Cape Fox Facilities Services, Manassas, VA, USA.
Department of Family Medicine, University of Rochester Medical Center, Rochester, NY, USA.
Soc Sci Med. 2022 Dec;315:115521. doi: 10.1016/j.socscimed.2022.115521. Epub 2022 Nov 7.
Patient-clinician interactions are critical to patient-centered care, including in cancer care contexts which are often defined by multiple patient-clinician interactions over an extended period. Research on these dyadic interactions has been guided by perspectives in clinical communication science, but the study of clinical communication has not been fully integrated with perspectives on interpersonal interactions from relationship science research. An overlapping concept in both fields is the concept of responsive socialsupport. In this article, we discuss responsiveness as a concept that offers opportunities for connections between these two disciplines. Next, we focus on how relationship science can be applied to research in clinical settings. We discuss how three areas of relationship science define responsiveness and have potential for extension to clinical communication: (1) (in)visibility of social support, (2) attachment orientations, and (3) shared meaning systems. We also discuss how social biases can impede responsiveness and suggest research avenues to develop ideas and understand potential challenges in connecting these two fields. Many opportunities exist for interdisciplinary theory development that can generate momentum in understanding interpersonal processes in cancer care.
医患互动对于以患者为中心的护理至关重要,包括在癌症护理环境中,通常需要在较长时间内进行多次医患互动。这些二元互动的研究受到临床沟通科学观点的指导,但临床沟通研究并未完全与人际关系科学研究中关于人际互动的观点相结合。这两个领域的一个重叠概念是响应性社会支持的概念。在本文中,我们讨论了响应性作为一个概念,为这两个学科之间的联系提供了机会。接下来,我们专注于关系科学如何应用于临床环境中的研究。我们讨论了关系科学的三个领域如何定义响应性,并有可能扩展到临床沟通:(1)社会支持的可见性,(2)依恋取向,以及(3)共同意义系统。我们还讨论了社会偏见如何阻碍响应性,并提出了研究途径,以发展连接这两个领域的想法并理解潜在挑战。在理解癌症护理中的人际过程方面,存在着许多进行跨学科理论发展的机会,可以产生动力。