How can Doctors Improve their Communication Skills?

Ranjan, Piyush; Kumari, Archana; Chakrawarty, Avinash

doi:10.7860/jcdr/2015/12072.5712

Cited by 130 publications

(140 citation statements)

References 25 publications

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“…Patient collaboration should be encouraged from the onset using open‐ended questions such as “What sorts of medication concerns or questions would you like to talk about?” This is in contrast to the current situation where pharmacists inform patients how the conversation will unfold and then continue onward in a task‐oriented approach. Including patients in agenda‐setting by eliciting their expectations for the conversation has been favourably described in physician research . Not engaging patients in the design and purpose of the medication counselling session could be interpreted as under‐accommodating patients’ power and relationship needs by not allowing their input into this initial stage.…”

Section: Discussionmentioning

confidence: 99%

Investigating strategies used by hospital pharmacists to effectively communicate with patients during medication counselling

Chevalier

Watson

Barras

et al. 2017

Health Expectations

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BackgroundMedication counselling opportunities are key times for pharmacists and patients to discuss medications and patients’ concerns about their therapy. Communication Accommodation Theory (CAT) describes behavioural, motivational and emotional processes underlying communication exchanges. Five CAT strategies (approximation, interpretability, discourse management, emotional expression and interpersonal control) permit identification of effective communication.ObjectiveTo invoke CAT to investigate communication strategies used by hospital pharmacists during patient medication counselling.DesignThis was a theory‐based, qualitative study using transcribed audiorecordings of patients and hospital pharmacists engaged in medication counselling.Setting and participantsRecruited pharmacists practised in inpatient or outpatient settings. Eligible patients within participating pharmacists’ practice sites were prescribed at least three medications to manage chronic disease(s).Main outcome measuresThe extent to which pharmacists accommodate, or not, to patients’ conversational needs based on accommodative behaviour described within CAT strategies.ResultsTwelve pharmacists engaged four patients (48 total interactions). Exemplars provided robust examples of pharmacists effectively accommodating or meeting patients’ conversational needs. Non‐accommodation mainly occurred when pharmacists spoke too quickly, used terms not understood by patients and did not include patients in the agenda‐setting phase. Multiple strategy use resulted in communication patterns such as “information‐reassurance‐rationale” sandwiches.Discussion and conclusionsMost pharmacists effectively employed all five CAT strategies to engage patients in discussions. Pharmacists’ communication could be improved at the initial agenda‐setting phase by asking open‐ended questions to invite patients’ input and allow patients to identify any medication‐related concerns or issues.

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Section: Discussionmentioning

confidence: 99%

Investigating strategies used by hospital pharmacists to effectively communicate with patients during medication counselling

Chevalier

Watson

Barras

et al. 2017

Health Expectations

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“…Staff reported that the training provided them with a marked advantage by improving their communication skills with families. Notably listening and perspective-taking were both cited as important, reflecting what Ranjan et al 27 refer to as frequently neglected communication skills. This study has successfully extended previous work where training was offered as a stand-alone intervention11 by adding the CMF as a framework that staff can adopt when they identify conflict.…”

Section: Discussionmentioning

confidence: 92%

Reducing healthcare conflict: outcomes from using the conflict management framework

Forbat

Barclay²

2018

Arch Dis Child

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“…The process of curing a patient requires a holistic approach which involves considerations beyond treating a disease. It warrants several skills in a doctor, along with technical expertise (9). A number of studies have found that students tend to lose empathic and idealistic motivations over the course of medical education.…”

Section: Discussionmentioning

confidence: 99%

Integrating Community Services with Learning:An Approach to Soft Skills Development for Medical Students Universitas Padjadjaran

et al. 2019

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How can Doctors Improve their Communication Skills?

Cited by 130 publications

References 25 publications

Investigating strategies used by hospital pharmacists to effectively communicate with patients during medication counselling

Investigating strategies used by hospital pharmacists to effectively communicate with patients during medication counselling

Reducing healthcare conflict: outcomes from using the conflict management framework

Integrating Community Services with Learning:An Approach to Soft Skills Development for Medical Students Universitas Padjadjaran

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