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Healthcare Communications Midterm 1
Communications
31
Communication
Undergraduate 2
06/20/2010

Additional Communication Flashcards

 


 

Cards

Term

Value Expectancy Theory

#

Definition

1. Value of outcome

2. expectation that action will lead to specific outcome

Term

Health Belief Model

# of Steps

Definition

1. Perceived Illness

2. Factors affecting action.

3. Cues spring patient into action 

4. Likelihood of behavior

Term

Theory of Reasoned Action

# of Concepts

Definition

1. Behavioral intention - individuals inclination to perform an action

2. Subjective Norm - perception of whether behavior is appropriate or not ( based on other' belief)

Term

Steps of TRA (Theory of Reasoned Action)

 

Definition

1. Likelyhood of behavior - affected by 4 factors.

2. Factor 1+2 contribute to performance of behavior

and Factors 3+4 contribute to subjective norm.

3.  Individual consider importance of attitude toward behavior and subjective norms when determining intention to perform a behavior.

4. Behavioral intention predict behavior.

One who intends to perform behavior is more likely to to perform behavior.

 

Assumes behavioral is rational and under a person's control

Term
Self Regulation Theory
Definition
Patient use internal information (symptoms, experiences) as a way to guide themselves toward treatment.
Term
Locus of Control Theory
Type
Definition

1. Internal Locus of control - Thinking one has ability to control their lives and exert control over illnesses

2. External Locus of control - Thinking others/God has control over themself

Term

Dispensing Framework

Circa 1950 vs 1985

Pharmacist seen as?

Can not do what?

Expected to do what?

Definition

1950

*Pharmacist do not discuss therapeutic effects or composition of prescription with patient.

 

*Pharmacist make knowledge of mediction available to other healthcare professional

 

*Direct any patient questions to qualified practitioner

Term

Clinical Pharmacy Framework

What happened to school curriculum?

Knowledge

Role of information

APhA CoE 1969

Definition

Expansion of school curriculum. Topics were focused to help growing role of pharmacists in drug control in hospitals.

PharmD felt that topics covered helped them most in hospital and pursued hospital careers.

 

*Increased pharmacist knowledge and application of knowledge

 

"drug information expert" <---- sounds so lame

 

Increased role of communication of drug information

 

Health and safety of patients as priority. Render service to patient to the best of pharmacist ability.

Term
Factors affecting likelihood behavior of Step 1 in TRA
Definition

1. Expection that behavior leads to outcome

2. (+)(-) evaluations of outcome

3. Beliefs of what other think is appropriate or not

4. Motivation to comply with others think is appropriate.

Term

Pharmaceutical Care Framework

Began

Definition

Why different than previous frameworks/practice eras

Definition

1990+

 

*Responsible provision of drug therapy to achieve definite outcome to improve patients' quality of life.

 

Process of care. Not just provision (providing and supplying) of products or services.

Term

Elements of Pharmaceutical Care

# of elements?

Definition

1. Meeting Societal Need

2. Patient Centered Approach

3. Therapeutic Relationship

4. Specific Practice Responsibilities

Term

First element of Pharmaceutical Care

 


* Who was seen as primary agent in providing assurance of appropriate/effective/safe drug therapy?

 

Extension

 

How did PC change this?

Definition

Meeting Societal Needs

 

Physicians were seen as the primary agent.

 

Nurses/pharmacists were seen as extensions in meeting assurance.

 

 

*PC views pharmacist as primarily responsible for meeting societal needs for appropriate, safe, and effective drug therapy.

Term

 

2nd Element of Pharmaceutical Care Framework

 

Patients

Definition

Patient Centered Approach

 

Patient have rights/knowledge/experiences when entering healthcare process

 

Patients are active decision workers with specific needs and conerns.

 

*Pharmacist responsible for considering patients background and needs when delivering care.

Term

3rd Element of Pharmaceutical Care

 

 

Definition

Therapuetic Relationship

 

Listen and understand consumer wishes/needs

 

Assure consumer's health needs are met

Term

4th PC Element

 

Drug Therapy

Definition

Specific Practice Responsibitilies

 

Ensure drug therapy is appropriate and that indications for drug is treated appropriately with mediactions

 

Makes sure drug therapy is effective and safe. Identify/resolve/prevent drug therapy problems.

 

Promote adherance to medications plan instructions to maximize

 (+) outcome

Term

Models of Provider Care

Role of Physician vs Patient

Definition

1. Paternalism - High provider control, low patient control

Tradiational relationship where patients are passive

 

2. Mutuality - high physician and patient control. Both contributes.

 

3. Consumerism - High patient control, low provider control, patient as skeptic

 

4. Default - low provider and patient control. Patient might visit provider but fail to comply with regiments. Provider might see patient but not educate/ evaluate patient therapy.

Term

Other Models of Provider's Care

 

#

Definition

1. Biomedical Model - passive patient

 

2. Client-Centered Model - Provider assess patient and tailors therapy to patient needs and desires

 

3.Concordance - Mutual agreement on treatment and decisions

Term
Define Profession
Definition
Occupation with specialized field of study/training with the purpose of compensation for providing skilled service or advice.
Term
Characteristic of a Profession
Definition

CoE

Formal Selection of new members

Institution where knowledge is obtained

Social organizations to perpetuate goals of profession

Ensurance of proper conduct of member

Methods to control source of expertise

Term

Professional socialization

Another name

 

2 defintions

Definition

Professionalization

 

**Process where students selectively acquire knowledge, values, attitudes, and skills of pharmacists**

 

Development of professional ethos, embodiment of care,morals, and ethics.  

Term
Agents of Professional Socialization:
Definition

1. Teach core knowledge

 

2. serve as model of professional behavior

 

3. provide social support

 

4. evaluate skill mastery

 

5. communicate professions' goals

Term
Examples of professionalization agents
Definition
Pharmacy faculty, peers, preceptors, research, professional associations, regulatory organizations
Term

Perspectives of Professional Socialization

 

#

Definition

Structural-Functional Perspective

-assumes students molded into ideal practitioners

-assume students receive consistent messages from agents

- Failed or incomplete socialization

 

 

Situations- Adaptive Perspective

 

- students actively interacting with agents

- mixed and conflicting messages can occur

Failed or incomplete socialization

Term
Equation for perceived threat
Definition
Perceived threat = Perceived severity X perceived susceptibility
Term
Perceived Barrier
Definition
Barriers that individuals feel that prevent them from doing preventative care
Term

Interpersonal communications Model

 

Players, Steps,

Definition

Sender --> Message --> Receiver --> Feedback --> Barriers

 

Feedback is when the role of the sender and the receiver switches

Term
Health Collaborations Model
Definition

-Factors affect collaboration process and outcomes

- Quality of Provider Care

 

- Patient Comprehension/Recall

 

- Quality of Provider Support

- Patient Motivation and satisfaction of care

 

-patient adherence and adherance barrier

 

-patient feedback

 

- quality of provider monitoring

 

- quality of problem solving and reinforcement

 

- Patient satisfaction/adherence

 

- Enhanced treatment outcomes

Term
Factors affecting Health Collaboration Process
Definition
Patient, Provider, Drug, Environment, and Past interaction
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