An exploratory study of relational, persuasive, and nonverbal communication in requests for tissue donation.
An exploratory study of relational, persuasive, and nonverbal communication in requests for tissue donation.
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DOI：
10.1080/10810730.2011.561908
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发表时间：
2011-10
影响因子：
4.4
通讯作者：
Gordon NH
中科院分区：
文献类型：
--
作者：
Siminoff LA;Traino HM;Gordon NH
本研究探讨了组织请求者的关系，说服和非语言沟通对家庭的最终捐赠决定的影响。对1,016例（N=1,016）组织捐赠请求进行了录音，并使用Siminoff沟通内容和影响程序进行了分析，Siminoff沟通内容和影响程序是一种专门设计用于编码和辅助沟通数据定量分析的计算机应用程序。这项研究支持了沟通策略在健康相关决策中的重要作用。当确认信息（例如，表示认可或接受的信息）或说服性策略，如可信度、利他主义或尊重，在捐赠讨论期间使用。当家庭成员表现出非语言的即时性或透露关于他们自己或病人的私人信息时，同意的可能性也更大。分层对数线性回归的结果显示，使用关系沟通的请求直接预测家庭的同意。研究结果提供了关于在生命终结的情况下替代决策的信息，并可用于指导未来的做法，在获得家庭同意组织捐赠。
This study explores the effects of tissue requesters’ relational, persuasive, and nonverbal communication on families’ final donation decisions. One thousand sixteen (N=1,016) requests for tissue donation were audiotaped and analyzed using the Siminoff Communication Content and Affect Program, a computer application specifically designed to code and assist with the quantitative analysis of communication data. This study supports the important role of communication strategies in health-related decision making. Families were more likely to consent to tissue donation when confirmational messages (e.g., messages that expressed validation or acceptance) or persuasive tactics such as credibility, altruism, or esteem were used during donation discussions. Consent was also more likely when family members exhibited nonverbal immediacy or disclosed private information about themselves or the patient. The results of a hierarchical log-linear regression revealed that the use of relational communication during requests directly predicted family consent. The results provide information about surrogate decision making in end-of-life situations and may be used to guide future practice in obtaining family consent to tissue donation.
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