How about trust in physician-patient relationship? A concept analysis of physicians’ perspectives

Luo, Yunjun; Liu, Qing; Chen, Hongbo; Zhang, Xiaohong; Luo, Ruzhen; Zhu, Yanxia; Feng, Zihang; Sun, Yu; Wang, Shanshan

doi:10.1016/j.pec.2023.107709

Patient Education and Counseling

2023

DOI: 10.1016/j.pec.2023.107709

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How about trust in physician-patient relationship? A concept analysis of physicians’ perspectives

Yunjun Luo

Qing Liu

Hongbo Chen

et al.

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2024

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Cited by 8 publications

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“…11 Primary care is deemed an optimal setting for promoting PA because primary care physicians (PCPs) are consulted yearly by over 75% of the population, 12,13 they can provide their patients counseling tailored to their health conditions, and they are seen as reliable sources of health information. 14,15 Reviews [16][17][18] provide summaries of the evidence indicating that encouraging PA in primary care settings can foster the adoption of PA in individuals with and without a health condition, at least in the short and medium term.…”

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confidence: 99%

Promotion of Physical Activity by Québec Primary Care Physicians: What Has Changed in the Last Decade?

Laberge,

Gosselin,

Lestage

et al. 2024

Journal of Physical Activity and Health

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Objective: This study aimed to assess the changes in the frequency of physical activity (PA) counseling and in the predictors of primary care PA promotion in Québec primary care physicians (PCPs) between 2010 and 2020. Methods: In 2010, we conducted a survey among Québec PCPs. Questions included: frequency of promoting PA to patients, perceived barriers, needs to improve PA promotion practice, frequency of PCPs’ PA practice, and sociodemographic information. In 2020, we took over the 2010 questionnaire to document the evolution of the PA promotion practice. Results: The proportion of PCPs discussing PA with their patients significantly increased (P < .05) in 2020 for the following health conditions: depression, low back pain, chronic obstructive pulmonary disease, and cancer; it declined (P < .05) for overweight patients, those with metabolic syndrome, and in primary prevention. Collaboration with PA professionals was the major need identified, and it increased in 2020. PCPs’ own practice of PA was a predictor of PA promotion in 2010 (odds ratio = 6.679; P < .001) and in 2020 (odds ratio = 6.679; P < .001). In both 2010 and in 2020, older or more experienced PCPs were more likely to discuss PA with their patients without diagnosed diseases than younger ones or those with less experience. Conclusions: Over the last 10 years, there has been a significant increase in PCPs promoting PA in Québec; however, it has been mainly oriented toward secondary prevention. It is concerning that PA counseling in primary prevention has declined, notably among younger PCPs. The stronger claim for closer collaboration with kinesiologists suggests that PCPs are in favor of an interprofessional strategy, namely collaboration with PA specialists.

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confidence: 99%

Promotion of Physical Activity by Québec Primary Care Physicians: What Has Changed in the Last Decade?

Laberge,

Gosselin,

Lestage

et al. 2024

Journal of Physical Activity and Health

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What Determines Healthcare Workers to Seek Professional Psychological Support? A Cross‐Sectional Study

Wang,

Hu,

et al. 2024

Journal of Advanced Nursing

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AimAlthough healthcare workers often experience significant mental health challenges, their willingness to seek professional psychological help remains relatively low. However, the factors associated with healthcare workers' psychological help‐seeking remain unclear. This study aims to identify the determinants of professional psychological help‐seeking intention among healthcare workers based on the theory of planned behaviour.DesignCross‐sectional study.MethodsA questionnaire, incorporating demographic information and latent variable items, was developed and employed on 403 healthcare workers through online and offline surveys from December 2022 to January 2023 using convenience sampling. Structural equation modelling was applied to test the research hypotheses.ResultsThe model explained 46.9% of the variance in help‐seeking intention. Subjective norm had the strongest total association with help‐seeking intention. Attitude towards help‐seeking behaviour, subjective norm and perceived behavioural control were directly positively related to help‐seeking intention. Moreover, self‐stigma, public stigma, perceived barriers and perceived risk were indirectly associated with help‐seeking intention mediated by attitude towards the behaviour and perceived behavioural control. Of the four constructs, public stigma showed the most significant indirect relation to behavioural intention.ConclusionHealthcare workers' intention to seek psychological support is associated with multiple interacting factors, particularly subjective norm and public stigma. Targeted interventions addressing individual and systemic barriers are essential to create a supportive environment for healthcare workers to access mental health services.ImpactThis study identified key barriers and facilitators to healthcare workers seeking psychological support, which can assist authorities in enhancing mental health services and implementing tailored intervention strategies, thereby promoting help‐seeking behaviour among healthcare workers. Moreover, our research reinforces the applicability of the theory of planned behaviour in explaining healthcare workers' intention to seek professional psychological support.Patient or Public ContributionNo patient or public contribution.

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Review of Muslim Patient Needs and Its Implications on Healthcare Delivery

Zagloul,

Mohammed,

Abufares

et al. 2024

J Prim Care Community Health

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Background: In the rapidly changing environment of healthcare, striving toward health equity and providing patient-centered care is imperative to the patient’s experience. To achieve these goals, a comprehensive understanding of the diverse patient populations seeking these services, their needs, and the multitude of religious, cultural, and structural elements that impact their well-being is required. Muslim patients represent a considerable demographic, both in number and complexity of religious and cultural beliefs and practices. This scoping review examines the intersection of religion and cultural values with healthcare delivery in the context of the Muslim patient experience. Objectives: The objective of this review is to identify key concepts and challenges that impact the Muslim patient experience. Search Methods: The research databases Cochrane Library, OVID Medline, and PubMED were used to conduct a comprehensive systemic review of original, empirical peer-reviewed publications with the following search terms: “Muslim healthcare,” “Muslim patient,” and “Muslim experience.” Selection Criteria: Inclusion and exclusion criteria were used to narrow down articles to those that addressed Muslim patient needs and their healthcare experience. Results: A total of 21 articles met the criteria of this scoping review. Five central topics were identified during thematic analysis: Ramadan and Fasting, Barriers in the Patient-Physician Relationship, Trauma and Perceived Discrimination, Mental Health Awareness and Stigma, and Awareness of Advanced Care Planning. Conclusion: This scoping review demonstrates that in order to provide patient-centered care addressing the unique needs of Muslim patients, religious and cultural values need to be explored under the frameworks of cultural humility and structural competency.

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How about trust in physician-patient relationship? A concept analysis of physicians’ perspectives

Cited by 8 publications

References 16 publications

Promotion of Physical Activity by Québec Primary Care Physicians: What Has Changed in the Last Decade?

Promotion of Physical Activity by Québec Primary Care Physicians: What Has Changed in the Last Decade?

What Determines Healthcare Workers to Seek Professional Psychological Support? A Cross‐Sectional Study

Review of Muslim Patient Needs and Its Implications on Healthcare Delivery

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