This study examined person-centered comforting communication among members of hospice interdisciplinary teams. Five teams were studied in one hospice organization. The results indicate that hospice team members employ sophisticated comforting strategies in responding to another team member who appears emotionally distressed. Training in hospice was negatively associated with person-centered comforting message strategies. Results from the analysis of survey items indicate that satisfaction with perceived comforting communication from other team members was positively related to satisfaction with the team's communication and evaluation of the team's success in accomplishing its tasks.
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References
1.
Albrecht, T.
, Adelman, M., & Associates (1987). Communicating social support. Newbury Park, CA: Sage.
2.
Applegate, J. (1978). Four investigations of the relationship between social cognitive development and person-centered regulative and interpersonal communication. Unpublished doctoral dissertation, University of Illinois at Urbana—Champaign.
3.
Applegate, J.
(1980). Person-and position-centered communication in a day care center. In N. Denzin (Ed.), Studies in symbolic interaction (Vol. 3, pp. 59-96). Greenwich, CT: JAI Press.
4.
Applegate, J.
(1982). The impact of construct system development on communication and impression formation in persuasive contexts. Communication Monographs, 49, 277-289.
5.
Applegate, J.
(1990). Constructs and communication: A pragmatic integration. In G. Neimeyer (Ed.), Advances in personal construct psychology (Vol. 1, pp. 203-230). Greenwich, CT: JAI Press.
6.
Applegate, J.
, Burke, J., Burleson, B., Delia, J., & Kline, S. (1985). Reflection-enhancing parental communication. In I. Sigel (Ed.), Parental belief systems: The psychological consequences for children (pp. 107-142). Hillsdale, NJ: Erlbaum.
7.
Applegate, J.
, & Delia, J. (1980). Person-centered speech, psychological development, and the contexts of language usage. In R. St. Clair & H. Giles (Eds.), The social and psychological contexts of language (pp. 245-282). Hillsdale, NJ: Erlbaum.
8.
Barrera, M.
(1981). Social support in the adjustment of pregnant adolescents: Assessment issues. In B. Gottlieb (Ed.), Social networks and social support (pp. 69-96). Beverly Hills, CA: Sage.
9.
Basile, J.
, & Stone, D. (1987). Profile of an effective hospice team member. Omega, 17, 353-362.
10.
Beatty, M.
, & Payne, S. (1984). Loquacity and quantity of constructs as predictors of social perspective-taking. Communication Quarterly, 32, 207-210.
11.
Beatty, M.
, & Payne, S. (1985). Is construct differentiation loquacity? A motivational perspective. Human Communication Research, 11, 605-612.
12.
Beehr, T.
, King, L., & King, D. (1987, August). Social supports and contents of communication between supervisors and subordinates. Paper presented at the annual convention of the American Psychological Association, New York.
13.
Bell, R.
, & Gonzalez, M. (1988). Loneliness, negative life events, and the provisions of social relationships. Communication Quarterly, 36, 1-15.
14.
Bernstein, B.
(1975). Class, codes, and control: Theoretical studies toward a sociology of language. New York: Schocken.
15.
Blanchard, C.
, Osborn, B., Dick, E., & Kelty, T. (1985). Professional isolation in oncology and hospice care: Does a social work support group help? American Journal of Hospice Care, 2(1), 34-36.
16.
Blau, G.
(1981). An empirical investigation of job stress, social support, service length, and job strain. Organizational Behavior and Human Performance, 27, 279-302.
17.
Buckingham, R.
(1983). Hospice care in the United States: The process begins. Omega, 13, 159-171.
18.
Burleson, B.
(1982). The development of comforting skills in childhood and adolescence. Child Development, 53, 1578-1588.
19.
Burleson, B.
(1984). Comforting communication. In H. Sypher & J. Applegate (Eds.), Communication by children and adults: Social cognitive and strategic processes (pp. 63-104). Beverly Hills, CA: Sage.
20.
Burleson, B.
(1987). Cognitive complexity. In J. McCroskey & J. Daly (Eds.), Personality and interpersonal communication (pp. 305-349). Newbury Park, CA: Sage.
21.
Burleson, B.
(1990). Comforting as everyday social support: Relational consequences of supportive behaviors. In S. Duck (Ed.), Personal relationships and social support (pp. 66-82). London: Sage.
22.
Burleson, B.
, Applegate, J., & Neuwirth, C. (1981). Is cognitive complexity loquacity? A reply to Powers, Jordan, and Street. Human Communication Research, 7, 212-225.
23.
Burleson, B.
, & Samter, W. (1985). Consistencies in theoretical and naive evaluations of comforting messages. Communication Monographs, 52, 103-123.
24.
Burleson, B.
, & Waltman, P. (1987). Popular, rejected, and supportive preadolescents: Social-cognitive and communicative characteristics. In M. McLaughlin (Ed.), Communication yearbook 10 (pp. 533-552). Newbury Park, CA: Sage.
25.
Burleson, B.
, & Waltman, M. (1988). Cognitive complexity: Using the role category questionnaire measure. In C. Tardy (Ed.), A handbook for the study of human communication: Methods and instruments for observing, measuring, and assessing communication processes (pp. 1-35). Norwood, NJ: Ablex.
26.
Cammann, C.
, Fichman, M., Jenkins, D., & Klesh, J. (1978). The Michigan assessment package. Ann Arbor: University of Michigan, Survey Research Center.
27.
Clark, R. A.
, Willinghanz, S., & O'Dell, L. (1985). Training fourth graders in compromising and persuasive strategies. Communication Education, 34, 331-342.
28.
Cobb, S.
(1976). Social support as a moderator of life stress. Psychosomatic Medicine, 38, 300-314.
29.
Cooper, M.
(1986). Self selection. In R. Turnbull (Ed.), Terminal care (pp. 177-181). Washington, DC: Hemisphere.
30.
Crockett, W.
(1965). Cognitive complexity and impression formation. In B. Maher (Ed.), Progress in experimental social psychology (Vol. 2). New York: Academic Press.
31.
Crockett, W., Press, A., Delia, J., & Kenny, C. (1974). Structural analysis of the organization of written impressions. Unpublished manuscript, Department of Psychology, University of Kansas.
32.
Daleo, R.
(1986). Taking care of the caregiver: Five strategies for stamina. American Journal of Hospice Care, 3(5), 33-38.
33.
Finn Paradis, L.
(1985). The future of hospice. In L. Finn Paradis (Ed.), Hospice handbook: A guide for managers and planners (pp. 363-375). Rockville, MD: Aspen.
34.
Finn Paradis, L.
(1988). An assessment of sociology's contributions to hospice: Priorities for future research. Hospice Journal, 4(3), 57-71.
35.
Gifford, C.
(1983, May). Health team literature: A review and application with implications for communication research. Paper presented at the annual meeting of the Eastern Communication Association, Ocean City, MD.
36.
Gottlieb, B.
(1983). Social support strategies: Guidelines for mental health practice. Beverly Hills, CA: Sage.
37.
Grady, K.
, & Wallston, B. (1988). Research in health care settings. Newbury Park, CA: Sage.
38.
Gray-Toft, P.
, & Anderson, J. (1987). Sources of stress in nursing terminal patients in a hospice. Omega, 24, 27-39.
39.
Hover, D.
(1986). Development of a hospice support group. American Journal of Hospice Care, 3(5), 39-41.
40.
Kahn, R.
, & Antonucci, T. (1980). Attachment, roles, and social support. In P. Baltes & O. Brim (Eds.), Life-span development and behavior (pp. 253-286). New York: Academic Press.
41.
Katz, D.
, & Kahn, R. (1978). The social psychology of organizations (2nd ed). New York: Wiley.
42.
Kline, S.
, & Ceropski, J. (1984). Person-centered communication in medical practice. In J. Wood & G. Phillips (Eds.), Human decision-making (pp. 120-141). Carbondale: Southern Illinois University Press.
43.
Kreps, G.
(1988). The pervasive role of information in health and health care: Implications for health communication policy. In J. Anderson (Ed.), Communication yearbook 11 (pp. 238-276). Newbury Park, CA: Sage.
44.
Krikorian, D.
, & Moser, D. (1985). Satisfactions and stresses experienced by professional nurses in hospice programs. American Journal of Hospice Care, 2(1), 25-33.
45.
Lambert, M. J.
, DeJulio, S. S., & Stein D. M. (1978). Therapist interpersonal skills: Process, outcome, methodological skills, and recommendations for future research. Psychological Bulletin, 85(3), 467-489.
46.
LaRocco, J.
, & Jones, A. (1978). Co-worker and leader support as moderators of stress-strain relationships in work situations. Journal of Applied Psychology, 63, 629-634.
47.
Larson, D.
(1985). Helper secrets: Invisible stressors in hospice work. American Journal of Hospice Care, 2(6), 35-40.
48.
Larson, D.
(1986). Developing effective hospice staff support groups: Pilot test of an innovative training program. Hospice Journal, 2(26), 41-55.
49.
Lazarus, K.
(1985). Developing a pediatric hospice: Organizational dynamics. In L. Finn Paradis (Ed.), Hospice handbook: A guide for managers and planners (pp. 147-171). Rockville, MD: Aspen.
50.
McArdle, K.
(1985). Management of the hospital inpatient hospice unit. In L. Finn Paradis (Ed.), Hospice handbook: A guide for managers and planners (pp. 127-145). Rockville, MD: Aspen.
51.
Miller, G.
, & Knapp, M. (1985). Introduction: Background and current trends in the study of interpersonal communication. In M. Knapp & G. Miller (Eds.), Handbook of interpersonal communication (pp. 7-15). Beverly Hills, CA: Sage.
52.
Monge, P.
, & Contractor, N. (1988). Communication networks: Measurement techniques. In C. Tardy (Ed.), A handbook for the study of human communication: Methods and instruments for observing, measuring, and assessing communication processes (pp. 107-138). Norwood, NJ: Ablex.
53.
National Hospice Organization
. (1982). Standards of a hospice program of care. Arlington, VA: Author.
54.
O'Keefe, D.
, Shepherd, G., & Streeter, T. (1982). Role category questionnaire measures of cognitive complexity: Reliability and comparability of alternative forms. Central States Speech Journal, 33, 333-338.
55.
Olson, S.
(1988). Hospice administration: A life cycle model. American Journal of Hospice Care, 5(1), 40-47.
56.
Palleschi, P.
, & Heim, P. (1980). The hidden barriers to team building. Training and Development Journal, 34, 14-18.
57.
Petrosino, B.
(1986). Research challenges in hospice nursing. Hospice Journal, 2(1), 1-10.
58.
Pilisuk, M.
(1982). Delivery of social support: The social inoculation. American Journal of Orthopsychiatry, 52(1), 20-31.
59.
Query, J.
, & James, A. (1989). The relationship between interpersonal communication competence and social support among elderly support groups in retirement communities. Health Communication, 3, 165-184.
60.
Ray, E.
(1987). Support relationships and occupational stress in the work place. In T. Albrecht, M. Adelman, & Associates, Communicating social support (pp. 172-191). Newbury Park, CA: Sage.
61.
Ray, E.
, Nichols, M., & Perritt, L. (1987). A model of job stress and burnout. Hospice Journal, 3(2/3), 3-28.
62.
Richards, W.
(1985). Data, models, and assumptions in network analysis. In R. McPhee & P. Tompkins (Eds.), Organizational communication: Traditional themes and new directions (pp. 109-128). Beverly Hills, CA: Sage.
63.
Samter, W.
, Burleson, B., & Murphy, L. (1987). Comforting conversations: The effects of strategy type on evaluations of messages and message producers. Southern Speech Communication Journal, 52, 263-284.
64.
Seers, A.
, McGee, G., Serey, T., & Graen, G. (1983). The interaction of job stress and social support: A strong inference investigation. Academy of Management Journal, 26(2), 273-284.
65.
Slate, E.
(1985). Support systems are necessary for hospice leaders and educators. American Journal of Hospice Care, 2(4), 11-12.
66.
Sypher, B.
, Applegate, J., & Sypher, H. (1985). Culture and communication in organizational contexts. In W. Gudykunst, L. Stewart, & S. Ting-Toomey (Eds.), Communication, culture, and organizational processes (pp. 13-29). Beverly Hills, CA: Sage.
67.
Sypher, B.
, & Ray, E. (1984). Communication as a mediator of job stress in a health organization. In R. Bostrom (Ed.), Communication yearbook 8 (pp. 779-789). Beverly Hills, CA: Sage.
68.
Tardy, C.
(1988). Social support: Conceptual clarification and measurement options. In C. Tardy (Ed.), A handbook for the study of human communication: Methods and instruments for observing, measuring, and assessing communication processes (pp. 347-364). Norwood, NJ: Ablex.
69.
Tardy, C.
(1991, April). Reconsidering the efficacy of elaborated comforting messages: Comparative studies of social support strategies. Paper presented at the annual meeting of the Southern Speech Communication Association, Tampa, FL.
70.
Tenney, R.
(1988). A brief history of American health care: Predictions for the future of hospice. American Journal of Hospice Care, 5(3), 9-13.
71.
Thompson, T.
(1986). Communication for health professionals: A relational perspective. New York: Harper & Row.
72.
Thornton, B.
(1978). Health care teams and multimethodological research. In B. Ruben (Ed.), Communication yearbook, 2 (pp. 539-553). New Brunswick, NJ: Transaction.
73.
Truax, C. B.
, & Carkhuff, R. R. (1967). Toward effective counseling and psychotherapy. Chicago: Aldine.
74.
Truax, C. B.
, & Mitchell, K. (1971). Research on certain therapist skills in relation to process and outcomes. In A. E. Bergin & S. L. Garfield (Eds.), Psychotherapy and behavior change (pp. 299-344). New York: Wiley.
75.
Turnipseed, D.
(1987). Burnout among hospice nurses: An empirical assessment. Hospice Journal, 3, 105-119.
76.
Vachon, M.
(1986). Myths and realities in palliative/hospice care. Hospice Journal, 2, 63-79.
77.
Vachon, M.
(1987). Team stress in palliative/hospice care. Hospice Journal, 3, 75-103.
78.
Vaux, A.
(1988). Social support: Theory, research, and intervention. New York: Praeger.
79.
Vincent, P.
, & Garrison-Peace, H. (1986). Do hospice nurses differ from non-hospice nurses?American Journal of Hospice Care, 3(1), 41-42.
80.
Wald, H.
(1983). The hospice community as reform. In A. Kutscher, S. Klagsbrun, R. Torpie, R. DeBellis, M. Hale, & M. Tallmer (Eds.), Hospice U.S.A. (pp. 18-22). New York: Columbia University Press.
81.
Werner, P.
(1985). Providing hospice care: The changing role and status of physicians. In L. Finn Paradis (Ed.), Hospice handbook: A guide for managers and planners (pp. 345-362). Rockville, MD: Aspen.
82.
Wilkinson, H.
, & Wilkinson, J. (1987). Evaluation of a hospice volunteer training program. Omega, 17, 263-275.
83.
Zimmerman, J.
(1986a). Hospice care as a response to the problems of terminal illness. In J. Zimmerman (Ed.), Hospice: Complete care for the terminally ill (pp. 1-16). Baltimore, MD: Urban & Schwarzenberg.
84.
Zimmerman, J.
(1986b). General features of hospice care. In J. Zimmerman (Ed.), Hospice: Complete care for the terminally ill (pp. 17-50). Baltimore, MD: Urban & Schwarzenberg.
85.
Zimmerman, J.
, & Roche, K. (1986). The hospice care team. In J. Zimmerman (Ed.), Hospice: Complete care for the terminally ill (pp. 99-128). Baltimore, MD: Urban & Schwarzenberg.
86.
Zimmermann, S.
(1989). Changing the performance cast: Family members as players on an interdisciplinary health care team. Paper presented at the International Communication Association Mid-Year Health Communication Conference, Monterey, CA.
