Hospital pharmacists’ and patients’ views about what constitutes effective communication between pharmacists and patients

Chevalier, Bernadette; Watson, Bernadette Maria; Barras, Michael; Cottrell, Neil

doi:10.1111/ijpp.12423

Cited by 21 publications

(10 citation statements)

References 33 publications

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“…This is not surprising as CAT suggests that speakers’ goals for their conversation will influence their communication behaviours (Gasiorek & Giles, 2012). In addition, as we have previously found, pharmacists and patients may have multiple goals (Chevalier et al, 2017a). This concept is consistent with the multiple goal theory research (Wilson, 2019) and congruent with the influence of different identities assumed (e.g., social, professional) as per CAT (Giles, 2008a).…”

Section: Discussionmentioning

confidence: 86%

“…Patients stressed the importance of well-explained information, how to obtain their medications, and pharmacists’ interpersonal skills. Pharmacists felt patients were confident in self-managing their medications when patients indicated they were engaged in the conversation by asking relevant questions and using appropriate non-verbal communication such as nods and eye contact (Chevalier et al, 2017a).…”

Section: Using Communication Accommodation Theory To Interpret Pharmamentioning

confidence: 99%

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Assessing Communication Behaviours of Hospital Pharmacists: How Well Do the Perspectives of Pharmacists, Patients, and an Independent Observer Align?

Chevalier

Watson

Barras

et al. 2020

Journal of Language and Social Psychology

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Pharmacists need effective communication skills to provide high-quality patient care. To date, little has been published about hospital pharmacists’ communication behaviours, most is atheoretical, and has not studied patients and pharmacists as a dyad. We investigated how well pharmacists’ and patients’ perspectives of their shared conversation aligned, and how closely these perspectives matched that of an outsider (observer). We invoked communication accommodation theory using audio-recorded, semi-structured interviews, held separately with hospital patients ( n = 48) and pharmacists ( n = 12). Quantitative analyses indicated where patients, pharmacists, and observer perspectives aligned and occasions where they did not. With some exceptions, most pharmacists and patients held similar opinions about pharmacist communication behaviours. Observer–pharmacist discrepancies highlighted areas for further communication development using communication accommodation theory as a training tool.

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Section: Discussionmentioning

confidence: 86%

Section: Using Communication Accommodation Theory To Interpret Pharmamentioning

confidence: 99%

Assessing Communication Behaviours of Hospital Pharmacists: How Well Do the Perspectives of Pharmacists, Patients, and an Independent Observer Align?

Chevalier

Watson

Barras

et al. 2020

Journal of Language and Social Psychology

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“…Shortages of CPs prevent proper collaboration such that understaffed pharmacists were overloaded with responsibilities, thus affecting the quality of CPS. 42 Previous studies have found that the initiation of CPS by healthcare bodies or government was a facilitator to implementation. 27 However, we did not find any governmental or institutional policies in place to provide funding to advocate the implementation of paediatric CPS within the included studies.…”

Section: Penetrationmentioning

confidence: 99%

Factors influencing the implementation of clinical pharmacy services on paediatric patient care in hospital settings

et al. 2021

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Objectives This systematic review (SR) was undertaken to identify and summarise any factors which influence the implementation of paediatric clinical pharmacy service (CPS) from service users' perspectives in hospital settings. Methods Literature search from EMBASE, MEDLINE, Web of Science (Core Collection), Cochrane Library, Scopus and CINAHL databases were performed in order to identify any relevant peer-reviewed quantitative and qualitative studies from inception until October 2019 by following the inclusion criteria. Boolean search operators were used which consisted of service, patient subgroup and attribute domains. Studies were screened independently and included studies were quality assessed using Mixed Methods Appraisal Tool. The study was reported against the 'Enhancing Transparency in Reporting the Synthesis of Qualitative Research' statement. Results 4199 citations were screened by title and abstract and 6 of 32 full publications screened were included. There were two studies that were graded as 'high' in quality, with four graded as 'moderate'. The analysis has led to the identification of seven factors categorised in five predetermined overarching themes. These were: other healthcare professionals' attitudes and acceptance; availability of clinical pharmacist on ward or outpatient settings; using drug-related knowledge to perform clinical activities; resources for service provision and coverage; involvement in a multidisciplinary team; training in the highly specialised areas and development of communication skills. Conclusion Evidence for paediatric CPS was sparse in comparison to a similar SR conducted in the adult population. An extensive knowledge gap within this area of practice has therefore been identified. Nevertheless, majority of the factors identified were viewed as facilitators which enabled a successful implementation of CPS in paediatrics. Further research is needed to identify more factors and exploration of these would be necessary in order to provide a strong foundation for strategic planning for paediatric CPS implementation and development.

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“…CAT proposes that individuals are motivated to be accommodative or nonaccommodative with their speech partners. The usefulness of CAT as a model to explain the dynamics in different hospital settings is well-documented in the literature (e.g., Chevalier et al, 2017; Gallois et al, 2015; Watson et al, 2016).…”

Section: Theoretical Frameworkmentioning

confidence: 99%

Playback: An Investigation of the Discursive Implications and the Pragmatic Functions of Repetition in Traditional Chinese Medical Consultations

Jin

Watson

2020

Journal of Language and Social Psychology

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The current study examined a role-related difference in the use of playback (one form of repetition) in medical discourse. We adopted a language and social psychology approach and invoked communication accommodation theory (CAT) to explore this discourse. Thirty doctor/older adult dyads were recorded and transcribed verbatim. Findings suggested that the deployment of repetition is a strategy used by the addresser to either complement or converge to the other interlocutor, in order to ensure that the medical instrumental task is efficiently accomplished and interpersonal rapport is established. Our results show that discourse management is the dominant strategy used by speakers when playing back the other’s utterances. Our analysis also demonstrates that CAT strategies work interdependently. We conclude that CAT is a valuable framework to elucidate the dynamics of, and the social psychological processes underlying, the practice of repetition in medical interviews.

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Hospital pharmacists’ and patients’ views about what constitutes effective communication between pharmacists and patients

Abstract: Pharmacists and patients provided valuable insights about what makes pharmacist-patient interactions effective. Patient-identified preferences for pharmacist-patient exchanges may help guide pharmacy students and practitioners to engage patients in effective conversations.

Cited by 21 publications

References 33 publications

Assessing Communication Behaviours of Hospital Pharmacists: How Well Do the Perspectives of Pharmacists, Patients, and an Independent Observer Align?

Assessing Communication Behaviours of Hospital Pharmacists: How Well Do the Perspectives of Pharmacists, Patients, and an Independent Observer Align?

Factors influencing the implementation of clinical pharmacy services on paediatric patient care in hospital settings

Playback: An Investigation of the Discursive Implications and the Pragmatic Functions of Repetition in Traditional Chinese Medical Consultations

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