Nonverbal accommodation in health care communication.
Nonverbal accommodation in health care communication.
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DOI：
10.1080/10410236.2013.783773
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发表时间：
2014
影响因子：
3.9
通讯作者：
Bylund CL
中科院分区：
文献类型：
--
作者：
D'Agostino TA;Bylund CL
本探索性研究考察了医疗互动中的非语言迁就模式，并调查了沟通技巧训练和性别一致性对非语言迁就行为的影响。采用非语言适应分析系统（NAAS）对45例肿瘤会诊中医生和患者的非语言行为进行编码。然后，根据在互动过程中观察到的住宿模式，将病例分为七个类别之一。结果表明，在所有NAAS行为类别中，医患互动最常被归类为联合趋同，其次是不对称-患者趋同。在副语言行为中，谈话时间、中断和停顿最常见的特征是联合收敛。在非语言行为中，目光接触、笑和手势最常被归类为不对称医师趋同。沟通技巧训练前后的适应行为差异不显著。只有手势被证明是重要的，交流技能训练后的互动更有可能被归类为关节趋同或不对称医师趋同。性别和谐互动和非性别和谐互动在适应方面没有差异。从以患者为中心的护理角度考虑医疗保健沟通中住宿行为的重要性。
This exploratory study examined patterns of nonverbal accommodation within healthcare interactions and investigated the impact of communication skills training and gender concordance on nonverbal accommodation behavior. The Nonverbal Accommodation Analysis System (NAAS) was used to code the nonverbal behavior of physicians and patients within 45 oncology consultations. Cases were then placed in one of seven categories based on patterns of accommodation observed across the interaction. Results indicated that across all NAAS behavior categories, physician-patient interactions were most frequently categorized as Joint Convergence, followed closely by Asymmetrical-Patient Convergence. Among paraverbal behaviors, talk time, interruption, and pausing were most frequently characterized by Joint Convergence. Among nonverbal behaviors, eye contact, laughing, and gesturing were most frequently categorized as Asymmetrical-Physician Convergence. Differences were predominantly non-significant in terms of accommodation behavior between pre and post-communication skills training interactions. Only gesturing proved significant, with post-communication skills training interactions more likely to be categorized as Joint Convergence or Asymmetrical-Physician Convergence. No differences in accommodation were noted between gender concordant and non-concordant interactions. The importance of accommodation behavior in healthcare communication is considered from a patient-centered care perspective.