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Patient Educ Couns. 2013 Sep;92(3):366-74. doi: 10.1016/j.pec.2013.06.028. Epub 2013 Jul 20.

Emotional communication in medical consultations with native and non-native patients applying two different methodological approaches.

Author information

1
Norwegian Centre for Minority Health Research (NAKMI), Oslo University Hospital, Oslo, Norway. emine.kale@nakmi.no

Abstract

OBJECTIVE:

To explore the potential agreement between two different methods to investigate emotional communication of native and non-native patients in medical consultations.

METHODS:

The data consisted of 12 videotaped hospital consultations with six native and six non-native patients. The consultations were coded according to coding rules of the Verona Coding definitions of Emotional Sequences (VR-CoDES) and afterwards analyzed by discourse analysis (DA) by two co-workers who were blind to the results from VR-CoDES.

RESULTS:

The agreement between VR-CoDES and DA was high in consultations with many cues and concerns, both with native and non-native patients. In consultations with no (or one cue) according to VR-CoDES criteria the DA still indicated the presence of emotionally salient expressions and themes.

CONCLUSION:

In some consultations cues to underlying emotions are communicated so vaguely or veiled by language barriers that standard VR-CoDES coding may miss subtle cues. Many of these sub-threshold cues could potentially be coded as cues according to VR-CoDES main coding categories, if criteria for coding vague or ambiguous cues had been better specified.

PRACTICE IMPLICATIONS:

Combining different analytical frameworks on the same dataset provide us new insights on emotional communication.

KEYWORDS:

Concerns; Cues; Hospital patients; Immigrant patients; Intercultural consultation; Negative emotions; Non-native patients; Patient–provider communication; Triangulation

PMID:
23880525
DOI:
10.1016/j.pec.2013.06.028
[Indexed for MEDLINE]

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