Journal articles: 'Application for facilitating conversations'

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Seig, Mary Theresa. "Facilitating conversations across time: Using simulations in living history training." Simulation & Gaming 39, no. 2 (June 2008): 253–65. http://dx.doi.org/10.1177/1046878107310624.

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Shults, F. LeRon, and Wesley J. Wildman. "Human Simulation and Sustainability: Ontological, Epistemological, and Ethical Reflections." Sustainability 12, no. 23 (December 1, 2020): 10039. http://dx.doi.org/10.3390/su122310039.

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This article begins with a brief outline of recent advances in the application of computer modeling to sustainability research, identifying important gaps in coverage and associated limits in methodological capability, particularly in regard to taking account of the tangled human factors that are often impediments to a sustainable future. It then describes some of the ways in which a new transdisciplinary approach within “human simulation” can contribute to the further development of sustainability modeling, more effectively addressing such human factors through its emphasis on stakeholder, policy professional, and subject matter expert participation, and its focus on constructing more realistic cognitive architectures and artificial societies. Finally, the article offers philosophical reflections on some of the ontological, epistemological, and ethical issues raised at the intersection of sustainability research and social simulation, considered in light of the importance of human factors, including values and worldviews, in the modeling process. Based on this philosophical analysis, we encourage more explicit conversations about the value of naturalism and secularism in finding and facilitating effective and ethical strategies for sustainable development.

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Ngai, Phyllis Bo-yuen. "Discourse Analysis for Intercultural Competence Development." International Journal of Bias, Identity and Diversities in Education 6, no. 1 (January 2021): 17–30. http://dx.doi.org/10.4018/ijbide.2021010102.

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This article aims to explicate the connection between discourse analysis and interculturality in intercultural-communication education. Although communication researchers and students have been using discourse analysis as a method to investigate conversations in intercultural situations for decades, interculturality as a concept has been largely untapped in analysis and applications. Drawing from interdisciplinary insights, this article will discuss how the concept of interculturality and the lens of discourse analysis contribute to the study and teaching of intercultural communication. As examples, two different types of intercultural-communication courses serve to illustrate how educators can apply discourse analysis to facilitate development of intercultural competence. Learning outcomes of the two tested courses indicate that cultural discourse analysis, along with critical discourse analysis and ethnography of speaking, promises to be a useful pedagogical approach for facilitating the development of the competence required for dealing with interculturality.

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Ali, Tahir, Petra Topaz Buergelt, Douglas Paton, James Arnold Smith, Elaine Lawurrpa Maypilama, Dorothy Yuŋgirrŋa, Stephen Dhamarrandji, and Rosemary Gundjarranbuy. "Facilitating Sustainable Disaster Risk Reduction in Indigenous Communities: Reviving Indigenous Worldviews, Knowledge and Practices through Two-Way Partnering." International Journal of Environmental Research and Public Health 18, no. 3 (January 20, 2021): 855. http://dx.doi.org/10.3390/ijerph18030855.

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The Sendai Framework of Action 2015–2030 calls for holistic Indigenous disaster risk reduction (DRR) research. Responding to this call, we synergized a holistic philosophical framework (comprising ecological systems theory, symbolic interactionism, and intersectionality) and social constructionist grounded theory and ethnography within a critical Indigenous research paradigm as a methodology for exploring how diverse individual and contextual factors influence DRR in a remote Indigenous community called Galiwinku, in the Northern Territory of Australia. Working together, Indigenous and non-Indigenous researchers collected stories in local languages using conversations and yarning circles with 20 community members, as well as participant observations. The stories were interpreted and analysed using social constructivist grounded theory analysis techniques. The findings were dialogued with over 50 community members. The findings deeply resonated with the community members, validating the trustworthiness and relevance of the findings. The grounded theory that emerged identified two themes. First, local Indigenous knowledge and practices strengthen Indigenous people and reduce the risks posed by natural hazards. More specifically, deep reciprocal relationships with country and ecological knowledge, strong kinship relations, Elder’s wisdom and authority, women and men sharing power, and faith in a supreme power/God and Indigenous-led community organizations enable DRR. Second, colonizing practices weaken Indigenous people and increase the risks from natural hazards. Therefore, colonization, the imposition of Western culture, the government application of top-down approaches, infiltration in Indigenous governance systems, the use of fly-in/fly-out workers, scarcity of employment, restrictions on technical and higher education opportunities, and overcrowded housing that is culturally and climatically unsuitable undermine the DRR capability. Based on the findings, we propose a Community-Based DRR theory which proposes that facilitating sustainable Indigenous DRR in Australian Indigenous communities requires Indigenous and non-Indigenous partners to genuinely work together in two-directional and complementary ways.

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Teti, Michelle, Deana Hayes, Rose Farnan, Victoria Shaffer, and Mary Gerkovich. "“Poems in the Entrance Area”: Using Photo-Stories to Promote HIV Medication Adherence." Health Promotion Practice 19, no. 4 (September 9, 2017): 601–12. http://dx.doi.org/10.1177/1524839917728049.

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Adherence to antiretroviral medication among people living with HIV (PL-HIV) is critical to individual and public health. By some estimates only a quarter of PL-HIV are sufficiently adherent, underscoring a continued need for adherence-promoting strategies. In this analysis we explore the effect of adherence education posters developed via Photovoice. A group of PL-HIV generated images and captions to describe their adherence experiences and used their photo-stories to design 10 posters. We assessed viewers’ ( N = 111) adherence knowledge, self-efficacy, and communication changes quantitatively and qualitatively before and 3 months after poster placement in the clinic. We analyzed quantitative data with an independent groups t test or a Mann–Whitney test, and qualitative interviews via theme analysis. Quantitative findings indicated no significant differences. Qualitative interviewees said that posters enhanced knowledge with nonthreatening, relatable information; self-efficacy by motivating patients to take medicine and disclose HIV to others; and communication by facilitating adherence conversations and creating a visually supportive clinic. Divergent quantitative and qualitative findings can be partially explained by inquiry methods. The posters may be more effective as part of discussions about their content, like those facilitated by qualitative interviews. Additional research regarding the application of Photovoice to health promotion is warranted.

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Williams, Amy, Christy Turer, Jamie Smith, Isabelle Nievera, Laura McCulloch, Nuha Wareg, Megan Clary, et al. "Adoption of an Electronic Medical Record Tool for Childhood Obesity by Primary Care Providers." Applied Clinical Informatics 11, no. 02 (March 2020): 210–17. http://dx.doi.org/10.1055/s-0040-1705106.

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Abstract Background Primary care providers are tasked with the increasingly difficult job of addressing childhood obesity during clinic visits. Electronic medical record (EMR)-enabled decision-support tools may aid providers in this task; however, information is needed regarding whether providers perceive such tools to be useful for addressing nutrition and physical activity lifestyle behaviors. Objectives This study aimed to evaluate the usefulness and usability of FitTastic, an EMR-enabled tool to support prevention and management of childhood obesity in primary care. Methods In this mixed-method study, we implemented the FitTastic tool in two primary-care clinics, then surveyed and conducted focused interviews with providers. Validated Technology Acceptance Model perceived usefulness and National Aeronautics and Space Administration (NASA) perceived usability survey questions were e-mailed to 60 providers. In-depth provider interviews with family medicine and pediatric physicians (n = 12) were used to further probe adoption of FitTastic. Results Surveys were completed by 73% of providers (n = 44). The mean score for FitTastic's usefulness was 3.3 (standard deviation [SD] = 0.54, scale 1–5, where 5 is strongly agree) and usability, 4.8 (SD = 0.86, scale 1–7, where 7 is strongly agree). Usefulness and usability scores were associated with intention to use FitTastic (correlation for both, p < 0.05). Data from provider interviews indicated that useful features of FitTastic included: standardizing the approach to childhood obesity, and facilitating conversations about weight management, without increasing cognitive workload. However, use of FitTastic required more time from nurses to input lifestyle data. Conclusion FitTastic is perceived as a useful and usable EMR-based lifestyle behavior tool that standardizes, facilitates, and streamlines healthy lifestyle conversations with families. Perceived usability and usefulness scores correlated with provider intention-to-use the technology. These data suggest that EMR-based child obesity prevention and management tools can be feasible to use in the clinic setting, with potential for scalability. Usefulness can be optimized by limiting amount of time needed by staff to input data.

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LuperFoy, Susann. "Machine interpretation of bilingual dialogue." Interpreting. International Journal of Research and Practice in Interpreting 1, no. 2 (January 1, 1996): 213–33. http://dx.doi.org/10.1075/intp.1.2.03lup.

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This paper examines the role of the dialogue manager component of a machine interpreter. It is a report on one project to design the discourse module for such a voice-to-voice machine translation (MT) system known as the Interpreting Telephone. The theoretical discourse framework that underlies the proposed dialogue manager supports the job of extracting and collecting information from the context, and facilitating human-machine language interaction in a multi-user environment. Empirical support for the dialogue theory and the implementation described herein, comes from an observational study of one human interpreter engaged in a three-way, bilingual telephone conversation. We begin with a brief description of the interpreting telephone research endeavor, then examine the discourse requirements of such a language-processing system, and finally, report on the application of the discourse processing framework to this voice-to-voice machine translation task.

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Aggerholm, Helle Kryger, and Sophie Esmann Andersen. "Social Media Recruitment 3.0." Journal of Communication Management 22, no. 2 (May 8, 2018): 122–37. http://dx.doi.org/10.1108/jcom-11-2017-0131.

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Purpose Drawing on a unique case of a Web 3.0 recruitment campaign, the purpose of this paper is to explore how a Web 3.0 social media recruitment communication strategy influence, add value to and challenge conventional recruitment communication management. Design/methodology/approach The study draws on a reflexive dialogical research approach, which means that it is methodologically designed as a critical dialogue between on the one hand an empirical case and on the other hand theories on social media and strategic communication. Findings The study points toward a fundamental new approach to recruitment communication. The application of a Web 3.0 strategy entails what we term an open source recruitment strategy and a redirection of employee focus from work life to private life. These insights point toward ontologically challenging the basic assumptions of employees, work life and the employing organization. Research limitations/implications The paper presents a single-case study, which prepares the ground for larger, longitudinal studies. Such studies may apply a more long-term focus on the implications of applying Web 3.0 recruitment strategies and how they may be integrated into – or how they challenge – overall corporate communication strategies. Practical implications A turn toward Web 3.0 in recruitment communication affects the degree of interactional complexity and the level of managerial control. Furthermore, the authors argue that the utilization of a Web 3.0 strategy in recruitment communication put forth precarious dilemmas and challenges of controllability, controversy, ownership and power relations, demanding organizations to cautiously entering the social media 3.0 employment market. Originality/value This study indicates how the value and potentials of social media as facilitating participatory processes and community conversations can be strategically used in and fundamentally alter recruitment communication, and hence offers new insights into a paradigmatically new way of understanding what strategic social media recruitment is, can and do.

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Prince, Violaine, and Didier Pernel. "Several knowledge models and a blackboard memory for human-machine robust dialogues." Natural Language Engineering 1, no. 2 (June 1995): 113–45. http://dx.doi.org/10.1017/s1351324900000115.

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AbstractThis contribution focuses on a dialogue model using an intelligent working memory that aims at facilitating a robust human-machine dialogue in written natural language. The model has been designed as the core of an information seeking dialogue application. The particularity of this project is to rely on the potent interpretation and behaviour capabilities of pragmatic knowledge. Within this framework, the designed dialogue model appears as a kind of ‘forum’ for various facets, impersonated by different models extracted from both intentional and structural approaches of conversation. The approach is based on assuming that multiple expertise is the key to flexibility and robustness. Also, an intelligent memory that keeps track of all events and links them together from as many angles as necessary is crucial for multiple expertise management. This idea is developed by presenting an intelligent dialogue history which is able to complement the wide coverage of the co-operating models. It is no longer a simple chronological record, but a communication area, common to all processes. We illustrate our topic through examples brought out from collected corpora.

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Kwong, Kenny. "Teaching Microaggressions, Identity, and Social Justice: A Reflective, Experiential and Collaborative Pedagogical Approach." International Journal of Higher Education 9, no. 4 (June 17, 2020): 184. http://dx.doi.org/10.5430/ijhe.v9n4p184.

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The purpose of social work is actualized through its commitment to diversity and differences in practice, as well as human rights, social, economic, and environmental justice. A review of literature on microaggressions and oppression against marginalized and vulnerable populations suggests important themes that social work instructors need to examine with students. It is unclear to what extent instructors use pedagogical tools to gain knowledge, skills, and critical consciousness to navigate social justice contents and manage difficult conversations with diverse student groups in class settings. Not much attention is paid in social work education on how well instructors are prepared to teach this content in depth and what challenges they face when facilitating highly sensitive and difficult discussions with students. This article described and evaluated five sets of reflective, experiential, and collaborative activities in a social justice course designed to help social work students examine the histories of various identity groups that have experienced discrimination and oppression and increase their self-awareness of both privilege and personal bias in one’s life. These activities include: (1) reflective reading notes; (2) critical reflection paper; (3) brief lecture and experiential class activities and discussion; (4) collaborative group presentations and role-plays; and (5) cultural competency plan. Thirty-two students completed the evaluation surveys to assess their overall feedback about course activities and 36 students completed anonymous online course evaluations to assess their level of attainment in all course competencies. Student feedback collected in course evaluations and surveys, students’ self-assessment of attainment of course competencies, and the instructor’s critical reflection and self-assessment, suggest that teaching social justice using a reflective, experiential, and collaborative pedagogical approach has a promising potential for advancing course objectives. Through these activities, students increased their knowledge on a range of topics such as racism, oppression, microaggression, social identities, intersectionality, privilege, and cultural humility, enhanced their understanding of various forms of prejudice and discrimination, and acquired critical skills and cultural competence that have direct application in social work field.

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Kasturi, Shanthini, Lori Lyn Price, David Curtis, W. Benjamin Nowell, Norma Terrin, Jane Salmon, Lisa Mandl, and Timothy McAlindon. "52528 Implementation of Web-Based Patient-Reported Outcome Measures (PROMs) in the Clinical Care of Systemic Lupus Erythematosus (SLE): A Multi-Center Prospective Cohort Study." Journal of Clinical and Translational Science 5, s1 (March 2021): 145. http://dx.doi.org/10.1017/cts.2021.770.

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ABSTRACT IMPACT: The integration of patient-reported outcome measures into clinical care is feasible and can facilitate patient-centered care for individuals with systemic lupus erythematosus. OBJECTIVES/GOALS: Patient-reported outcome measures (PROMs) are powerful tools which can facilitate patient-centered care by highlighting individuals’ experience of illness. The aim of this study was to assess the feasibility and impact of implementing web-based PROMs in the routine clinical care of outpatients with systemic lupus erythematosus (SLE). METHODS/STUDY POPULATION: Outpatients with SLE were enrolled in this longitudinal cohort study at two academic medical centers. Participants completed PROMIS computerized adaptive tests assessing multiple quality of life domains at enrollment and prior to two consecutive routinely scheduled rheumatology visits using the ArthritisPower research registry mobile or web-based application. Score reports were shared with patients and providers before the visits. Patients and rheumatologists completed post-visit surveys evaluating the utility of PROMs in the clinical encounters. Proportions with confidence intervals were calculated to evaluate survey completion rates and responses. RESULTS/ANTICIPATED RESULTS: A total of 105 SLE patients and 16 rheumatologists participated in the study. Subjects completed PROMs in 159 of 184 eligible encounters (86%, 95% CI 81 - 91), including 90% of visit 1’s (95% CI 82 - 95) and 82% of visit 2’s (95% CI 72 - 90. Patients and rheumatologists found that PROMs were useful (91% and 83% of encounters respectively) and improved communication (86% and 72%). Rheumatologists reported that PROMs impacted patient management in 51% of visits, primarily by guiding conversations (84%), but also by influencing medication changes (15%) and prompting referrals (10%). There was no statistically significant difference in visit length before (mean=19.5 min) and after (mean=20.4 min) implementation of PROMs (p=0.52). DISCUSSION/SIGNIFICANCE OF FINDINGS: The remote capture and integration of web-based PROMs into clinical care was feasible in a diverse cohort of SLE outpatients. PROMs were useful to SLE patients and rheumatologists and promoted patient-centered care by facilitating communication.

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Rudin, Robert S., Christopher H. Fanta, Nabeel Qureshi, Erin Duffy, Maria O. Edelen, Anuj K. Dalal, and David W. Bates. "A Clinically Integrated mHealth App and Practice Model for Collecting Patient-Reported Outcomes between Visits for Asthma Patients: Implementation and Feasibility." Applied Clinical Informatics 10, no. 05 (October 2019): 783–93. http://dx.doi.org/10.1055/s-0039-1697597.

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Abstract Objective Mobile health (mHealth) apps may prove to be useful tools for supporting chronic disease management. We assessed the feasibility of implementing a clinically integrated mHealth app and practice model to facilitate between-visit asthma symptom monitoring as per guidelines and with the help of patient-reported outcomes (PRO). Methods We implemented the intervention at two pulmonary clinics and conducted a mixed-methods analysis of app usage data and semi-structured interview of patients and clinician participants over a 25-week study period. Results Five physicians, 1 physician's assistant, 1 nurse, and 26 patients participated. Twenty-four patients (92%) were still participating in the intervention at the end of the 25-week study period. On average, each patient participant completed 21 of 25 questionnaires (84% completion rate). Weekly completion rates were higher for participants who were female (88 vs. 73%, p = 0.02) and obtained a bachelor's degree level or higher (94 vs. 74%, p = 0.04). On average, of all questionnaires, including both completed and not completed (25 weekly questionnaires times 26 patient participants), 25% had results severe enough to qualify for a callback from a nurse; however, patients declined this option in roughly half of the cases in which they were offered the option. We identified 6 key themes from an analysis of 21 patients and 5 clinician interviews. From the patient's perspective, these include more awareness of asthma, more connected with provider, and app simplicity. From the clinician's perspective, these include minimal additional work required, facilitating triage, and informing conversations during visits. Conclusion Implementation of a clinically integrated mHealth app and practice model can achieve high patient retention and adherence to guideline-recommended asthma symptom monitoring, while minimally burdening clinicians. The intervention has the potential for scaling to primary care and reducing utilization of urgent and emergency care.

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Blasini-Méndez, Manuel. "Interpersonal postcolonial supervision: Facilitating conversations of countertransference." Training and Education in Professional Psychology 13, no. 3 (August 2019): 233–37. http://dx.doi.org/10.1037/tep0000239.

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Chang, Ni, and Susan Cress. "Conversations about Visual Arts: Facilitating Oral Language." Early Childhood Education Journal 42, no. 6 (October 26, 2013): 415–22. http://dx.doi.org/10.1007/s10643-013-0617-2.

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Tenkku Lepper, Leigh E., Tracy Cleveland, Genevieve DelRosario, Katherine Ervie, Catherine Link, Lara Oakley, Abdelmoneim Elfagir, and Debra J. Sprague. "A Web-Based Alcohol Screening and Brief Intervention Training Module Within Physician Assistant Programs in the Midwest to Increase Knowledge, Attitudes, and Confidence: Evaluation Study." JMIR Mental Health 6, no. 10 (October 23, 2019): e11963. http://dx.doi.org/10.2196/11963.

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Background Preventing and reducing risky alcohol use and its side effects remains a public health priority. Discussing alcohol use with patients can be difficult; dedicated training for health care providers is needed to facilitate these conversations. A Web-based alcohol screening and brief intervention (SBI), comprising didactic and skills application training, was designed for physician assistant students. Objective This paper details experiences and outcomes in developing an alcohol SBI training curriculum and coordinating virtual encounters with standardized patients. We also explain challenges faced with developing an alcohol SBI training and a Web-based learning management site to fit the needs of 5 different physician assistant programs. Methods Training development comprised 3 phases—precourse, development, and implementation. The precourse phase included developing the initial training curriculum, building a website, and testing with a pilot group. The development phase refined the training curriculum based on user feedback and moved into a three-component module: didactic training module, guided interactive encounter with a simulated patient, and live encounter with a standardized patient. A learning management system website was also created. In the implementation phase, 5 physician assistant schools incorporated the Web-based training into curricula. Each school modified the implementation method to suit their organizational environment. Evaluation methods included pre- and postchange over time on trainee attitudes, knowledge, and skills (confidence) on talking to patients about alcohol use, trainee self-reported proficiency on the standardized patient encounter, standardized patient evaluation of the trainee proficiency during the alcohol use conversation, user evaluation of the type of technology mode for the standardized patient conversation, and overall trainee satisfaction with the Web-based training on alcohol SBI. Results Final evaluation outcomes indicated a significant (P<.01) change over time in trainee knowledge and skills (confidence) in the conduct of the alcohol SBI with a standardized patient, regardless of the program implementation method. Trainees were generally satisfied with the Web-based training experience and rated the use of the videoconference medium as most useful when conducting the alcohol SBI conversation with the standardized patient. Training that included a primer on the importance of screening, individual participation in the Web-based didactic alcohol SBI modules, and virtual encounters with standardized patients through a university-based simulation center was the most widely accepted. Successful implementation included program investment and curriculum planning. Implementation barriers involved technical challenges with standardized patient encounters and simulation center logistics, and varying physician assistant school characteristics. Conclusions Development and implementation of Web-based educational modules to educate health care professionals on alcohol SBI is effective, easy to reproduce, and readily accessible. Identifying challenges affecting development, implementation, and utilization of learned techniques in practice, enhances facilitation of learning and training efficacy. As the value of technology-based learning becomes more apparent, reports detailing what has worked versus what has not may help guide the process.

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Brigley, Brenda J. "Facilitating student performance conversations: A framework for success." Nurse Education Today 68 (September 2018): 172–76. http://dx.doi.org/10.1016/j.nedt.2018.06.008.

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Whitelaw, Gail M. "Administration: Leadership Challenges: Difficult Conversations." Perspectives on Administration and Supervision 22, no. 1 (March 2012): 40–44. http://dx.doi.org/10.1044/aas22.1.40.

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At some point in time, all leaders face the issue of having to initiate a conversation considered to be “difficult.” This article discusses what makes conversations difficult and addresses the benefits of resolving issues that are related to difficult conversations. I discuss evidence-based approaches and tools for facilitating difficult conversations and use examples related to speech and hearing to illustrate the approaches and tools.

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Ramadani, Thoriq. "Fungsi Komunikasi dalam Organisasi melalui Grup Percakapan WhatsApp Biro Fasilitasi Kebijakan Energi dan Persidangan Sekretariat Jenderal Dewan Energi Nasional." Jurnal Wacana Kinerja: Kajian Praktis-Akademis Kinerja dan Administrasi Pelayanan Publik 23, no. 1 (June 25, 2020): 43. http://dx.doi.org/10.31845/jwk.v23i1.174.

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This research seeks to reveal the communication functions within the organization through the WhatsApp conversation group for Bureau for Energy Policy Facilitation and Trials at the Secretariat General of the National Energy Council. The study uses a qualitative approach with a case study method in the Bureau of Energy Policy and Trial Facilitation. Data were collected through interviews with key informants and documentations. Based on the analysis of communication functions within the organization in this WhatsApp conversation group, the finding shows that the organizational communication functions in the WhatsApp conversation group consisted of informative, regulative, persuasive, and integrative functions as a tool to accelerate information flow. Active participation of all group members is desirable, even though the security of the WhatsApp conversation group is still a concern. WhatsApp conversation groups provide sufficient information needed by employees in carrying out tasks, although as a means of informal communication, it cannot be used as work materials. Thus, it must be supported by further data from the internal application and direct order from the Bureau Chief as part of the confirmation.

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Johnston, Andrew, Linda Candy, and Ernest Edmonds. "Designing and evaluating virtual musical instruments: facilitating conversational user interaction." Design Studies 29, no. 6 (November 2008): 556–71. http://dx.doi.org/10.1016/j.destud.2008.07.005.

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Sion, Katya, Hilde Verbeek, Gaby Odekerken-Schröder, Sandra Zwakhalen, Jos Schols, and Jan Hamers. "FACILITATING CARE: A NARRATIVE APPROACH TO ASSESS EXPERIENCED QUALITY OF CARE." Innovation in Aging 3, Supplement_1 (November 2019): S73. http://dx.doi.org/10.1093/geroni/igz038.284.

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Abstract This study aimed to develop a method to assess experienced quality of care (QoC) in nursing homes from the resident’s perspective. A narrative approach “Facilitating Care” (FC) was developed based on the INDEXQUAL framework of experienced QoC and a needs assessment. FC assesses experienced QoC by training care professionals to perform individual conversations with residents, their family and their professional caregivers (triads) in another organization than where they are employed. FC consists of three phases: 1) training, 2) data collection and registration, and 3) analysis and reporting of the results. In 2018, 16 care professionals were trained and performed 148 conversations (47 residents, 44 family members, 57 professional caregivers) in 8 different nursing homes. Evaluation showed that FC teaches helpful conversation techniques and provides valuable insights into residents’ experienced QoC. Whilst the process was considered time consuming, all participants emphasized the added value of taking time for FC conversations.

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Carpenter, Bradley W., and Sarah Diem. "Talking Race: Facilitating Critical Conversations in Educational Leadership Preparation Programs." Journal of School Leadership 23, no. 6 (November 2013): 902–31. http://dx.doi.org/10.1177/105268461302300601.

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Baik, Dawon, David Russell, Lizeyka Jordan, Daniel D. Matlock, Frances Dooley, and Ruth Masterson Creber. "Building trust and facilitating goals of care conversations: A qualitative study in people with heart failure receiving home hospice care." Palliative Medicine 34, no. 7 (May 6, 2020): 925–33. http://dx.doi.org/10.1177/0269216320917873.

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Background: Despite a majority of persons receiving hospice care in their homes, there are gaps in understanding how to facilitate goals of care conversations between persons with heart failure and healthcare providers. Aim: To identify barriers and facilitators which shape goals of care conversations for persons with heart failure in the context of home hospice. Design: A qualitative descriptive study design was used with semi-structured interviews. Setting/participants: We conducted qualitative interviews with persons with heart failure, family caregivers, and interprofessional healthcare team members at a large not-for-profit hospice agency in New York City between March 2018 and February 2019. Results: A total of 39 qualitative interviews were conducted, including with healthcare team members (e.g. nurses, physicians, social workers, spiritual counselors), persons with heart failure, and family caregivers. Three themes emerged from the qualitative interviews regarding facilitators and barriers in goals of care conversations for better decision-making: (1) trust is key to building and maintaining goals of care conversations; (2) lack of understanding and acceptance of hospice inhibits goals of care conversations; and (3) family support and engagement promote goals of care conversations. Conclusion: Findings from this study suggest that interventions designed to improve goals of care conversations in the home hospice setting should focus on promoting understanding and acceptance of hospice, family support and engagement, and building trusting relationships with interprofessional healthcare teams.

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deLahunta, Scott. "Willing Conversations: The Process of Being Between." Leonardo 39, no. 5 (October 2006): 479–82. http://dx.doi.org/10.1162/leon.2006.39.5.479.

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The author argues that the role of facilitation within art and science collaboration projects is perhaps best described not as a function or position, that of the facilitator, but as a framework for thinking about relations and how to encourage a certain quality of exchange. The article reflects on how the themes of willingness, inter-profession, conversations and wording, empathy, and collaborative writing relate to the conditions for interdisciplinary collaboration. This is based on the author's experience with collaborative projects, most recently as research organizer and facilitator for Choreography and Cognition, one of the first Arts and Science Research Fellowships jointly funded by the Arts Council England and Arts and Humanities Research Board (U.K.).

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Noble, E. J. Menasse, and J. Adler. "Facilitating Location Independence with Computerized Conversation Systems." Environment and Planning A: Economy and Space 28, no. 2 (February 1996): 223–35. http://dx.doi.org/10.1068/a280223.

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Location independence for organizations is desirable if they wish to achieve a given spatial distribution in a regional development plan. An organization's interaction with its environment forms the basis of its daily work and takes the form of ‘information links’ composed of fundamental indivisible blocks called ‘conversations’. To achieve location independence it is necessary for organizations to develop and maintain environment interactions independent of their location. Information technology systems are able to reduce location restrictions by providing distant parties with the conversational structure present in face-to-face interpersonal interactions.

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McGough, David J. "The Perspective Interview: Facilitating Meaning-Making in One-to-One Conversations." Journal of Experiential Education 20, no. 2 (August 1997): 75–79. http://dx.doi.org/10.1177/105382599702000204.

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Dakake, Maria M. "Teaching Islam in the Public University: Facilitating and Embracing Critical Conversations." Muslim World 108, no. 2 (April 2018): 329–48. http://dx.doi.org/10.1111/muwo.12237.

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Hackman, Melissa, Paige Crowl, Erica Bruchko, Jina DuVernay, and Saira Raza. "Organizing and Facilitating Critical Conversations around Systemic Racism: Opportunities and Challenges." Journal of Library Outreach and Engagement 1, no. 2 (September 13, 2021): 22–29. http://dx.doi.org/10.21900/j.jloe.v1i2.804.

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The Coffee and Critical Conversations Series was organized by Emory Libraries Diversity, Equity, and Inclusion (DEI) subcommittee on Professional Development for library employees to engage in dialogue and build community around DEI topics. The subcommittee sought to foster understanding and inspire fruitful discussion on institutional racism in libraries, allyship, and the legacy of racialized trauma pervading African American life. The conversation series began virtually in summer of 2020. Each session was based on a curated collection of shared media (film clips, news articles, TED talks) and was facilitated by volunteers via Zoom. Attendees were given reflection questions to help guide conversation in small breakout groups. As the sessions wrapped up, the facilitators provided further resources for participants to continue their exploration of the topics. We assessed participant responses with an open-ended survey and solicited feedback from participants to inform future sessions. Like many of our peers, not everyone in our organization has felt informed enough to engage with social justice movements in the library. Our goal was to transform the organizational culture and relieve anxiety around discussing racism and oppression both in our institution and beyond. Coffee and Critical Conversations offers a space for folks to demystify their emotions, find language to express their feelings about current events, and foster authentic connections on our path to creating a more equitable institution.

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Sumi, Yasuyuki, and Kenji Mase. "AgentSalon: Facilitating face-to-face knowledge exchange by conversations of personal agents." Systems and Computers in Japan 34, no. 4 (February 26, 2003): 21–33. http://dx.doi.org/10.1002/scj.10117.

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Hasdianda, Mohammad Adrian, Tamryn F. Gray, Josephine Lo Bello, Brittany Ballaron, Natasha A. Egorova, Donna L. Berry, and Kei Ouchi. "Nurses' Perceptions of Facilitating Advance Care Planning Conversations in the Emergency Department." Palliative Medicine Reports 2, no. 1 (March 1, 2021): 65–70. http://dx.doi.org/10.1089/pmr.2020.0116.

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MacKenzie, Amy R., and Michelle Lasota. "Bringing Life to Death: The Need for Honest, Compassionate, and Effective End-of-Life Conversations." American Society of Clinical Oncology Educational Book, no. 40 (May 2020): 476–84. http://dx.doi.org/10.1200/edbk_279767.

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Conversations about death and dying are a crucial part of all medical care and are particularly relevant in the field of oncology. Patients express a desire to have discussions about goals of care, and many patients have thought about their end-of-life (EOL) wishes but have not had an opportunity to openly talk with care providers about this. Deficiencies in medical training, lack of confidence, limited time, and cultural barriers all contribute to the paucity of these important discussions. Although physicians are often expected to lead these conversations, nurses and nurse practitioners also play a vital role in the identification of opportunities to address EOL goals and should be a resource for the care team in facilitating EOL conversations at all points on the care continuum. Public engagement is paramount in normalizing conversations about death and dying, and the health care system needs to partner with public health agencies and private groups to open dialogues about EOL. Providers at all levels need improved education in having these difficult but essential conversations.

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Gradwohl, Kelsey, Gordon J. Wood, Rebecca K. Clepp, Liza Rivnay, and Eytan Szmuilowicz. "Preventing Readmissions Through Effective Partnerships—Communication and Palliative Care (PREP-CPC): A Multisite Intervention for Encouraging Goals of Care Conversations for Hospitalized Patients Facing Serious Illness." American Journal of Hospice and Palliative Medicine® 37, no. 8 (December 4, 2019): 582–88. http://dx.doi.org/10.1177/1049909119891996.

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Background: Despite evidence showing that goals of care (GOC) conversations increase the likelihood that patients facing a serious illness receive care that is concordant with their wishes, only a minority of at-risk patients receive the opportunity to engage in such conversations. Objective: The Preventing Readmissions through Effective Partnerships—Communication and Palliative Care (PREP-CPC) intervention was designed to increase the frequency of GOC conversations for hospitalized patients facing serious illness. Methods: The PREP-CPC employed a sequential, multicohort design using a yearlong mentored implementation approach to support nonpalliative care health-care professionals at participating hospitals to implement quality improvement projects focused on GOC conversations. Results: Over the 3-year study period, 134 clinicians from 29 hospital teams were trained to facilitate GOC conversations. After the kickoff conference, participants reported improvements in their confidence in facilitating GOC conversations. The hospital teams then instituted site-specific pilot interventions to promote GOC conversations, identifying essential elements required for ongoing improvement. Since projects varied by hospital, results did as well, but reported positive outcomes included increased GOC conversations, increased Practitioner Orders for Life-Sustaining Treatment form completion rates, new screening and documentation methods, and increased support from leadership. Conclusions: The PREP-CPC pilot successfully engaged a diverse set of hospitals to participate in quality improvement collaborative promoting primary palliative care and more frequent GOC conversations. This initiative revealed several lessons that should guide future interventions.

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Guo, Qiaohong, Harvey Max Chochinov, Susan McClement, Genevieve Thompson, and Tom Hack. "Development and evaluation of the Dignity Talk question framework for palliative patients and their families: A mixed-methods study." Palliative Medicine 32, no. 1 (November 13, 2017): 195–205. http://dx.doi.org/10.1177/0269216317734696.

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Background: Effective patient–family communication can reduce patients’ psychosocial distress and relieve family members’ current suffering and their subsequent grief. However, terminally ill patients and their family members often experience great difficulty in communicating their true feelings, concerns, and needs to each other. Aim: To develop a novel means of facilitating meaningful conversations for palliative patients and family members, coined Dignity Talk, explore anticipated benefits and challenges of using Dignity Talk, and solicit suggestions for protocol improvement. Design: A convergent parallel mixed-methods design. Dignity Talk, a self-administered question list, was designed to prompt end-of-life conversations, adapted from the Dignity Therapy question framework. Participants were surveyed to evaluate the Dignity Talk question framework. Data were analyzed using qualitative and quantitative methods. Setting/participants: A total of 20 palliative patients, 20 family members, and 34 healthcare providers were recruited from two inpatient palliative care units in Winnipeg, Canada. Results: Most Dignity Talk questions were endorsed by the majority of patients and families (>70%). Dignity Talk was revised to be convenient and flexible to use, broadly accessible, clearly stated, and sensitively worded. Participants felt Dignity Talk would be valuable in promoting conversations, enhancing family connections and relationships, enhancing patient sense of value and dignity, promoting effective interaction, and attending to unfinished business. Participants suggested that patients and family members be given latitude to respond only to questions that are meaningful to them and within their emotional capacity to broach. Conclusion: Dignity Talk may provide a gentle means of facilitating important end-of-life conversations.

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Hunter, Wynn G., S. Yousuf Zafar, Ashley Hesson, J. Kelly Davis, Christine Kirby, Jamison A. Barnett, and Peter A. Ubel. "Discussing Health Care Expenses in the Oncology Clinic: Analysis of Cost Conversations in Outpatient Encounters." Journal of Oncology Practice 13, no. 11 (November 2017): e944-e956. http://dx.doi.org/10.1200/jop.2017.022855.

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Purpose: ASCO identified oncologist-patient conversations about cancer costs as an important component of high-quality care. However, limited data exist characterizing the content of these conversations. We sought to provide novel insight into oncologist-patient cost conversations by determining the content of cost conversations in breast cancer clinic visits. Methods: We performed content analysis of transcribed dialogue from 677 outpatient appointments for breast cancer management. Encounters featured 677 patients with breast cancer visiting 56 oncologists nationwide from 2010 to 2013. Results: Cost conversations were identified in 22% of visits (95% CI, 19 to 25) and had a median duration of 33 seconds (interquartile range, 19 to 62). Fifty-nine percent of cost conversations were initiated by oncologists (95% CI, 51 to 67), who most commonly brought up costs for antineoplastic agents. By contrast, patients most frequently brought up costs for diagnostic tests. Thirty-eight percent of cost conversations mentioned cost-reducing strategies (95% CI, 30 to 46), which most commonly sought to lower patient costs for endocrine therapies and symptom-alleviating treatments. The three most commonly discussed cost-reducing strategies were: switching to a lower-cost therapy/diagnostic, changing logistics of the intervention, and facilitating copay assistance. Conclusion: We identified cost conversations in approximately one in five breast cancer visits. Cost conversations were mostly oncologist initiated, lasted < 1 minute, and dealt with a wide range of health care expenses. Cost-reducing strategies were mentioned in more than one third of cost conversations and often involved switching antineoplastic agents for lower-cost alternatives or altering logistics of diagnostic tests.

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Iwasaki, Junko, and Rhonda Oliver. "Chat-Line interaction and negative feedback." Asian Languages and Computers 17 (January 1, 2003): 60–73. http://dx.doi.org/10.1075/aralss.17.05iwa.

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In recent years researchers have investigated the use of Internet applications for language and cultural learning. While this new technology seems to have provided an educational breakthrough, relatively little linguistic research has been conducted particularly in relation to second language acquisition. Therefore the efficacy of the Internet applications not just for cultural studies or the expansion of knowledge, but also for second/foreign language acquisition remains uncertain. This study explores communicative interactions between native speakers (NSs) and non-native speakers (NNSs) of Japanese. Internet Relay Chat (IRC) was chosen as the setting for this study, because of the resemblance of chat line interactions to verbal exchanges. The linguistic focus in this study was specifically on one form of corrective feedback, namely implicit negative feedback (NF), which provides information to language learners about what is unacceptable in target language (e.g. Long, 1996). It has been claimed that NF plays an important facilitative role in language development. Therefore, the aim of this study is to investigate whether NSs provide NF to their NNS interlocutors in interactions during chat line conversations, and whether the NNS’s used this feedback in their subsequent production. The participants were NNSs and NSs of Japanese, formed into 12 gender-matched dyads. Each pair had free on-line “conversation” in three separate sessions. The results show that the proportion of NSs’ NF to the number of NNSs’ non-target-like turns was . lower than that found in the previous studies based on face to face verbal interactions. Even so NF was provided, and it was used – however it remains unclear as to whether or not on-line interactions elicit sufficient NF for acquisition to occur.

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Wong, Ambrose H., Gunjan K. Tiyyagura, James M. Dodington, Bonnie Hawkins, Denise Hersey, and Marc A. Auerbach. "Facilitating Tough Conversations: Using an Innovative Simulation-Primed Qualitative Inquiry in Pediatric Research." Academic Pediatrics 17, no. 8 (November 2017): 807–13. http://dx.doi.org/10.1016/j.acap.2017.06.007.

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Clarfeld, Laurence A., Robert Gramling, Donna M. Rizzo, and Margaret J. Eppstein. "A general model of conversational dynamics and an example application in serious illness communication." PLOS ONE 16, no. 7 (July 1, 2021): e0253124. http://dx.doi.org/10.1371/journal.pone.0253124.

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Conversation has been a primary means for the exchange of information since ancient times. Understanding patterns of information flow in conversations is a critical step in assessing and improving communication quality. In this paper, we describe COnversational DYnamics Model (CODYM) analysis, a novel approach for studying patterns of information flow in conversations. CODYMs are Markov Models that capture sequential dependencies in the lengths of speaker turns. The proposed method is automated and scalable, and preserves the privacy of the conversational participants. The primary function of CODYM analysis is to quantify and visualize patterns of information flow, concisely summarized over sequential turns from one or more conversations. Our approach is general and complements existing methods, providing a new tool for use in the analysis of any type of conversation. As an important first application, we demonstrate the model on transcribed conversations between palliative care clinicians and seriously ill patients. These conversations are dynamic and complex, taking place amidst heavy emotions, and include difficult topics such as end-of-life preferences and patient values. We use CODYMs to identify normative patterns of information flow in serious illness conversations, show how these normative patterns change over the course of the conversations, and show how they differ in conversations where the patient does or doesn’t audibly express anger or fear. Potential applications of CODYMs range from assessment and training of effective healthcare communication to comparing conversational dynamics across languages, cultures, and contexts with the prospect of identifying universal similarities and unique “fingerprints” of information flow.

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Johansson, Therese, Carol Tishelman, Joachim Cohen, Lars E. Eriksson, and Ida Goliath. "Continuums of Change in a Competence-Building Initiative Addressing End-of-Life Communication in Swedish Elder Care." Qualitative Health Research 31, no. 10 (May 13, 2021): 1904–17. http://dx.doi.org/10.1177/10497323211012986.

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Conversations about values for the end-of-life (EoL) between residents, relatives, and staff may allow EoL preparation and enable value-concordant care, but remain rare in residential care home (RCH) practice. In this article, longitudinal qualitative analysis was used to explore changes in staff discussions about EoL conversations throughout workshop series based on reflection and knowledge exchange to promote EoL communication in RCHs. We identified three overall continuums of change: EoL conversations became perceived as more feasible and valuable; conceptualizations of quality EoL care shifted from being generalizable to acknowledging individual variation; and staff’s role in facilitating EoL communication as a prerequisite for care decision-making was emphasized. Two mechanisms influenced changes: cognitively and emotionally approaching one’s own mortality and shifting perspectives of EoL care. This study adds nuance and details about changes in staff reasoning, and the mechanisms that underlie them, which are important aspects to consider in future EoL competence-building initiatives.

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Aass, Lisbeth Kjelsrud, Hege Skundberg-Kletthagen, Agneta Schrøder, and Øyfrid Larsen Moen. "Young Adults and Their Families Living With Mental Illness: Evaluation of the Usefulness of Family-Centered Support Conversations in Community Mental Health care Settings." Journal of Family Nursing 26, no. 4 (October 23, 2020): 302–14. http://dx.doi.org/10.1177/1074840720964397.

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The aim of this study was to evaluate the usefulness of Family-Centered Support Conversations (FCSC) offered in community mental health care in Norway to young adults and their families experiencing mental illness. The FCSC is a family nursing intervention based on the Calgary Family Assessment and Intervention Models and the Illness Beliefs Model and is focused on how family members can be supportive to each other, how to identify strengths and resources of the family, and how to share and reflect on the experiences of everyday life together while living with mental illness. Interviews were conducted with young adults and their family members in Norway who had received the FCSC intervention and were analyzed using phenomenography. Two descriptive categories were identified: “Facilitating the sharing of reflections about everyday life” and “Possibility of change in everyday life.” The family nursing conversations about family structure and function in the context of mental illness allowed families to find new meanings and possibilities in everyday life. Health care professionals can play an important role in facilitating a safe environment for young adults and their families to talk openly about the experience of living with and managing mental illness.

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Kang, Hye-Kyung, and Peggy O’Neill. "Teaching Note—Constructing Critical Conversations: A Model for Facilitating Classroom Dialogue for Critical Learning." Journal of Social Work Education 54, no. 1 (January 2, 2018): 187–93. http://dx.doi.org/10.1080/10437797.2017.1341857.

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Althoff, Tim, Kevin Clark, and Jure Leskovec. "Large-scale Analysis of Counseling Conversations: An Application of Natural Language Processing to Mental Health." Transactions of the Association for Computational Linguistics 4 (December 2016): 463–76. http://dx.doi.org/10.1162/tacl_a_00111.

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Mental illness is one of the most pressing public health issues of our time. While counseling and psychotherapy can be effective treatments, our knowledge about how to conduct successful counseling conversations has been limited due to lack of large-scale data with labeled outcomes of the conversations. In this paper, we present a large-scale, quantitative study on the discourse of text-message-based counseling conversations. We develop a set of novel computational discourse analysis methods to measure how various linguistic aspects of conversations are correlated with conversation outcomes. Applying techniques such as sequence-based conversation models, language model comparisons, message clustering, and psycholinguistics-inspired word frequency analyses, we discover actionable conversation strategies that are associated with better conversation outcomes.

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Bennett, Jill, Lynn Froggett, and Lizzie Muller. "Psychosocial aesthetics and the art of lived experience." Journal of Psychosocial Studies 12, no. 1 (July 1, 2019): 185–201. http://dx.doi.org/10.1332/147867319x15608718111023.

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This article identifies the distinctive nature of arts-based psychosocial enquiry and practice in a public mental health context, focusing on two projects delivered as part of The Big Anxiety festival, in Sydney, Australia in 2017: ‘Awkward Conversations’, in which one-to-one conversations about anxiety and mental health were offered in experimental aesthetic formats; and ‘Parragirls Past, Present’, a reparative project, culminating in an immersive film production that explored the enduring effects of institutional abuse and trauma and the ways in which traumatic experiences can be refigured to transform their emotional resonance and meaning. Bringing an arts-based enquiry into lived experience into dialogue with psychosocial theory, this article examines the transformative potential of aesthetic transactions and facilitating environments, specifically with regard to understanding the imbrication of lived experience and social settings.

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Wilson, Keith B., Jenelle S. Pitt, Carrie L. Acklin, Jason E. Gines, Si-Yi Chao, and James F. Stewart. "Facilitating Application of the Multicultural Counseling Competencies." Rehabilitation Research, Policy, and Education 33, no. 4 (November 26, 2019): 234–44. http://dx.doi.org/10.1891/2168-6653.33.4.234.

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Diverse people living throughout the world have existed for many centuries. Perhaps, the United States may have one of the most diverse populations in recent memory. There are indications that human service organizations need to be more accessible when underrepresented groups either seek, or are in the pipeline of providers. To facilitate outcomes of all populations, we assert that the Multicultural Counseling Competencies (MCC) model that deals with awareness, knowledge, and skills should emphasize the application concept more. We operationalized cognitive, behavior and action, and application terms and applied these terms to the MCC in extensive examples. Additionally, we highlight that the use of the terms behavior and action are mistakenly conflated to mean application. Thus, decreasing application principles in the MCC. Future research and recommendations are highlighted.

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Joseph, Nicole M., Christopher C. Jett, and Jacqueline Leonard. "A Review of Cases for Mathematics Teacher Educators: Facilitating Conversations About Inequities in Mathematics Classrooms." Journal for Research in Mathematics Education 49, no. 2 (March 2018): 232–36. http://dx.doi.org/10.5951/jresematheduc.49.2.0232.

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Cases for Mathematics Teacher Educators: Facilitating Conversations About Inequities in Mathematics Classrooms (hereafter referred to as Cases), edited by Dorothy Y. White, Sandra Crespo, and Marta Civil (2016), is a robust anthology about inequities in mathematics classrooms in three spaces: mathematics methods courses, mathematics content courses, and graduate and professional development courses. This pedagogical contribution utilizes and deconstructs dilemmas occurring in mathematics teacher educators' (MTEs) classrooms. The text consists of 19 cases and 57 corresponding commentaries (three per case) that serve as critical analysis for discussion. The authors present their cases to provide the reader with their respective dilemmas, identities as teacher educators, and strategies for engaging in equity work. This organizational structure is significant methodologically because it promotes opportunities for critique and conversation about the authors' biases and assumptions. However, there are missed opportunities in many of the cases to acknowledge microaggressions and systematic oppression in higher education and in U.S. society in general (Chang, 2016).

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Kulik, Carol T., Belinda R. Tovale, Shruti Sardeshmukh, Sanjeewa Samanmali Perera, and Gayathri Wijesinghe. "Can We Still Be Friends? The Role of Exit Conversations in Facilitating Post-exit Relationships." Academy of Management Proceedings 2012, no. 1 (July 2012): 10805. http://dx.doi.org/10.5465/ambpp.2012.233.

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Kulik, Carol T., Belinda Rae, Shruti R. Sardeshmukh, and Sanjeewa Perera. "Can We Still be Friends? The Role of Exit Conversations in Facilitating Post-Exit Relationships." Human Resource Management 54, no. 6 (November 3, 2014): 893–912. http://dx.doi.org/10.1002/hrm.21642.

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Peng, Cynthia S. "Our Shared Humanity—Music as a Means of Facilitating Conversations on End-of-Life Care." JAMA Oncology 4, no. 6 (June 1, 2018): 771. http://dx.doi.org/10.1001/jamaoncol.2017.4186.

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Porter, Laura S., Laura FIsh, Hope Elizabeth Uronis, Yousuf Zafar, and Karen E. Steinhauser. "The elephant in the room: Facilitating conversations about advanced cancer between patients and their spouses." Journal of Clinical Oncology 34, no. 26_suppl (October 9, 2016): 233. http://dx.doi.org/10.1200/jco.2016.34.26_suppl.233.

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233 Background: Interventions to enhance couples’ communication about cancer-related issues can lead to benefits for patients, spouses, and their relationships. We recently conducted a pilot study testing a couples communication skills training (CCST) intervention targeted to couples in which one partner had advanced GI cancer, a population who may need particular help addressing difficult and emotionally-laden topics related to life-limiting illness. Results of quantitative analyses suggested that the intervention was effective in improving relationship satisfaction for these couples. The objective of the current study was to analyze intervention session conversation content to identify themes that couples addressed spontaneously, with the ultimate goal of determining whether an intervention that more specifically guides couples to discuss issues related to end of life and the life-limiting nature of the patient’s illness would be acceptable. Methods: 12 couples (10 male and 2 female patients and their spouses) completed the 6 session CCST intervention which provided training in communication skills for sharing thoughts and feelings and making decisions, and gave couples the opportunity to use these skills to discuss cancer-related issues of their choosing. We conducted qualitative content analysis of the 72 audio-recorded sessions, and coded common and recurrent topics raised by patients and spouses. In addition to identifying breadth of topics, we used theme frequency as an initial gauge of theme importance and acceptability. Results: The most common themes identified were prognosis, treatment, emotional intimacy, completion, spouse’s life after the death of the patient, roles, communication, sublimating needs, emotional support, and family. These represent themes previously identified as important to patients at end of life, as well as themes unique to dyads in intimate relationships. Conclusions: These findings support the feasibility of conducting an intervention that combines training in communication skills with guidance for using these skills to discuss topics that are potentially most meaningful to couples facing advanced illness.

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Eftimova, Andreana. "Thematic Organization of Conversations in the Voip Application Viber." Postmodernism Problems 10, no. 1 (April 2, 2020): 3–17. http://dx.doi.org/10.46324/pmp2001003.

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In a large number of social media and mobile applications, a new hybrid oral-writing formation is emerging, which is called from linguists' written spoken speech with similar features to both written and oral speech, but also has its own distinctive features. This study will illustrate the thematic structure of a conversation using the VoIP application Viber to highlight the most common model of a zig-zag themed organization and its specifics.

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Härmävaara, Hanna-Ilona. "Facilitating mutual understanding in everyday interaction between Finns and Estonians." Applied Linguistics Review 5, no. 1 (April 1, 2014): 211–45. http://dx.doi.org/10.1515/applirev-2014-0010.

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AbstractFinnish and Estonian are relatively closely related languages, which, however, are not considered unconditionally mutually intelligible. The present article discusses the mutual intelligibility of Finnish and Estonian and explores the means by which mutual understanding is created in actual Finnish-Estonian multilingual communication. The data consist of video-recorded informal conversations between Finns and Estonians belonging to a social network in which using both languages (Finnish and Estonian) is a common way of communication. The data are analyzed within the framework of conversation analysis using the concept of participation framework. An overview of informal Finnish- Estonian receptive multilingualism is provided and the language choices are discussed. It is demonstrated that participating in either language does not necessarily cause problems in interaction, and that the shared elements of the languages constitute one resource in creating mutual understanding. However, the participation is also actively facilitated for the participants not competent in both the languages. Receptive multilingualism is shown to be a group phenomenon in the studied data.

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Niranjan, Soumya J., Chao-Hui S. Huang, J. Nicholas Dionne-Odom, Karina I. Halilova, Maria Pisu, Patricia Drentea, Elizabeth A. Kvale, et al. "Lay Patient Navigators’ Perspectives of Barriers, Facilitators and Training Needs in Initiating Advance Care Planning Conversations With Older Patients With Cancer." Journal of Palliative Care 33, no. 2 (February 12, 2018): 70–78. http://dx.doi.org/10.1177/0825859718757131.

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Context: Respecting Choices is an evidence-based model of facilitating advance care planning (ACP) conversations between health-care professionals and patients. However, the effectiveness of whether lay patient navigators can successfully initiate Respecting Choices ACP conversations is unknown. As part of a large demonstration project (Patient Care Connect [PCC]), a cohort of lay patient navigators underwent Respecting Choices training and were tasked to initiate ACP conversations with Medicare beneficiaries diagnosed with cancer. Objectives: This article explores PCC lay navigators’ perceived barriers and facilitators in initiating Respecting Choices ACP conversations with older patients with cancer in order to inform implementation enhancements to lay navigator-facilitated ACP. Methods: Twenty-six lay navigators from 11 PCC cancer centers in 4 states (Alabama, George, Tennessee, and Florida) completed in-depth, one-on-one semistructured interviews between June 2015 and August 2015. Data were analyzed using a thematic analysis approach. Results: This evaluation identifies 3 levels—patient, lay navigator, and organizational factors in addition to training needs that influence ACP implementation. Key facilitators included physician buy-in, patient readiness, and navigators’ prior experience with end-of-life decision-making. Lay navigators’ perceived challenges to initiating ACP conversations included timing of the conversation and social and personal taboos about discussing dying. Conclusion: Our results suggest that further training and health system support are needed for lay navigators playing a vital role in improving the implementation of ACP among older patients with cancer. The lived expertise of lay navigators along with flexible longitudinal relationships with patients and caregivers may uniquely position this workforce to promote ACP.

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Journal articles on the topic 'Application for facilitating conversations'

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