Este estudo objetivou conhecer as expectativas do paciente fora de possibilidades terapêuticas e sob cuidados paliativos com relação à assistência de enfermagem durante o processo de morrer, assim como identificar as necessidades destes pacientes relacionadas à comunicação com a equipe de enfermagem. Os dados foram coletados no primeiro semestre de 2005, por meio de entrevistas semi-estruturadas com questões norteadoras, junto a trinta e nove pacientes oncológicos sem prognóstico de cura, com limitação na capacidade de realizar atividades e submetidos à quimioterapia paliativa em uma instituição hospitalar da cidade de São Paulo. Após transcrição fiel das falas, os dados foram analisados segundo a metodologia de análise do conteúdo. Dos discursos dos entrevistados emergiram seis categorias, que evidenciaram o sofrimento multidimensional do câncer e seu tratamento, o fato de que apesar do sofrimento, a vida continua; a espiritualidade e a família enquanto fontes de apoio e estímulo para o enfrentamento da doença oncológica avançada. Revelam ainda a assistência de enfermagem desejada e o papel de destaque que representam a comunicação e o relacionamento interpessoal para quem enfrenta o processo de morrer. Concluiu-se que os pacientes entrevistados resgataram o valor da relação humana baseada na empatia e compaixão como base para o cuidado que esperam, desejando do profissional de enfermagem habilidade técnico-científica para a realização de ações que aliviam o sofrimento, especialmente o adequado controle da dor, comportamento empático e compassivo, informação e suporte emocional. A comunicação interpessoal comprovou ser importante atributo do cuidado paliativo à medida que o valor atribuído à mesma sobressaiu-se dos discursos, evidenciando a atenção dada aos sinais não–verbais do profissional para o estabelecimento do vínculo de confiança, a necessidade da presença compassiva, o desejo de não focar a interação e o relacionamento apenas na doença e morte e a valorização da comunicação verbal alegre, que privilegia o otimismo e o bom humor. / The objective of this study was to know the expectations of the patients who have no therapeutic possibilities and who are under palliative care regarding nursing assistance during the dying process, as well as to identify these patients’ needs related to communication with the nursing team. The data were collected during the first semester of 2005, through half-structured interviews with guided questions, among 39 oncologic patients without healing prognosis, having a limited capacity to perform activities and subjected to palliative chemotherapy in a hospital institution of the city of São Paulo, Brazil. After loyal transcription of the speeches, the data were analyzed according to the methodology of content analysis. From the interviewee speeches six categories emerged that proved the multidimensional suffering of cancer and its treatment, the fact that regardless of the suffering, life goes on; that spirituality and the family while acting as sources of support provide stimulation for confronting an advanced oncologic disease. The interviewees also revealed the nursing assistance which they desire and the role of note which represented the communication and interpersonal relationship for those who face the dying process. Therefore, it can be concluded that the interviewed patients redeemed the value of human relationships based on empathy and compassion as basis for the care they expect, desiring from the nursing professional a technical-scientific ability to perform actions necessary to relieve the suffering, especially an adequate control of pain, empathy and compassionate behavior, well informed and emotionally supportive. Interpersonal communication proved to be an important attribution to palliative care as long as its value has been prominent in the speeches, paying particular attention to the non-verbal signs of the professional for establishing a link of trust, the necessity of compassionate presence, the desire of not focusing the interaction and the relationship only on the disease and death and in its place concentrating on a cheerful verbal communication favoring optimism and good humor.

Este estudo objetivou conhecer as expectativas do paciente fora de possibilidades terapêuticas e sob cuidados paliativos com relação à assistência de enfermagem durante o processo de morrer, assim como identificar as necessidades destes pacientes relacionadas à comunicação com a equipe de enfermagem. Os dados foram coletados no primeiro semestre de 2005, por meio de entrevistas semi-estruturadas com questões norteadoras, junto a trinta e nove pacientes oncológicos sem prognóstico de cura, com limitação na capacidade de realizar atividades e submetidos à quimioterapia paliativa em uma instituição hospitalar da cidade de São Paulo. Após transcrição fiel das falas, os dados foram analisados segundo a metodologia de análise do conteúdo. Dos discursos dos entrevistados emergiram seis categorias, que evidenciaram o sofrimento multidimensional do câncer e seu tratamento, o fato de que apesar do sofrimento, a vida continua; a espiritualidade e a família enquanto fontes de apoio e estímulo para o enfrentamento da doença oncológica avançada. Revelam ainda a assistência de enfermagem desejada e o papel de destaque que representam a comunicação e o relacionamento interpessoal para quem enfrenta o processo de morrer. Concluiu-se que os pacientes entrevistados resgataram o valor da relação humana baseada na empatia e compaixão como base para o cuidado que esperam, desejando do profissional de enfermagem habilidade técnico-científica para a realização de ações que aliviam o sofrimento, especialmente o adequado controle da dor, comportamento empático e compassivo, informação e suporte emocional. A comunicação interpessoal comprovou ser importante atributo do cuidado paliativo à medida que o valor atribuído à mesma sobressaiu-se dos discursos, evidenciando a atenção dada aos sinais não–verbais do profissional para o estabelecimento do vínculo de confiança, a necessidade da presença compassiva, o desejo de não focar a interação e o relacionamento apenas na doença e morte e a valorização da comunicação verbal alegre, que privilegia o otimismo e o bom humor. / The objective of this study was to know the expectations of the patients who have no therapeutic possibilities and who are under palliative care regarding nursing assistance during the dying process, as well as to identify these patients’ needs related to communication with the nursing team. The data were collected during the first semester of 2005, through half-structured interviews with guided questions, among 39 oncologic patients without healing prognosis, having a limited capacity to perform activities and subjected to palliative chemotherapy in a hospital institution of the city of São Paulo, Brazil. After loyal transcription of the speeches, the data were analyzed according to the methodology of content analysis. From the interviewee speeches six categories emerged that proved the multidimensional suffering of cancer and its treatment, the fact that regardless of the suffering, life goes on; that spirituality and the family while acting as sources of support provide stimulation for confronting an advanced oncologic disease. The interviewees also revealed the nursing assistance which they desire and the role of note which represented the communication and interpersonal relationship for those who face the dying process. Therefore, it can be concluded that the interviewed patients redeemed the value of human relationships based on empathy and compassion as basis for the care they expect, desiring from the nursing professional a technical-scientific ability to perform actions necessary to relieve the suffering, especially an adequate control of pain, empathy and compassionate behavior, well informed and emotionally supportive. Interpersonal communication proved to be an important attribution to palliative care as long as its value has been prominent in the speeches, paying particular attention to the non-verbal signs of the professional for establishing a link of trust, the necessity of compassionate presence, the desire of not focusing the interaction and the relationship only on the disease and death and in its place concentrating on a cheerful verbal communication favoring optimism and good humor.

Approximately 15% of all new marriages in the United States in 2010 were between spouses that shared different racial or ethnic backgrounds from one another. Socha and Diggs (1999) began to examine race as both an outcome of family communication as well as a factor that influences children's communication development in families because of the social pressure multiethnic families endure to fit a nuclear family model. This study utilized dyadic interviews of eleven multiethnic parent couples (N = 22 individuals; 11 dyads) in order to gain a deeper understanding of Hispanic-Caucasian multiethnic family systems. Communication in families plays a foundational role in many aspects of society and socialization of the young. However, slim research has addressed how communication in families affects the understandings of ethnicity and the formation of social identities as a social construction (see Hecht, Collier, & Ribeau, 1993; Socha & Diggs, 1999; Socha, Sanchez-Hucles, Bromley, & Kelly, 1995). Researchers in the social sciences, especially in communication, must recognize that the sanctuary of the home may be generating the keys to understanding problems concerning social identity formation and diversity. Thus, there is a need for communication research at the crossroads of ethnicity, family, and identity. This dissertation highlights family factors that may influence Hispanic-Caucasian multiethnic children’s social identities as well as family communication within Hispanic-Caucasian multiethnic family systems. This study explicates multiethnic families through the lens of communication accommodation theory (CAT; Giles, 1973), social identity theory (SIT; Tajfel & Turner, 1979), and self-categorization theory (SCT; Turner, 1985; Turner, 1987), explicitly overviewing the intersection of interpersonal and intergroup communication (Giles, 2012). This study provides insights to both theoretical expansion and practical application within Hispanic-Caucasian multiethnic family systems. Ultimately, this study addresses questions such as: a) How do Hispanic-Caucasian multiethnic family systems communicate surrounding topics of race and ethnicity, b) How do Hispanic-Caucasian multiethnic families discuss components of social identity (e.g., ethnic identification for multiethnic children), and c) What challenges are unique to Hispanic-Caucasian multiethnic family systems?

This study seeks to understand the social interaction of small talk in two different countries. Defining small talk as 'phatic communion' and 'social talk' as contrasted to 'core business talk' and 'work-related talk,' Holmes (2000) claims that small talk in the workplace is intertwined with main work-talk. Small talk can help build solidarity and rapport, as well as maintain good relationships between workers. Much of the research on small talk has been focused on institutional settings such as business and service interactions; thus, there is a need for research on non-institutional small talk between participants without established relationships. This study compared how native English and Japanese male speakers interact in small talk that occurs during the initial phase of relationship formation, when interlocutors who have just met are waiting for a shared purpose. I analyzed their unmonitored small talk interaction in order to examine what types of topics they discuss and how conversations actually occur. I also conducted interviews to obtain information on perceptions of small talk and examined how these perceptions reflect different social norms and values pertaining to small talk in real-life settings. The data on the characteristics of small talk come from the pre-interview conversation between two participants, and the data on perceptions about small talk come from the interviews. The topics discussed differed between the U.S. and Japanese pairs. The U.S. pairs had "Informational Talk" elaborating on class details such as professors, systems, materials, or class content. The Japanese pairs, on the other hand, had "Personal Informational Talk," talking about personal matters such as study problems, worries, gossip, and stories. Furthermore, the Japanese pairs tended to have many pauses/silences compared to their English-speaking counterparts (the average frequency of pauses per conversation were 6 for the U.S. participants and 16 for the Japanese), presenting the impression that the Japanese pairs might have been uncomfortable and awkward. However, one similarity was that both groups discussed topics on which they shared knowledge or discussed the research study in which they were participating in order to fill silence during small talk with strangers. The most prominent result from the interviews is that interactions with strangers are completely normal for the U.S. participants, while for the Japanese participants such small talk with strangers makes them feel surprised and uncomfortable. The U.S. participants have numerous experiences with and are aware of the small talk occurring in everyday life, and they commonly discuss impersonal subjects; that is, their talks tend to be about factual information. The Japanese males, on the other hand, reported that they do not commonly talk with strangers; they need a defined place or reason to talk in order to converse openly and exchange personal information. However, in the actual pre-interview small talk, they incrementally came to know each other and started to discuss personal concerns and gossip about friends. This study has shown that small talk can be viewed as a locus where cultural differences in social norms are reflected.

Female breast cancer patients are often confused, frustrated, and devastated by changes occurring in their bodies and the treatment process. Many women express frustration and concern with the inability to know what the next phases of their life will bring. Previous research also states that many women struggle to communicate with others about treatment as well as side effects. This research examined how woman are use metaphors to describe their experience with breast cancer, specifically throughout the treatment period related to body image struggles. I qualitatively conducted interviews with women who were either currently in treatment or just finishing. My interview questions related to their uncertainties, as well as the changes occurring to their bodies. After conducting the interviews I transcribed the conversations and coded for specific metaphors. The results were consistent with previous research, in that that the interviewees used at least four major metaphors to describe what they are going through. The four most prominent metaphors were (1) journey, (2) game, (3) struggle/fight, (4) grasping. The findings could benefit patients, nurses, physicians as well as family and friends to reduce stress and help with coping. The findings may also help female patients struggling with identity issues due to lumpectomies or mastectomies. Understanding how patients comprehend the disease can ultimately help others to understand and hopefully reduce some of the concerns of all those involved in such situations.

An individual's struggle with "self," which consists of personal identity and social identity, can create both intra- and interpersonal conflict. In this study, I explored how such struggles inform identity-based conflict and how such conflicts are addressed by intergroup dialogue. A dialogue was conducted with University students, consisting of discussions about participants' struggles with "self" and social identity. These conversations were analyzed using a mixed methods and content analysis approach. The study revealed that identities such as gender play significant roles in creating conflict within "self" and with others. National origin, race, and ethnicity also affect personal identity; however, these identities have greater influence on participants' relationships with others. Four different stages of dialogue were crucial in determining changes in the perceptions of participants. It was learned that dialogue helped participants to give new meaning to their identities. Individual "self"--personal identity--defines each person's ability to understand others, not the social identity. Participants reported their level of trust, openness, and willingness to engage with people not from their own identity group increased and improved because of their participation in the dialogue. Therefore, dialogue can be a valuable tool to understand and transform identity-based conflicts.

Strategies for Developing Interpersonal Communication Skills for Business Students by Sharon A. Pope M.B.A., Cleveland State University, 1995 M.S.H.P/A., University of Cincinnati, 1983 B.Ed., University of Toledo, 1981 Doctoral Study Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Education Walden University December 2015 Research has shown that interpersonal communication skills (ICS) are important for employment success, particularly if they are learned by students during college. A private university in Ohio identified the need to enhance students' ICS; however, the university's faculty lacked strategies to teach those required skills. The purpose of this qualitative case study was to investigate perceptions of key administrative staff (KAS), faculty, and alumni about the implementation of ICS instruction to foster students' work-ready skills. Guided by the social skill component of Goleman's emotional intelligence theory and related research, this study examined key applications of ICS including communication, collaboration, conflict management, and cross cultural awareness. Three KAS with extensive knowledge of university practices were purposefully sampled to take part in a focus group addressing current and recommended ICS instructional strategies. Network sampling, informed by the KAS, identified 23 faculty members who completed an open-ended online questionnaire and 4 alumni who participated in semi-structured interviews targeting their perceptions of ICS in the classroom. In addition to these sources of data, the researcher's reflective journal was analyzed to examine implementation and perceptions of current and alternate ICS instructional strategies. Data were transcribed, reviewed, then coded inductively without a prior list of codes resulting themes of presenting, self-branding, group/team work, networking, global awareness, and diversity. These findings were used to create a faculty professional development series on effective ICS instruction that can be used to promote positive social change for the university, students, and community by preparing graduates ready for success in the workforce.

<p><strong><p>Abstract</p><p>Attitudes towards the reference situation and the meetings between library users and librarians have become the subject of much debate in the library setting today. The aim of this two years master´s thesis has been to examine six librarian’s attitudes and apprehensions concerning the interactions between the librarian and the users in the library setting. We were also interested in knowing how a library can work to become more service oriented and customer centred. We conducted six interviews with librarians located at three different libraries in Sweden. We used three theories to explain our aim. These are Jürgen Habermas theory of social communication, theory about professions and Christian Grönroos theory of Service Management.</p><p>We found that our informants both see the physical meeting with the library and the social exchanges with the librarians as important parts of the user’s experience of the library.</p><p>The three libraries that we visited work in different ways to improve their customer service. One library has developed a policy for concrete ways to improve the social exchange with the library user. Another library is working with a policy and the third library handle attitude questions more implicit in the daily work and in a specialised group. We could see that the informants who worked at the library which had a policy and an under-standing of the importance of customer service as a central part of the organisation regarded those questions as being very important. Some informants could not see how customer service could get improved in another way than just discussing these issues in groups, meetings or in connection to seminars.</p><p>The changing of attitudes of members of the staff can be complicated however because it, at some level, is about individual changes. We believe that a person has to be motivated to make these changes. To improve this motivation the organisation has to create opportunities for the staff to critically reflect upon their working situa-tion. In that way we believe that the staff can experience security and motivation to do a good job which then has a positive impact on the customer service provided. The acknowledgement of the importance of customer service within an organization has to engage everybody and the whole organisation at all its levels.</p><p>We think that customer service in the library setting will become more important in the future as a response to the technical evolution and all the automated elements in our society. The importance of actual meetings in-crease as our society increasingly communicates via digital means.</p></strong></p>

Aim:  To describe and develop understanding of  the patient’s first encounter with the involved persons at the scene of an accident and at the emergency department; with a special focus on describing the meaning of emergency care of patients in these caring contexts.  Method: The thesis uses a reflective lifeworld research (RLR) approach founded on phenomenological philosophy. The purpose with this approach is to describe the essential meaning and the variations of a phenomenon. Interviews with a lifeworld perspective were used for data collection and analyzed according to the RLR approach for searching for the essence of the phenomenon.  The four essences in the studies (I-IV) establish a general structure for the phenomenon. Findings:  Emergency care is characterized by an organisation, whose goal and resources are focused on life-saving, and that encounters a human being with needs of emergency care as well as existential support. The responsibility in emergency care means an intertwining of doing and being.  The one who is in charge takes responsibility for performing or “doing” medical actions, and by “being” close and present in the situation the patient can at the same time feel an existential support. The responsibility for the injured or ill body is handed over to a chain of persons with more and more specialized competence and resources. This hand-over entails a relief for all involved but fails in one link in the chain, namely to explicitly hand back  the responsibility to the patient.  When the patient’s condition allows the distance to be larger the responsibility pales and the existential support decreases. A gap between doing and being arises where the patient is left to regain control and independence. The intertwining of doing and being, which appears as soon as the one in charge is close and present to the patient, facilitates the hand-over to the patient who in a natural way is able to receive the responsibility with possibilities to be able to conclude the encounter. Conclusions: A new understanding of emergency care appears which entails more than just life support measures.  Emergency care includes different ways of communication in order to hand over the responsibility and complete the care chain back to the patient in a safe way. The results highlight the importance of empowering patients with a confirming, communicative contact throughout the whole caring process in order for them to retain their identity. There are also implications for educating students and personnel in inter-professional communication and work. In order to assist the intertwining between doing and being there are needs for the development of supportive structures for inter-professional reflection, which in turn would improve the interaction between patients and professionals in their encounter.

The study sought to explore the emerging adult sibling dyad through qualitativeinquiry. By doing so, the collected data bring new meaning to why and how emerging adult siblings communicate. Also, by including both siblings, this study sought to highlight a different perspective of sibling communication. Extant research on the emerging adulthood stage of life is limited. The current study explored the sibling dyad during this phase of life, and three themes emerged: siblings become friends, changes during emerging adulthood, conflict negotiation, and taking a parental role.