Improving Physician-patient and Physician-nurse Communication and Overall Satisfaction Rates: A Quality Improvement Project

Hitawala, Asif; Flores, Mónica; Alomari, Mohammad; Kumar, S Suresh; Padbidri, Vinay; Muthukuru, Sujit; Rahman, Shafia; Al‐Omari, Ahmed; Khazaaleh, Shrouq; Gopalakrishna, K. V.; Michael, Madonna

doi:10.7759/cureus.7776

Cited by 14 publications

(19 citation statements)

References 15 publications

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“…Hitawala et al, in their study, reported nurses' higher satisfaction when physicians adopted respectful methods in communication with them (19), which was in line with the findings of the present study, highlighting the necessity of employing appropriate communication skills by both nurses and physicians. Communication experience from the perspective of nurses participating in this study showed the effectiveness of communication, and this perception was due to the experience of collaborative and team relationships between nurses and physicians.…”

Section: Discussionsupporting

confidence: 91%

Oncology Nurses' Communication Challenges During Caring for Cancer Patients: A Qualitative Content Analysis Study

2021

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Background: Establishing appropriate communication with cancer patients is necessary to make decisions for them and involve them in the care process to prevent the adverse consequences of cancer treatment. Thus, the qualitative study on the challenges experienced by oncology nurses can lead to a better understanding of these challenges and help these nurses acquire advanced communication skills. Objectives: This study was conducted to explain the communication challenges experienced by oncology nurses during providing care to cancer patients by applying a qualitative content analysis approach. Methods: This qualitative study was conducted with the participation of 18 nurses who were selected by the purposive sampling method, working in the oncology departments of Iran’s hospitals in 2021. Semi-structured interviews were held for data collection. After transcribing the interviews, data analysis was performed using the Granheim and Landman (2004) method. The MAXQDA software (2020) was used for data management. The criteria proposed by Lincoln and Guba were used to assure data accuracy and reliability. Results: Thirty subcategories, eight categories, and four themes were extracted following data analysis. The themes included the nurse’s close relationship with cancer patients as a double-edged sword, curvy and sinusoidal professional communication for oncology nurses, relationship with an opposite-gender patient as a missing factor in nursing care, and marginalization of relationships during the coronavirus pandemic. Conclusions: Nurses’ challenges in communicating with cancer patients can be reduced by improving their communication skills via various strategies, including empowering nurses by employing cognitive empathy and using communication models such as the Comfort model.

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Section: Discussionsupporting

confidence: 91%

Oncology Nurses' Communication Challenges During Caring for Cancer Patients: A Qualitative Content Analysis Study

2021

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“…However, the experience captured with AI is not something that can be readily imparted. A measure Patient satisfaction in general is associated with better communication during medical encounters [26]. Likewise, the patient will view interactions poorly when active listening skills are not employed [27].…”

Section: Discussionmentioning

confidence: 99%

“…Patient satisfaction in general is associated with better communication during medical encounters [ 26 ]. Likewise, the patient will view interactions poorly when active listening skills are not employed [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

Using Appreciative Inquiry to Explore Effective Medical Interviews

Khawaja

2021

Behavioral Sciences

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The objective of this study was to uncover the elements of successful medical interviews so that they can be easily shared with health educators, learners, and practitioners. The medical interview is still considered the most effective diagnostic tool available to physicians today, despite decades of rapid advancements in medical technology. When the physician-patient interaction is successful, outcomes are improved. Semi-structured interviews were conducted using an Appreciative Inquiry approach, which seeks to uncover strengths from positive experiences. The inquiry sought to identify the elements that comprise the participating physicians’ most successful patient interviews. Subsequent qualitative analysis revealed eight themes: social support, mutual respect, trust, active listening, relationships, nonverbal cues, empathy, and confidentiality. These themes do not each exist separately or in a vacuum from one another; they are in fact strongly interconnected and equally important. For instance, if a physician and a patient cannot at least maintain mutual respect, then building a relationship, or even trust, is impossible. Given the qualitative nature of this study, future quantitative research should seek to validate the results. As patients assume a more participatory role in modern medical encounters, communication and other soft skills will be key in satisfying patients and improving their medical outcomes.

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“…Oncology patients want emotional support from physicians (23), their caregivers involved in their care (24), accessible information sharing, and to participate in the decision-making during their cancer treatment (9). Patient well-being is higher when teamwork is improved between nurses and physicians (6). Healthcare professional empathic communication is associated with higher rates of patients' satisfaction and lower levels of psychological distress (25).…”

Section: Discussionmentioning

confidence: 99%

“…Ineffective communication still often goes undetected in many healthcare settings, causing serious effects on health and safety of patients. Data suggests that patients want more involvement in their care, there is a clear need for active involvement of patients in the decision-making process (6). Transition from a paternalistic model to a model based on informed shared decision-making (SDM) is enabling implementation of integrative health care delivery in the ethical way, preserving patient autonomy, considering patient values and preferences and directing toward improved health outcomes (7).…”

Section: Introductionmentioning

confidence: 99%

A View on Experience and Communication Perspectives in Lung Cancer Patients in Croatia

Lovrić

Sajnic

Benković

et al. 2021

Zdravstveni Glasnik

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Introduction: Well-balanced communication between healthcare professionals and oncology patients is the first step toward goals of caring for patients. Aims: In constant aim to improve patient outcomes, we aspired to uncover shortcomings in communication between healthcare professionals and patients suffering from lung cancer. An online survey of a non-probabilistic sample of cancer patients from twelve countries of Central and Eastern Europe designed and implemented by the Croatian Coalition of Associations in Healthcare. Methods: 472 lung cancer subjects were selected from the sample of results from 2,460 Croatian participants in the study from Oct. 2018. to Feb. 2019. Participants' sociodemographic and clinical characteristics, experience and communication with healthcare professionals, key areas of inefficiency, psychological and social support were assessed. The analysis included descriptive statistics and chi square to assess demographic differences. Results: The study revealed four main results: (i) only a minority of the participants were satisfied with the communication process, (ii) majority were not told that they could bring family member during delivering bad news, (iii) there was a clear unmet need to have a discussion on the impact of cancer on day to day activities (iv) participants' preferences indicate that the greatest improvement would be to perform all services at one place. Conclusions: This study revealed that one of the leading problems in oncology care according to patients is the lack of education and effective communication. Based on the obtained data, we conclude that there is a large space for improvement in patient experience and communication.

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Improving Physician-patient and Physician-nurse Communication and Overall Satisfaction Rates: A Quality Improvement Project

Cited by 14 publications

References 15 publications

Oncology Nurses' Communication Challenges During Caring for Cancer Patients: A Qualitative Content Analysis Study

Oncology Nurses' Communication Challenges During Caring for Cancer Patients: A Qualitative Content Analysis Study

Using Appreciative Inquiry to Explore Effective Medical Interviews

A View on Experience and Communication Perspectives in Lung Cancer Patients in Croatia

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