-06-01 00:00:00

  • Film Psychotherapy in the 21st Century.

    abstract::Psychotherapy is commonly depicted in films. Films, then, help to inform the public about the nature of psychotherapy and psychotherapists. Although much has been written about the portrayal of psychotherapy in films, there has been little empirical investigation of films from the 21st century. The current study provi...

    journal_title:Health communication

    pub_type: 历史文章,杂志文章

    doi:10.1080/10410236.2016.1255842

    authors: Wahl O,Reiss M,Thompson CA

    更新日期:2018-03-01 00:00:00

  • Self-Care and Health-Information-Seeking Behaviours of Diabetic Patients in Singapore.

    abstract::Patients in Singapore with chronic conditions such as diabetes are encouraged to participate in patient-professional partnership activities because of rising health care costs and a shortage of infrastructure and human resources. This study explores the self-care and health information seeking behaviors of diabetic pa...

    journal_title:Health communication

    pub_type: 杂志文章

    doi:10.1080/10410236.2019.1606134

    authors: Zhang X,Foo S,Majid S,Chang YK,Dumaual HTJ,Suri VR

    更新日期:2020-07-01 00:00:00

  • Learning the ropes together: assimilation and friendship development among first-year male medical students.

    abstract::This study explores the mutual influences of friendship development and organizational assimilation processes among first-year male medical students. Interviews and observations were used to examine the ways students constructed and enacted their friendships with male classmates during the process of assimilating into...

    journal_title:Health communication

    pub_type: 杂志文章

    doi:10.1207/s15327027hc1703_1

    authors: Zorn TE,Gregory KW

    更新日期:2005-01-01 00:00:00

  • Space within the Scientific Discourse for the Voice of the Other? Expressions of Community Voice in the Scientific Discourse of Community-Based Participatory Research.

    abstract::Community-based participatory research (CBPR) has captured public health attention and support because it is positioned as an approach that involves researchers and communities as equitable partners in addressing health disparities. However, it is unknown the extent to which CBPR creates a participatory space in the s...

    journal_title:Health communication

    pub_type: 杂志文章

    doi:10.1080/10410236.2019.1581409

    authors: Chandanabhumma PP,Duran BM,Peterson JC,Pearson CR,Oetzel JG,Dutta MJ,Wallerstein NB

    更新日期:2020-05-01 00:00:00

  • "Let's Sit Forward": Investigating Interprofessional Communication, Collaboration, Professional Roles, and Physical Space at EmergiCare.

    abstract::Communication is key to hospital emergency department (ED) caregiving. Interventions in ED processes (and health care organizing in general) have struggled when they have ignored the professional role expectations that enable and constrain providers with patients and each other. Informed by a communication as design (...

    journal_title:Health communication

    pub_type: 杂志文章

    doi:10.1080/10410236.2015.1089457

    authors: Dean M,Gill R,Barbour JB

    更新日期:2016-12-01 00:00:00

  • How do physicians discuss e-health with patients? the relationship of physicians' e-health beliefs to physician mediation styles.

    abstract::A survey of 104 physicians examined the role of physicians' evaluation of the quality of e-health and beliefs about the influence of patients' use of e-health in how physicians discuss e-health materials with patients. Physicians' lower (poor) evaluation of the quality of e-health content predicted more negative media...

    journal_title:Health communication

    pub_type: 杂志文章

    doi:10.1080/10410236.2012.682971

    authors: Fujioka Y,Stewart E

    更新日期:2013-01-01 00:00:00

  • Commentary on the symposium on the theory and practice of engaging youth in prevention message creation.

    abstract::The symposium articles address a variety of assumptions concerning interventions in which youth create prevention messaging. These articles help confirm that young people left to themselves are likely to engage in self-persuasion through such message creation but are less likely to create messages persuasive to others...

    journal_title:Health communication

    pub_type: 杂志文章

    doi:10.1080/10410236.2012.762823

    authors: Slater MD

    更新日期:2013-01-01 00:00:00

  • Are nonparticipants in prosocial behavior merely innocent bystanders?

    abstract::Latané and Darley's (1970) bystander intervention theory was used to model individuals' participation in two prosocial behaviors (organ donation, green living). It is argued that nonparticipants in prosocial helping are innocent bystanders who likely fail to notice the need, do not interpret the cause as an emergency,...

    journal_title:Health communication

    pub_type: 杂志文章

    doi:10.1080/10410236.2011.527618

    authors: Anker AE,Feeley TH

    更新日期:2011-01-01 00:00:00

  • Discussing Hearing Aid Rehabilitation at the Hearing Clinic: Patient Involvement in Deciding upon the Need for a Hearing Aid.

    abstract::The quality of interaction between hearing health professionals and patients is one prominent, yet under-studied explanation for the low adherence in acquiring and using a hearing aid. This study describes two different ways of introducing hearing aid to the patients at their first visits at the hearing clinic: an inq...

    journal_title:Health communication

    pub_type: 杂志文章

    doi:10.1080/10410236.2019.1620410

    authors: Ruusuvuori J,Aaltonen T,Lonka E,Salmenlinna I,Laakso M

    更新日期:2020-08-01 00:00:00

  • "Are You In or Are You Out?!" Moral Appeals to the Public in Organ Donation Poster Campaigns: A Multimodal and Ethical Analysis.

    abstract::Organ transplantation is a well-established practice in modern medicine. However, many countries, especially those with an opt-in regulation, face the problem of low donation numbers. Respective public campaigns attempt to increase the number of donors by swaying public opinion with the use of carefully selected bits ...

    journal_title:Health communication

    pub_type: 杂志文章

    doi:10.1080/10410236.2017.1331187

    authors: Hansen SL,Eisner MI,Pfaller L,Schicktanz S

    更新日期:2018-08-01 00:00:00

  • Comparing Outrage Effect on the Risk Perception of Climate Change versus Fine Dust.

    abstract::Public evaluation of risk is influenced by the emotive response to perceived risk characteristics, namely outrage factors. We evaluated which outrage factors contribute to the public perception of two different environmental risks, climate change and fine dust. In particular, the outrage factors of controllability, fa...

    journal_title:Health communication

    pub_type: 杂志文章

    doi:10.1080/10410236.2019.1662555

    authors: You M,Ju Y

    更新日期:2020-11-01 00:00:00

  • IRB Problems and Solutions in Health Communication Research.

    abstract::In this article, we contribute to the current literature on the difficulties that social scientists encounter with IRBs, but with a focus on the distinct challenges that health communication scholars face in dealing with IRBs at their own institutions and elsewhere. Although health communication researchers, like othe...

    journal_title:Health communication

    pub_type: 杂志文章

    doi:10.1080/10410236.2017.1321164

    authors: King CST,Bivens KM,Pumroy E,Rauch S,Koerber A

    更新日期:2018-07-01 00:00:00

  • "Nobody Will Tell You. You've Got to Ask!": An Examination of Patient-provider Communication Needs and Preferences among Black and White Women with Early-stage Breast Cancer.

    abstract::Patient-provider communication is a critical component of healthcare and is associated with treatment quality and outcomes for women with breast cancer. This qualitative study examines similarities and differences in patient perspectives of communication needs between Black and White breast cancer survivors. We conduc...

    journal_title:Health communication

    pub_type: 杂志文章

    doi:10.1080/10410236.2020.1751383

    authors: Anderson JN,Graff JC,Krukowski RA,Schwartzberg L,Vidal GA,Waters TM,Paladino AJ,Jones TN,Blue R,Kocak M,Graetz I

    更新日期:2020-04-26 00:00:00

  • Impact of an Alcohol Poisoning Storyline in a Fictional Television Program: An Experimental Study With a Live-to-Air Stimulus.

    abstract::Storylines in fictional television programs may be an effective medium for health-promoting messages. This randomized pretest-posttest (N = 111) with follow-up (n = 71) study examined the persuasive impact of an alcohol poisoning story in the program ER on viewers' drinking-related beliefs, attitudes, intentions, and ...

    journal_title:Health communication

    pub_type: 杂志文章

    doi:10.1080/10410236.2015.1055537

    authors: Bavin LM,Owens RG

    更新日期:2016-10-01 00:00:00

  • Health and the information nonseeker: a profile.

    abstract::Despite increased information-seeking by the public, a significant percentage of those diagnosed with a serious disease such as cancer report that they do not seek or receive health information beyond that given by health care providers. This study attempts to profile these nonseekers and study possible determinants o...

    journal_title:Health communication

    pub_type: 杂志文章

    doi:10.1207/s15327027hc2002_4

    authors: Ramanadhan S,Viswanath K

    更新日期:2006-01-01 00:00:00

  • The paradox of realism and "authenticity" in entertainment-education: a study of adolescents' views about anti-drug abuse dramas.

    abstract::The successful use of drama as a vehicle to influence health-related attitudes and behaviors is credited to its ability to elicit an emotional experience and identification among audience members. This study investigated the views of adolescents regarding an entertainment-education (EE) component of their school's ant...

    journal_title:Health communication

    pub_type: 杂志文章

    doi:10.1080/10410230801968070

    authors: Guttman N,Gesser-Edelsburg A,Israelashvili M

    更新日期:2008-03-01 00:00:00

  • The blame frame: media attribution of culpability about the MMR-autism vaccination scare.

    abstract::Scholars have examined how news media frame events, including responsibility for causing and fixing problems, and how these frames inform public judgment. This study analyzed 281 newspaper articles about a controversial medical study linking the measles, mumps, and rubella (MMR) vaccination with autism. Given criticis...

    journal_title:Health communication

    pub_type: 杂志文章

    doi:10.1080/10410236.2011.633158

    authors: Holton A,Weberling B,Clarke CE,Smith MJ

    更新日期:2012-01-01 00:00:00

  • The case of the missing person: Alzheimer's disease in mass print magazines 1991-2001.

    abstract::Alzheimer's disease is growing in incidence and prevalence in the developed world. Rates have been increasing as populations have been aging. There are still many unknowns regarding prevention, causes, and treatments. The purpose of this article is to analyze the portrayal of Alzheimer's in the highest-circulation mas...

    journal_title:Health communication

    pub_type: 杂志文章

    doi:10.1207/s15327027hc1903_9

    authors: Clarke JN

    更新日期:2006-01-01 00:00:00

  • Trust of Information about Tobacco and E-Cigarettes from Health Professionals versus Tobacco or Electronic Cigarette Companies: Differences by Subgroups and Implications for Tobacco Messaging.

    abstract::Smoking behavior may be influenced by perceived trust of information from tobacco and e-cigarette companies about their products. The purpose of this study was to identify sociodemographic subgroups with more trust in tobacco product (tobacco and e-cigarette) companies than health professionals and explore association...

    journal_title:Health communication

    pub_type: 杂志文章

    doi:10.1080/10410236.2018.1544875

    authors: Vereen RN,Westmaas JL,Bontemps-Jones J,Jackson K,Alcaraz KI

    更新日期:2020-01-01 00:00:00

  • The performance of dialysis care: routinization and adaptation on the floor.

    abstract::Previous studies of communication in dialysis centers primarily focused on communication between nurses and patients. In this study, ethnographic methods were used to explore the dominant communication performances enacted by dialysis staff members, including registered nurses, patient care technicians, technical aide...

    journal_title:Health communication

    pub_type: 杂志文章

    doi:10.1080/10410230701453926

    authors: Ellingson LL

    更新日期:2007-01-01 00:00:00

  • Behavioral health outcomes associated with religious faith and media exposure about human genetics.

    abstract::A number of scholars have speculated that religious people will be less likely than others to ascribe either fatalistic or deterministic powers to genes, opting instead to leave freedom as a choice for both God and humans. This research investigates the role of religious faith (RF) on behavioral health outcomes associ...

    journal_title:Health communication

    pub_type: 杂志文章,多中心研究

    doi:10.1207/S15327027HC1601_3

    authors: Parrott R,Silk K,Raup Krieger J,Harris T,Condit C

    更新日期:2004-01-01 00:00:00

  • The Most Common Feedback Themes in Communication Skills Training in an Internal Medicine Residency Program: Lessons from the Resident Audio-Recording Project.

    abstract::Individualized structured feedback is an integral part of a resident's learning in communication skills. However, it is not clear what feedback residents receive for their communication skills development in real patient care. We will identify the most common feedback topics given to residents regarding communication ...

    journal_title:Health communication

    pub_type: 杂志文章

    doi:10.1080/10410236.2017.1314872

    authors: Han H,Papireddy MR,Hingle ST,Ferguson JA,Koschmann T,Sandstrom S

    更新日期:2018-07-01 00:00:00