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Humor as a Communication Strategy in Provider-Patient Communication in a Chronic Care Setting

机译:幽默作为慢性护理环境中提供者患者沟通的通信策略

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摘要

Humor is a potential communication strategy to accomplish various and potentially conflicting consultation goals. We investigated humor use and its reception in diabetes consultations by analyzing how and why humor emerges and its impact on the interaction. We did this by using an interactional sociolinguistics approach. We recorded 50 consultations in an Irish diabetes setting. Analysis of the humor events drew on framework analysis and on concepts from Conversation Analysis and pragmatics. The study also comprised interviews using tape-assisted recall. We identified 10 humor functions and two umbrella functions. A key finding is that most humor is relationship-protecting humor initiated by patients, that is, they voice serious messages and deal with emotional issues through humor. Our findings imply that patients' and providers' awareness of indirect communication strategies needs to be increased. We also recommend that researchers employ varied methods to adequately capture the interactive nature of humor.
机译:幽默是一种潜在的沟通策略,可以实现各种可能相互冲突的咨询目标。我们通过分析幽默的产生方式、原因及其对互动的影响,调查了幽默在糖尿病会诊中的使用和接受情况。我们通过互动社会语言学的方法做到了这一点。我们在爱尔兰糖尿病患者中记录了50次咨询。对幽默事件的分析借鉴了框架分析以及会话分析和语用学的概念。该研究还包括使用磁带辅助回忆的采访。我们确定了10个幽默功能和两个伞式功能。一个关键的发现是,大多数幽默是由患者发起的保护关系的幽默,也就是说,他们通过幽默表达严肃的信息和处理情绪问题。我们的研究结果表明,需要提高患者和提供者对间接沟通策略的认识。我们还建议研究人员采用各种方法来充分捕捉幽默的互动本质。

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