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ORIGINAL RESEARCH ARTICLE

‘THE ACCEPTANCE AND USE OF JARGONS IN CASE HISTORY TAKING: A CROSS SECTIONAL QUESTIONNAIRE BASED STUDY AMONG CLINICAL DENTAL STUDENTS AND FACULTY MEMBERS OF DENTAL COLLEGES IN ERNAKULAM AND IDUKKI DISTRICTS, KERALA, INDIA’

ABSTRACT

Background: The use of jargons has change into quite common in well being care discipline, particularly in medical/dental data. Though use of normal medical jargons, might be seen as skilled, environment friendly shorthand, the shortage of consciousness relating to the usual medical abbreviations and relentless and overzealous use of slangs among the many well being care professionals can act as a barrier in efficient communication and understanding amongst sufferers and friends.

Goal: To evaluate the acceptance and use of jargons in case historical past taking amongst medical dental college students and dental instructing school members of dental schools in Ernakulam and Idukki districts of Kerala.

Methodology: A cross-sectional questionnaire based mostly survey containing 15 inquiries to assess the target of the research was executed. The research was performed amongst medical dental undergraduate college students, home surgeons, publish graduate college students and instructing school members of 5 dental schools in Ernakulam and Idukki districts, Kerala. Outcomes had been expressed as a quantity and share of response for every Question Assignment and Chi-square check was carried out for inferential statistical Assessment.

Outcomes: All of the 549 respondents used jargons in case historical past taking. About 22.Four% of the respondents admitted that they at all times used jargons and 55.Eight % admitted of utilizing jargons solely when there was a scarcity of time. Majority of the respondents (71.Four%) learnt the jargons from their colleagues. About 50% of respondents admitted of utilizing jargons in historical past part and about 32% of the respondents in all sections of case historical past taking. About 74% had been of the opinion that abbreviations ought to be permitted in case historical past taking.

Conclusion: This research factors out that there’s a widespread use of jargons/abbreviations in case historical past taking among the many respondents. There’s a lack of information relating to normal medical abbreviations. Though majority of the respondents are comfy with the use of jargons, majority of the postgraduates and college really feel the use of jargons ought to be stopped.

Key phrases: Jargon, abbreviations, case historical past, dental college students

INTRODUCTION

Jargon is outlined as “the language, esp. thevocabulary, peculiar to a specific commerce, occupation, or group; medical jargon, plumber’s jargon” All professions use this linguistic shorthand that serves as a way of communication amongst members however successfully excludes all others(1). It is extremely helpful in a group sharing a standard curiosity because it removes a lot data redundancy.On the identical time, it represents a barrier to these unfamiliar with it.(2) Communication failures created by jargon are particularly plentiful and pernicious in healthcare.

Medical/dental data consist of data saved by docs, well being care centres, group well being clinics or native hospitals detailing what the docs or different our bodies know in regards to the medical situation and historical past of sufferers.(three) They consist of case historical past, particulars about medical/dental examinations, therapy planning, remedies executed, drugs prescribed and many others.

Like each occupation, the use of jargons has change into quite common in well being care discipline as properly, particularly in medical/dental data. Though use of normal medical jargons, in its most optimistic gentle, might be seen as skilled, environment friendly shorthand, the shortage of consciousness relating to the usual medical abbreviations and relentless and overzealous use of slangs, mistaking them for jargons, among the many well being care professions can act as obstacles in efficient communication and understanding amongst sufferers and friends. Furthermore, communication obstacles usually go undetected in well being care settings and might have severe results on the well being and security of sufferers (Four).

Therefore, this research was performed with an goal of assessing the acceptance and use of jargons in case historical past taking amongst medical dental college students and dental instructing school members of dental schools in Ernakulam and Idukki districts, in Kerala.

METHODOLOGY

The research was a cross-sectional questionnaire based mostly survey. The goal inhabitants was the dental college students with medical publicity (third yr and last yr BDS), home surgeons, publish graduate college students and the instructing school members of 5 dental schools in Ernakulam and Idukki districts of Kerala. A prefabricated validity examined questionnaire that was administered to the goal inhabitants.The questionnaire was divided into two elements. The primary half consisted of questions on private and professional information together with age, gender and designation. The second half contained 15 questions on the acceptance and use of jargons in dental case historical past taking.Two of the 15 questions had been open ended. Knowledgeable consent was obtained from the respondents.

The questionnaires had been distributed by the school members of Division of Public Well being Dentistry and home surgeons posted in the division. The respondents had been requested to reply and return the questionnaire instantly.

All returned questionnaires had been coded and analysed. Outcomes had been expressed as quantity and share of response for every Question Assignment and had been analysed utilizing the SPSS Model 17 software program. Chi-square check was carried out to match the response in relation to gender and designation and the extent of significance was set at p = zero.05.

RESULTS

Respondent’s profile

Amongst a complete of 549 respondents, 24.Four% (n=134) had been males. About 46.three% (n=254) had been undergraduate college students, 25.9% (n=142) had been home surgeons, 11.three% (n=62) had been college students pursuing post-graduation and the remaining 16.6% (n=91) had been instructing school members. The profile of respondents is given in desk 1.

Acceptance and use of jargons amongst respondents

The response to questions requested relating to the acceptance and use of jargons in dental case historical past taking are outlined in Desk 2.

All of the respondents used jargons in case historical past taking. About 22.Four% of the respondents admitted that they at all times used jargons and 55.Eight % admitted of utilizing jargons solely when there was a scarcity of time. About 62.6% used abbreviations because it saved time and about 49.2% used it because it was straightforward. Majority of the respondents (71.Four%) learnt the jargons from their colleagues and 38.25% admitted of having learnt them from their academics.

About half the quantity of respondents used jargons in historical past part and about 21%, in medical examination. Nevertheless, about 32% of the respondents used abbreviations in all sections of case historical past taking (private data, historical past, medical examination, prognosis and therapy). Though, just one half of the respondents opined that they had been conscious of the usual medical abbreviations, about 65% claimed that they used normal abbreviations solely. About 60% of the respondents admitted that they had been comfy with case historical past with abbreviations and solely 10.Four% had a discomfort in utilizing abbreviations while recording case historical past. Greater than half the quantity of respondents felt a problem in understanding abbreviations written by others.

Nevertheless a overwhelming majority of the respondents (74%) had been of the opinion that abbreviations ought to be permitted in case historical past taking.

The jargons utilized by the respondents are given in Desk three

DISCUSSION Clearly, the world has change into “smaller” as a result of use of data and communications applied sciences.Efficient communication requires the events concerned sharing a transparent understanding of the varied definitions and parameters about which data (and information) are being exchanged – in different phrases, are we speaking about the identical factor?

Right here, language and, in explicit, jargon, performs a key function. Even assuming that every one events have an affordable command of a standard language – for instance, Worldwide English – the identical phrases might have considerably totally different meanings to individuals from totally different elements of the world.Jargon is an abbreviated type of language that encapsulates tacit information.(2)

As medical college students, home surgeons, and residents, we decide it up from our friends and from attending physicians who ought to know higher. We hear it at lectures and conferences. We learn it in journals and textbooks. Ultimately, we change into inured to it, and we not acknowledge how ugly it’s and the way usually it impairs efficient communication.(5)

Medical jargon is usually justified on the grounds that it constitutes a sort of medical shorthand, permitting extra environment friendly communication when time is brief. These examplesillustrate that jargon is usually much less informative.(5)

Though research assessing the affect of jargons utilized by well being care suppliers on the sufferers have been reported in the literature, not even a single research was discovered in the accessible digital literature that assessed the affect of use of jargons among the many well being care personnel. As said above, with the world changing into a lot smaller and with nice developments in the sphere of communication, there must be uniformity in recording and reporting of medical information. Though, there exists a particular set of normal medical jargons, there’s a severe lack of consciousness relating to the identical and there’s a prolific use of abbreviations in case historical past taking, mistaking them for normal medical jargons. This usually may result in a scarcity of efficient communications among the many colleagues and sufferers. With case historical past deserving an excellent significance as a medical document presently, uniformity must exist in documentation of medical data. Therefore this research was performed to evaluate the use of medical jargons amongst dentists and their affect on the friends.

A really vital commentary in this research was all of the 549 respondents of the research used jargons in their case historical past taking. Furthermore, solely 56% of the respondents admitted to utilizing jargons solely when there was a scarcity of time. This behavior is considerably higher in college students in comparison with home surgeons and college. This highlights the truth that use of jargons/shorthand has change into an integral element of writing for a big proportion of the inhabitants. The rising and overzealous use of quick messaging service and social media might have a big function to play in this regard. This has in truth change into a present subject of concern. Varied researches performed in this regard (6-Eight) point out the affect of texting on English language. Though the outcomes are debatable, there’s a clear choice for the current technology to make use of abbreviations over full varieties in all places. Thus the commentary that about half the quantity of respondents use jargons as they discover it straightforward. Over 70% admit studying these jargons from their colleagues which is once more matter of concern. Yet one more vital commentary is that about 65% of the respondents consider that they use normal medical jargons solely. Nevertheless, in actuality, as per this research, overwhelming majority of the jargons used aren’t normal jargons. Furthermore, an institution-wise comparability of the jargons utilized by the respondents, reveals that there a particular variation among the many establishments in the identical geographical space. Much more vital is the actual fact that there have been abbreviations, the use of which was restricted to a single establishment, which the respondents in the neighbouring establishments had been unaware of, clearly ascertaining the truth that these abbreviations are created based on one’s comfort. This accounts for the shortage of uniformity in the jargons used, as reported. Satirically, solely c/o, h/o and w.r.t among the many abbreviations reportedly being utilized by the respondents might be described as normal medical jargons (9).

It’s a noteworthy level that, over 60% of the respondents use jargons in recording affected person’s private data and historical past part. Tips in case historical past taking point out that that these sections demand the use of a language which the affected person can comprehend. (10) With case historical past document serving as vital authorized proof in medico-legal instances, uniformity must be strictly maintained in its recording.

Moreover, in spite of about 55% reporting a problem in understanding the abbreviations utilized by their colleagues/college students, a response which is considerably higher amongst school members. About 60% really feel they’re comfy relating to case historical past with abbreviations. That is considerably increased amongst undergraduate college students. Nevertheless, majority of the publish graduate college students and college members opined that they had been comfy with case historical past with out abbreviations. Though about 50% of the respondents declare that they’re conscious of the usual medical abbreviations, it was discovered to be false. This means that there’s lack of sufficient information relating to the identical. Most significantly, with about 85% opining that there isn’t any must cease the use of abbreviations, there’s a clear reflection of the angle of the respondents in direction of the identical. A statistically vital distinction in this regard between college students and college members reveal that school members opined relating to the cease of use of abbreviations.

This research thus throws a lightweight on a problem which calls for a severe motion. Moreover this research warns us that this follow is main to wreck to the use and objective of medical recordkeeping, which may have a severe affect in the long term.

Suggestions

With lack of consciousness being one of the commonest cause for this commentary, efforts to enhance the notice by incorporating the identical in the curriculum might be advisable. The school members have a significant function of play in this regard by making certain that the scholars document the case historical past with out abbreviations/jargons.

CONCLUSION

This research factors out that there’s a widespread use of jargons/abbreviations in case historical past taking among the many medical dental undergraduate college students, home surgeons, publish graduate college students and college members in dental schools in Ernakulam and Idukki districts. There’s a lack of information relating to normal medical abbreviations. Though majority of the respondents are comfy with the use of jargons, majority of the postgraduates and college really feel the use of jargons ought to be stopped.

REFERENCES

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