It has to be first-hand: The effect of first-person testimonials in medical communication on recipients’ emotions and memory

Pain management communication between parents and nurses after pediatric outpatient surgery

PURPOSE

The purpose of this study was to explore parent-nurse pain management communication during a child's discharge process following pediatric outpatient surgery.

DESIGN AND METHODS

Thirty-two clinical encounters at discharge between parents (N = 40) and nurses (N = 25) at BC Children's Hospital were audio recorded and transcribed verbatim. Content analysis was applied on the audio recordings and corresponding transcripts using MAXQDA qualitative research software and Microsoft Excel.

RESULTS

Overall, nurses delivered pain management instructions at an average sixth grade readability level and frequently used communication elements of reassurance, optimism, and question-asking. Less consistent communication elements included open-ended questions, interruptions, and promotion of parental decision-making. Parents most frequently asked one to five questions, with pain medication being the most inquired topic.

CONCLUSIONS

Several strengths of the nurse communication approach were identified, and parent questions highlighted a need for greater understanding around pain medication.

PRACTICE IMPLICATIONS

These findings will help guide effective pain management communication and care for young patients and their families.

Pro-vaccination subjective norms moderate the relationship between conspiracy mentality and vaccination intentions

Objectives

Increasing vaccination hesitancy threatens societies’ capacity to contain pandemics and other diseases. One factor that is positively associated with vaccination intentions is a supportive subjective norm (i.e., the perception that close others approve of vaccination). On the downside, there is evidence that negative attitudes toward vaccinations are partly rooted in conspiracy mentality (i.e., the tendency to believe in conspiracies). The objective of this study is to examine the role of subjective norms in moderating the association between conspiracy mentality and vaccine hesitancy. We examined two competing predictions: Are those high in conspiracy mentality immune to subjective norms, or do subjective norms moderate the relationship between conspiracy mentality and vaccination intentions?

Methods

We conducted five studies (total N = 1,280) to test these hypotheses across several vaccination contexts (some real, some fictitious). We measured conspiracy mentality, vaccination intentions, subjective norms, attitudes toward vaccination, and perceived behavioural control.

Results

A merged analysis across the studies revealed an interaction effect of conspiracy mentality and subjective norm on vaccination intentions. When subjective norm was high (i.e., when participants perceived that close others approved of vaccines) conspiracy mentality no longer predicted vaccination intentions. This was consistent with the moderating hypothesis of subjective norms and inconsistent with the immunity hypothesis.

Conclusions

The typical negative relationship between conspiracy mentality and vaccination intentions is eliminated among those who perceive pro‐vaccination subjective norms. Although correlational, these data raise the possibility that pro‐vaccination views of friends and family can be leveraged to reduce vaccine hesitancy.