Listening in Health Care

McKenna, Lisa; Brown, Ted; Oliaro, Louise; Williams, Brett; Williams, Angela

doi:10.1002/9781119554189.ch25

Cited by 9 publications

(5 citation statements)

References 53 publications

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“…Listening to the stories of obstetric patients aligns well with the idea of driving a culture change towards patient-centered care, by better understanding what they actually want rather than imposing guidelines [55]. At the same time, effectively listening to patients in general is complex and involves various challenges, such as professionals' time constraints [56]. Moreover, it is noted that receiving feedback and actually acting upon it is also complex [57], thus intersecting with the educational category of actions.…”

Section: Discussionmentioning

confidence: 82%

Actions for mitigating the negative effects of patient participation in patient safety: a qualitative study

Van der Voorden,

Franx,

Ahaus

2024

BMC Health Serv Res

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Background Recent research within the context of Obstetrics shows the added value of patient participation in in-hospital patient safety. Notwithstanding these benefits, recent research within an Obstetrics department shows that four different negative effects of patient participation in patient safety have emerged. However, the approach to addressing these negative effects within the perspective of patient participation in patient safety is currently lacking. For this reason, the aim of this study is to generate an overview of actions that could be taken to mitigate the negative effects of patient participation in patient safety within an Obstetrics department. Methods This study was conducted in the Obstetrics Department of a tertiary academic center. An explorative qualitative interview study included sixteen interviews with professionals (N = 8) and patients (N = 8). The actions to mitigate the negative effects of patient participation in patient safety, were analyzed and classified using a deductive approach. Results Eighteen actions were identified that mitigated the negative effects of patient participation in patient safety within an Obstetrics department. These actions were categorized into five themes: ‘structure’, ‘culture’, ‘education’, ‘emotional’, and ‘physical and technology’. These five categories reflect the current approach to improving patient safety which is primarily viewed from the perspective of professionals rather than of patients. Conclusions Most of the identified actions are linked to changing the culture to generate more patient-centered care and change the current reality, which looks predominantly from the perspective of the professionals and too little from that of the patients. Furthermore, none of the suggested actions fit within a sixth anticipated category, namely, ‘politics’. Future research should explore ways to implement a patient-centered care approach based on these actions. By doing so, space, money and time have to be created to elaborate on these actions and integrate them into the organizations’ structure, culture and practices.

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Section: Discussionmentioning

confidence: 82%

Actions for mitigating the negative effects of patient participation in patient safety: a qualitative study

Van der Voorden,

Franx,

Ahaus

2024

BMC Health Serv Res

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“…Consistent with previous findings, the participants stated that effective listening is essential for clinical data gathering, for fostering the doctor–patient relationship, and enhancing quality patient care. In addition, effective listening makes patients feel that they are recognised as human beings and that what they have to say is important [ 49 , 50 , 51 ].…”

Section: Discussionmentioning

confidence: 99%

Doctor Attributes That Patients Desire during Consultation: The Perspectives of Doctors and Patients in Primary Health Care in Botswana

Setlhare

Madiba

2023

Healthcare

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Doctor attributes contribute significantly to the quality of the doctor–patient relationship, consultation, patient satisfaction, and treatment outcomes. However, there is a paucity of research on this topic in many settings in developing countries, including Botswana, where accessibility and availability of care itself are a challenge. The study examined doctor attributes that patients in Botswana desire from the perspectives of doctors and patients in selected public clinics located in four health districts of Botswana. We used a qualitative design and conducted face-to-face interviews with 32 adult patients and 17 doctors selected through the purposive sampling technique. Interviews were audio-recorded and transcribed. Data analysis followed the six steps of qualitative thematic data analysis. We found both discordance and congruence between the doctors and patients on key attributes that patients desire in a doctor during consultation. Both agreed that effective communication and listening skills were key desirable doctor attributes that improve the doctor–patient relationship. Conducting the consultation in the language of the patients enhances effective communication. Doctors cited clinical expertise and competence as key desirable doctor attributes, whereas patients cited interpersonal and social attributes including kindness, empathy, and respect as key doctor attributes that increase trust in the doctor. However, patients expected the doctor to have clinical knowledge, which they perceived as essential to improve doctor–patient interaction and health outcomes. The findings highlight a need to enhance the interpersonal and communication skills of doctors to improve the quality of doctor–patient interactions. To optimise and enhance the consultation, continuing professional development should be adopted as a strategy to improve the communication and interpersonal skills of doctors.

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“…SF communication refers to a set of practices based on humanistic principles, where listening and communication are considered central to client-provider and team member relationships, client/family-centered care (39), and effective service delivery (53)(54)(55). As a result of the Strategy, training in SF communication took place across the hospital.…”

Section: Solution-focused (Sf) Communication Practicesmentioning

confidence: 99%

A case study of a strategic initiative in pediatric rehabilitation transition services: An insiders' perspective on team principles and practices

King

Bowman

Curran

et al. 2022

Front. Rehabilit. Sci.

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AimsThe aim was to describe an innovative initiative that took place in a pediatric rehabilitation hospital. The goal of this organization-wide strategic initiative, called the Transition Strategy, was to improve service delivery to children/youth with disabilities and their families at times of life transition. The research question was: What are the key elements that have contributed to the success of the Strategy, from the perspective of team members? The objectives were to describe: (a) the guiding principles underlying team functioning and team practices, (b) key enablers of positive team functioning, (c) the nature of effective team practices, and (d) lessons learned.MethodsA holistic descriptive case study was conducted, utilizing historical documents, tracked outcome data, and the experiences and insights of multidisciplinary team members (the authors). Reflecting an insiders' perspective, the impressions of team members were key sources of data. The perspectives of team members were used to generate key teamwork principles, enablers of team functioning, team practices, and key learnings.Findings and DiscussionTeam members identified four guiding humanistic principles (respect, support, partnership, and open communication). These principles underpinned three novel practices that contributed to team effectiveness in the eyes of team members: supportive relational practices, human-centered co-design, and solution-focused communication. Key enablers were the relational style of leadership, and a team climate of innovation, autonomy, and trust, supported by the organizational vision. This team climate fostered a sense of psychological safety, thereby encouraging both experimentation and learning from failure.ConclusionsThis article provides information for other healthcare organizations interested in understanding the Strategy's value and its implementation. It provides a practical example of how to adopt a humanistic approach to health care, leading to both innovative service development and thriving among team members.

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Listening in Health Care

Cited by 9 publications

References 53 publications

Actions for mitigating the negative effects of patient participation in patient safety: a qualitative study

Actions for mitigating the negative effects of patient participation in patient safety: a qualitative study

Doctor Attributes That Patients Desire during Consultation: The Perspectives of Doctors and Patients in Primary Health Care in Botswana

A case study of a strategic initiative in pediatric rehabilitation transition services: An insiders' perspective on team principles and practices

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