Effect of sitting vs. standing on perception of provider time at bedside: A pilot study

Swayden, Kelli J.; Anderson, Karen K.; Connelly, Lynne M; Moran, Jennifer S.; McMahon, Joan K.; Arnold, Paul M.

doi:10.1016/j.pec.2011.05.024

Cited by 110 publications

(78 citation statements)

References 14 publications

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“…In the context of clinical care, standing on the part of one person (the doctor or nurse) and sitting or lying on the part of the other (as in the case of a patient in their hospital bed) creates a power imbalance and makes for more truncated and less satisfying interaction 40. This may also be the case for handovers involving this communication pattern.…”

Section: Resultsmentioning

confidence: 99%

Context, culture and (non-verbal) communication affect handover quality

et al. 2012

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Background: Transfers of care, also known as handovers, remain a substantial patient safety risk. Although research on handovers has been done since the 1980s, the science is incomplete. Surprisingly few interventions have been rigorously evaluated and, of those that have, few have resulted in long-term positive change. Researchers, both in medicine and other high reliability industries, agree that face-to-face handovers are the most reliable. It is not clear, however, what the term face-to-face means in actual practice. Objectives: We studied the use of non-verbal behaviours, including gesture, posture, bodily orientation, facial expression, eye contact and physical distance, in the delivery of information during face-toface handovers. Methods: To address this question and study the role of non-verbal behaviour on the quality and accuracy of handovers, we videotaped 52 nursing, medicine and surgery handovers covering 238 patients. Videotapes were analysed using immersion/crystallisation methods of qualitative data analysis. A team of six researchers met weekly for 18 months to view videos together using a consensus-building approach. Consensus was achieved on verbal, non-verbal, and physical themes and patterns observed in the data. Results: We observed four patterns of non-verbal behaviour (NVB) during handovers: (1) joint focus of attention; (2) 'the poker hand'; (3) parallel play and (4) kerbside consultation. In terms of safety, joint focus of attention was deemed to have the best potential for high quality and reliability; however, it occurred infrequently, creating opportunities for education and improvement. Conclusions: Attention to patterns of NVB in face-toface handovers coupled with education and practice can improve quality and reliability.

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Section: Resultsmentioning

confidence: 99%

Context, culture and (non-verbal) communication affect handover quality

et al. 2012

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“…The information is, in addition, not presented in clear language, but in medical jargon, which can increase the burden on patients and further alienate them. One study suggests that one simple physical behavior might facilitate understanding: patients of providers who sat vs. stood at bedside felt the provider spent more time, were more satisfied and reported better understanding of their condition [10].…”

Section: Discussionmentioning

confidence: 99%

“…The extant empirical literature falls into several broad categories. In terms of emotional rapport, one study found that patients perceive physicians to have spent more time with them if the doctor sits rather than stands in their hospital room [10], and another study found that physicians tend to avoid responding to patients' expression of negative emotion during dialogue in the hospital, especially if that communication involved an explicit concern [11]. In terms of communication content, one study found that most communication by physicians to patients on hospital ward rounds was focused on the transfer of medical information; patients, on the other hand, communicated about medical information less often than question-asking and checking information already received [12].…”

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confidence: 99%

Communication behaviors and patient autonomy in hospital care: A qualitative study

Berger

Boss

Beach

2017

Patient Education and Counseling

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A B S T R A C TBackground: Little is known about how hospitalized patients share decisions with physicians. Methods: We conducted an observational study of patient-doctor communication on an inpatient medicine service among 18 hospitalized patients and 9 physicians. A research assistant (RA) approached newly hospitalized patients and their physicians before morning rounds and obtained consent. The RA audio recorded morning rounds, and then separately interviewed both patient and physician. Coding was done using integrated analysis. Results: Most patients were white (61%) and half were female. Most physicians were male (66%) and of Southeast Asian descent (66%). All physicians explained the plan of care to the patients; most believed that their patient understood. However, many patients did not. Physicians rarely asked the patient for their opinion. In all those cases, the decision had been made previously by the doctors. No decisions were made with the patient. Patients sometimes disagreed. Conclusions: Shared decision-making may not be the norm in hospital care. Although physicians do explain treatment plans, many hospitalized patients do not understand enough to share in decisions. When patients do assert their opinion, it can result in conflict. Practice implications: Some hospitalized patients are interested in discussing treatment. Improving hospital communication can foster patient autonomy.

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“…In a multicenter prospective study of 571 patients undergoing breast reconstruction, Ho et al found that the top two determinants of patient satisfaction were adequate preoperative information by the surgeon, and satisfaction with the surgeon. 1 Studies have shown that sitting down during a consultation, 2 avoiding the appearance of being hurried, and listening to the patient's questions and concerns lead to patients rating their interaction with the surgeon as positive and overestimating the time that the surgeon actually spent with them. Physicians who educate patients on what to expect, use humor, and encourage patients to ask questions are less likely to encounter medical malpractice claims than physicians who do not.…”

Section: Surgeon-patient Communicationmentioning

confidence: 99%

Evidence-Based Strategies to Reduce Postoperative Complications in Plastic Surgery

Harrison

Khansa

Janis

2016

Plastic and Reconstructive Surgery

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Reconstructive plastic surgery is vital in assisting patients with reintegration into society after events such as tumor extirpation, trauma, or infection have left them with a deficit of normal tissue. Apart from performing a technically sound operation, the plastic surgeon must stack the odds in the favor of the patient by optimizing them before and after surgery. The surgeon must look beyond the wound, at the entire patient, and apply fundamental principles of patient optimization. This article reviews the evidence behind the principles of patient optimization that are commonly used in reconstructive surgery patients.

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Effect of sitting vs. standing on perception of provider time at bedside: A pilot study

Cited by 110 publications

References 14 publications

Context, culture and (non-verbal) communication affect handover quality

Context, culture and (non-verbal) communication affect handover quality

Communication behaviors and patient autonomy in hospital care: A qualitative study

Evidence-Based Strategies to Reduce Postoperative Complications in Plastic Surgery

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