Abstract
According to Dental Protection, 'good dentists are good communicators, it's that simple!' Unfortunately, dental communication is an under-researched field, so it is not yet clear exactly what good communication in this context entails. The dominant method of researching dental communication to date has followed a 'process approach' where the focus has been on evaluating the communicative competence of the clinician using a checklist of communicative functions; for example, 'the clinician explains the condition'. Conversation analysis, discourse analysis and linguistic analysis are discursive approaches that bring precision by analysing the actual language/discourses being used by patients and providers in interactions. These discursive approaches can be used to capture exactly how, for example, patient engagement is maintained in routine dental consultations, patient reassurance is achieved during invasive procedures and which communication strategies are the most likely to result in enhanced treatment outcomes in paediatric dentistry. In addition to shedding new light on the unique nature of dental communication, discursive approaches provide targeted new tools for developing needs-based training packages for dental professionals.
Key points
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Conversation, discourse and linguistic analysis focuses on the actual language used in consultations, which provides a new evidence base for dental communication studies.
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These discursive approaches can be used to design targeted needs-based communications training.
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Using discursive approaches for research and training can contribute to enhanced patient engagement and satisfaction with dental communication.
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References
Cassell E J. Talking with Patients, Volume 2: Clinical technique. Massachusetts: MIT press, 1985.
Waylen A, Makoul G, Albeyatti Y. Patient-clinician communication in a dental setting: a pilot study. Br Dent J 2015; 218: 585-588.
Ebn Ahmady A, Pakkhesal M, Zafarmand A H, Lando H A. Patient satisfaction surveys in dental school clinics: a review and comparison. J Dent Educ 2015; 79: 388-393.
D'Cruz L. Risk management in clinical practice. Part 1. Introduction. Br Dent J 2010; 209: 19-23.
Dentistry Online. Top five reasons for dental complaints - treatment issues. 2020. Available at https://dentistry.co.uk/2020/03/16/top-five-reasons-dental-complaints-treatment-issues/ (accessed April 2021).
Carey J A, Madill A, Manogue M. Communication skills in dental education: a systematic research review. Eur J Dent Educ 2010; 14: 69-78.
Bridges S, McGrath C, Yiu C K Y, Cheng B S S. 'Reassuring' during clinical examinations: Novice and expert talk in dentistry. J Asian Pacific Commun 2010; 20: 185-206.
Kelly A. The ceremonial (dis)order of the clinic: mapping engagement in dental interactions. Dublin: Trinity College Dublin, 2015. Thesis.
Boiko O V, Robinson P G, Ward P R, Gibson B J. Form and semantics of communication in dental encounters: oral health, probability and time. Sociol Health Illn 2011; 33: 16-32.
Pendleton D. Doctor-patient communication: a review. In Pendleton D, Hasler J (eds) Doctor-Patient Communication. pp 5-56. Massachusetts: Academic Press, 1983.
Perakyla A. Conversation analysis: a new model of research in doctor-patient communication. J R Soc Med 1997; 90: 205-208.
Bowles K, Sehgal H S, Santelmann L, Pham E P, Kohli R. Dental student to patient communication analysis: a pilot study. Health Commun 2020; 35: 10-17.
Cohen S M, Fiske J, Newton J T. The impact of dental anxiety on daily living. Br Dent J 2000; 189: 385-390.
Theaker E D, Kay E J, Gill S. Development and preliminary evaluation of an instrument designed to assess dental students' communication skills. Br Dent J 2000; 188: 40-44.
Parry R H, Land V. Systematically reviewing and synthesizing evidence from conversation analytic and related discursive research to inform healthcare communication practice and policy: an illustrated guide. BMC Med Res Methodol 2013; DOI: 10.1186/1471-2288-13-69.
Schoonheim-Klein M, Hoogstraten J, Habets L et al. Language background and OSCE performance: a study of potential bias. Eur J Dent Educ 2007; 11: 222-229.
Dahm M R. Exploring perception and use of everyday language and medical terminology among international medical graduates in a medical course in Australia. Eng Specific Purposes 2011; 30: 186-197.
Yates L, Dahm M R, Roger P, Cartmill J. Developing rapport in inter-professional communication: insights for international medical graduates. Eng Specific Purposes 2016; 42: 104-116.
Staples S. Examining the linguistic needs of internationally educated nurses: A corpus-based study of lexico-grammatical features in nurse-patient interactions. Eng Specific Purposes 2015; 37: 122-136.
Hammersmith K J, Lee J Y. A survey of North Carolina safety-net dental clinics' methods for communicating with patients of limited english proficiency (LEP). J Public Health Dent 2009; 69: 90-94.
Bowles K, Sehgal H S, Santelmann L, Pham E P, Kohli R. Dental Student to Patient Communication Analysis: A Pilot Study. Health Commun 2020; 35: 10-17.
Holden A C L. Dentistry and Oral Health in Online Media Sources: A Discourse Analysis. Community Dent Health 2019; 36: 221-228.
Potter J, Wetherell M. Discourse and Social Psychology: Beyond Attitudes and Behaviour. London: Sage Publications, 1987.
Fairclough N. Language and Power. London: Longman, 1989.
Farzadnia S, Giles H. Patient-Provider Health Interactions: A Communication Accommodation Theory Perspective. Int J Soc Culture Language 2015; 3: 17-34.
Boiko O V. Dentist-patient communication: how do the models correspond? Soc Sci Dent 2010; 1: 57-67.
Sarnat H, Arad P, Hanauer D, Shohami E. Communication strategies used during paediatric dental treatment: a pilot study. Paediatr Dent 2001; 23: 337-342.
Roberts C, Wass V, Jones R, Sarangi S, Gillett A. A discourse analysis study of 'good' and 'poor' communication in an OSCE: a proposed new framework for teaching students. Med Educ 2003; 37: 192-201.
Barnes R K. Conversation Analysis of Communication in Medical Care: Description and Beyond. Res Lang Soc Interact 2019; 52: 300-315.
Sarangi S. Engaging qualitatively with healthcare communication. Conference on Communication, Medicine and Ethics. 1 July 2021.
Tsai M-H, Lu F-H, Frankel R M. Learning to listen: effects of using conversational transcripts to help medical students improve their use of open questions in soliciting patient problems. Patient Educ Couns 2013; 93: 48-55.
Roth E G, Girling L M, Chard S, Wallace B H, Eckert J K. Diabetes and the Motivated Patient: Understanding Perlocutionary Effect. Health Commun 2017;32: 502-508.
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Marion Bowman contributed to the investigation, writing the original draft and reviewing and editing. Ruth Payne, Karen Vinall-Collier and Aradhna Tugnait acted as co-supervisors and contributed to supervision and reviewing and editing.
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Bowman, M., Payne, R., Vinall-Collier, K. et al. Conversation, discourse and linguistic analysis in dental communication: valuable but under-used approaches. Br Dent J 232, 875–878 (2022). https://doi.org/10.1038/s41415-022-4348-x
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DOI: https://doi.org/10.1038/s41415-022-4348-x