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Hiding in plain sight: communication theory in implementation science.

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Healthcare communication is often viewed only as information exchange. This study argues for embracing both transactional and transformational communication paradigms to improve implementation science and patient safety.

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Area of Science:

  • Implementation Science
  • Healthcare Communication
  • Patient Safety

Background:

  • Poor communication among healthcare professionals is a significant barrier to patient safety.
  • Existing literature primarily focuses on communication as transactional (information exchange), neglecting its transformational aspects (causing change).
  • This paper advocates for integrating both transactional and transformational communication paradigms within implementation science.

Purpose of the Study:

  • To explore how communication is conceptualized in implementation science literature.
  • To debate the merits of encompassing both transactional and transformational communication paradigms.

Main Methods:

  • A two-staged literature review was conducted to identify communication concepts in implementation science.
  • Twenty-seven relevant theories, models, or frameworks were identified and analyzed.

Main Results:

  • Most identified models conceptualize communication solely as a transactional process.
  • Rogers' Diffusion of Innovations theory is an exception, defining communication and including both transactional and transformational paradigms.
  • A narrow focus on information exchange misrepresents the complex reality of communication in healthcare.

Conclusions:

  • Implementation science should adopt a broader view of communication, incorporating shared understanding, multi-layered interactions, social context, and unpredictability.
  • Integrating transformational communication, which emphasizes shared understanding and human interaction, is crucial for successful implementation interventions.
  • Explicitly acknowledging and utilizing both transactional and transformational communication paradigms can enhance implementation efforts and clinical intervention adoption.