Three-Source Annotated Bibliography
Three-Source Annotated Bibliography (30%) (Final draft: Three sources in APA and three complete annotations with Cover Letter due 4/22 )
In addition to the interview, you will conduct research focused on what you learned from the interview. You will choose three themes related to your interview (see suggested themes below). The information you find in the journal articles you read should help you better understand both the patient’s experience of illness and the role of communication in healthcare. You will identify three articles, one per theme. These articles must be specifically about communication (identity, relationships) and come from professional, academic journals, such as Journal of the American Medical Association (JAMA), New England Journal of Medicine (NEJM), Social Science & Medicine, Qualitative Health Research, Addiction, Communication Studies, Disability Studies Quarterly, Patient Education and Counseling, Journal of General Internal Medicine, The Lancet, etc. Please check with me if you are unsure about the quality of your sources—poor sources will significantly impact the quality of your bibliography. . The papers read in class Resource: Moore and Hallenbeck, Narrative Empathy http://ac.els-cdn.com/S0885392410004628/1-s2.0-S0885392410004628-main.pdf?_tid=c79c1d9a-77e6-11e3-a3fb-00000aacb35e&acdnat=1389132062_391c50235082788fda47188c3f508e59 Read Mathieson and Stam, “Renegotiating identity;” http://onlinelibrary.wiley.com/doi/10.1111/1467-9566.ep10933316/pdf Tracy book "everyday talk" Ch 1-10
2 Annotated Bibliography each Annotated Bibliography should be between 2-3 pages One theme per Annotated Bibliography the key themes related to interpersonal communication for research:
1-effects of illness on relationships with family, friends, co-workers
2-empathy
What to do:
1. Conduct research—find articles related to the IPC themes you’ve identified in the interview.
2. Read each article.
3. Cite each article in alphabetical order using APA format. [Author Last Name, First Initial. (Year). Article title. Journal Title, volume number(issue number), pages.] See Purdue OWL for more detailed information: http://owl.english.purdue.edu/owl/resource/560/01/ .)
4. Write an annotation for EACH article (approximately 2-3 pages per annotation), and include:
a. a summary of the article (in your own words!) that is accurate, complete and concise. In your summary, explain what kind of research was conducted (qualitative, quantitative, survey, interview, etc.); describe the methodology (how many participants? what kind of participants? what did they do? over how much time, etc.) as well as the conclusions (what meaning to do the researchers take from their study?).
b. connections to IPC—be specific!; I will use this to assess your understanding of the course material; quote from Tracy and the articles we read in class; use APA format to cite sources
c. connections to your interviewee’s experience. How does the article help you to better understand his/her needs, interactions with health care providers, etc.?
d. brief discussion of the relevance of this information to you as a future health care provider.
5. Include the Honesty Pledge: I pledge that I have neither given nor received unauthorized aid on this assignment. Cover Letter (with the Final Draft of Annotated Bibliography) With your final draft of your annotated bibliography, you will include a cover letter; it should precede the bibliography.
In the cover letter, describe your process of researching and writing this paper; address the following questions: • What did you find most surprising about conducting the interview? • What was the most important thing you learned? • What was the hardest part of completing this assignment? Why? • What was the easiest? Why? • What suggestions do you have for improving this assignment? EVALUATION These assignments will be assessed according to their: a) completeness: Are all the required elements included and fully developed? b) quality of research and analysis: Are the sources sufficient, valid and well-chosen? Are relevant themes and specific communication challenges clearly identified? Is there evidence of understanding of and engagement with the research? c) quality of writing: Are the ideas communicated clearly? Are the annotations well-organized and easy to follow? Are there minimal errors in grammar, vocabulary, mechanics, etc.? (See MCPHS Writing Proficiency Rubric posted on Bb.) The interview analysis paper is below: Illness Challenge People usually go through changes during their lifetime. Some of those people cannot adjust to the changes appropriately or they do not get help or support to do so. To get a perspective from someone who had gone there and tried major changes, I interviewed Fatimah. She is a single 20 years old college student who is diabetic. She knew about five years ago when she was 16 years old. The interview took place while having a cup of tea around a table that is next to a balcony in her cozy apartment. The Interview was sympathetic, thoughtful, touched, and trustful. Before our meeting, I thought that she might not feel like keeping on the conversation. I also expected her to cry and then postponed the interview. Unlike my expectation, she showed some emotion at some point and seemed to enjoy sharing her illness experience with me. Indeed, her first reaction was "sure, I would love to," when I asked her to do the interview. The interview began with the changes in her daily activities before visiting the hospital. She had a numb hands and feet and dizziness several times each day. She urinated more than usual. She kept feeling very hungry and thirsty. Then, she fainted and lost consciousness at school. When she transported to the hospital, she had to do some lab tests and physical examination, and then she knew that she had diabetes. As a diabetic patient, she had to see a specialist to regulate her diet and learn how to inject the Insulin. She, also, needed support and encouragement from her family and friends. The regulation of a diet is a challengeable step in anyone’s life. The challenge mostly consists of keeping yourself away from what you love to eat. She said: "even though the doctor wanted me to change my diet, I could not change it." The only change was "needles of insulin," from her point of view. She implied that she could regulate her blood sugar, so why bother to change diet. Indeed, "my family did not help me as much as they helped my older brother. They keep telling me not to eat this and that without supporting me emotionally, but, my friends did encourage me by making me hate sugars such as candy, chocolate, and Pepsi." Additionally, the best way to get help from your doctor and have a better communication is "to be honest" as she said. It is surprising how friends engaged with her emotionally more than her family. Should not be the family surrounds you with their love and empathy? Are they hiding their emotion? Why would a family have a lack of emotional support but a controlling order? Well, here is where the communication patterns play a significant role in emotional or non-emotional interaction. Doing the interview made me feel that I am unique, and Fatimah is unique. Having the opportunity to conduct this interview allows me to understand the importance of conversation, listening, body language, empathy, and sympathy in our daily life talk. They are necessary to us as well as people around us. These five factors help us to shape or determine our identity and relationship with others. The term “identity refers to core aspects of selfhood…use[d] to categorize…members” (Tracy, 2002, p.17). Since Identity can be used to define our relationship, we can use relational identity to determine the doctor-patient relationship strength, since Identity can be used to define our relationship. According to Karen Tracy (2002), "a relational identity, refers to the kind of relationship that a person enacts with a particular conversational pattern in a specific situation" (p. 19). For example, I would be most likely forming a perfect doctor-patient relationship if I had a conversation with a doctor who tends to maintain eye contact, listening, gives me time to finish my sentences, and sympathy. Nowadays, we do not understand the relationship types between us. If we did, we would have a stronger bond with those who showed an engagement interactional conversation with us. However, in the analysis to the interview, when Fatimah first diagnosed with diabetes, she began to feel different from others. She told me that people were very careful while speaking with her. They tend pick which food to offer for her when she visits them. It is all because she used to be normal and healthy but now she became ill. She is diabetic. Mathieson, C. M. and Stam, H. J. (1995) say "patients begin to feel like different persons as a result of the early signals of threat to identity: body cues, relationships under stress, and encounters with medical institutions" (296). This shows that not only others’ behavior that impact our feeling of identity when we are sick but also body signals, such as symptoms of illness or feeling tired, and visits hospital regularly. This makes patients emotionally sensitive. For sensitive patients, he or she might perceive the people who are trying to help as pressuring or controlling his or her life. Indeed, they are truly trying to help, with no intention to offend his or her regarding the illness. For example, Fatimah’s story of her family controlling her and not helping is: One day, I woke up in the morning late for school I quickly got a bite of the cheese sandwich and took the orange juice. Then, I walked out of the house’s door to school without taking my dose of insulin. Then, at the afternoon, when get home, I had to face my mom’s anger. Mom begun to ask: ??did you get your insulin this morning? Did you even eat your breakfast? Did you get lunch at school? Do you hear me? Answer me?’ I answered her ??I am fine; my sugar is fine, Stop torturing me with your endless questions.’ Then, I began to cry asking myself why mom does not understand me? From this storytelling, we can clearly see that Fatimah put herself in a position where being tortured. Tracy, K. (2002) says "one feature that generally makes an event newsworthy, and hence worthy of telling as a story, is that it is relates to a conflict" (p. 162). This indicates that most stories told to emphasize a conflict of two parties. This makes the story interesting and worth to tell. Indeed, if you listen to either sides of the disagreement, you would hear the same story with different conceptions. Each party tells the story to be perceived to make himself or herself innocent, and the other is guilty. If I were to listen to the same story from Fatimah’s mom, I would be told that Fatimah is not taking good care of herself. So her mom had to make sure that Fatimah is eating well and taking her medication. In the regard of meditating, she had to visit the hospital every now and then, the range of communication between a caregiver and a patient differs from person to another. Indeed, during the interview, Fatimah said about her visits to the hospital that she was "honest with the doctor so he can help [her] properly, “also it was her advice for other patients. From what I understood, the relationship between them was fine and cooperative. She tells what he needs of information, and he analyses, diagnose, prescribe. According to Mathieson, C. M. and Stam, H. J. (1995), "Stories of illness are told in terms of disease processes arising from particular interactions of disordered physiologies within broken bodies." This indicates that the known doctor-patient relationship is not about empathy. However, in this relationship type we need empathy. As suggested in Mathieson, C. M. and Stam, H. J. (1995) article, Narrative Empathy and How Dealing with Stories Helps: Creating a Space for Empathy in Culturally Diverse Care Settings, patients need to build "self-awareness" in their personality in order to do so. Self-awareness is how we perceive ourselves and others personality and how others perceive me. To build up our self-awareness we need to practice centering our focus on our personality and behavior. Finally, the interview of Fatimah was a vivid simulation experience of how doctor-patient meetings should be. It should contain empathy and trustful tone and mood. Also, the tone of reassurance from the family could help a patient adjust with the new changes easily. My point of view as a future doctor, I gain a lot of experience from this interview, and I clearly see how communication can reflect on the relationships. What went wrong in my interviewee’s issue, and how it should be done to avoid the conflict between her and her mother is very obvious for me now. Her mother should have shown Fatimah emotional support, belonging and informational support. This means that the mom should understand what her daughter is going through. Furthermore, the mother should also be a friend with Fatimah, and read more about diabetes and how to make changes in her daughter diet gradually without offending her. As a result of that, Fatimah will be comfortable and open to share her feelings with her mother. Reference List Mathieson, C. M. and Stam, H. J. (1995), Reneotiating identity: cancer narratives. Sociology of Health & Illness, 17: 283–306. doi: 10.1111/1467-9566.ep10933316. Rhonda J. Moore,. Hallenbeck, J.(2010). Journal of Pain and Symptom Management. Narrative Empathy and How Dealing with Stories Helps: Creating a Space for Empathy in Culturally Diverse Care Settings, 40,471–476. Http://www.sciencedirect.com/science/article/pii/S0885392410004628 Tracy, K. (2002). Everyday talk: Building and reflecting identities. New York: The Guilford Press.
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