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Related Concept Videos

Barriers to Effective Communication I01:30

Barriers to Effective Communication I

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A communication barrier is any distortion or interruption during a conversation, resulting in miscommunication of the message. A good communicator should know these barriers and continuously check for the listener's understanding by obtaining feedback.
Communication barriers include the following:
Physiological barriers: They are limitations caused by a person's health condition or disability, such as hearing loss, poor eyesight, illness, or unconsciousness. An example to overcome this...
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Barriers to Effective Communication II01:21

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The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
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Semantic barriers:
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Self-Discrepancy Theory02:45

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One influential perspective on what motivates people's behavior is detailed in Tory Higgin's self-discrepancy theory (Higgins, 1987). He proposed that people hold disagreeing internal representations of themselves that lead to different emotional states.  
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People can go to great lengths to protect their self-image and present themselves in ways that they want others to see them. Sociologist Erving Goffman presented the idea that a person is like an actor on a stage. Calling his theory dramaturgy, Goffman believed that we use “impression management” to present ourselves to others as we hope to be perceived. Each situation is a new scene, and individuals perform different roles depending on who is present (Goffman, 1959). Think about...
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Understanding Deception01:14

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Deception is a pervasive aspect of human communication. Empirical studies have shown that most individuals engage in some form of deceit on a daily basis, with approximately 20% of social exchanges involving deceptive elements. Lying follows a developmental trajectory, peaking during adolescence and declining with age, possibly due to the maturation of cognitive control and social accountability.Cognitive and Social Factors in Deception DetectionDespite its prevalence, accurately detecting...
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Self-esteem, a central component of psychological well-being, is actively maintained through various cognitive and behavioral strategies. Individuals employ specific mechanisms to preserve a positive self-concept and mitigate threats to their self-worth, particularly in contexts involving social evaluation or personal feedback. Four primary techniques are commonly used to sustain self-esteem.Manipulating AppraisalsOne prominent strategy involves manipulating appraisals from others. Individuals...
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Development of a Virtual Reality Assessment of Everyday Living Skills
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Development of the Barriers to Error Disclosure Assessment Tool.

Darlene Welsh1, Dominique Zephyr2, Andrea L Pfeifle3

  • 1From the College of Nursing.

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|July 4, 2017
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Summary

A new tool assesses barriers to medical error disclosure among healthcare providers. The Barriers to Error Disclosure Assessment tool demonstrates preliminary validity and reliability for measuring these critical factors.

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Area of Science:

  • Healthcare quality and safety
  • Medical education and interprofessional practice
  • Health professions research

Background:

  • Medical error disclosure is crucial for patient safety and trust.
  • Identifying barriers to disclosure is essential for improving reporting practices.
  • Existing assessment tools may not comprehensively capture these barriers.

Purpose of the Study:

  • To develop and pilot the Barriers to Error Disclosure Assessment tool.
  • To measure perceived barriers to medical error disclosure among healthcare providers.
  • To establish the preliminary validity and reliability of the assessment tool.

Main Methods:

  • Literature review and modified Delphi process for item generation.
  • Pilot testing with physicians, pharmacists, and nurses at an academic medical center.
  • Statistical analysis including intraclass correlation coefficients and factor analysis for reliability and validity.

Main Results:

  • The final 31-item tool demonstrated fair to good test-retest correspondence (ICC 0.43-0.70).
  • Factor analysis identified four key barrier categories: confidence/knowledge, institutional, psychological, and financial concerns.
  • High Cronbach's alpha coefficients (0.82-0.95) supported the tool's reliability.

Conclusions:

  • The Barriers to Error Disclosure Assessment tool is a valid and reliable instrument.
  • It effectively measures healthcare providers' perceptions of barriers to medical error disclosure.
  • The tool can inform interventions to improve error disclosure practices.