Mckinly Flashcards
(18 cards)
What was the aim of Mckinlay’s investigation?
To investigate the understanding of technical language among working-class families in a Scottish maternity ward.
Focused on how families comprehend medical terminology.
How many families were sampled in Mckinlay’s study?
87 unskilled, working-class families.
The families were categorized as either ‘attenders’ or ‘underutilisers’ based on their service usage.
What are the two categories of families identified in the study?
- Attenders (regularly attended appointments)
- Underutilisers (underused services)
The categorization helps in understanding their engagement with health services.
What method was used to present the technical words to participants?
Participants heard the word spoken aloud and then in the context of a sentence.
This approach aimed to provide a comprehensive understanding of the terms.
What were participants asked to do after hearing the words?
They were asked to say what they thought the word meant, and responses were recorded verbatim.
This allowed for an accurate assessment of their understanding.
What categories were used to score participants’ responses?
- Not understood at all
- Response completely wrong
- Incomplete or unclear response
- Good understanding
These categories helped in evaluating the level of comprehension for each term.
What was the scoring method used by practitioners?
Scoring was blind, meaning practitioners did not know if participants were attenders or underutilisers.
This method aimed to eliminate bias in scoring.
Fill in the blank: The study focused on understanding technical language in a _____ maternity ward.
[Scottish]
The location is significant to the context of the study.
True or False: The participants were aware of their categorization as attenders or underutilisers during the scoring.
False
The blind scoring method ensured that practitioners were unaware of the participants’ categories.
What was the level of understanding of the word ‘breech’ among utilizers?
Understood a lot of the time 100%
UnderUtilizers understood ‘breech’ 84.4% of the time.
What percentage of utilizers understood the term ‘antibiotic’?
41.77%
Utilizers had a higher understanding compared to underutilizers.
What was the understanding level of ‘antibiotic’ among underutilizers?
28-47%
This indicates a significant gap in understanding between the two groups.
What was the understanding level of ‘purgative’ in both groups?
Not understood
‘Purgative’ was not understood by either group.
What was the outcome of the investigation regarding doctors’ expectations of patient understanding?
Physicians underestimated patients’ understanding levels
Doctors thought patients would understand fewer terms than they actually did.
How many words were initially listed for understanding by patients?
57 words
This list was compiled from words used by doctors in the wards.
What did the doctors do to refine the list of medical terminology?
Crossed out words not used often
This left a final list of 13 words.
What was the understanding expectation for the term ‘breech’ among doctors?
Thought it would be understood by 224
This indicates a higher expectation of understanding than what was observed.
What was the conclusion regarding responsibility for lack of understanding?
Lies with practitioners rather than patients
This suggests a need for better communication from healthcare providers.
