Is Communication A Receipt For Doctors? The Relationship Between Communication Competence And Trust: A Research On Breast Patients

Yıl 2021, Sayı: 37, 92 - 108, 30.06.2021

Çiğdem Karakaya , Fulya Erendag Sumer , Zuhal Gök Demir , Emel Durmaz

https://doi.org/10.17829/turcom.861934

Cited By: 1

Öz

Although significant studies have been conducted in the field of health communication in terms of
communication competence, its role on trust in the radiology department needs further exploration.
The communication skills of radiologists are considered an important indicator of trust. Therefore,
the study aims to research the effect of communication competence on trust. With this aim the
current study seeks to contribute to health communication literature by researching the patients’
perceived communication competence of doctors as a determining factor that develop trust in the
radiology department. The research was carried out between December 2019 and March 2020 using a
questionnaire form with 321 breast patients in the radiology department in a public health institution in
Antalya, Turkey. The results of the study refer that communication competence as a whole concept has
a strong positive and statistically significant effect on trust. When the dimensions of communication competence are investigated, it is found that socioemotional communication is the only dimension that
has a strong effect on the formation of trust among communication competence.

Anahtar Kelimeler

Health Communication, Communication Competence, Trust, Radiologist, Socioemotional Communication

Doktorlar İçin İletişim Bir Reçete midir? İletişim Yeterliliği ve Güven Arasındaki İlişki: Meme Hastaları Üzerine Bir Araştırma

Öz

Sağlık iletişimi alanında iletişim yeterliliği konusunda pek çok çalışma yapılmış olmasına rağmen,
radyoloji departmanında iletişim yeterliliğinin güven oluşumu üzerindeki rolünün daha fazla
araştırılması gerekmektedir. Radyologların iletişim becerileri önemli bir güven göstergesi olarak
kabul edilmektedir. Bu nedenle bu çalışma iletişim yeterliliğinin güven üzerindeki etkisini araştırmayı
amaçlamaktadır. Bu amaç doğrultusunda bu çalışma, radyoloji departmanında bulunan doktorların
iletişim yeterliliğini hastaların algılarına bağlı araştırarak sağlık iletişimi literatürüne iletişim
yeterliliğinin güven oluşumundaki belirleyici rolünü açıklayarak katkıda bulunmayı hedeflemektedir.
Araştırma, Aralık 2019-Mart 2020 tarihleri arasında Antalya’da bir kamu hastanesinin radyoloji
bölümünde 321 meme hastası ile anket formu kullanılarak gerçekleştirilmiştir. Çalışmanın sonuçları,
bir bütün olarak iletişim yeterliliğinin güven üzerinde güçlü ve istatistiksel olarak anlamlı bir etkiye
sahip olduğunu gösterirken, iletişim yeterliliği boyutları arasında güven oluşumunda güçlü etkiye sahip
tek boyutun sosyo-duygusal iletişim olduğu tespit edilmiştir.

Anahtar Kelimeler

Sağlık İletişimi, İletişim Yeterliliği, Güven, Radyolog, Sosyo-duygusal İletişim

Kaynakça

• Bakker, D. A., Fitch, M. I., Gray, R., Reed, E., & Bennett, J. (2001). Patient–health care provider communication during chemotherapy treatment: the perspectives of women with breast cancer. Patient Education and Counseling, 43(1), 61-71.
• Beisecker, A. E., & Beisecker, T. D. (1990). Patient information-seeking behaviors when communicating with doctors. Medical Care, 28, 19-28.
• Ben-Sira, Z. (1980). Affective and instrumental components in the physician-patient relationship: an additional dimension of interaction theory. Journal of Health and Social Behavior, 21, 170-180.
• Brown, P. (2008). Trusting in the new NHS: Instrumental versus communicative action. Sociology of Health & Illness, 30(3), 349-363, DOI:10.1111/j.1467-9566.2007.01065.x
• Cabioğlu, N., Gürdal, S. Ö., Kayhan, A., Özaydın, N., Şahin, C., Can, Ö., . . . Aribal, E. (2020). Poor biological factors and prognosis of interval breast cancers: long-term results of Bahçeşehir (Istanbul) Breast
• Cancer Screening Project in Turkey. JCO Global Oncology, 6, 1103-1113.
• Calnan, M. & Rowe, R. (2006). Researching trust relations in health care: Conceptual and methodological challenges – an introduction. Journal of Health Organization and Management, 20(5), 349-358.
• Calnan, M. & Rowe, R. (2008). Trust matters in health care. Buckingham, UK: Open University Press.
• Cebeci, F., Balcı Yangın, H.,& Tekeli, A. (2012). Life experiences of women with breast cancer in South Western Turkey: A qualitative study. European Journal of Oncology Nursing, 16,406-412.
• Cegala, D. J. (1997). A study of doctors’ and patients’ communication during a primary care consultation: implications for communication training. Journal of Health Communication, 2:3, 169-194, DOI: 10.1080/108107397127743
• Cegala, D. J.,Coleman, M. T. & Turner, J. W. (1998). The development and partial assessment of the medical communication competence scale. Health Communication, 10 (3), 261-288, DOI: 10.1207/ s15327027hc1003
• Cegala, D. J., McGee, D. S., & McNeilis, K. S. (1996). Components of patients’ and doctors’ perceptions of communication competence during a primary care medical interview. Health Communication, 8(1), 1-27.
• Chandra, S., Mohammadnezhad, M., & Ward, P. (2018). Trust and communication in a doctor-patient relationship: A literature review. Journal of Healthcare Commununication, 36 (3), 1-6, DOI: 10.4172/2472-1654.100146
• Chougrad, H., Zouaki, H., & Alheyane, O. (2020). Multi-label transfer learning for the early diagnosis of breast cancer. Neurocomputing, 392, 168-180.
• Çam, O. & Babacan Gümüş, A. (2009). Breast cancer screening behavior in Turkish women: relationships with health belief sand self-esteem, body perception and hopelessness. Asian Pacific Journal of Cancer Prevention, 10, 49-54.
• Demir, M. Ö., & Başaran, M. A. (2018). The factors affecting minorities’ satisfaction of health care service utilizing fuzzy rule based systems. Hacettepe Sağlık İdaresi Dergisi, 21(4), 699-718.
• Floyd, K., & Morman, M. T. (1998). The measurement of affectionate communication. Communication Quarterly, 46(2), 144-162.
• Frederikson, L. G. (1993). Development of an integrative model for medical consultation. Health Communication, 5(3), 225-237.
• Fugelli, P. (2001). Trust - in general practice, British Journal of General Practice, 51(468), 575-579.
• Gabay, G. (2015). Perceived control over health, communication and patient–physician trust. Patient Education and Counseling, 98(12), 1550-1557. DOI: 10.1016/j.pec.2015.06.019
• Gezergün, A., Şahin, B., Tengilimoğlu, D., Demir, C. & Bayer, E. (2006). Hastaların bakış açısıyla hekimhasta ilişkisi ve iletişimi: Bir eğitim hastanesi örneği. Sosyal Bilimler Dergisi, 1, 129-144.
• Gopichandran, V. & Chetlapalli, S. K. (2015). Trust in the physician-patient relationship in developing healthcare settings: a quantitative exploration. Indian Journal of Med Ethics, 12(3), 141-148, DOI: 10.20529/IJME.2015.043
• Gülcemal, E., & Keklik, B. (2016). Hastaların hekimlere duydukları güveni etkileyen faktörlerin incelenmesine yönelik bir araştırma: Isparta ili örneği. Mehmet Akif Ersoy Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 8(14), 64-87.
• Gürbüz, S., & Şahin, F. (2016). Sosyal Bilimlerde Araştırma Yöntemleri. Ankara: Seçkin Yayınları.
• Harvey, J. A., Cohen, M. A., Brenin, D. R., Nicholson, B. T., & Adams, R. B. (2007). Breaking bad news: a primer for radiologists in breast imaging. Journal of the American College of Radiology, 4(11), 800- 808.
• Hesse, C., & Rauscher, E. A. (2019). The relationships between doctor-patient affectionate communication and patient perceptions and outcomes. Health Communication, 34(8), 881-891.
• Kapoor,P. & Prasad, S. V. A. V. (2010). Image processing for early diagnosis of breast cancer using infrared images. The 2nd International Conference on Computer and Automation Engineering (ICCAE), Singapore, 26-28 Feb. 2010, pp. 564-566, DOI:10.1109/ICCAE.2010.5451827.
• Karadeniz Çakmak, G., Emiroğlu, S., Sezer, A., Canturk, N. Z., Yeniay, L., Kuru, B., . . . Sakman, G. (2020). Surgical trends in breast cancer in Turkey: An increase in breast-conserving surgery. JCO Global Oncology, 6, 285-292.
• Karakaya Ç. & Gök Demir Z. (2016). The Role of corporate reputation on trust and behavioral intentions: A study on a private health institution in Turkey. in A. Okay (Eds.), Trust in Communication Management, (pp.131-156), Frankfurt: Peter Lang.
• Karsavuran, S., Sıdıka, K., & Akturan, S. (2011). Hasta-hekim iletişiminde güven: bir genel cerrahi polikliniği örneği. Hacettepe Sağlık İdaresi Dergisi, 14(2), 185-212.
• Kreps, G. L. (1988). Relational communication in healthcare. Southern Speech Communication Journal, 53, 344–359.
• Krot, K. & Rudawska, I. (2016), The role of trust in doctor-patient relationship: Qualitative evaluation of online feedback from polish patients. Economics and Sociology, 9(3), 76-88, DOI: 10.14254/2071- 789X.2016/9-3/7
• Lerman, C., Daly, M., Walsh, W. P., Resch, N., Seay, J., Barsevick, A., . . . Birenbaum, L. (1993). Communication between patients with breast cancer and health care providers determinants and implications. Cancer, 72(9), 2612-2620.
• Lohr, K. N. (1988). Outcome measurement: concepts and questions. Inquiry, 37-50.
• Luhmann, N. (1979). Trust and Power. NewYork: Wiley.
• McAllister, D. J. (1995). Affect-and cognition- based trust as foundations for interpersonal cooperation in organisations. Academy of Management Journal, 38(1), 24-59.
• McGee, D. S. & Cegala, D. J (1998) Patient communication skills raining for improved communication competence in the primary care medical consultation, Journal of Applied Communication Research, 26(4), 412-430, DOI: 10.1080/00909889809365517
• McNeilis, K. S. (2001). Analyzing communication competence in medical consultations. Health Communication, 13 (1), 5-18, DOI: 10.1207/S15327027HC1301_02
• Miller, L. S., Shelby, R. A., Balmadrid, M. H., Yoon, S., Baker, J. A., Wildermann, L., & Soo, M. S. (2013). Patient anxiety before and immediately after imaging-guided breast biopsy procedures: impact of radiologist-patient communication. Journal of the American College of Radiology, 10(6), 423-431.
• Morgan, R. M. & Hunt, S. D. (1994). The commitment – trust theory of relationship marketing. The Journal of Marketing, 58(3), 20-38, DOI: 10.2307/1252308
• Murray, B., & McCrone, S. (2015). An integrative review of promoting trust in the patient–primary care provider relationship. Journal of Advanced Nursing, 71(1), 3-23.
• Nørgaard, B., Ammentorp, J., Ohm Kyvik, K., & Kofoed, P. E. (2012). Communication skills training increases self‐efficacy of health care professionals. Journal of Continuing Education in the Health Professions, 32(2), 90-97.
• Obermiller, C. & Spangenberg, E. (1998). Development of a scale to measure consumer skepticism toward advertising. Journal of Consumer Psychology,7, 159 - 186.
• Okay, A. (2012). Sağlık İletişimi. İstanbul: Derin Yayınları.
• Ong, L. M., De Haes, J. C., Hoos, A. M., & Lammes, F. B. (1995). Doctor-patient communication: a review of the literature. Social Science & Medicine, 40(7), 903-918.
• Prades, J., Ferro, T., Gil, F., & Borras, J. M. (2014). Core communication components along the cancer care process: The perspective of breast cancer patients. The Breast, 23(5), 617-622.
• Query Jr, J. L., & Kreps, G. L. (1996). Testing a relational model for health communication competence among caregivers for individuals with Alzheimer’s disease. Journal of Health Psychology, 1(3), 335- 351.
• Query, J. L., Parry, D., & Flint, L. J. (1992). The relationship among social support, communication competence, and cognitive depression for non-traditional students. Journal of Applied Communication Research, 20(1), 78-94.
• Roter, D., & Hall, J. A. (2006). Doctors talking with patients/patients talking with doctors: improving communication in medical visits: Greenwood Publishing Group.
• Roter, D. L., Hall, J. A., & Katz, N. R. (1988). Patient-physician communication: a descriptive summary of the literature. Patient Education and Counseling, 12(2), 99-119.
• Rousseau, D., Sitkin, S., Burt, R. & Camerer, C. (1998). Not so different after all: A cross-discipline view of trust. Academy of Management Review, 23(3), DOI: 10.5465/AMR.1998.926617
• Royak-Schaler, R., Passmore, S. R., Gadalla, S., Hoy, M. K., Zhan, M., Tkaczuk, M., Harper, L. M., Nicholson, P. D. & Hutchison, A. P. (2008). Exploring Patient-Physician Communication in Breast Cancer Care for African American Women Following Primary Treatment Oncology Nursing Forum, 35(5), 836- 843, DOI: 10.1188/08.ONF.836-843
• Sargut, S. (2001). Kültürlerarası farklılaşma ve yönetim. Ankara: İmge Kitabevi.
• Selçuk, K. T., Avcı, D., Yılmaz Dündar, G., & Mercan, Y. (2020). Breast Cancer Screening Behaviors in Women Aged 40 Years and Over in a Semi-Urban Region in Turkey: Relationships with Health Beliefs. Paper presented at the Healthcare.
• Siminoff, L. A., Ravdin, P., Colabianchi, N., & Sturm, C. M. S. (2000). Doctor‐patient communication patterns in breast cancer adjuvant therapy discussions. Health Expectations, 3(1), 26-36.
• Skirbekk, H., Middelthon, A. L., Hjortdahl, P., & Finset, A. (2011). Mandates of trust in the doctor-patient relationship. Qualitative Health Research, 21(9), 1182-1190, DOI: 10.1177/1049732311405685
• Street Jr, R. L. (1993). Analyzing messages and their outcomes: Questionable assumptions, possible solutions. Southern Journal of Communication, 58(2), 85-90.
• Temkina, A. & Zdravomyslova, E. (2008). Patients in contemporary Russian reproductive healthcare institutions: Strategies of establishing trust. Demokratizatsiya, 16(3), 277.
• Unger-Saldaña, K. (2014). Challenges to the early diagnosis and treatment of breast cancer in developing countries. World Journal of Clinical Oncology, 5(3), 465–477, DOI: 10.5306/wjco.v5.i3.465
• Waitzkin, H. (1990). On studying the discourse of medical encounters: a critique of quantitative and qualitative methods and a proposal for reasonable compromise. Medical Care, 473-488.
• Wang, L. (2017). Early Diagnosis of Breast Cancer. Sensors, 17, 1572, 1-20, DOI:10.3390/s17071572
• Weaver, M. J., Ow, C. L., Walker, D. J. & Degenhardt, E. F. (1993). A questionnaire for patients’ evaluations of their physicians’ humanistic behaviors. Journal of General Internal Medicine, 8, 135-139.
• WHO, 2020, https://gco.iarc.fr/tomorrow/graphic-isotype?type=1&type_ sex=0&mode=population&sex=2&populations=900&cancers=20&age_group=value&apc_ male=0&apc_female=0&single_unit=1000000&print=0 (accessed 19.11.2020)
• Wright, K. B., Banas, J. A., Bessarabova, E., & Bernard, D. R. (2010). A communication competence approach to examining health care social support, stress, and job burnout. Health Communication, 25(4), 375- 382.
• Wright, E. B., Holcombe, C. & Salmon, P. (2004). Doctors’ communication of trust, care, andrespect in breast cancer: Qualitative study. BMJ Online, 10, 1-5, DOI:10.1136/bmj.38046.771308.7C
• Wright, K. B., Rosenberg, J., Egbert, N., Ploeger, N. A., Bernard, D. R., & King, S. (2013). Communication competence, social support, and depression among college students: A model of Facebook and faceto- face support network influence. Journal of Health Communication, 18(1), 41-57.
• Yılmaz, E. (2015). Hastaların güçlendirilmesi ve sağlık okur yazarlığı. in F.Yıldırım & A. Keser (eds.), Sağlık Okur Yazarlığı, (pp.29-38), Ankara Üniversitesi Sağlık Bilimleri Fakültesi Yayınları, 3.
• Yoo, W., Namkoong, K., Choi, M., Shah, D. V., Tsang, S., Hong, Y., . . . Gustafson, D. H. (2014). Giving and receiving emotional support online: Communication competence as a moderator of psychosocial benefits for women with breast cancer. Computers in Human Behavior, 30, 13-22.