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兽医沟通的未来:合作还是劝服?一项关于追求客户行为改变过程中兽医沟通的定性研究。

The future of veterinary communication: Partnership or persuasion? A qualitative investigation of veterinary communication in the pursuit of client behaviour change.

作者信息

Bard Alison M, Main David C J, Haase Anne M, Whay Helen R, Roe Emma J, Reyher Kristen K

机构信息

School of Veterinary Sciences, The University of Bristol, Bristol, United Kingdom.

School for Policy Studies, The University of Bristol, Bristol, United Kingdom.

出版信息

PLoS One. 2017 Mar 3;12(3):e0171380. doi: 10.1371/journal.pone.0171380. eCollection 2017.

DOI:10.1371/journal.pone.0171380
PMID:28257511
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5336212/
Abstract

Client behaviour change is at the heart of veterinary practice, where promoting animal health and welfare is often synonymous with engaging clients in animal management practices. In the medical realm, extensive research points to the link between practitioner communication and patient behavioural outcomes, suggesting that the veterinary industry could benefit from a deeper understanding of veterinarian communication and its effects on client motivation. Whilst extensive studies have quantified language components typical of the veterinary consultation, the literature is lacking in-depth qualitative analysis in this context. The objective of this study was to address this deficit, and offer new critical insight into veterinary communication strategies in the pursuit of client behaviour change. Role-play interactions (n = 15) between UK cattle veterinarians and an actress experienced in medical and veterinary education were recorded, transcribed and analysed thematically. Analysis revealed that, overall, veterinarians tend to communicate in a directive style (minimal eliciting of client opinion, dominating the consultation agenda, prioritising instrumental support), reflecting a paternalistic role in the consultation interaction. Given this finding, recommendations for progress in the veterinary industry are made; namely, the integration of evidence-based medical communication methodologies into clinical training. Use of these types of methodologies may facilitate the adoption of more mutualistic, relationship-centred communication in veterinary practice, supporting core psychological elements of client motivation and resultant behaviour change.

摘要

客户行为改变是兽医实践的核心,在兽医实践中,促进动物健康和福利通常等同于让客户参与动物管理实践。在医学领域,大量研究指出了从业者沟通与患者行为结果之间的联系,这表明兽医行业可能会从更深入地理解兽医沟通及其对客户动机的影响中受益。虽然已有大量研究对兽医咨询中典型的语言成分进行了量化,但在这方面的文献缺乏深入的定性分析。本研究的目的是弥补这一不足,并在追求客户行为改变方面,为兽医沟通策略提供新的批判性见解。记录了英国牛兽医与一位在医学和兽医教育方面经验丰富的女演员之间的角色扮演互动(n = 15),进行了转录并进行主题分析。分析表明,总体而言,兽医倾向于以指令性风格进行沟通(很少征求客户意见,主导咨询议程,优先提供工具性支持),这反映出在咨询互动中扮演家长式角色。基于这一发现,对兽医行业的发展提出了建议;即把循证医学沟通方法纳入临床培训。使用这类方法可能有助于在兽医实践中采用更具互利性、以关系为中心的沟通方式,支持客户动机和由此产生的行为改变的核心心理要素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f67e/5336212/b20a2ab8095d/pone.0171380.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f67e/5336212/1623b9a18b6d/pone.0171380.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f67e/5336212/10e06c1dae81/pone.0171380.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f67e/5336212/2b3399d4ab12/pone.0171380.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f67e/5336212/b20a2ab8095d/pone.0171380.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f67e/5336212/1623b9a18b6d/pone.0171380.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f67e/5336212/10e06c1dae81/pone.0171380.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f67e/5336212/2b3399d4ab12/pone.0171380.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f67e/5336212/b20a2ab8095d/pone.0171380.g004.jpg

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