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Auerbach, Stephen M.; Clore, John N.; Kiesler, Donald J.; Orr, Tamara; Pegg, Phillip O.; Quick, Ben G; Wagner, Christopher C.

doi:10.1023/a:1013585617303

Cited by 59 publications

(15 citation statements)

References 28 publications

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“…Studies proved that HLOC moderated health behaviors and adherence to health treatment plans [3]. Those with high internality had more positive outcomes on their health conditions, while those with low internality and high externality had poor health outcomes and felt less able to control their health and complications of their illnesses [4]- [7]. Others found that patients with high level of internal locus of control had developed effective strategies to control their pain [7].…”

Section: Introductionmentioning

confidence: 99%

Correlates of Health Locus of Control among Patients Diagnosed with Type-II Diabetes Mellitus

Nawafa’h¹,

Hamdan‐Mansour²

2015

JDM

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Background: The comorbidity between chronic physical conditions and psychosocial health became common interest for health professional and researchers. The purpose of this study was to investigate the relationship among health locus of control, self efficacy, and demographic factors in patients with type-II diabetes mellitus. Method: Data were collected using cross-sectional, correaltional design from 793 patients with type-II diabetes in regards to health locus of control (HLOC) self-efficacy, and biomarkers. Results: The mean score for the internal subscale of HLOC was 27.2 (SD = 6.32), for the powerful others subscale of HLOC it was 30.9 (SD = 5.7), and for chance subscale of HLOC it was 18.6 (SD = 6.8). The mean total score of locus of control scale was 76.8 (SD = 13.1) ranging from 19 to 132. The mean score of HbA1C was 7.5 (SD = 2.6). Patients had moderate to high perception of powerful other health locus of control, and self efficacy. Results also showed that locus of control had positive and significant correlation with self efficacy (r = 0.18, p > 0.01) and negative relationship with HbA1C (r = −0.11, p > 0.01). On the other hand, age has no significant correlation with health locus of control. Conclusion: Health care professionals need to enhance patient's self-efficacy and internal power of their patients for better health outcomes. Nurses and other health professionals need to emphasize the psychosocial health aspects of patients with chronic illnesses, and in particular, those diagnosed with type-II diabetes mellitus.

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Section: Introductionmentioning

confidence: 99%

Correlates of Health Locus of Control among Patients Diagnosed with Type-II Diabetes Mellitus

Nawafa’h¹,

Hamdan‐Mansour²

2015

JDM

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“…Patients, caregivers and health professionals vary in their need and desire for authority and control [100] and research has shown that agreement on healthcare responsibilities between patients and health professionals is associated with better health outcomes [101]. We propose that the negotiation of doable tasks and reasonable obligations positively influences cognitive authority and experienced control.…”

Section: Discussionmentioning

confidence: 99%

Managing expectations: cognitive authority and experienced control in complex healthcare processes

Hunt

May

2017

BMC Health Serv Res

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BackgroundBalancing the normative expectations of others (accountabilities) against the personal and distributed resources available to meet them (capacity) is a ubiquitous feature of social relations in many settings. This is an important problem in the management of long–term conditions, because of widespread problems of non-adherence to treatment regimens. Using long-term conditions as an example, we set out middle range theory of this balancing work.MethodsA middle-range theory was constructed four stages. First, a qualitative elicitation study of men with heart failure was used to develop general propositions about patient and care giver experience, and about the ways that the organisation and delivery of care affected this. Second, these propositions were developed and confirmed through a systematic review of qualitative research literature. Third, theoretical propositions and constructs were built, refined and presented as a logic model associated with two main theoretical propositions. Finally, a construct validation exercise was undertaken, in which construct definitions informed reanalysis of a set of systematic reviews of studies of patient and caregiver experiences of heart failure that had been included in an earlier meta-review.ResultsCognitive Authority Theory identifies, characterises and explains negotiation processes in in which people manage their relations with the expectations of normative systems – like those encountered in the management of long-term conditions. Here, their cognitive authority is the product of an assessment of competence, trustworthiness and credibility made about a person by other participants in a healthcare process; and their experienced control is a function of the degree to which they successfully manage the external process-specific limiting factors that make it difficult to otherwise perform in their role.ConclusionCognitive Authority Theory assists in explaining how participants in complex social processes manage important relational aspects of inequalities in power and expertise. It can play an important part in understanding the dynamics of participation in healthcare processes. It suggests ways in which these burdens may lead to relationally induced non-adherence to treatment regimens and self-care programmes, and points to targets where intervention may reduce these adverse outcomes.

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“…A solid physician-patient communication and relationship is crucial for diagnosis, disease management and control [ 6 – 9 ] and patient satisfaction [ 10 ]. The first encounter optimally begins with the physician introducing himself to the patient verbally.…”

Section: Discussionmentioning

confidence: 99%

Position of the Physician’s Nametag - A Randomized, Blinded Trial

2015

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BackgroundThe patient-physician relation begins when the physician introduces himself with name and function. Most institutions request a nametag with name and function to be worn. Although nametags are consequently worn, the optimal position for the nametag is unknown. It was the purpose of this study to identify whether positioning the nametag on the right or the left chest side provides better visibility to the patient.Method and MaterialOne hundred volunteers, blinded to the experimental setup, presented for an orthopedic consultation in a standardized manner. The nametag of the physician was randomly positioned on the left chest side and presented to 50 individuals (age 35 years (range 17 to 83)) or the right chest side and then presented to 50 other individuals (35 years (range 16 to 59)). The time of the participant noticing the nametag was documented. Subsequently, the participant was questioned concerning the relevance of a nametag and verbal self-introduction of the physician.Results38% of the participants noticed the nametag on the right as opposed to 20% who noticed it if placed on the left upper chest (p = 0.0473). The mean time to detection was 9 (range 1–40) seconds for nametags on the right and 25.2 seconds (range 3 to 49, p = 0.006) on the left. For 87% of the participants, a nametag is expected and important and nearly all participants (96%) expected the physician to introduce himself verbally.ConclusionIt is expected that a physician wears a nametag and introduce himself verbally at the first encounter. Positioning the nametag on the right chest side results in better and faster visibility.

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Cited by 59 publications

References 28 publications

Correlates of Health Locus of Control among Patients Diagnosed with Type-II Diabetes Mellitus

Correlates of Health Locus of Control among Patients Diagnosed with Type-II Diabetes Mellitus

Managing expectations: cognitive authority and experienced control in complex healthcare processes

Position of the Physician’s Nametag - A Randomized, Blinded Trial

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