Quality and Satisfaction With Advance Care Planning Conversations Among English- and Spanish-Speaking Older Adults

Background: Little is known about the patient-reported quality of and satisfaction with advance care planning (ACP) conversations with surrogates and clinicians among English- and Spanish-speaking older adults, or the potential disparities associated with ACP communication satisfaction. Objectives: To determine patients' perceived quality of and satisfaction with ACP surrogate/clinician conversations and associated patient characteristics. Design: Cross-sectional baseline data were used from two ACP trials, 2013-2017. Outcomes included self-reported ACP conversation quality ("general" vs. "detailed") and communication satisfaction (5-point Likert scale). Associations were determined by chi-squared and t-tests. Setting/Subjects: Subjects were primary care patients ≥55 years with chronic/serious illness in the United States. Results: Of 1398 patients, mean age was 65.6 years (±7.7), 46% women, 32% Spanish speaking, 34% had limited health literacy, and 589 (42%) reported conversations with surrogates and 216 (15%) with clinicians. Of these, less than half rated the conversations as detailed high quality (clinician: 43%; surrogate: 37%). Five-point communication satisfaction scores were higher with detailed versus general conversations (e.g., surrogates: 4.4 vs. 4.1, p = 0.001; clinicians: 4.4 vs. 4.2, p = 0.18) and more often reported by men versus women [(4.4 (0.8) vs. 4.0 (1.0), p = 0.003]; those with adequate versus limited health literacy [4.4 (0.8) vs. 4.0 (0.9), p = 0.002]; and English versus Spanish speakers [4.5 (0.7) vs. 3.5 (0.9), p < 0.001]. Conclusions: Among English- and Spanish-speaking older adults, ACP conversations were infrequent and most were general in quality. Higher quality detailed conversations resulted in greater communication satisfaction. Interventions are needed to improve conversation quality, particularly for Spanish-speaking patients and those with limited health literacy. Trial Registrations: ClinicalTrials.gov identifiers: "Improving Advance Care Planning by Preparing Diverse Seniors for Decision Making (PREPARE)" NCT01990235 and "Preparing Spanish-Speaking Older Adults for Advance Care Planning and Medical Decision Making (PREPARE)" NCT02072941.

Influence of communication determinants on safety commitment in a high-risk workplace: a systematic literature review of four communication dimensions

Health, safety, and environment (HSE) are critical aspects of any industry, particularly in high-risk environments, such as the oil and gas industry. Continuous accident reports indicate the requirement for the effective implementation of safety rules, regulations, and practices. This systematic literature review examines the relationship between safety communication and safety commitment in high-risk workplaces, specifically focusing on the oil and gas industry. The review comprises 1,439 articles from 2004 to 2023, retrieved from the Scopus and Web of Science databases following the PRISMA comprehensive guidelines. This study considers safety communication, communication climate, and communication satisfaction to evaluate their influence on safety commitment under occupational health and safety. This study identifies safety commitment issues and their underlying factors, discussing measures for preventing and reducing accidents and incidents and highlighting preventive measures for future research. It also signifies the variables influencing accident and incident rates. The research underscores the importance of communication dimensions and the need for workers to possess adequate skills, knowledge, and attitudes regarding occupational safety and health procedures. Moreover, the study contributes to the industrial and academic domains by improving organizational safety commitment, promoting a safety culture, and developing effective communication strategies. Furthermore, practitioners may benefit from this comprehensive overview in developing, evaluating, and enhancing occupational safety.

Stress communication, communication satisfaction, and relationship satisfaction: an actor-partner interdependence mediation model

Past research has revealed positive effects of stress communication by oneself and by the partner on relationship satisfaction. However, the mechanisms through which stress communication by oneself and by the partner influence relationship satisfaction have not been well studied. The purpose of the present study was to examine the effects of one's own and the partner's stress communication on relationship satisfaction and the mediating roles of one's own and the partner's communication satisfaction in these associations. A total of 227 unmarried heterosexual couples were recruited. An actor-partner interdependence mediation model was used to examine the hypothesized relationships. The results showed that the actor effects of stress communication on relationship satisfaction were mediated by the actor effects of communication satisfaction. Moreover, the indirect effect of male stress communication on female relationship satisfaction through female communication satisfaction was found to be significant. These findings provide insights into the mechanism through which stress communication influences relationship satisfaction. Theoretical and practical implications are discussed.

Accepting influence in military couples: Implications for couples' communication and family satisfaction

In popular relationship resources, accepting influence is regarded as a couple-level process vital for relational satisfaction. However, empirical research has demonstrated inconsistent evidence for these suppositions, with several studies identifying no associations between accepting influence and relationship outcomes, and, furthermore, several gaps in the literature remain with regard to our knowledge on accepting influence (e.g., little identified research on military couples or family outcomes). To address these gaps, a measure of perceptions of one's partner accepting influence was retrospectively created to examine accepting influence in Army couples (N = 244). With theoretical underpinnings from family systems theory, this study used an actor-partner interdependence approach to investigate the associations between partners' accepting influence and couple communication satisfaction and satisfaction with the family. Service members' perceptions of their partners' accepting influence were associated with their own outcomes, whereas civilian spouses' perceptions of partners' accepting influence were related to both partners' outcomes. Results suggest accepting influence may be an intervention point to improve couple and family outcomes.

Relationship between emotional intelligence and job well-being in Chinese Registered Nurses: Mediating effect of communication satisfaction

AIM

To explore the relationship between emotional intelligence and job well-being among Chinese Registered Nurses, and the mediating role of communication satisfaction in the relationship.

DESIGN

A descriptive cross-sectional study design was employed.

METHODS

Random sampling was adopted. The study was conducted from September to December 2019, and 1,475 Registered Nurses from a Chinese hospital provided responses to Wong and Law's emotional intelligence scale, communication satisfaction scale, job well-being scale and general information questionnaire. SPSS25.0 software was used to calculate means, standard deviations and correlations, and AMOS 21.0 software was used to establish the structural equation model.

RESULTS

The emotional intelligence, communication satisfaction and job well-being of Registered Nurses in China were related to positional rank, work department, monthly income, years of service, night shift work distribution and intensity of work. There were positive correlations among emotional intelligence, communication satisfaction and job well-being. Communication satisfaction partly mediated the relationship between emotional intelligence and job well-being. Improving the level of emotional intelligence and communication satisfaction should be an important strategy to improve nurses' job well-being. Therefore, nursing managers could carry out targeted training on emotional intelligence management and communication between nurses and patients and pay attention to the spiritual needs of nurses and provide psychological guidance on a regular basis.