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Communications

Bottles, Kent. Tossing Hand Grenades: How to Deliver Feedback in Medicine Today. The Physician Executive September/October 2006, 32-37.

Campo, Rafael. “Anecdotal Evidence”: Why Narratives Matter to Medical Practice. PLoS Medicine October 2006, 3(10), 1677-1678.

Hinck, Susan M. The Meaning of Time in Oldest-Old Age. Holist Nurs Pract 2007, 21(1), 35–41.
In a phenomenological study that described the lived experience of adults older than 85 years, 19 oldest-old adults’ lived time is illuminated by 5 themes: Defining Self Through Experience, Being Situated in Time, Knowing Lifetime Is Limited, Planning for the Future, and Leaving a Legacy.

Maini, Baltej S./ Morrel-Samuels, Palmer. Cascading Improvements in Communication: Adopting a New Approach to Organizational Communication. The Physician Executive September/October 2006, 38-43.

Ruhstaller, Thomas/ Roe, Helen/ Thürlimann, Beat/ Nicoll, Jonathan J. The Multidisciplinary Meeting: An Indispensable Aid to Communication Between Different Specialities. European Journal of Cancer 2006, 42, 2459 –2462.
Abstract
Multidisciplinary team meetings (MDT’s) form part of the daily work in most hospitals caring for cancer patients as a form of institutionalised communication. The degree of organization and the type of communication in these MDTs has a direct impact on the quality of patient care provided. One resulting decision from a multidisciplinary discussion is more accurate and effective than the sum of all individual opinions. Other benefits include consistency in the standard of patient management offered, a teaching element for junior doctors and improvement in communication between different specialists. An MDT needs mature leadership to produce a democratic climate allowing for open and constructive discussion. Controversies, which are inevitable within a team who are striving to reach decisions concerning complex situations, therefore require a variety of approaches for dealing with them when they occur. As MDT’s are a key component in a professional’s routine, it is worthwhile spending time considering the organisations, targets, documentation and collaboration within the MDT.

Thorne, Sally/ Hislop, T. Gregory/ Kuo, Margot/ Armstrong, Elizabeth-Anne.
Hope and Probability: Patient Perspectives of the Meaning of Numerical Information in Cancer Communication. Qualitative Health Research March 2006, 16(3), 318-336.
Although the complexities inherent in human communication make it a difficult target for empirical investigation and systematic interpretation, it is well recognized that patient provider communication can have either a powerfully negative or positive influence on the experience of cancer. Drawing on an extensive data set derived from interviews with 200 cancer patients, the authors examine the impact of information provided in numerical form within cancer care communications from the patient perspective. In this context, they present
findings related to various uses and abuses of numbers within cancer care communication, and illustrate how numerical information constitutes a specialized communication form with considerable potency for shaping the cancer experience. In particular, accounts of the thematic relationship between numbers and hope, from the perspective of those on the receiving end of cancer care, provide a unique perspective from which to interpret issues of compassion, caring, and informed consent.

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