A Mixed Methods Examination of Health Care Provider Behaviors That Build Patients’ Trust

Greene, Jessica; Ramos, Christal

doi:10.1016/j.pec.2020.09.003

Cited by 58 publications

(49 citation statements)

References 46 publications

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“…While some participants actively involved women in decision-making using strategies such as checking back and encouraging questions, other participants reported avoiding tension by providing antiemetic treatments when requested, without encouraging questions or negotiating individual care priorities. Similar to the findings of other research, tensions also emerged in situations where women requested a specific treatment, and this was not aligned with the clinicians' preferred approach to discussing perceptions of risk (Légaré et al, 2018;Oerlemans et al, 2021) or to involving the woman in decisions about her care (Colliers et al, 2020;Greene & Ramos, 2021). Differing professional opinions were another source of tension (Lancaster et al, 2015;Tjia et al, 2009).…”

Section: Discussionmentioning

confidence: 56%

Clinician perspectives of pregnant women's participation in antiemetic decision‐making: A qualitative study

Gornall

Hutchinson

Redley

2022

Nursing & Health Sciences

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This study explored clinician perceptions of women's participation in decision-making about antiemetic treatments during pregnancy, and the suitability of the five Choosing Wisely questions to increase women's involvement. The qualitative interpretive descriptive design used semi-structured interviews to capture data. Participants were six obstetricians and six midwives experienced in providing care for pregnant women seeking support for nausea and vomiting at a single private, obstetrician-led maternity health service in Australia. Thematic analysis revealed four themes that captured clinician perspectives about women's participation in decision-making about antiemetic treatments: (i) information gathering; (ii) developing an understanding;(iii) using knowledge; and (iv) making decisions. Clinician attitudes and perspectives, as well as their self-reported styles of communication and negotiation, influenced how they engaged with women during decision-making. While unfamiliar with the five Choosing Wisely questions, almost all participants considered them potentially useful, but for other clinicians. Strategies to actively involve women in decisionmaking about antiemetics were inconsistently used. The five Choosing Wisely questions may provide a useful tool for clinicians, but further research is needed to better understand women's perspectives and clinician-related barriers to shared decisionmaking.

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Section: Discussionmentioning

confidence: 56%

Clinician perspectives of pregnant women's participation in antiemetic decision‐making: A qualitative study

Gornall

Hutchinson

Redley

2022

Nursing & Health Sciences

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“…Trust is a foundational component of the doctor–patient relationship—physicians must trust that patients are honest about their painful experiences and patients must trust that clinicians act according to their best interests, are free from conflicts of interest, and empathize with their situation (Greene and Ramos 2021; Victor and Richeimer 2005). Unfortunately, due to opioid pharmacovigilance and the tapering of opioid prescriptions, patients were more likely to engage in duplicitous behaviors, including doc-shopping, and lying about compliance.…”

Section: Resultsmentioning

confidence: 99%

Pharmaceuticalization to Opioid Pharmacovigilance: A Qualitative Investigation of the Impact of Opioid-related Policy Changes and the Perspectives of Residents and Chronic Non-cancer Pain Patients

Simoni

Day

Schneider

et al. 2022

Sociological Perspectives

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As a result of the pharmaceuticalization of chronic pain over the past three decades, opioid therapy became a common form of treatment for chronic pain patients. However, the overprescribing of opioids led to the opioid overdose epidemic in the United States. In response, the Centers for Disease Control and Prevention implemented guidelines reducing the number of opioid prescriptions—better known as opioid pharmacovigilance. Little is known about the sociocultural challenges during the transition to opioid pharmacovigilance for the resident/patient relationship. Using a thematic analysis, we analyzed 20 semi-structured interviews of residents and chronic non-cancer pain (CNCP) patients in a family medicine residency practice. Findings suggest that due to the pharmaceuticalization of CNCP and the transition to opioid pharmacovigilance, residents develop a wariness to prescribe opioids, which leads to prejudice against patients. Patients report constrained care and a lack of alternative treatments for chronic pain, which inevitably leads to duplicitous behavior.

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“…According to a 1966 poll, 73% of respondents reported confidence in medical professionals, and by 2012 that number had dropped to 34% [ 41 ]. Studies and surveys have shown that trust in the health care system is directly related to following treatment plans, consistently taking medications, and health competence [ 42 , 43 ]. Specifically in the context of COVID-19, Antinyan et al [ 44 ] found that, on a global scale, having a health care system that citizens trust is more likely to encourage treatment-seeking behavior upon development of first COVID-19 symptoms.…”

Section: Discussionmentioning

confidence: 99%

Contributions of Trustworthiness, Health Literacy, and Self-Efficacy in Communicating With COVID-19 Vaccine–Hesitant Audiences: Web-Based Survey Study

Weerakoon¹,

Henson-Garcia²,

Valerio-Shewmaker³

et al. 2022

JMIR Form Res

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Background Large-scale health communication challenges during the COVID-19 pandemic, such as widespread misinformation and distrust in health care professionals, have influenced reluctance to take the COVID-19 vaccine, also known as vaccine hesitancy. Trust in health professionals, adequate health literacy, and high self-efficacy are key components of actively pursuing preventative and protective health care measures. These factors may be associated with intentions to seek and complete a COVID-19 vaccine dosing. Objective The objective of this analysis was to identify factors associated with COVID-19 vaccine hesitancy. Methods In February 2021, US adults (N=5872) responded to a web-based survey on COVID-19 vaccine hesitancy and components of health communication (trust in sources of health information, health literacy, and self-efficacy). Multivariable logistic regression models were used to explore associations between these factors and vaccine hesitancy while adjusting for key demographics. We hypothesized that low levels of trust, health literacy, and self-efficacy would be associated with increased vaccine hesitancy. Results The adjusted odds of vaccine hesitancy was greater among those who placed little to no trust in health professionals compared to those who held a lot of trust (adjusted odds ratio [AOR] 8.54, 95% CI 6.52-11.19). The odds of vaccine hesitancy was also greater among those who felt frustrated about finding health information compared to those who did not (AOR 2.10, 95% CI 1.62-2.70). Participants who had little to no confidence in receiving health advice or information had greater odds of vaccine hesitancy compared to those who had a lot of confidence (AOR 3.05, 95% CI 2.34-3.97). Conclusions This study underscores the importance of trust between health professionals and their patients, and a need for improving health literacy regarding vaccines. Perceptions of mistrust and low levels of health literacy were associated with high levels of vaccine hesitancy, providing empirical support of framing these factors as perceived barriers to vaccine uptake.

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A Mixed Methods Examination of Health Care Provider Behaviors That Build Patients’ Trust

Cited by 58 publications

References 46 publications

Clinician perspectives of pregnant women's participation in antiemetic decision‐making: A qualitative study

Clinician perspectives of pregnant women's participation in antiemetic decision‐making: A qualitative study

Pharmaceuticalization to Opioid Pharmacovigilance: A Qualitative Investigation of the Impact of Opioid-related Policy Changes and the Perspectives of Residents and Chronic Non-cancer Pain Patients

Contributions of Trustworthiness, Health Literacy, and Self-Efficacy in Communicating With COVID-19 Vaccine–Hesitant Audiences: Web-Based Survey Study

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