Verbal Communication Strategies Research Articles

Support-Seeking Strategies, Family Communication Patterns, and Received Support Among Chinese Women with Postpartum Depression: A Content Analysis of Zhihu Posts

ABSTRACT The incidence of postpartum depression (PPD) among Chinese women surpasses the global average, and this disparity is closely associated with the level of social support they receive. Using Sensitive Interaction Systems Theory and Family Communication Patterns Theory as guiding frameworks, we conducted a content analysis of 705 posts gathered from the hashtag #PPD (chanhou yiyu) on Zhihu, a popular Chinese social media platform. Our findings reveal that postpartum women primarily seek social support from their husbands and mothers-in-law through indirect nonverbal and direct verbal communication strategies. They tend to receive more problem-focused support than emotion-focused solace. Moreover, the use of direct verbal communication strategies promotes potential support providers’ problem-solving behaviors, while the use of indirect nonverbal strategies elicits their avoidance behaviors. In addition, the conversation-oriented family communication pattern strengthens the positive association between direct verbal communication and support-providing behaviors, whereas the conformity-oriented family communication pattern weakens this relationship. This study contributes to the applicability of the abovementioned theories in the Chinese context and provides insights for future interventions aimed at addressing PPD among women.

Quality communication can improve patient-centred health outcomes among older patients: a rapid review

BackgroundEffective communication is a cornerstone of quality healthcare. Communication helps providers bond with patients, forming therapeutic relationships that benefit patient-centred outcomes. The information exchanged between the provider and patient can help in medical decision-making, such as better self-management. This rapid review investigated the effects of quality and effective communication on patient-centred outcomes among older patients.MethodsGoogle Scholar, PubMed, Scopus, CINAHL, and PsycINFO were searched using keywords like “effective communication,“ “elderly,“ and “well-being.“ Studies published between 2000 and 2023 describing or investigating communication strategies between older patients (65 years and above) and providers in various healthcare settings were considered for selection. The quality of selected studies was assessed using the GRADE Tool.ResultsThe search strategy yielded seven studies. Five studies were qualitative (two phenomenological study, one ethnography, and two grounded theory studies), one was a cross-sectional observational study, and one was an experimental study. The studies investigated the effects of verbal and nonverbal communication strategies between patients and providers on various patient-centred outcomes, such as patient satisfaction, quality of care, quality of life, and physical and mental health. All the studies reported that various verbal and non-verbal communication strategies positively impacted all patient-centred outcomes.ConclusionAlthough the selected studies supported the positive impact of effective communication with older adults on patient-centred outcomes, they had various methodological setbacks that need to be bridged in the future. Future studies should utilize experimental approaches, generalizable samples, and specific effect size estimates.

Cognitive-Behavioral Profile in Pediatric Patients with Syndrome 5p-; Genotype-Phenotype Correlationships.

(1) Background: 5p minus Syndrome (S5p-) is a neurodevelopmental disorder caused by a deletion in the short arm of chromosome 5. Among the phenotypic characteristics of S5p-, the most characteristic and representative element is a monochromatic cry with a high-pitched tone reminiscent of a cat's meow. Individuals may also show great phenotypic heterogeneity and great genetic variability. Regarding cognitive-behavioral aspects of the syndrome, the studies are scarce and do not establish a general profile of the main cognitive-behavioral particularities that this syndrome presents. The main objective of this work was to describe the development profile of a cohort of 45 children with 5p minus Syndrome, concerning the biomedical, genetic, cognitive, and behavioral aspects. Establishing putative genotype-phenotype (cognitive-behavioral profiles) relationships in our cohort, from an interdisciplinary approach. (2) Methods: A selection of instruments of measures was selected for neuropsychological assessment (3) Results: In general, children with S5p- have a higher cognitive level than a communicative and motor level. Language difficulties, especially expressive ones, influence the frequency and severity of the most frequent behavioral problems in S5p. The most significant problem behavior of children with S5p-, especially girls, is self-harm. Compulsive behavior, limited preferences, and interest in monotony are significantly more frequent in subjects with better cognitive levels. We also find a significant correlation between the size of the loss of genetic material on 5p and the cognitive level of the subjects. (4) Conclusions: We described for the first time, the cognitive-behavioral profile of a cohort of minors with S5p-. Remarkably, it was found that language, especially of an expressive nature, modulates the most frequent behavioral aspects in subjects with lower cognitive levels, so it is essential to develop verbal or alternative communication strategies adjusted to these individuals.

Exploring the Impact of Verbal Communication Strategies in the Marketing of Fruit Items in Nepalgunj City, Nepal

This research article investigates the effects of verbal communication strategies in the marketing of fruit items in Nepalganj, Nepal. The study aimed to identify the most effective verbal communication strategies that can be used to promote fruit items in Nepalgunj's local market. To achieve this objective, a survey questionnaire was administered to 150 respondents, including customers and vendors of fruit items in Nepalgunj. The study found that verbal communication strategies such as persuasive language, use of humor, and the use of local dialects were the most effective in promoting fruit items in the local market. Additionally, the study revealed that the age and educational level of customers significantly influenced their preferences for verbal communication strategies.

KOMODIFIKASI KONTEN ASING DAN LOKAL OMETV PADA KANAL YOUTUBE

This research reviews YouTube content creators who take advantage of interactions with foreigners on the OmeTV platform in Indonesia. Researchers focus on the production and distribution of foreign and local content through the phenomenon of casual conversation as a form of capitalization. Previous researchers had the limitation that social media studies were subject to commodification (Fuchs, 2014b, 2019). In this study, researchers consider that content creators play an important role in commodifying content because YouTube is a channel that facilitates the formation of popularity. This assumption is based on the argument that playlabor is voluntary while seeking pleasure in the social media space (Fuchs, 2014a). This text revived media production by linking it to cultural studies (Hesmondhalgh & Toynbee, 2008). This research aims to explain how content creators as well as OmeTV players commodify foreign and local content to gain economic benefits. Researchers used the method of content analysis and phenomenology. Content analysis aims to identify forms of content, while phenomenology is to explain the process of commodification and production relations between the OmeTV and YouTube platforms. The results of this study reveal that the commodification of foreign and local content with the seduction genre has become popular content that benefits YouTubers. In reproducing content, OmeTV players prepare verbal and nonverbal seduction communication strategies

A Multi-Topic Bystander Intervention Program for Upper-Level Undergraduate Students: Outcomes in Sexual Violence, Racism, and High-Risk Alcohol Situations.

Few bystander intervention trainings programs have evaluated behavioral outcomes in previously trained upper-level undergraduate students. Rigorous study designs are necessary to understand how multi-topic programs influence student outcomes to intervene against sexual violence, racism, and high-risk alcohol situations. A single-session bystander training for emphasizing communication strategies was developed for juniors and seniors on a private, Midwestern college campus. The training addressed sexual violence, racism, and high-risk alcohol situations and was evaluated using a randomized waitlist-control design in student-housing units. Online Qualtrics surveys were completed by 101 student participants (57 in the intervention group and 44 in the control group). Students responded to nine harm scenarios involving sexual violence, racism, and high-risk alcohol situations at baseline and 7 weeks follow-up. Between-group changes in scores were compared to determine the effect of the program on students' (a) readiness to intervene; (b) confidence to intervene; (c) bystander behaviors among students who witnessed actual or potentially harmful events; and (d) bystander reports of their experiences. Qualitative analysis assessed how the program influenced the use of positive verbal communication strategies. Program effects increased positive bystander experiences when helping someone who had too much to drink and needed assistance. Over time both groups reported increased confidence levels to intervene when someone intoxicated was being isolated with sexual intent. There were no further significant findings in readiness, confidence, behaviors, or other experiences, though some positive nonsignificant trends emerged. The program demonstrated little efficacy. Results suggest opportunities to improve bystander outcomes in low-risk primary prevention situations and racist scenarios, suggesting that targeted intervention of these outcomes may be useful when developing programming with previously-trained students. As universities expand prevention work beyond the first year, lessons learned may help inform multi-year programming across health topics to prevent harm and create healthier college campuses.

Food discourse: ethics and aesthetics on Instagram

PurposeThe aim of the study is threefold: understanding the interconnections amongst visual and verbal multimodal communication strategies used in food discourse; identifying the themes of celebrity chef's food discourse with respect to pro-environmental behaviour; and providing a methodological framework to visually analyse food-themed videos.Design/methodology/approachThis study uses mise-en-scène and critical discourse and multimodal analyses to gain insights on food discourse from 20 videos shared by a Michelin starred chef on social media platforms.FindingsResults show that a pro-environmental cooking philosophy challenges the normative discourse on food and educates general audiences and foodies alike. Mise-en-scène and discourse analyses of Instagram visual content reveal that leftovers are central to the ethical message and are intertwined – through the aesthetic of the videos-with concepts of inclusivity, diversity and nourishment.Practical implicationsChefs, and restaurants, are encouraged to recognise their responsibility as role models, thus able to influence the societal production of food discourse.Originality/valueThe findings provide new insights into the role of a celebrity chef in promoting sustainable food preparation and consumption.

Equine-Assisted Learning - An Experiential, Facilitated Learning Model for Development of Professional Skills and Resiliency in Veterinary Students.

Stress has been identified as a major obstacle for students in DVM training programs and can be associated with a high incidence of anxiety and depression among students. Interventions for stress reduction and improved self-confidence have been introduced at many veterinary schools with the intention of increasing resiliency among students and improving skills for wellness to be used throughout a veterinary career. Equine-assisted learning (EAL) is a facilitated, reflective discussion method based on interpretation of equine behavior in a group experiential setting that has been used to improve confidence, self-assurance, verbal and non-verbal communication, focus, mindfulness, and coping strategies in populations of students, medical students, corporate groups, and career professionals. We worked with the Cummings School equine teaching herd to develop an EAL course offered as a weekly class to veterinary students in Spring and Fall semesters since 2018. Our course was modeled after one offered to medical students at the University of Arizona and Stanford University, using progressively more complex equine handling exercises over the course of the semester (Kane, 2007). Our goal was improved communication, focus, and self-awareness among students to help reduce stress and improve resiliency. Outcome surveys showed that the students found a safe space to share anxieties, concerns, or challenges and learn professionalism skills. Incidentally, they also reported improvement in their equine handling skills. We advocate the use of EAL principles and the use of veterinary teaching horses to reduce stress and improve resiliency and equine handling skills among veterinary students.

Social Cognitive Predictors of Health Promotion Self-Efficacy among Older Adults during the COVID-19 Pandemic

<h3>Research Objectives</h3> To examine the relative importance of social cognitive predictors on health promotion self-efficacy among community-living adults, aged >65 years during COVID-19. <h3>Design</h3> This cross-sectional study was a secondary analysis of baseline data from a larger chronic disease self-management support intervention. <h3>Setting</h3> This study was conducted in the general community setting. <h3>Participants</h3> The mean age of participants (n=75) was 72.4 years old (SD=5.8; 44 female). Seventy participants (93%) reported living with long term disability resulting from arthritis (n=33), degenerative disk disease (n=18), stroke (n=6), and other conditions (n=18). <h3>Interventions</h3> Not applicable. <h3>Main Outcome Measures</h3> Health promotion self-efficacy was measured using the Self-Rated Abilities for Health Practices Scale [3]. Independent predictors of performance including performance accomplishment, vicarious learning, verbal persuasion, and affective states [4] were assessed using the health directed behavior subscale of the Health Education Impact Questionnaire [5], positive social interaction subscale of the Medical Outcomes Survey - Social Support Scale (MOS-SSS) [6], informational support subscale of MOS-SSS, and the Depression Anxiety Stress Scale [7], respectively. <h3>Results</h3> After controlling for age and sex, linear regression analyses revealed statistically significant associations between health promotion self-efficacy and: (i) performance accomplishment (health-directed behavior; β=2.98, p=0.04); (ii) verbal persuasion (informational support; β=5.30, p=0.01); and (iii) affective state (depressive symptoms; β=-0.84; p< 0.001). Vicarious learning (positive social interaction; β=-1.23; p=0.55) did not significantly predict health promotion self-efficacy. Overall, this model was statistically significant (p< 0.001) and explained 48% of the health promotion self-efficacy variance. <h3>Conclusions</h3> Verbal communication supports and strategies to address depressive symptoms and facilitate health-directed behaviors may improve health promotion self-efficacy in the context of physical and social distancing (i.e., COVID prevention strategies). A lack of relationship between self-efficacy and vicarious learning highlights the overall impact COVID had on in-person engagement. <h3>Author(s) Disclosures</h3> We report no real or perceived conflicts of interest.

FORMATION OF STRATEGIC COMPETENCES OF STUDENTS IN GERMAN AS A SECOND FOREIGN LANGUAGE

The article examines characteristic features of teaching strategic competence as a way to reduce the number of communicative failures. Strategic competence is one of the components of communicative competence and is defined as a set of verbal and non-verbal communication strategies that serve to compensate for gaps in communication. It involves planning further speech actions, including the ability to self-correct. The object of the study is the process of teaching foreign language strategic competence to students of primary courses. The subject of the research is the content, means, methods of forming communicative strategies of word use. The purpose of the study is to identify and select the most appropriate strategies of word use for educational purposes, as well as to develop a method of organizing the teaching of strategic competence in the initial courses of language faculties. The realization of this goal involves solving the following tasks: to determine the place and role of strategic competence in the structure of communication and to describe different approaches to its consideration; to analyze the peculiarities of the formation of foreign language strategic competence among elementary school students studying German as a second foreign language; to conduct experimental training in order to determine the dependence of the quantity and quality of communicative strategies on the organization of training; to develop a method of forming communicative strategies of word use and to reveal its effectiveness. Different types of communicative strategies are divided into reductive strategies (avoidance of the topic, avoidance of conveying the intended content), achievement strategies (compensatory strategies, switching to another code, verbatim retelling, replacement, paraphrase, explanation in other words, word creation, restructuring, direct or indirect question about help) and correction strategies (waiting, using the semantic field). After analyzing of the use dynamics of strategies by the students of the control and experimental groups, we found that the number of positive achievement strategies began to increase as students learned to use strategies. At the same time, the number of used reductive strategies decreased and reached minimum values in the last classes. The total number of used strategies first began to increase, then slightly decreased and stabilized at an average level (26.8 units), while the use of reductive strategies significantly decreased to minimum values, which is the result of teaching students the methodology of strategic competence and their application of strategies in practice when answering in lessons.

Communication skills utilized by physicians in the pediatric outpatient setting

BackgroundEffective communication has been shown to increase patient satisfaction. The objective of this study was to describe communication strategies employed by physicians, and determine if physician communication strategies affect caregiver perception of quality or satisfaction with physician communication in a pediatric ambulatory setting.MethodsThis observational study was conducted at the Children’s Hospital of Philadelphia and consisted of video recordings of visits that were reviewed by research assistants for physician utilized communication strategies. Caregivers completed surveys on their preferred physician communication qualities, perception of communication quality, and satisfaction with communication. Correlation was performed between types of communication strategy and caregiver satisfaction with communication or perceived quality of communication. T-tests were run to see if there was a significant difference in patient perceived communication and satisfaction scores based on the communication strategies utilized during visits.ResultsThere were five universally used communication strategies across the 84 clinic visits recorded, including: eye contact, good posture, speaking concisely, providing thorough explanations, and providing summary of next steps. The average number of communication strategies used was 15.95 (σ = 1.50) with physicians using at least 16 of the 18 communication strategies in 62% of the clinic visits. There was no correlation between the number of communication strategies physicians utilized and either the caregiver perception of communication quality score (CPCQ) or communication satisfaction (CS) score. Caregivers who preferred an authoritative approach but perceived a collaborative approach reported lower average CPCQ and CS scores compared to caregivers who had their communication expectations met.DiscussionThere are numerous tools designed to help the physician facilitate an effective working relationship with the patient. In our study, the universally used verbal communication strategies are generally recognized as components of an effective communication repertoire. Another part of effective communication is meeting communication expectations with the CS scores suggesting that caregivers felt their communication needs were being met. Dedicating clinical time to understanding this need may help improve the overall clinical experience.ConclusionPhysicians utilize many of the suggested communication strategies to help facilitate an effective clinical encounter. Further studies on caregiver communication requirements and meeting caregiver communication expectations are needed.

Multimodal communication reported by familiar caregivers to build communication capacity in persons who are minimally conscious

Purpose Limited clinical and research evidence is available to support healthcare practitioners in the communication assessment and intervention of persons who are minimally conscious. This study placed a specific focus on the multimodal communication strategies familiar caregivers of persons who are minimally conscious observed, as well as the verbal and the nonverbal communication strategies they employed to build communication capacity. This may inform clinical practice as it provides valuable autobiographical information as well as familiar stimuli that may elicit responses from persons in a minimally conscious state. Method A descriptive qualitative design employing in-depth semi-structured interviews with familiar caregivers was utilised to address the purpose of the study. Result Familiar caregivers reported that they used both nonverbal and verbal communication strategies to obtain a response from persons who are minimally conscious. These caregivers also reported that these persons appeared to rely on nonverbal communication strategies to express 36 different communication functions. Conclusion Based on the findings of this study, it is clear that caregivers can be beneficial to persons who are minimally conscious, if they are able to observe and capitalise on naturally occurring multimodal communication strategies and functions. This study emphasises that familiar caregivers respect and value the dignity of persons who are minimally conscious and want to improve their communication capacity, but often lack confidence in their own communication skills.

Strategi Komunikasi Verbal Dan Nonverbal Dalam Meningkatkan Skill Public Speaking Santri SMK Life Skill Kendari

The students at the Kendari Life Skills Vocational School have various abilities in good public speaking. Some of the reasons found were that the process and period of practice for each student was different even though they received the same coaching. The coaching is done in theory and practice. These obstacles are trying to be overcome by coaching with verbal and non-verbal communication. This study aims to determine the verbal and non-verbal communication strategies of the coaches in improving the public speaking skills of the Kendari Life Skills Vocational High School students, including the supporting and inhibiting factors of the coaches in improving public speaking skills. The method used in this research is descriptive qualitative. The research design is based on the identified research variables and the hypotheses that will be tested for truth. In this study, data were collected using purposive and snowball sampling through data collection techniques. Testing the data through triangulation and qualitative inductive data analysis. This research was conducted at the Life Skill Vocational School of the Attarbiyatussakilah Islamic boarding school involving 17 respondents, namely 7 supervisors and 100 students. The results showed that the verbal and non-verbal communication strategies were effective enough to improve the public speaking skills of the Kendari Life Skills Vocational High School students. Based on research, between verbal and non-verbal communication found that verbal communication is more effective than non-verbal communication.

CHALLENGES IN OVERCOMING THE USE OF TOPIC FRONTING AMONG TESL TRAINEES IN MALAYSIA

Communication strategies include the use of nonverbal or paralinguistic communication strategies such as the use of mime, gestures, facial expressions and eye contact as well as the use of pauses for emphatic expressions could be assimilated. Communication strategies also include the use of verbal communication strategies which need to be learned and developed. One of the verbal communication strategies is a Malaysian classified variety, topic fronting. The issue is that, despite being an achievement communication strategy, topic fronting does not abide by the English language grammatical rule. Thus, a high use of this strategy among ESL learners might affect them adversely especially in academic discourse. This study looked into this strategy among the TESL trainees in two universities from two states in Malaysia. The findings obtained from their focus group discussions (FGD) identified the utilisation of topic fronting in online interactions and methods of overcoming it as well as the inculcation of suitable communication strategies. This study’s findings show a low utilisation of topic fronting (1.142 per thousand words) with the highest theme on the “concession of topic fronting in teaching” at 2.20% average. In the effort to inculcate the TESL trainees’ awareness of their use of topic fronting communication strategy, they need to be involved in active FGDs and be provided with communication strategy trainings on alternative strategies, specifically linguistic strategies like exemplification, circumlocution and paraphrasing.

Intercultural Communication of EFL Students with Foreigners as a Strategy of Teaching Speaking

This study aimed to explore the students' perceptions of intercultural communication with foreigners, their intercultural communication strategies with foreigners, and its implication toward their speaking ability. This descriptive qualitative study involved eight university students who had taken the Speaking class and individual speaking activity with foreign tourists. To collect the data, the researchers used video recording, interviews, and documents. The findings indicated that the students positively perceived incorporation of intercultural communication with foreigners. It was also unveiled that the students used various verbal communication strategies during their intercultural communication with foreigners. This study postulates that intercultural communication has positive implications on students' speaking abilities.&#x0D;  

Here's looking at you: eye gaze and collaborative recall.

In everyday life, we remember together often. Surprisingly, research reliably shows costs of collaboration. People remember less in groups than the same number of individuals remember separately. However, there is evidence that some groups are more successful than others, depending on factors such as group relationship and verbal communication strategies. To understand further the characteristics of more successful vs. less successful collaborative groups, we examined whether non-verbal eye gaze behaviour was associated with group outcomes. We used eye tracking glasses to measure how much collaborating dyads looked at each other during collaborative recall, and examined whether individual differences in eye- and face-directed gaze were associated with collaborative performance. Increased eye- and face-directed gaze was associated with higher collaborative recall performance, more explicit strategy use, more post-collaborative benefits, and increased memory overlap. However, it was also associated with pre-collaborative recall, indicating that gaze during collaboration may at least partially reflect pre-existing abilities. This research helps elucidate individual differences that underlie the outcomes of collaborative recall, and suggests that non-verbal communication differentiates more vs. less successful collaborative groups.

Bedside Manner 2020: An Inventory of Best Practices.

Bedside manner, a doctor's deportment with a patient, encompasses all aspects of the patient interaction, including all verbal and nonverbal communication strategies. Bedside manner can be a powerful adjunct for healing. In academic medical centers, trainees generally learn bedside manner by observing their attendings and mentors-in other words, as part of the "hidden curriculum." Because bedside manner is a critical component in the art of healing, it can be threatened by pressures on time in managing inpatients and by the explosion of technology. This article assembles an inventory of best bedside practices for inpatient care. Eight best bedside practices were identified by reviewing the literature, collecting the personal experiences of the authors, and consulting a group of attendings whom the authors regarded as exemplary clinicians. This inventory is presented with the goal of expanding clinicians' repertoire of best practices and encouraging explicit teaching of these practices to optimize care.

Typografia w służbie propagandy. Wizualne i perswazyjne aspekty druków ulotnych z lat 1918–1939

The presented text continues the topics and methodological assumptions included in my article entitled Przestrzenie słowno-obrazowe w propagandowych drukach ulotnych lat 1918–1939 – próba analizy w świetle lingwistyki tekstowej i teorii wizualności. The subject of the research is the relationship between typography and verbal means of persuasion in jobbing prints (announcements, posters, announcements) used for political propaganda in the interwar period. The article shows the performative character of jobbing prints, revealing the relationship between the word code and its visual organization at the level of graphics, the print space. It describes how secondary paths of reading and meanings affecting its coherence and coherence are created at the level of text treated as visual space. The article closes with a review of the most important strategies for visualizing and graphicalising verbal meanings and communication strategies using elements of verbal and typographic code. The article is a part of the research in the field of multimodal analysis and text linguistics; it also refers to the theoretical findings contained in the works on anthropology of writing.

Strategic Competence and its implication in language teaching

Strategic competence is one type of communicative competence among others which have been postulated by Canale and Swain in 1980 as ‘verbal and non-verbal communication strategies that may be called into action to compensate for breakdowns in communication due to performance variables or to insufficient competence’. It refers to the ability to get one’s meaning across successfully to communicative partners, especially when problems arise in the communication process, and the ability to convey information to a listener and correctly interpret information received. It has great implications in language teaching by determining the main ability of learners’ communicative competence.

Physical Examinations via Video for Patients With Heart Failure: Qualitative Study Using Conversation Analysis.

BackgroundVideo consultations are increasingly seen as a possible replacement for face-to-face consultations. Direct physical examination of the patient is impossible; however, a limited examination may be undertaken via video (eg, using visual signals or asking a patient to press their lower legs and assess fluid retention). Little is currently known about what such video examinations involve.ObjectiveThis study aimed to explore the opportunities and challenges of remote physical examination of patients with heart failure using video-mediated communication technology.MethodsWe conducted a microanalysis of video examinations using conversation analysis (CA), an established approach for studying the details of communication and interaction. In all, seven video consultations (using FaceTime) between patients with heart failure and their community-based specialist nurses were video recorded with consent. We used CA to identify the challenges of remote physical examination over video and the verbal and nonverbal communication strategies used to address them.ResultsApart from a general visual overview, remote physical examination in patients with heart failure was restricted to assessing fluid retention (by the patient or relative feeling for leg edema), blood pressure with pulse rate and rhythm (using a self-inflating blood pressure monitor incorporating an irregular heartbeat indicator and put on by the patient or relative), and oxygen saturation (using a finger clip device). In all seven cases, one or more of these examinations were accomplished via video, generating accurate biometric data for assessment by the clinician. However, video examinations proved challenging for all involved. Participants (patients, clinicians, and, sometimes, relatives) needed to collaboratively negotiate three recurrent challenges: (1) adequate design of instructions to guide video examinations (with nurses required to explain tasks using lay language and to check instructions were followed), (2) accommodation of the patient’s desire for autonomy (on the part of nurses and relatives) in light of opportunities for involvement in their own physical assessment, and (3) doing the physical examination while simultaneously making it visible to the nurse (with patients and relatives needing adequate technological knowledge to operate a device and make the examination visible to the nurse as well as basic biomedical knowledge to follow nurses’ instructions). Nurses remained responsible for making a clinical judgment of the adequacy of the examination and the trustworthiness of the data. In sum, despite significant challenges, selected participants in heart failure consultations managed to successfully complete video examinations.ConclusionsVideo examinations are possible in the context of heart failure services. However, they are limited, time consuming, and challenging for all involved. Guidance and training are needed to support rollout of this new service model, along with research to understand if the challenges identified are relevant to different patients and conditions and how they can be successfully negotiated.