Clinician–patient relationships after two decades of a paradigm of patient-centered care

Akseer, Riaz; Connolly, Maureen; Cosby, Jarold; Frost, Gail; Kanagarajah, Rajwin Raja; Lim, Swee Hua Erin

doi:10.1080/20479700.2020.1713535

Cited by 8 publications

(11 citation statements)

References 28 publications

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“…patients because they spend more time with them (e.g., during chemotherapy sessions) compared with physicians, who meet patients for a limited amount of time (Akseer et al, 2021;Yang et al, 2018). The time spent with patients creating a meaningful relationship might have a protective effect against DP among oncology nurses (Eelen et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

“…Another explanation of the differences in DP found in this study is the type of relationship formed between nurses and patients. Nurses have more opportunities to create close relationships with patients because they spend more time with them (e.g., during chemotherapy sessions) compared with physicians, who meet patients for a limited amount of time (Akseer et al, 2021; Yang et al, 2018). The time spent with patients creating a meaningful relationship might have a protective effect against DP among oncology nurses (Eelen et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

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Burnout among oncologists and oncology nurses: A systematic review and meta-analysis.

HaGani¹,

Yagil²,

Cohen³

2022

Health Psychology

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Background: Significant proportions of burnout have been reported among both oncologists and oncology nurses. However, these groups have not been compared in a meta-analytic design. It is important to compare how burnout affects different types of health professionals to understand its individual implications and devise ways of minimizing and treating it. Objective: The current meta-analysis study aimed to systematically compare burnout prevalence between oncologists and oncology nurses. Method: Authors assessed 34 studies (four included nurses and oncologists and 30 focused either on oncologists or oncology nurses) that used the Maslach Burnout Inventory (MBI) to measure burnout. Both fixed- and random-effects models were used to calculate meta-analytic estimates of the burnout subscales: emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA). Results: The pooled sample size was 4,705 oncologists and 6,940 oncology nurses. The average proportions of EE, DP, and PA were 32%, 26%, and 25%, respectively, among oncologists and 32%, 21%, and 26%, respectively, among oncology nurses. Higher DP was found among oncologists compared with oncology nurses, only in the analysis of studies that included samples of both oncologists and oncology nurses. The subgroup analysis showed higher levels of DP in Europe and Asia and lower PA in Asia and Canada. No evidence of publication bias was found. Conclusions: Findings suggest differences in burnout between oncologists and oncology nurses and among geographic regions. This highlights the need for tailored interventions for different professions and regions. Hospitals should provide support and encourage teamwork to improve oncology professionals’ well-being and provide optimal care for patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Burnout among oncologists and oncology nurses: A systematic review and meta-analysis.

HaGani¹,

Yagil²,

Cohen³

2022

Health Psychology

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“…Patient-centred and culturally competent care are championed in medical education as overlapping methods of improving patient experiences and minimising health disparities. [1][2][3][4] Arguably, these approaches hold added significance in sensitive procedures such as the pelvic examination (PE). Both the examination's proclivity for patient vulnerability and its associated health disparities (detailed below) highlight the necessity of these approaches when the examination is clinically administered.…”

Section: Introductionmentioning

confidence: 99%

“…Patient‐centred and culturally competent care are championed in medical education as overlapping methods of improving patient experiences and minimising health disparities 1–4 . Arguably, these approaches hold added significance in sensitive procedures such as the pelvic examination (PE).…”

Section: Introductionmentioning

confidence: 99%

“…GTA programmes have been criticised for both consisting of predominantly White volunteers 46 and, in some cases, maintaining practices that negatively impact volunteers *. Another common yet problematic PE learning method occurs when medical trainees perform exams on patients under anaesthesia without prior consent 1–4,47,56 . This practice has garnered acceptance among students and clinicians despite its public characterisation as a violation of patient autonomy and legislative moves to ban the practice 57–59 .…”

Section: Introductionmentioning

confidence: 99%

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‘Poorly relaxed women’: A situational analysis of pelvic examination learning materials for medical students

Towle

2022

Medical Education

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I. Historical Review………………………………………………………. p. a. The invention of the speculum: Lucy, Anarcha, and Betsey…… p. b. Sex workers, 'models,' and marginalized groups………………. p. c. The introduction of the anesthetized PE………………………... p. d. 'Our bodies, ourselves:' Gynaecological teaching associates…... p. II. Contemporary Review…………………………………………………. p. a. Patients' experiences of the PE…………………………………. p. b. Medical student perspectives on the PE……………………….... p. c. Medical school culture and #MeTooPelvic……………………... p. d. Medical education curricula…………………………………….. p. e. Screening guidelines and DIY cervical swabs………………….. p. f. Patient-centred improvements…………………………………... p.

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Taking the public seriously: the role of respect in interactions between scientific experts and lay publics

Ivani,

Archer

2024

Synthese

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Clinician–patient relationships after two decades of a paradigm of patient-centered care

Cited by 8 publications

References 28 publications

Burnout among oncologists and oncology nurses: A systematic review and meta-analysis.

Burnout among oncologists and oncology nurses: A systematic review and meta-analysis.

‘Poorly relaxed women’: A situational analysis of pelvic examination learning materials for medical students

Taking the public seriously: the role of respect in interactions between scientific experts and lay publics

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