Department of Social and Behavioral Health, Virginia Commonwealth University, Richmond, 23298, USA.
J Health Commun. 2011 Oct;16(9):955-75. doi: 10.1080/10810730.2011.561908. Epub 2011 May 24.
This study explores the effects of tissue requesters' relational, persuasive, and nonverbal communication on families' final donation decisions. One thousand sixteen (N = 1,016) requests for tissue donation were audiotaped and analyzed using the Siminoff Communication Content and Affect Program, a computer application specifically designed to code and assist with the quantitative analysis of communication data. This study supports the important role of communication strategies in health-related decision making. Families were more likely to consent to tissue donation when confirmational messages (e.g., messages that expressed validation or acceptance) or persuasive tactics such as credibility, altruism, or esteem were used during donation discussions. Consent was also more likely when family members exhibited nonverbal immediacy or disclosed private information about themselves or the patient. The results of a hierarchical log-linear regression revealed that the use of relational communication during requests directly predicted family consent. The results provide information about surrogate decision making in end-of-life situations and may be used to guide future practice in obtaining family consent to tissue donation.
本研究探讨了组织请求者的关系、说服和非言语沟通对家庭最终捐赠决策的影响。对 1016 份组织捐赠请求进行了录音，并使用 Siminoff 沟通内容和情感程序进行了分析，该程序是一种专门设计用于对沟通数据进行编码和辅助定量分析的计算机应用程序。这项研究支持沟通策略在与健康相关的决策制定中的重要作用。在捐赠讨论中使用确认性信息（例如表达验证或接受的信息）或说服策略（如可信度、利他主义或尊重）时，家庭更有可能同意进行组织捐赠。当家庭成员表现出非言语的亲近感或透露自己或患者的私人信息时，同意的可能性也更高。层次对数线性回归的结果表明，请求过程中关系沟通的使用直接预测了家庭的同意。研究结果提供了关于临终情况下代理决策的信息，并可用于指导未来获得家庭同意进行组织捐赠的实践。
