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JOY Health Professionals’ Communication Competences Decide Patients’ Well-being: Proposal for a Communication Model

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PREFACE - Professor Ralph Tench, April 2020 To conclude the book, Cristina Vaz de Almeida and Celia Belim Rodrigues ´ explore health professional’s communication competences. The chapter, ‘When the Health Professional’s Communication Competences Decide Patient’s Health: Proposal of a Communication Model’ focuses on the impact of health pro fessional’s communication competences on patients. The study is a response to the lack of consensus in the literature on what specific and operative communi cation competences the health professional should perform in clinical encounters INTRODUCTION xxi with patients, and how these competences can improve, in the final instance, health and well-being. I hope you enjoy reading these valuable contributions to our research com munity and share them with your peers. I look forward to seeing you soon at one of the forthcoming EUPRERA Congresses held every autumn. Professor Ralph Tench, April 2020
JOY
ADVANCES IN PUBLIC RELATIONS
AND COMMUNICATION
MANAGEMENT
Series Editors: European Public Relations Education and
Research Association (EUPRERA). http://euprera.org
Recent Volumes:
Volume 1: The Management Game of Communication Edited by Peggy
Simcic Brønn, Stefania Romenti, and Ansgar Zerfass
Volume 2: How Strategic Communication Shapes Value and Innovation in
Society Edited by Betteke van Ruler
Volume 3: Public Relations and the Power of Creativity: Strategic
Opportunities, Innovation And Critical Challenges Edited by
Sarah Bowman, Adrian Crookes, Stefania Romenti and Øyvind
Ihlen
Volume 4: Big ideas in Public Relations Research and Practice Edited by Finn
Frandsen, Winni Johansen, Ralph Tench and Stefania Romenti
ADVANCES IN PUBLIC RELATIONS AND
COMMUNICATION MANAGEMENT
VOLUME 5
JOY: USING STRATEGIC
COMMUNICATION TO
IMPROVE WELL-BEING
AND ORGANIZATIONAL
SUCCESS
EDITED BY
ANA TKALAC VER
ˇ
CI
ˇ
C
University of Zagreb, Croatia
RALPH TENCH
Leeds Beckett University, UK
SABINE EINWILLER
University of Vienna, Austria
United Kingdom North America Japan
India Malaysia China
Emerald Publishing Limited
Howard House, Wagon Lane, Bingley BD16 1WA, UK
First edition 2021
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British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library
ISBN: 978-1-80043-241-3 (Print)
ISBN: 978-1-80043-240-6 (Online)
ISBN: 978-1-80043-242-0 (Epub)
ISSN: 2398-3914 (Series)
CONTENTS
List of Figures and Tables vii
About the Authors xi
Introduction xvii
PART I
STRATEGIC COMMUNICATION AND
ORGANIZATIONAL GOALS
Love Wins: A Love Lens Approach to Cultivation of
OrganizationStakeholder Relationships 3
Mark Badham
Values-based Communication: A New Impulse to Communication
Effectiveness 21
Erik Kostelijk
Outside-in- versus Inside-out-content: Introducing a New
Approach to the Origins of Content in Strategic Communication 37
Olaf Hoffjann
Quantifying Organizational Trust on Twitter: A Communication
Perspective 55
Alla Kushniryk, Stanislav Orlov and Natalie Doyle Oldeld
PART II
INTERNAL AND EMPLOYEE COMMUNICATION
Internal Communication and Employee Engagement as the Key
Prerequisites of Happiness 75
Danijela Lali´
c, Bojana Mili´
c and Jelena Stankovi´
c
v
Communicative Leadership on Internal Social Media: A Way to
Employee Engagement? 93
Vibeke Thøis Madsen
Employees as Corporate Ambassadors: A Qualitative Study
Exploring the Perceived Benets and Challenges from Three
Perspectives 115
Jana Brockhaus, Laura Dicke, Patricia Hauck and
Sophia Charlotte Volk
PART III
JOYFULLY PRACTISING COMMUNICATION
The Pursuit of Happiness in PR: Joy, Satisfaction and
Motivation during Working as Communication Manager
on Purposeful Cases 137
Lars Rademacher and Kathrin St¨
urmer
The Dancing CEO. New Perspectives on the Leader:
Performer, Chief Happiness Ofcer or Seducer? 155
Finn Frandsen and Winni Johansen
Incorporating Cultural Diversity, Nation Building and Social
Cohesion When Teaching Communication and Relationship
Management 169
Magrita N. Wiggill and Gerrit van der Waldt
Using Education as a Strategic Communication Tool
A Case Study of Raising Financial Literacy and Voluntary
Pension Fund Promotion 183
Andrea Luˇ
ci´
c, Dajana Barbi´
c and Dijana Bojˇ
ceta Markoja
Health ProfessionalsCommunication Competences Decide
PatientsWell-being: Proposal for a Communication Model 201
Cristina Vaz de Almeida and C´
elia Belim
Index 223
vi CONTENTS
LIST OF FIGURES AND TABLES
Figure 1. Sternbergs Triangle of Love. 8
Figure 2. Emotions (in Public Relations Research) and Brand
Love (in Relationship Marketing Research) Tend to
Flow in One Direction. 10
Figure 3. Reciprocity in OrganizationStakeholder Affection. 11
Figure 1. Personal Values as Moderator in the Relationship
between Goal Attainment and Well-being. 26
Figure 2. Personal Values as Moderator in the Relationship
between Context and Well-being. 27
Figure 3. Personal Values as Moderator in the Relationship
between Brand Values and Brand Attachment (Kostelijk,
2016). 27
Figure 4. The Value Compass (Kostelijk, 2016). 30
Figure 5. Model for Values-based Communication. 32
Figure 6. Communication Enriches the Context. 33
Figure 1. Ideal Types of Inside-out- and Outside-in-content. 43
Figure 1. Visualizing Trust for @Airbus. 66
Figure 2. Visualizing Trust for @BoeingAirplanes. 67
Figure 3. Visualizing Distrust for @BoeingAirplanes. 68
Figure 1. Research Model. 79
Figure 2. The PLS Analysis of the Research Model. 86
Figure 1. Framework for Analyzing the Role of Corporate
Ambassadors within an Organization. 125
Figure 1. Overview of Research Focus and Research Question. 139
Figure 2. Structural Equation Model: Overall Job Satisfaction of
Communication Management Professionals (Zerfass
et al., 2018 Based on Berger et al., 2017/Plank Center). 142
Figure 3. Overview of Millennial Generations. 143
Figure 4. Overview of Research Design for This Study. 147
vii
Figure 5. Overview of Collected Data for This Study. 148
Figure 6. ParticipantsAnswer I Feel Overall Joy in My Job,
Regarding Jobs with and without a Moral Background. 149
Figure 7. ParticipantsAnswer on Experienced Joy in Context with
Their Salary. 150
Figure 8. Satisfaction of Individual Categories in Current Job. 151
Photo 1. The CEO of LEGO, Jørgen Vig Knudstorp Presenting
the Results of the Year 2014. 160
Photo 2. The LEGO CEO, Jørgen Vig Knudstorp, Presenting the
Results of the Year 2015. 166
Figure 1. Announcement of the Project Finance for Everyone. 191
Figure 2. Educative Articles in the Media Together with the
Education Report and Impressions of Participants. 192
Figure 3. ZSE Academy Award Media Coverage. 193
Figure 1. Assertiveness, Clear Language and Positivity Model. 214
Table 1. The Value Types of the Value Compass (Kostelijk,
2016). 30
Table 1. Self and External Thematization in Journalism and
Strategic Communication. 42
Table 1. Frequencies of Trust and Distrust Messages. 62
Table 2. Trust Categories. 63
Table 3. Frequencies of Unique Tweets, Retweets and Unique
Users. 63
Table 1. Sample Demographics. 80
Table 2. Latent Variable Statistics. 83
Table 3. Correlations between First-order Factors. 85
Table 4. Second-order to First-order Loadings (Bootstrap Anal-
ysis with 5,000 Samples). 85
Table 5. HeterotraitMonotrait Ratios. 86
Table 1. Various Communicative Leadership Roles on ISM. 100
Table 2. Formal Leadership Communicative Acts on ISM. 105
Table 3. Coconstructed Leadership Communication Behaviour
on ISM. 108
Table 4. Peer Leadership Communicative Acts on ISM. 110
viii LIST OF FIGURES AND TABLES
Table 1. Roles of Communication Professionals in Interaction
with Corporate Ambassadors. 126
Table 2. Typology of Corporate Ambassadors. 128
Table 1. The Main Functions of Dancing. 161
Table 1. ANOVA Knowledge Before and after Education. 195
Table 2. ANOVA Attitudes on Retirement Savings Knowledge
Before and after Education. 195
Table 3. Financial Attitudes Answers. 195
Table 5. Financial Behaviour Answers. 196
Table 4. Behavioural Control Answers. 196
Table 1. Highest Scores to the Components of the Assertiveness,
Clear Language and Positivity. 212
Table 2. Recommendations or Components of the Three-factor
Model of Communication Competences: Assertiveness,
Clarity and Positivity. 215
LIST OF FIGURES AND TABLES ix
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ABOUT THE AUTHORS
Mark Badham (PhD) is Postdoctoral Researcher in Corporate Communication at
Jyv¨
askyl¨
a University School of Business and Economics in Finland. His research
focuses on distinct roles news media outlets adopt in mass communication pro-
cesses, particularly to better understand phenomenon involving power struggles
between organizations, activists and their respective publics. This research
extends to crisis communication, agenda-building and other mass communica-
tion-related research focused on how organizations engage with news media in
online and ofine environments to reach stakeholders. Prior to entering into a
full-time academic career, he worked in public relations roles for politicians,
political parties and NGOs in Australia.
Dajana Barbi´
cis an Assistant Professor at the Faculty of Economics and Business
in Zagreb, University of Zagreb. She teaches Personal Finance,Public Finance
and Monetary Policyat the Department of Finance. She defended her doctoral
dissertation in the eld of personal nance Linking nancial literacy with the
successfulness in managing personal nances. She is one of the founders and
director of the Institute for Financial literacy and responsible nancial con-
sumption where she actively participates in the programmes of nancial educa-
tion. She is an active researcher in many projects including international project
Financial literacy and socialization of children as consumers.
C´
elia Belim is an Assistant Professor at the School of Social and Political Sci-
ences, University of Lisbon (ISCSP-ULisboa), lecturing on Communication
Sciences (CC)s scientic area since 2000. Currently, she is executive coordinator
of the graduate degree of the referred scientic area. She has a PhD on CC. She
coordinates projects, such as Communicate healthand Agendas and commu-
nication. Since 2000, she has participated in several conferences, and publishes in
her elds of interest, such as health communication, having published, by invi-
tation from Rowman & Littleeld Publishers. She has received four academic
awards.
Jana Brockhaus, MA, is Research Associate and PhD Candidate at the Chair of
Strategic Communication at Leipzig University, Germany, and has been a
visiting research student at Lund University, Sweden. Her research interests
include professionalization of strategic communication, management concepts,
and employee engagement. In her master thesis, she examines the internal
perception and positioning of communication departments in corporations and
analyses the expectations of internal stakeholders.
xi
Laura Dicke, MA, is a Public Relations Assistant at Fraunhofer IFAM in
Dresden, Germany. In 2020, she nished her masters degree in Communication
Management at the Department of Strategic Communication at Leipzig Uni-
versity, Germany. Her academic interests lie in challenges and opportunities of
strategic communication for organizations, employee engagement and nancial
communication. Her masters thesis explores the challenges of strategic employer
branding in start-ups.
Sabine Einwiller is a Professor of Public Relations Research at the Department of
Communication, University of Vienna, Austria, where she heads the Corporate
Communication Research Group. Since 2018 she is the Head of the Austrian
Public Relations Ethics Council and serves as the Austrian representative of the
European Communication Monitor. In 2019/2020 she headed the Scientic
Committee of EUPRERA. Sabine Einwiller has published about 40 articles in
international peer-reviewed journals and is co-editor of the Handbook of
Employee Communication (Springer Gabler, in German). In her research, she is
mainly interested in the effects of corporate communication on stakeholders and
in strategic communication management.
Finn Frandsen is Professor in the Department of Management at Aarhus BSS,
Aarhus University, Denmark. In 2019, he was appointed Professor II at BI
Norwegian Business School, Norway. His primary research interests include
organizational crises, crisis management and crisis communication. His most
recent books are Organizational Crisis Communication: A Multivocal Approach
(2017; co-authored with Winni Johansen) and Crisis Communication (Handbooks
of Communication Science HOCS 23, co-edited with Winni Johansen). In 2019,
Finn Frandsen and Winni Johansen served as co-editors of Big Ideas in Public
Relations Research and Practice (Advances in Public Relations and Communica-
tion Management, Emerald Publishing).
Patricia Hauck is a Consultant for strategic communication and change man-
agement at FTI Consulting. She nished her masters degree in Communication
Management at the Department of Strategic Communication at Leipzig Uni-
versity, Germany, in 2020. In 2019, she has been a visiting research student at
Tallinn University, Estonia. Her research interests focus on innovative methods
for strategic communication and employee engagement. Her masters thesis is
concerned with the use of microtargeting within corporate communications.
Olaf Hoffjann is a Professor at the Department of Communication Studies at
University of Bamberg, Germany. He studied, inter alia, communication studies
in M¨
unster, Germany. From 2006 to 2019 he was Professor of Communication
Management at the Mediadesign University for Applied Sciences in Berlin and
Professor of Media Management at the Ostfalia University for Applied Sciences
in Salzgitter, Germany. He was awarded a PhD for his system-theoretical study
of the relationship between PR and journalism. His research interests cover trust
in public relations (PR), the reality of PR and public affairs.
xii ABOUT THE AUTHORS
Winni Johansen is Professor in the Department of Management at Aarhus BSS,
Aarhus University, Denmark, and adjunct professor at BI Norwegian Business
School, Norway. Her primary research interests include organizational crises,
crisis management and crisis communication. Her most recent books are Orga-
nizational Crisis Communication: A Multivocal Approach (2017; co-authored with
Finn Frandsen), International Encyclopedia of Strategic Communication (2018;
co-edited with Robert L. Heath) and Crisis Communication (Handbooks of
Communication Science HOCS 23, 2020; co-edited with Finn Frandsen). In 2019,
Winni Johansen and Finn Frandsen served as co-editors of Big Ideas in Public
Relations Research and Practice (Advances in Public Relations and Communica-
tion Management, Emerald Publishing).
Erik Kostelijk is Associate Professor of Marketing at the Amsterdam School of
International Business of the Amsterdam University of Applied Sciences,
Netherlands. He has teaching, research and professional experience in several
countries including China, the USA, Lithuania, France, Spain and Italy.
Currently, he also works as marketing consultant in the Netherlands. Erik is the
designer and author of the Value Compass, the method to assess the inuence of
values on branding. His book on brand positioning (with K. J. Alsem) won the
Dutch award for the marketing study book 2016. The book was published in
2020 in English at Routledge.
Alla Kushniryk (PhD) is an Associate Professor in the Department of Commu-
nication Studies at Mount Saint Vincent University, Canada. Her department has
been nationally recognized for excellence in public relations education in Canada.
She earned a PhD in Communication and Information at the University of
Tennessee, Knoxville. Allas research and publications centre on organizational
communication, digital and social media, and quantitative research methods. She
has been engaged in several research projects funded by Communications 1
Public Relations Foundation, Canadian Public Relations Society and other
organizations.
Danijela Lali´
c, PhD, is an Associate Professor at the Department of Industrial
Engineering and Management, Faculty of Technical Sciences, University of Novi
Sad, Serbia. Her research interests include public relations, corporate commu-
nications, especially social media, digital and internal communications. She
published over 70 scientic and professional publications. Her PR handbook is
considered as excellent guide for professionals and students. She was the editor
and lead translator of the textbook Business Communication Today, published by
Pearson Education. Dr Lali´
c is a member of Serbian PR Association, a member
of EUPRERA and a national collaborator for Serbia for the European
Communication Monitor.
Andrea Luˇ
ci´
cis an Assistant Professor at the Department of Marketing at the
Faculty of Economics in Zagreb. She teaches Foundations of Marketingand
Sustainable marketing and ethics. She is leading a Croatian Science Foundation
research project Empowering nancial capability of young consumers through
ABOUT THE AUTHORS xiii
education and behavioural intervention. She is also a research fellow on
Strenght2Food: Horizon 2020 Strengthening European Food Chain Sustain-
ability by Quality and Procurement Policy Activityproject. She is one of the
founders of the Institute for Financial Literacy and responsible nancial con-
sumption where she actively participates in the programmes of nancial
education.
Vibeke Thøis Madsen is an Assistant Professor in digital and organizational
communication, Department of Culture and Learning, Aalborg University,
Denmark. Her research interests are interactions among organizational members
on internal social media and employees as strategic communicators in public
relations. She has, for example, studied how employees construct organizational
identity on internal social media and the self-censorship strategies they apply when
they communicate. Presently, she studies the strategic role and the participatory
potential of social intranets in public organizations and develops a framework
to understand employees as communicators in organizational contexts.
Dijana Bojˇ
ceta Markoja is Managing Director of Association of Pension Funds
and Pension Insurance Companies with more than 20 years of working experi-
ence in nancial industry with the main focus on corporate communication and
marketing. Her professional and scientic focus is on Financial Literacy, spe-
cically Pension Literacy. She participated in numerous conferences and panel
discussions with contributed lectures. DBM has degree in political science and
Master Degree in economics eld marketing. She attended IEDC Bled
Business School. At the moment, she is attending the master course in public
relations.
Bojana Mili´
cis a PhD Candidate and a Scientic Researcher at the Department
of Industrial Engineering and Management, Faculty of Technical Sciences at
University of Novi Sad, Serbia. She currently writes her PhD thesis on employee
creativity and their innovative behaviour. Her research interests include employee
engagement, knowledge management, creativity and social media marketing.
Natalie Doyle Oldeld (BA Honours, BPR, MPR) is the author of the book The
Power of Trust: How Top Companies Build, Manage and Protect It. Four times,
Natalie has been named one of the worlds Top Thought Leaders in Trust by
Trust Across America. A former Chief Marketing Ofcer and keynote speaker,
she publishes business and academic articles.
Natalie advises business owners and leaders on how to increase revenue, trust
and loyalty through a scientically based framework. She is the creator of the
Client Trust Index, an award-winning proprietary diagnostic and a digital
program called Becoming a Trusted Advisor.
Stanislav Orlov (MEd, MIST) is a Systems Librarian at Mount Saint Vincent
University in Halifax, Nova Scotia. Part of his duties includes facilitating
seamless access to various e-resources by students, faculty and the larger com-
munity. That involves everyday work with journal article databases, e-book
platforms, institutional repository, university archive, online citation managers,
xiv ABOUT THE AUTHORS
etc. He teaches the Intro to Research in Information Age course that focuses on
proper ways of nding, evaluating and using information in academia, as well as
in everyday life. Stanislavs research interests include Open Education Resources,
and Social Media.
Lars Rademacher, MA, PhD, is Professor for Public Relations at Darmstadt
University of Applied Sciences and adjunct lecturer & researcher at Cork Insti-
tute of Technology (CIT), Ireland. He serves as Director at the Institute of
Communication & Media. Before joining academia, Lars spent more than 15
years as communication consultant and media relations manager working for a
number of national and multinational companies including BASF and Volks-
wagen. His research interests cover public legitimacy, PR ethics, leadership &
executive communication, CSR and compliance communication. Since 2017 he is
a member and since 2018 the Chairman of the German Public Relations Council.
Jelena Stankovi´
c, PhD, is an Assistant Professor at the Department of Industrial
Engineering and Management, Faculty of Technical Sciences at University of
Novi Sad, Serbia. Her research interest focuses on marketing management,
corporate communication, branding and entrepreneurship. She is the author of
more than 50 papers published in scientic journals and conferences. She is also
one of the translators of the textbook Business Communication Today, published
by Pearson Education. Dr Stankovi´
c is a member of Mensa since 2013.
Kathrin St¨
urmer, MA, is a PhD Candidate at Cork Institute of Technology in
cooperation with Darmstadt University of Applied Sciences. She has been
teaching at Darmstadt UAS since 2018. Before, Kathrin worked in a lobby
agency where her research topic digital lobbyingarose. She worked at the
German Bundestag and currently in the political department of a social media
agency. Her research interests cover online, political, strategic communication;
lobbying and social media. Kathrin holds a Bachelors degree in political and
media science (University of Regensburg, Germany) and a Masters degree in
European and international studies (European Institute Nice, France).
Professor Ralph Tench is Director of Research for Leeds Business School and
Past President (20172020) European Public Relations Research and Education
Association. Tenchs research involves national and international projects. He
has written and edited 26 books; published over 40 academic journal papers;
presented worldwide 601peer-reviewed papers. Books include the market-
leading strategic communication textbook, Exploring Public Relations, and
recently Communication Excellence How to Develop, Manage and Lead
Exceptional Communications, based on the longitudinal, annual European
Communication Monitor project (14 years, www.communicationmontor.eu).
Tenchs research focuses on strategic communication and its impact on societal
issues including health, business, social and public policy.
Cristina Vaz de Almeida is a Specialist in Health Literacy (HL) and director of a
postgraduate course on HL at the Higher Institute of Applied Psychology (ISPA)
since 2012. She has a permanent intervention as a lecturer in HL for training
ABOUT THE AUTHORS xv
health professionals, at national and international level. Since 2007, she has
participated in Portuguese social projects. She has been working for more than 17
years at Lisbon Holy House of Mercy-Santa Casa da Miseric ´
ordia de Lisboa
(SCML). She is co-author of the book Literacia em sa ´
ude na pr´
atica (Health
literacy in practice) and of various articles and chapters.
Ana Tkalac Verˇ
ciˇ
cis a Full Professor of Marketing communications and Public
Relations at the Faculty of Economics and Business, University of Zagreb,
Croatia. She is a former Fulbright scholar and a recipient of the Chartered
Institute of Public Relations diploma. Ana Tkalac Verˇ
ciˇ
c has authored, co-
authored and edited numerous books including Public Relations Metrics:
Research and Evaluation (with B. van Ruler and D. Verˇ
ciˇ
c) and is the author of
the rst Croatian public relations textbook. She has published more than a 100
papers in various academic journals and serves in various editorial boards such as
International Journal of Strategic Communication, Journal of Public Relations
Research and Public Relations Review. Throughout her career professor Tkalac
Verˇ
ciˇ
c has received numerous awards, most recently, GrandPRx, the award for
the development of public relations as a profession. She is currently the president
of the Croatian Public Relations Association.
Sophia Charlotte Volk, MA, is Research Associate and PhD candidate at the
Department of Strategic Communication at Leipzig University, Germany. As
project leader in the research program Value Creating Communication, she
co-authored the book Toolbox Communication Management (Springer Gabler
2019). Her research interests include corporate communications, communication
management, evaluation and measurement, and comparative research. Her
research has been published in renowned international journals and awarded
several prizes at academic conferences. Her doctoral dissertation examines the
state of the art of comparative communication research and generates empirical
insights into the collaborative challenges of international research projects.
Gerrit van der Waldt is Research Professor: Public Governance attached to
North-West University, South Africa. He is author and co-author of 34 text
books and more than a 100 scholarly articles to date. He has published exten-
sively in the eld of governance and policy-related domains and serves on various
advisory boards and research committees. He also lectured and conducted
research at the Vrije University, Amsterdam, the Netherlands, and was appointed
as global expert by the International Swedish Institute for Public Administration
(SIPU) to partake in the design and development of MastersProgrammes for
various African countries.
Magrita N. Wiggill is Associate Professor at the Department of Strategic
Communication at the Helsingborg Campus of Lund University, Sweden. She has
published several scholarly articles on strategic communication management in the
non-prot sector as well as in a disaster risk context. Her research interests include
strategic communication and relationship management, disaster risk communi-
cation management, communication and sustainability, and social media.
xvi ABOUT THE AUTHORS
INTRODUCTION
As I write the introduction to this latest book in the European Public Relations
Education and Research Association (EUPRERA) Congress series for Emerald,
I cannot help but hold some sense of irony. Our excellent Congress in Zagreb
held during early October 2019 was another annual celebration of international
exchanges of research and new ideas in the scholarship of public relations and
strategic communication. The theme of the congress was Joy. And yet, as I
compose these introductory thoughts and reections for the book, my fellow
editors and I are each sitting in our home ofces as many of you will have done.
All of us experiencing for the rst time in our lives an extraordinary, enforced
lockdown during the COVID-19 (coronavirus) crisis in the spring of 2020. As
such joymay not be the rst emotion academics and research students think of
when reecting on this challenging period of our lives, but it is perhaps poignant
to recall the discussions and debates we held in Zagreb and the fascinating papers
we shared during the Congress. Whilst many of the papers touched literally on
the issue of joy, others explored related emotions and in some papers the ip or
opposing sensations to positivity. In essence the theme of the 2019 Congress is
perhaps never more appropriate than in times of stress, international emergency
and genuine societal challenge. We need to be able to understand how and where
we can sense happiness, well-being, social cohesion, togetherness, appreciation of
others and, arguably, attributes of joy.
Even before this exceptional year of 2020, it would have been possible to argue
that we are living in an era of societal pessimism. That challenging viewpoint
appears only to have been reinforced and heightened by the international expe-
riences of the COVID-19 crisis. As we observe our everyday academic worlds, it
is possible to see that everyone potentially has a voice, and in the contemporary
climate it is very often used to criticize. Publics see problems and discuss them in
multifarious ways and on a plethora of platforms and media outlets. And, in turn,
academic research reects this and often views the world through a negative lens
and focuses on difculties, issues and bad practices. With this meeting of the
international public relations and strategic communication research community,
it was the ambition of the Congress organizers from the University of Zagreb and
the EUPRERA Board to encourage and promote some optimism in both the
public discourse and academic research about the discipline.
The conference call proposed that public relations and strategic communica-
tion could be used for cultivating a positive environment. This means commu-
nicators could accept that one of the biggest competitive advantages in todays
business world is a positive and engaged public. Satised participants are at the
core of any successful relationship. To succeed in the future, public relations will
xvii
have the aim of keeping various stakeholders not only informed, nor even
satised, but happy. Whether they are employees, customers or business partners,
only happy stakeholders will ensure long-term organizational success.
The success of relationships with publics is mostly based on how people are
valued and treated, which in turn affects their self-perceptions and level of per-
formance. Both of these elements are correlated with life happiness. So it seems
logical that public relations should put additional effort in fostering happiness
and joy among their publics and by improving both organizational success and
the well-being of people. These were the thoughts and aspirations to encourage
academic papers to join in the debate about joyand its implications for strategic
communication and public relations.
The Zagreb Congress was the 21st to be organized by The European Public
Relations Education and Research Association. EUPRERA is an autonomous
organization with nearly 500 members from 40 countries interested in advancing
academic research and knowledge in strategic communication. Several cross-
national and comparative research and education projects are organized by
afliated universities. In order to spread new methodologies and research results,
EUPRERA organizes its Annual Congress each autumn in collaboration with a
selected university or college in Europe. The organizer of the 2019 Congress was
one of my co-editors, Professor Ana Tkalac Verˇ
ciˇ
c, from the University of
Zagreb. The Congress attracted 60 full papers, and this book is a selection of the
best papers that were not included in the special issue of the Journal of
Communication Management.
The book is divided into three parts. The following pages provide a summary
for each part of the book and a avour of the chapters within each section.
Part I: Strategic Communication and Organizational Goals
Not all contingencies named societal developmentadd to joy some have
positive some negative effects. Questioning the role of public relations in society
and a strategic approach to communication can induce the spreading of positive
human and corporate behaviour that contributes to joy. How can public relations
contribute to the communication of social change through ethical persuasion and
promotion of public interest? Additionally, measuring the effectiveness of
communication is vital for understanding its value and for shaping future plans in
a way that contributes to greater effectiveness. If joy is a part of successful
communication, how can we measure it? Can joy be measured through results
and performance indicators and consequently integrated into strategic commu-
nication plans? In order to be precise, we need to rst dene the role of joy and its
related constructs in the process of communication.
In his paper Love Wins: A Love Lens Approach to Cultivation of Organi-
zation Stakeholder Relationships, Mark Badhams chapter draws on the theory
of brand love developed in relationship marketing research and the theory of love
from psychological research to build a theoretical framework of organization
stakeholder love (OSL) that can be applied to organizational relationships with
xviii INTRODUCTION
publics and stakeholders. Badham argues that OSL is important as it has the
potential to contribute to addressing public relationsimage problems (e.g.
relating to terms such as spin, fake news and corporate greenwashing). It also
offers a new love orientation that guides organizations towards a focus on the
primacy of stakeholder needs and values, which in turn may shape the way
organizations initiate and manage their relationships with stakeholders. The
chapter concludes with practical ways OSL can be implemented and offers a
research agenda.
Erik Kostelijk takes the view that people decide what is good or bad, or what
they should or should not do, based on the values they cherish. Someones values
create the feeling that something is important for him or her, and then motivate
him or her to take action. Titled Values-Based Communications: A New Impulse
to Communication Effectiveness, Kostelijks chapter explores the use of values in
communication and introduces mechanisms through which values can be used to
stimulate communication effectiveness.
In Outside-In- versus Inside-Out-Content. Introducing a New Approach on
the Origins of Contents in Strategic Communication, Olaf Hoffjann introduces
the concept of outside-in-content, which facilitates a new perspective in the
decoupling of discourse. Outside-in-content encourages decoupling for three
reasons: (1) like a lighthouse, it draws attention away from negative issues. (2) As
neither-true-nor-false-content, it encourages non-committal and arbitrary stra-
tegic communication. (3) If organizations no longer talk about themselves, or do
so less frequently, talk and action can also no longer be examined using the
standards of tight or loose coupling.
In Quantifying Organizational Trust on Twitter: A Communication
Perspective, Alla Kushniryk, Stanislav Orlov and Natalie Doyle Oldeld draw
on both theoretical and empirical literature on trust and discuss the role of trust
in strategic communication. They examine the importance of trust for organi-
zational success, the dimensions of trust and distrust, and discuss quantiable
proxies to measure trust and distrust on social media. They use theoretically
driven dimensions of trust and distrust as a framework to examine how Boeing
and Airbus use Twitter to communicate with their stakeholders and publics. Two
separate lists of words and phrases were created, one for proxies of trust and one
for proxies of distrust. In addition, trust building actions that organization can
engage in on Twitter were identied: listening and engaging in dialogue by
following users, mentioning users in messages, replying to inquiries, providing
and encouraging feedback.
Part II: Internal and Employee Communication
Strategic internal communication is a part of the organizational context in which
employees are engaged or disengaged, while strategic external communication is
an antecedent of a companys image on the market which designates consumer
engagement. Both are vital in the digital era in which employees prioritize on fun
working environments awakening positive emotions including happiness, joy and
INTRODUCTION xix
enthusiasm. How can we use communication to attract and preserve engaged
employees employees that believe that working is fun? Are lucrative commu-
nication activities such as employer brand communication, innovative organi-
zational communication initiatives and open channels of communication helpful?
How can we use communication to secure customer loyalty? Are extensive
communications with diverse external stakeholders, especially on social media
platforms, the right solution?
In the chapter, Internal Communication and Employee Engagement as the
Key Prerequisites of Happiness, Danijela Lali´
c, Jelena Stankovi´
c and Bojana
Mili´
c investigate internal communication satisfaction and employee engagement
as prerequisites of employee happiness. The outcomes of their study reveal how
organizations can employ an internal communications strategy in order to
enhance engagement of their employees and their happiness as the ultimate goal.
Vibeke Thøis Madsen explores interactions on internal social media (ISM) in a
Danish bank in order to understand how communicative leadership is enacted in
social media dialogues within an organizational context. The chapter titled
Communicative Leadership on Internal Social Media A way to Employee
Engagement?identies three types of communicative leadership: Formal
communicative leadership, coconstructed communicative leadership and peer
communicative leadership. Madsen argues the ndings help us understand
leadership as a complex set of interactions in organizational contexts and know
that empowering communication on ISM can therefore enhance employee
engagement.
The research team of Jana Brockhaus, Laura Dicke, Patricia Hauck and
Sophia Charlotte Volk explores corporate ambassadors in their chapter,
Employees as Corporate Ambassadors: A Qualitative Study Exploring the
Perceived Benets and Challenges from Three Perspectives. The goal of this
qualitative study is to analyze the communicative engagement of employees
within an organization and explore the expectations towards ambassador
communication from three perspectives: the communication department, other
departments such as marketing or human resources, and corporate ambassadors
themselves. The chapter lays the groundwork for further discussions about
corporate ambassadors in the eld of corporate communications and outlines
directions for future research and implications for practice.
Part III: Joyfully Practising Communication
The world is denitely going through a transition, and strategic communication
has to participate in the debate on major issues and help shape values and beliefs
of the society as a whole. Through shaping communication, public relations
experts help shape core values. Is satisfaction a prerequisite of good communi-
cation? What is the role of communication professionals in discussions about a
society in transition? What is our professional responsibility? Are we (at least
partially) in charge of satisfaction in society? When and why does communication
foster health, happiness and well-being?
xx INTRODUCTION
In The Pursuit of Happiness in PR: Joy, Satisfaction & Motivation during
working as Communication Manager on Purposeful Cases, Lars Rademacher
and Kathrin St ¨
urmer explore the job satisfaction of communication managers.
This chapter discusses the connection between a good cause and job satisfaction
and the difference it makes when it comes to working in communication man-
agement over time. Unlike other studies, the focus in the chapter is on purpose-
driven projects as a change in business routine to stay motivated.
If you reach this part of the book and you are not already elated, then after the
next chapter you will be. Aarhus colleagues Finn Frandsen and Winni Johansen
take us on a whirlwind journey across the corporate dance oor in the riveting
chapter The Dancing CEO: Perspectives on the Leader: Performer, Chief
Happiness Ofcer or Seducer?. The chapter is a riveting case study about the
Danish CEO who suddenly began to dance in front of journalists while singing
Everything is awesomefrom the LEGO Movie. Why did he do it? Was it out of
spontaneous joy? Or was there a strategy behind his actions? And what were the
reactions of the media and LEGO employees? These are questions handsomely
answered in this chapter that contributes to a broader understanding of strategic
communication and leadership and adds a dramaturgical and multimodal
perspective.
In Incorporating Cultural Diversity, Nation Building and Social Cohesion
When Teaching Communication and Relationship Management, Magrita Nic-
olene Wiggill and Gerrit Van der Waldt reect on the necessity of incorporating
practical and experiential learning modalities in higher education to prepare
communication and relationship management students for engaging others in
potentially conicting socio-cultural heterogeneous settings. The case study
illustrates studentsgeneral anxiety to engage people from different ethnic, racial
and cultural backgrounds. The authors recommend innovative teaching strategies
are developed to foster harmony, tolerance, understanding and cultural sensi-
tivity in communication and relationship management education.
Andrea Luˇ
ci´
c, Dajana Barbi´
c and Dijana Bojˇ
ceta Markoja develop an
interesting case study chapter in Using Education As a Strategic Communication
Tool A Case Study of Raising Financial Literacy And Voluntary Pension Fund
Promotion. The chapter has the purpose of showing how purposeful content-
based valuable information can be created with the aim of inuencing attitudes
and behaviours in the eld of personal and pension savings. A quantitative study
was conducted in order to investigate the effectiveness of education on the atti-
tudes and knowledge related to pension fund savings. The results of the quasi-
experiment indicate that the education has increased respondentsknowledge and
positive attitudes towards retirement savings.
To conclude the book, Cristina Vaz de Almeida and C´
elia Belim Rodrigues
explore health professionals communication competences. The chapter, When
the Health Professionals Communication Competences Decide Patients Health:
Proposal of a Communication Modelfocuses on the impact of health pro-
fessionals communication competences on patients. The study is a response to
the lack of consensus in the literature on what specic and operative communi-
cation competences the health professional should perform in clinical encounters
INTRODUCTION xxi
with patients, and how these competences can improve, in the nal instance,
health and well-being.
I hope you enjoy reading these valuable contributions to our research com-
munity and share them with your peers. I look forward to seeing you soon at one
of the forthcoming EUPRERA Congresses held every autumn.
Professor Ralph Tench, April 2020
xxii INTRODUCTION
... Professionals highlighted the lack of guidelines in plain language as the most common obstacle, putting their creation forward as their top solution. Accordingly, communication competencies, including clear, assertive, positive and plain language, have been defined as one of the core missions of medical professionals [31][32][33]. ...
... The increasing importance attributed to patient/family caregiver empowerment, health care and research involvement, also evidenced by these study results, has boosted incentives and interest in designing and disseminating plain language resources [1,35,36]. Moreover, health literacy directly influences adequate health-promoting and preserving behaviours, the quality of health care, access to medical innovations and consequently patients' quality of life and health care expenses and costs [11,33,35,37,38]. ...
Article
Full-text available
Background: Clinical management guidelines (CMGs) are decision support tools for patient care used by professionals, patients, and family caregivers. Since clinical experts develop numerous CMGs, their technical language hinders comprehension and access by nonmedical stakeholders. Additionally, the views of affected individuals and their families are often not incorporated into treatment guidelines. We developed an adequate methodology for addressing the needs and preferences of family and professional stakeholders regarding CMGs, a recently developed protocol for managing congenital disorders of glycosylation (CDG), a family of rare metabolic diseases. We used the CDG community and phosphomannomutase 2 (PMM2)-CDG CMGs as a pilot to test and implement our methodology. Results: We listened to 89 PMM2-CDG families and 35 professional stakeholders and quantified their CMG-related needs and preferences through an electronic questionnaire. Most families and professionals rated CMGs as relevant (86.5% and 94.3%, respectively), and valuable (84.3% and 94.3%, respectively) in CDG management. The most identified challenges were the lack of CMG awareness (50.6% of families) and the lack of plain language CMG (39.3% of professionals). Concordantly, among families, the most suggested solution was involving them in CMG development (55.1%), while professionals proposed adapting CMGs to include plain language (71.4%). Based on these results, a participatory framework built upon health literacy principles was created to improve CMG comprehension and accessibility. The outputs are six complementary CMG-related resources differentially adapted to the CDG community's needs and preferences, with a plain language PMM2-CDG CMG as the primary outcome. Additionally, the participants established a distribution plan to ensure wider access to all resources. Conclusions: This empowering, people-centric methodology accelerates CMG development and accessibility to all stakeholders, ultimately improving the quality of life of individuals living with a specific condition and raising the possibility of application to other clinical guidelines.
... We can thus assess, based on the results of this survey on self-esteem and the literature review carried out, that self-esteem among literate adults tends to improve with increased confidence and assertiveness (Almeida, 2020, p. 24). Assertiveness is also a result of the level of self-esteem, as seen for example in these statements of the questionnaire on Self-esteem carried out: Having confidence in myself and in my abilities; respect me above all, believe in me, like me, take care of me; Be proactive, recognize my qualities and defects; It means having confidence in what you do and in the person you are and, even when things don't go well, so working with assertiveness can improve the individual's confidence in himself and in his relationship with others, increasing the control that the person has of his life (Vaz de Almeida, 2021;2021b). We can envision greater empowerment of the person here, that is, a process through which citizens gain greater control over decisions and actions that affect their health and well-being (WHO, 1998). ...
... We can envision greater empowerment of the person here, that is, a process through which citizens gain greater control over decisions and actions that affect their health and well-being (WHO, 1998). The assertive relationship is direct, eye to eye, respectful, equitable, symmetrical, trust generating, commitment generating on both sides (Almeida, 2020, p. 25;Vaz de Almeida 2021b) contributing to individual well-being, with repercussions on the level of self-esteem and human confidence. ...
Chapter
Self-esteem is associated with trust and the need for respect, and therefore, it implies an assertive behavior, and all are healthcare communication strategies. Respect for oneself and others is also linked to assertiveness. Assertiveness implies trust, which reduces uncertainty. The assertive behavior is linked to self-esteem and self-confidence because individuals who feel competent and sure of themselves interact more sincerely and naturally in the development of relationships. A quantitative and qualitative method was followed. A questionnaire on self-esteem was applied, adapted from Rosenberg's self-esteem measurement scale (1965), resulting in a sample of 216 individuals, of which 58.6% are female and 44% are over 39 years old. A qualitative content assessment of the responses to the two open questions was carried out (N = 199), resulting in eight categories for each of the open questions. The definition of respect and trust given by the inquired positions self-esteem as the visible result promoting well-being through a set of skills where assertiveness stands out.
... The importance of positive reinforcement and personal connections was also evident. 43,44 Patients who accepted palliative care often mentioned how healthcare providers' encouraging conversations positively influenced them. In contrast, within the MLTC system, case managers usually discuss palliative care with patients over the phone, often without meeting them in person. ...
Article
Palliative care offers undeniable advantages to elderly patients with multiple chronic illnesses in managed long-term care. However, only approximately 14% of those who require palliative care actually receive it. To investigate factors influencing decision-making regarding palliative care acceptance, and healthcare providers’ communication strategies, which patients or family caregivers perceive during managed long-term care. Qualitative thematic content analysis study. Two data sources from home and community-based health care organization in a metropolitical city in the Northeastern United States were used: (a) retrospectively collected 79 phone call audio recordings between patients and/or family caregivers with healthcare providers when initiate palliative care option, and (b) prospectively collected 10 exploratory qualitative interviews with patients and/or family caregivers for this study purpose. From a total of 89 conversations, 7 themes emerged during palliative care decision-making: (a) capability for self-management; (b) symptom severity; (c) perceptions of chronic disease; (d) satisfaction with current health services; (e) code status; (f) caregiver burden and (g) other reasons, including financial considerations and service affiliations. In addition, from 10 qualitative interviews, 4 key themes in healthcare providers’ communication that optimize palliative care conversations were indicated: (i) trust and relationship dynamics; (ii) positive reinforcement and personal connection; (iii) conversation setting and initiator; and (iv) collaborative approach to care coordination. Enhancing decision-making around palliative care and improving acceptance of palliative care services may be improved through the integration of personalized care plans, empathetic communication, use of symptom-inclusive assessments for timely care, and proactively addressing caregiver burden.
... In the meantime, doctors selected reliability as the top factor in health communication, whereas patients selected fairness. It was found that this differs from existing study findings that patients are able to trust doctors when physicians show respectful manners and sympathizing attitudes to them, and thereby, the quality of communication could also be improved [39,40]. Fairness implies that a doctor will fairly treat all patients, regardless of their social status or personal relationships. ...
Article
Full-text available
Background As the health paradigm shifts toward patient-centeredness, patients can actively participate in their own treatment. However, there is still a unilateral aspect of doctor-patient communication, so it is necessary to specify obstacles between doctors and patients. Therefore, this study attempted to extract obstacles that block doctor-patient communication and to analyze differences in perception of doctor-patient communication. Methods A total of 35 questionnaires composed of brainstorming for the study were distributed, and a total of 21 questionnaires were used for analysis. The collected data was analyzed by AHP using dress ver 17.0. Results As a result of the study, doctors ranked the priority of health communication in the order of professionalism, reliability, fairness, communication, and psychologically. On the other hand, for patients, the priority factors of health communication were communication, fairness, professionalism, reliability, and psychologically. Conclusion In order to improve the quality of health communication between doctors and patients, doctors will be able to communicate from the patient’s point of view and strengthen communication with patients by providing consistent medical services and patients need to trust the doctor and patients need to trust their doctors and participate in the medical process faithfully.
... Effective communication can also have an impact on the health of the clinician. For instance, burnout is more likely to occur in cancer clinicians who feel underprepared to address patients' emotional needs [29]. ...
Chapter
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A razão conta ou é só parte da equação?
Article
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Abstract It takes two to tango. A "dance" condition, the therapeutic relationship can also swing better or worse depending on its rich message content. In the therapeutic relationship, the intervention of one of its components, professional or patient, has effects on each other's sphere. Charles et al. (1997) reported the effects of shared decision-making in the medical encounter. We know that emotions have been considered predictors of health behaviors.The aim of this study is to make a narrative review of the literature, looking for credible international sources such as WHO, OECD, UNESCO, and others of a national nature, carried by Portuguese health authorities to be able to show: 1) the importance of positivity in behavior changes and how humor can work for a brain with an increase well-being; 2) the importance of eudaimonic and hedonic experiences in human development; 3) an association between neurosciences and the importance of positive behaviors to live a more pleasant, fulfilled and well-being life with selfefficacy; 4) the importance of well-being for the person, even when he/she is ill.
Chapter
Health influences general well-being, and well-being affects future health. Oral health professionals report a decreased well-being and a higher burnout. This chapter measures and evaluates the perception of the health professional and the patient about factors of stress and well-being. It evaluates the strategies used to overcome the anxiety and stress that involve the meeting. Two surveys applied by questionnaire, with face-to-face and online dissemination, the first to patients and second to dentists, were done. Of the 245 patients, 46% consider themselves to be anxious. The instruments used in a clinical environment cause discomfort, and their noise is the predominant cause for this fear. Of the 306 dentists, 80% show the ability to face difficult situations. Finally, 90% have an awareness that contributes to the well-being of others. Oral health professionals should prepare themselves with techniques to develop a therapeutic relationship that is more positive, calm, and less stressful.
Chapter
The level of understanding of health instructions by patients remains low, that is, most patients have difficulty understanding the indications of their health professional to continue to treat their health after leaving the consultation. The professional oversees the challenge of validating the understanding of the message by the patient. The aim of this study was to demonstrate how verbal and non-verbal communication integrated into an interdependent and aggregated model of specific communication skills—assertiveness, language clarity, and positivity—allow the health professional to be further strengthened and trained to obtain a better understanding of the patient health instructions. The mixed method with a qualitative and quantitative approach was used in a non-probabilistic study with a convenience sample of 484 health professionals, based on a questionnaire survey, 14 focus groups, and 7 in-depth interviews. The results obtained validated the communication model for health literacy, which the author calls the ACP model – assertiveness, clarity, and positivity.
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ackground: Communication is an essential dimension of human life and of social spheres, such as health sphere, and concretely of therapeutic relations. And having health decides the human well-being. However, Europeans face an urging problem related with low levels of health literacy and human communication in doctor-patient relationship has not concentrated in doses of an effective comprehension, indispensable to the health treatment. There are several studies on the need to use communication competences due to better health outcomes are based on the ability to communicate with patients. And studies show that a fragile communication quality within health professional influences the relationship between low health literacy and a deficient health. This article focuses on the contribution of communication competences, used by healthcare professionals in the clinical relationship with patients, to improve therapeutic adherence through a better understanding of health instructions and, hence, higher competences in health literacy. It is a main and specific goal to construct and validate by health specialists a model of communication competences, that includes the interdependent use of assertiveness, clear language and positivity by the healthcare professional. Methods and findings: The research is based on the literature review and on technique of focus group (FG), used to obtain validation of the 3-factor model of communication by health specialists. The four focus groups are composed by Portuguese medical doctors, nurses, other healthcare professionals and specialized professors on health literacy. A semi-structured script and a 40-item list, that configures the quantitative form to complete the qualitative approach, allows to ascertain the items / indicators that the participants most associate with the three interdependent variables / factors of health communication. Operationalizing the model and decomposing the three key factors / variables of model, all the participants in focus group validate the model and most punctuate, in assertiveness, active behavior, ability to listen and ability to openly speak; in clarity, the simple language, utilization of verbs; and, in positivity, orientation to a positive behavior of the patient. Conclusion: The results confirm that the investment in the communication competences by the health professional is reflected in the optimization of the results on the health literacy of the patient. Concretely, the concerted use of assertiveness, clarity (of language) and positivity are a key solution to the optimization of health literacy and clinical practices, recognized and validated by the participants in the focus groups.Keywords: Health communication; Health literacy; Communication competences; Assertiveness; Clarity; Positivity; Therapeutic relationshi (2) (PDF) Communication Competences are the Key! A Model of Communication for the Health Professional to Optimize the Health Literacy – Assertiveness, Clear Language and Positivity. Available from: https://www.researchgate.net/publication/327577147_Communication_Competences_are_the_Key_A_Model_of_Communication_for_the_Health_Professional_to_Optimize_the_Health_Literacy_-_Assertiveness_Clear_Language_and_Positivity [accessed Nov 18 2019].
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Taking into account that the medical practice and health systems have evolved considerably nowadays, medical establishments require the implementation of marketing guidelines to help maximize performance, with beneficial effects from the social, economic, and medical point of view, to differentiate from competitors. Communication is a fundamental clinical skill that, if performed competently and efficiently, facilitates the establishment of a relationship of trust between the medical staff and the patient-customer, a truly therapeutic alliance. In addition to the medical personnel’s competence and the facilities at the doctor’s disposal, the willingness manifested during consultation, kindness, openness and attention are offered to patients-customers. The way medical personnel responds to their needs and requests is an element that boosts performance, contributing to an increase in the prestige of the medical unit and the growing interest of patients-customers in it.
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This brief report aims to highlight the impact of globalization - the international movement of goods, people, and ideas - on patient-provider communication in medical training and practice, and how the implementation of plain language communication training as a core competency for care providers can mitigate this impact. Globalization influences both patient and provider population diversity, which presents challenges with regard to patient-provider communication, particularly in cases of limited health literacy. Plain language communication - the delivery of information in a simple, succinct, and accurate manner - can help address these challenges. Training in plain language communication, however, is not a part of standard education for health care providers. Based on a synthesis of relevant literature pertaining to globalization, plain language communication, and medical education curricula, it is hoped that the information presented establishes the need for plain language communication as a core competency in medical education to enable providers to better meet the needs of an increasingly globalized health system.
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This review provides an overview of the research on nonverbal expressions of positive emotions, organised into emotion families, that is, clusters sharing common characteristics. Epistemological positive emotions (amusement, relief, awe, and interest) are found to have distinct, recognisable displays via vocal or facial cues, while the agency-approach positive emotions (elation and pride) appear to be associated with recognisable visual, but not auditory, cues. Evidence is less strong for the prosocial emotions (love, compassion, gratitude, and admiration) in any modality other than touch, and there is little support for distinct recognisable signals of the savouring positive emotions (contentment, sensory pleasure, and desire). In closing, some limitations of extant work are noted and some proposals for future research are outlined.
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Background Findings on the association between health literacy skills and patient-reported outcomes such as satisfaction with health care delivery are scarce. We explored the extent to which subjective health literacy skills and the perception of the application of patient-centered communication and shared decision-making are associated with patient’s satisfaction with care received by their general practitioner (GP). MethodsA nationwide cross sectional survey was administered in a random sample of 1125 German adults. A binary logistic regression model controlling for demographics and health status was used to examine the independent contributions of predictor variables (i.e. subjective health literacy, shared decision-making, patient-centered communication) on satisfaction with care received by the GP. ResultsRespondents with sufficient health literacy skills were 2.06 times as likely (95 % [CI]: 1.002–4.264) and those who were involved in shared decision-making by their GP were 4.02 times as likely (95 % [CI]: 1.849–8.744) to be satisfied with care received by their GP. Respondents who experienced that their GP explained things in an easy to understand way (OR: 4.44; 95 % [CI]: 1.817–10.869), knew important things about their medical history (OR: 3.46; 95 % [CI]: 1.502–7.994) and spent enough time with them, also reported to be more satisfied (OR: 3.12; 95 % [CI]: 1.410–6.905). Conclusion German adults having sufficient subjective health literacy skills and experiencing a more patient-centered relationship with their GP are more likely to be satisfied with care. These findings are important for health care organizations aiming to respond to health literacy needs of patients.
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Objective Investigators within many disciplines are using measures of well-being, but it is not always clear what they are measuring, or which instruments may best meet their objectives. The aims of this review were to: systematically identify well-being instruments, explore the variety of well-being dimensions within instruments and describe how the production of instruments has developed over time. Design Systematic searches, thematic analysis and narrative synthesis were undertaken. Data sources MEDLINE, EMBASE, EconLit, PsycINFO, Cochrane Library and CINAHL from 1993 to 2014 complemented by web searches and expert consultations through 2015. Eligibility criteria Instruments were selected for review if they were designed for adults (≥18 years old), generic (ie, non-disease or context specific) and available in an English version. Results A total of 99 measures of well-being were included, and 196 dimensions of well-being were identified within them. Dimensions clustered around 6 key thematic domains: mental well-being, social well-being, physical well-being, spiritual well-being, activities and functioning, and personal circumstances. Authors were rarely explicit about how existing theories had influenced the design of their tools; however, the 2 most referenced theories were Diener's model of subjective well-being and the WHO definition of health. The period between 1990 and 1999 produced the greatest number of newly developed well-being instruments (n=27). An illustration of the dimensions identified and the instruments that measure them is provided within a thematic framework of well-being. Conclusions This review provides researchers with an organised toolkit of instruments, dimensions and an accompanying glossary. The striking variability between instruments supports the need to pay close attention to what is being assessed under the umbrella of ‘well-being’ measurement.
Article
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 skills during Internal Medicine residency training. We analyzed Resident Audio-recording Project feedback data from 2008 to 2013 by using a content analysis approach. Using open coding and an iterative categorization process, we identified 15 emerging themes for both positive and negative feedback. The most recurrent feedback topics were Patient education, Thoroughness, Organization, Questioning strategy, and Management. The residents were guided to improve their communication skills regarding Patient education, Thoroughness, Management, and Holistic exploration of patient's problem. Thoroughness and Communication intelligibility were newly identified themes that were rarely discussed in existing frameworks. Assessment rubrics serve as a lens through which we assess the adequacy of the residents' communication skills. Rather than sticking to a specific rubric, we chose to let the rubric evolve through our experience.
Book
A comunicação é o aparelho circulatório da vida organizacional. Se falhar, os restantes sistemas organizacionais entram em rutura. Também é o nutriente das nossas vidas. Todos comunicamos, independentemente da nossa vontade. Mesmo calados, comunicamos – pois os nossos interlocutores interpretam o silêncio e reagem em conformidade. Mediante linguagem simples e acessível, e apresentando numerosos casos práticos e exercícios, o autor concilia teoria com prática. Entre os temas abordados, estão: leis da comunicação; barreiras à comunicação; comunicação entre pessoas de diferentes culturas; mensagens contraditórias e paradoxais; silêncios e mentiras; comunicação não-verbal; rumores; estilos pessoais de comunicação; escutar e calar; falar em público; facultar e receber feedback dos colaboradores; escrever e clicar. O livro é útil para um amplo espetro de leitores: • Ajuda os gestores e outros membros organizacionais a comunicarem mais eficazmente. • Faculta aos professores e formadores das áreas da comunicação organizacional e afins uma ferramenta de trabalho útil, prática, rigorosa e de leitura agradável. • Fornece aos estudantes do ensino superior (gestão; comportamento organizacional; gestão de recursos humanos; liderança) os conhecimentos fundamentais sobre a comunicação nas organizações e a comunicação em geral. • Proporciona a todos a possibilidade de melhorarem as suas competências comunicacionais e serem mais bem-sucedidos na vida profissional e na pessoal. ► Contém resumos e orientações para a ação. ► Complementado com manual contendo 32 exercícios que o leitor poderá usar para se autoavaliar ou para avaliar a sua organização e o seu líder. Ferramenta útil que professores/formadores poderão usar em sala de aula ou eventos formativos (telecarregamento em: www.sílabo.pt).