Emergency Communication Challenges in Response to Hurricane Katrina: Lessons from the Centers for Disease Control and Prevention

In response to Hurricane Katrina's extensive destruction and related public health threats, the Centers for Disease Control and Prevention (CDC) deployed more than 1,000 staff to its emergency operations center and to affected areas. Among them were members of CDC's Emergency Communication System. This paper describes the strategies and tactics used by health communication specialists during the pre-event, response, and post-event stages to address a range of emergency communication exigencies. It highlights three difficult challenges for CDC communication specialists during Hurricane Katrina: rapid dissemination of health messages; adaptation of health messages for diverse audiences, locations, and circumstances; and phasing of key risk messages during the emergency response.     

Communication in Emergency Medicine: Implications for Patient Safety1 This study was funded by a generous grant from the National Patient Safety Foundation.

Emergency medicine is largely a communicative activity, and medical mishaps that occur in this context are too often the result of vulnerable communication processes. In this year-long qualitative study of two academic emergency departments, an interdisciplinary research team identified four such processes: triage, testing and evaluation, handoffs, and admitting. In each case, we found that narrative rationality (the patient's story) was consistently subjugated to technical rationality (actionable lists). Process changes are proposed to encourage caregivers to either reconsider their course of action or request additional contextual information. A heightened awareness of the bias for technical over narrative rationality and a better recognition of uncertainty in emergency medicine communication are important first steps toward anticipating potential failures and ensuring patient safety.     

Lessons Learned from Katrina: What Really Matters in a Disaster

SUMMARY

While life's everyday occurrences in libraries leave us with a disaster situation, nothing could have prepared libraries for the magnitude of Hurricane Katrina. Devastating winds, flooding, and destruction to the area infrastructure required a type of response seldom experienced. By revisiting the responses in minor to catastrophic disasters, there are lessons to be learned. Some lessons serve as a source for prevention for potential disaster situations, rehabilitation in localized disasters, and reinvention when libraries are reduced to rubble.     

Crisis Leadership and Hurricane Katrina: The Portrayal of Authority by the Media in Natural Disasters

This study used the perspectives of Kenneth Burke to reveal how the media characterized the crisis responses of legitimate authorities during the natural disaster that affected the residents of New Orleans and its surrounding area as a result of Hurricane Katrina. A textual analysis of 52 articles drawn from the New York Times and the Times-Picayune of New Orleans from August 29 to September 3, 2005, indicate that positive and negative terms clustered around the military, the Department of Homeland Security, President Bush, the federal government, and the local government. The findings suggest that the media stepped outside their role of objective observer and assumed a privileged position to point blame toward those with legitimate authority. This positioning implicitly empowered the media to evaluate crisis responses and create a view of reality reflecting their perspective. Understanding how the media create images and depictions can affect how authorities frame their initial crisis responses.     

Mapping the Health Communication Infrastructure in Rural Senegal: an Assessment to Support Cervical Cancer Screening

Cervical cancer is the leading cause of women's cancer deaths in Senegal, but few medical personnel are trained to perform cervical cancer screening. In rural areas, the situation is worse. To remedy this, a collaborative of researchers and stakeholders trained local health-care workers in cervical cancer screening through the “training-of-trainers” method. However, lack of cancer screening knowledge, barriers, and a hard-to-reach population may jeopardize the collaborative's efforts. The purpose of this study is to map the health communication infrastructure by applying communication infrastructure theory to assess general health and cancer screening knowledge, as well as attitudes and barriers toward screening. Results from focus groups and interviews show that women have minimal knowledge of cervical cancer. Moreover, health workers report detrimental attitudes in menopausal women. Our findings identified routes for information dissemination and attitude change including community radio and local health talks.     

被经验的中介和被中介的经验——从传播理论教材的译介看传播学在中国

本文以国外传播理论教材的译介作为视角,考察了欧美传播理论话语在中国的诠释和变异,研究了西方客观经验主义的大众传播理论如何被潜移默化地等同于传播学的过程,同时以《传播理论导引:分析与应用》为例,对我国目前传播学的教学与研究中存在的一些问题进行了探讨,提出应该进一步开阔视野、注重研究范式、重新思考传播理论的教学与应用。     

浅谈档案网络与信息安全事件应急响应预案的编制

编制档案网络与信息安全事件应急响应预案是为了有效防范档案信息系统在进行业务处理、运行管理和内部控制过程中产生的风险,预防和减少突发事件造成的危害和损失,因此编制中要明确预案的结构、工作原则和适用范围、组织体系和职责、安全事件分级原则和等级划分、预防措施、应急响应等级和基本流程、后期处置办法、附则的功能和附录的作用等九个方面基本内容。     

Adult Child Perceptions of Communication and Humor When the Parent Is Diagnosed with Cancer: A Suggestive Perspective from Communication Theory

This study examines the function of communication and humor in the older adult parent-adult child dyad when the parent has been diagnosed with cancer. Qualitative data of open-ended data from 46 adult children of a parent recently diagnosed with cancer revealed that discussing diagnosis and treatment procedures was perceived to be a satisfying conversation, whereas withholding information had an adverse affect. The discussion of the parents' feelings during the cancer period was a difficult and complex communicative experience. The Meta-Humorous Interaction Theory (MetaHIT) was used as a conceptual framework to understand the function of appropriate and inappropriate uses of humor in terms of cognitive, affective, and behavioral elements of humor. Humor was often used as a coping or relief function for discussing side effects of cancer treatment. This investigation underscores the importance of understanding how adult children use humorous communication to cope with the unknown conversational territory of a parent's cancer diagnosis.     

Hazard and Outrage: Developing a Psychometric Instrument in the Aftermath of Katrina

This article details the development of a psychometric instrument measuring the constructs of hazard and outrage in the aftermath of Hurricane Katrina. The study focused on the interplay of perceived hazard and outrage in relation to evacuation from the New Orleans area, with specific attention to demographic differences. Perceptions of hazard and outrage during Katrina served to illustrate the utility of the scale in examining these responses across different demographic groups. Possible ways that this information can be used to design messages that alert audiences to hazards, yet successfully address the need for outrage, emerged from the study.     

Effects of Mass and Interpersonal Communication on Breast Cancer Screening: Advancing Agenda-Setting Theory in Health Contexts

Drawing on components of agenda-setting theory and the two-step flow of information from mass media to news audiences, this study examines the effects of mass and interpersonal communication on breast cancer screening practices among college- and middle-aged women (n = 284). We theorized that screening behaviors among younger women would be influenced more by interpersonal sources of information while screening among middle-aged women would be more influenced by exposure to mass-mediated information. Findings supported anticipated patterns, revealing important and varying roles for both mass and interpersonal communication in the health behaviors of women. Implications for health practitioners and campaign planners, as well as recommendations for future research, are discussed.     

Information Sources and the Health Information-Seeking Process: An Application and Extension of Channel Complementarity Theory

Contemporary information seekers can acquire health information from an unprecedented variety of sources. The reported study applied and extended channel complementarity theory to explain the use of multiple information sources in the health-information-seeking process. Channel complementarity was extended to consider four characteristics (i.e., access to medical expertise, tailorability, anonymity, and convenience) of health-information sources. The information-seeking behavior of 3,392 respondents from the 2007–2008 Health Information National Trends Survey was analyzed to test study hypotheses. Results indicate that, sources were used complementarily based on tailorability and anonymity during health-information sources. Additionally, the likelihood of using complementary sources based on all four characteristics changed during the search process.     

Hazard and Outrage: Developing a Psychometric Instrument in the Aftermath of Katrina

This article details the development of a psychometric instrument measuring the constructs of hazard and outrage in the aftermath of Hurricane Katrina. The study focused on the interplay of perceived hazard and outrage in relation to evacuation from the New Orleans area, with specific attention to demographic differences. Perceptions of hazard and outrage during Katrina served to illustrate the utility of the scale in examining these responses across different demographic groups. Possible ways that this information can be used to design messages that alert audiences to hazards, yet successfully address the need for outrage, emerged from the study.     

Using Relevant Humor to Moderate Inappropriate Conversations: Maintaining Student Communication Satisfaction in the Classroom

This study assessed students’ (N=195) perceptions of instructors’ relevant humor and inappropriate conversations in the classroom and used expectancy violation theory (EVT) as a lens to position instructor relevant humor as a moderator between instructors’ inappropriate conversations and student communication satisfaction. Results showed a positive association between students’ perceptions of instructors’ use of relevant humor and student communication satisfaction, and in contrast, a negative relationship between perceptions of instructors’ inappropriate conversations and student communication satisfaction. Consistent with the tenets of EVT, results also indicated that instructors who use relevant humor in the classroom may overcome students’ negative perceptions of inappropriate conversations and maintain student communication satisfaction.     

A Call to Educate,Participate, Invoke and Indict: Understanding the Communication of Online Hate Groups

This study analyzes the messages in hate group websites using a grounded theory approach. Through this process of interpretive inquiry we propose four prominent themes—educate, participate, invoke, and indict—that characterize the messages examined in 21 hate groups. These message themes speak to the: (a) education of members and external publics; (b) participation within the group and in the public realm; (c) invocation of divine calling and privilege; and (d) indictment of external groups including the government, media, and entertainment industries, and other extremist sects. In advancing a substantive grounded theory of online hate group communication, we also explore the potential of these themes to ostensibly reinforce the hate group's identity, reduce external threats, and recruit new members.     

Communication research on a broader age: An introduction to the special forum on funded research in communication

This essay introduces the special forum on funded research in communication. It briefly discusses the relationship of funded research with theoretical and methodological development in the communication discipline and the impact of receiving grant support on the professional life of an academic and on collegiality, resources, and university recognition for a department of communication. It also addresses the potential impact of funded research for strengthening the role and visibility of the communication discipline in the social sciences, and for increasing the impact of communication scholarship on policy.     

Communication research on a broader age: An introduction to the special forum on funded research in communication

This essay introduces the special forum on funded research in communication. It briefly discusses the relationship of funded research with theoretical and methodological development in the communication discipline and the impact of receiving grant support on the professional life of an academic and on collegiality, resources, and university recognition for a department of communication. It also addresses the potential impact of funded research for strengthening the role and visibility of the communication discipline in the social sciences, and for increasing the impact of communication scholarship on policy.     

Managing Patient-centered Communication across the Type 2 Diabetes Illness Trajectory: A Grounded Practical Theory of Interactional Sensitivity

This article uses the theoretical and methodological framework of Grounded Practical Theory (GPT) to provide a lens for analyzing and interpreting discourse as a situated form of social action in routine Type 2 diabetes visits. Drawing on a total data-set of 400 audio-recorded routine visits, we randomly selected 55 visits for qualitative analysis. In this article, we use Conversation Analysis to document communication techniques, which we in turn use as evidence to ground our claims within the GPT framework. We use two single cases of interaction to analyze communication techniques physicians use when recommending a change from oral medication to insulin. We argue treatment intensification is a key moment in health communication to reflect about patient centeredness because physicians can find themselves in an interactional dilemma: while insulin may effectively help control unstable disease, an insulin recommendation may simultaneously counter patient values and treatment preferences. Our analysis suggests that physicians use what we call interactional sensitivity to balance medical need and patient preferences when making medical decisions by tailoring their communication according to the local situation and the patient's larger illness trajectory. We propose that interactional sensitivity is a type of communication work and a quality of patient-centered communication characterized by the theoretical relationship between tailoring communication to the contingencies of the local interaction and the global illness trajectory. Overall, this article contributes to health communication scholarship by proposing a normative model for reflecting on how physicians negotiate challenging interactions with patients during routine chronic illness visits.