Enhancing adult therapeutic interpersonal relationships in the acute health care setting: an integrative review

Kornhaber, Rachel; Walsh, Ken; Duff, Jed; Walker, Kim

doi:10.2147/jmdh.s116957

Cited by 132 publications

(89 citation statements)

References 39 publications

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“…The need for enhancing the relationships between patients and their HCP has been identified in many areas of health care, including prenatal care [36–38]. Finally, although some focus groups were conducted with a small number of participants, findings were similar across the groups and saturation was reached.…”

Section: Discussionmentioning

confidence: 99%

Women’s perceptions of discussions about gestational weight gain with health care providers during pregnancy and postpartum: a qualitative study

Nikolopoulos

Mayan

MacIsaac

et al. 2017

BMC Pregnancy Childbirth

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BackgroundMaternal body weight is an indicator of the health of a mother and her developing fetus. Risks of poor maternal and fetal health issues increase when women gain too little or too much weight during pregnancy. A study of 600 women from Alberta, Canada, reported approximately 30, 46, 80, and 80% of underweight, healthy weight, overweight, and obese women, respectively, gained in excess of Health Canada gestational weight gain guidelines. Behavioural interventions during pregnancy have shown to be effective at supporting women achieve gestational weight gain (GWG) recommendations and return to their pre-pregnancy weight postpartum, yet few women are counseled about weight gain during pregnancy. A discrepancy exists between health care providers’ (HCP) reported counseling behaviours and women’s perceptions of counseling by HCPs; most HCPs report counseling women about GWG; conversely, most women report not receiving counseling about GWG. This study explored women’s experiences with GWG and their perceptions of discussions about GWG with HCPs during pregnancy and postpartum. This will help to identify gaps in service delivery and highlight areas for improvement that may better support women to achieve GWG recommendations leading to better health outcomes for women and children.MethodsFive focus groups (n = 26) were conducted with women up to 1 year postpartum across the five Alberta health zones. Focus groups were transcribed verbatim and analyzed using qualitative content analysis.ResultsGWG is important to women, for their health and for the health of their baby. In-depth conversations with HCPs about GWG or weight loss do not occur; however, women want the opportunity to discuss weight gain/loss with HCPs. Women would like discussions about gestational weight gain/loss to become part of standard care and offered to all women.ConclusionsWomen suggested that discussions about GWG should occur with all women, and that HCPs should initiate these discussions by asking women how they feel about discussing weight. Conversations should begin early on in pregnancy and continue through to the postpartum period. Interventions assessing discussions about GWG should be implemented and evaluated as this has been identified as a gap in prenatal service delivery.

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Section: Discussionmentioning

confidence: 99%

Women’s perceptions of discussions about gestational weight gain with health care providers during pregnancy and postpartum: a qualitative study

Nikolopoulos

Mayan

MacIsaac

et al. 2017

BMC Pregnancy Childbirth

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“…For a patient–practitioner relationship to be therapeutic in itself, it would need to be perceived by patients as a caring, non-judgmental, and supportive interaction that provides relief during a period of high stress (Kornhaber, Walsh, Duff, & Walker, 2016). Characteristics of such alliances include friendliness, empathy, warmth, and genuine involvement and interest.…”

Section: Connecting the Dots: A Clinical Approachmentioning

confidence: 99%

“…Non-verbal communication is of vital importance during the patient–practitioner interaction, as it is estimated that the meaning of a message can be divided into 7% of content, 38% tone of voice, and 55% body language (Mehrabian, 1971). A recent review found that there is substantial evidence that positive therapeutic relationships between patients and providers are correlated with improvements in quality of life, anxiety and depression levels, as well as patient satisfaction and treatment adherence (Kornhaber et al, 2016). A positive doctor–patient relationship can also help decrease the quantity of medication used, and therefore, experienced side effects.…”

Section: Connecting the Dots: A Clinical Approachmentioning

confidence: 99%

“…A commentary published in the New England Journal of Medicine suggested the application of placebos in the treatment for pediatric migraine in order to reduce side effects (Jackson, 2017). On the other hand, negative patient–practitioner relationships are characterized by psychological distress and the onset of negative feelings of invalidation and dehumanization (Kornhaber et al, 2016). …”

Section: Connecting the Dots: A Clinical Approachmentioning

confidence: 99%

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The Role of Patient–Practitioner Relationships in Placebo and Nocebo Phenomena

Blasini

Peiris

Wright

et al. 2018

International Review of Neurobiology

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Introduction: Placebo and nocebo effects form part of all therapeutic environments and play a significant role in the effectiveness of treatment outcomes. Patient expectancies drive these phenomena, which can be shaped through contextual factors including verbal suggestions, conditioning, and social observation. Objectives: This review seeks to identify the biopsychosocial factors of the patient– practitioner interaction that play a role in the development of placebo and nocebo effects, as well as the anthropological elements of the biodynamic process of relating that are meaningful in the development of expectancies. Methods: We conducted a narrative review of frameworks of the placebo and nocebo effect, including the impact of expectancies and interpersonal relationships in the context of healing and the clinical setting. Results: Expectancies leading to placebo and nocebo effects can be modified by macro and micro factors, such as culture and society, as well as individual psychobiological traits, respectively. The developmental sociobiological adaptations that form and consolidate mindsets and meaningful contexts play an important role in shaping patient expectancies, as well as patients’ conscious and subconscious reactions to signs and actions taking place within the clinical environment. Practitioner characteristics, like empathy, friendliness, and competence, favor the formation of positive expectancies. Caring and warm patient–practitioner interactions can enhance the therapeutic value of clinical encounters when patients’ positive expectancies are actively encouraged and engaged. Conclusion: A patient-centered approach rooted in demonstrating care and empathy can positively enhance a patient’s experience within the clinical environment and activate psychosociobiological adaptations associated with the placebo phenomenon. Pain patients could particularly benefit from non-invasive approaches for improving treatment effectiveness and quality-of-life.

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“…The stress inherent in these factors can often unsettle nursing staff and prove detrimental to the quality of care they deliver (Woodhead et al ). This is particularly pertinent when their ability to provide therapeutic intervention is compromised due to competing demands from the organization and service users, and lack of resources (Kornhaber et al ; Warne & McAndrew ).…”

Section: Introductionmentioning

confidence: 99%

Burning out physical and emotional fatigue: Evaluating the effects of a programme aimed at reducing burnout among mental health nurses

Alenezi

McAndrew

Fallon

2019

Int J Mental Health Nurs

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Burnout is a common problem among mental health nurses. High levels of burnout result in job dissatisfaction, rapid turnover of staff, physical and psychological discomfort, and a reduction in the quality of patient care. While there is an abundance of research relating to burnout per se, research regarding the impact of burnout prevention programmes is lacking. This study aimed to measure the effects of a burnout prevention programme on mental health nurses working in Saudi Arabia (SA). A quasi‐experimental design was used to test the effectiveness of a two‐day burnout prevention workshop. The sample consisted of an intervention group (n = 154) and a control group (n = 142). Data collected using the Maslach Burnout Inventory (MBI) measured the effects of the workshop at 1‐, 3‐, and 6‐month intervals after completion of the programme. Data were analysed using the latest version of SPSS. Means, standard deviations, frequencies, and percentages were used to describe the sample and levels of burnout. A t‐test, ANOVA, multiple linear regression, and chi‐squared were used to measure the effect of the workshop before and at the three time points after exposure. Findings indicate the programme was effective with a significant reduction being reported 1 month after the intervention. However, although not returning to baseline scores, burnout scores had increased at 6 months. In conclusion, while the overall efficacy of the burnout reduction programme is evident, mental health nurses would benefit from having opportunity to use some of the strategies on a regular basis.

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Enhancing adult therapeutic interpersonal relationships in the acute health care setting: an integrative review

Cited by 132 publications

References 39 publications

Women’s perceptions of discussions about gestational weight gain with health care providers during pregnancy and postpartum: a qualitative study

Women’s perceptions of discussions about gestational weight gain with health care providers during pregnancy and postpartum: a qualitative study

The Role of Patient–Practitioner Relationships in Placebo and Nocebo Phenomena

Burning out physical and emotional fatigue: Evaluating the effects of a programme aimed at reducing burnout among mental health nurses

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