Resident reflections on resident-patient communication during family medicine clinic visits

Turner, Jeanine Warisse; Robinson, James D.; Morris, Elise; Oberkircher, Katherine; Rios, Rebeca; Roett, Michelle A

doi:10.1016/j.pec.2019.09.011

Cited by 10 publications

(4 citation statements)

References 24 publications

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“…The value of being seen and treated as an individual has also been reported in several studies of patients undergoing transplantation (Andersen et al, 2019; Chisholm‐Burns et al, 2018; Demian et al, 2016). In a recent study investigating patient communication, Turner et al (2019) concluded that listening to patients and encouraging self‐reflection had a beneficial impact on the patient–provider relationship.…”

Section: Discussionmentioning

confidence: 99%

Intervening on health literacy by knowledge translation processes in kidney transplantation: A feasibility study

Andersen

Urstad

Larsen

et al. 2021

Journal of Renal Care

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Background: Patients awaiting kidney transplantation need to be prepared ahead of the upcoming transplantation by developing targeted pre-and post-transplant knowledge. On this background, we designed a new health literacy intervention, including a film and a counselling session, based on motivational interviewing for dialysis patients provided by dialysis nurses.Aim: To explore patients' and nurses' experiences of the feasibility and acceptability of the intervention, focusing on the patient as a prepared knowledge actor.Design: An explorative qualitative study.Participants and Methods: Data included in-depth interviews with nine patients and three nurses who participated in the intervention. The interviews were audiotaped and analysed following Kvale and Brinkmann's method for thematic data analysis.Findings: Three main themes were identified: a different kind of health intervention stimulating new insight; a challenging kind of health conversation and changed relationships and increased security.

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Section: Discussionmentioning

confidence: 99%

Intervening on health literacy by knowledge translation processes in kidney transplantation: A feasibility study

Andersen

Urstad

Larsen

et al. 2021

Journal of Renal Care

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“…We found that both physicians and other HCPs recognized the importance of effective and empathic communication. There is a gap regarding this topic in medical curricula [ 19 ] that must be addressed in the early stages of medical training as well as throughout other aspects of medical and clinical training.…”

Section: Discussionmentioning

confidence: 99%

Using EmPalPed—An Educational Toolkit on Essential Messages in Palliative Care and Pain Management in Children—As a Strategy to Promote Pediatric Palliative Care

Quintero

Claros-Hulbert²,

Tello-Cajiao³

et al. 2022

Children

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Background: Most children needing palliative care (PC) live in low- and middle-income countries. In Colombia, pediatric palliative care (PPC) knowledge among healthcare professionals (HCPs) is lacking as PPC is not included in the educational curricula of healthcare programs. Therefore, specific training that improves knowledge of HCPs and access to PC for children and their families is needed. To address this gap, we organized and conducted the Essential Messages in Palliative Care and Pain Management in Children (EmPalPed), an educational toolkit to increase awareness and promote essential knowledge in PPC for low- and middle-income countries. Methodology: The EmPalPed toolkit consisted of a 5-h virtual workshop with small working groups of HCPs caring for children with life-threatening conditions such as cancer. The toolkit was organized along five key domains: (1) PC as it relates to the concept of quality of life (QoL), (2) effective communication, (3) addressing pain management as a top priority, (4) providing end-of-life care, and (5) access to high-quality PC as a fundamental human right. The workshop activities included different educational strategies and tools (e.g., a pocket guide for pain assessment and management, a PPC booklet, a quick guide for communicating bad news, role playing, and discussions of clinical cases). Results: A total of 145 HCPs from 22 centers were trained. The post-test analysis for HCPs showed that attitude and knowledge about communication (p < 0.001), pain assessment (p < 0.001), first-line opioid of choice in children (p < 0.001), and palliative sedation (p < 0.001) had positive and statistically significant changes from the pre-test analysis. Discussion: This study supported the notion that the EmPalPed educational toolkit is an effective mechanism for raising awareness regarding PPC as well as providing training in many of the key aspects of PPC. The EmPalPed training approach should be studied beyond this setting, and the impact should be measured longitudinally.

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“…however, a prospective study revealed that the length of visit is 11 min per patient (even longer in the case of chronic diseases) and that limited time increases pressure on physicians and patients [1,12,13]. similarly, according to studies from the usa and Dubai, this limited time adds to the pressure to achieve patient goals [14,15]. additionally, the medical workforce working in phCC is very low in Turkey, because of over 75% of the doctors work in tertiary care systems [12].…”

Section: Discussionmentioning

confidence: 99%

Communication in patient–physician relationship in Turkey: opinions of family medicine residents

Alpman¹,

Peker²

2022

fmpcr

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Background. healthy patient-physician communication (ppC) affects the effectiveness of the service, increases satisfaction with health services and ensures cooperation with patient. research has revealed that there are communication problems between physicians and patients, and patients mostly complain about physicians' communication skills. Objectives. We aim to determine the opinions of family medicine residents about ppC, uncover communication problems in Turkey and also find out if having communication education has an effect on these problems. Material and methods. The data was collected by surveys which were sent to family medicine residents via the Internet, and each resident could answer just one survey. for analyses, we used the IBm spss15.0 package program. P < 0.05 was considered statistically significant. Results. 312 (11.3%) out of 2,765 family medicine residents in Turkey participated in this study. The majority of residents were female (73.1%). more than half of the residents (63.5%) had received training about communication. most of the residents indicated that they had communication problems with patients or patients' relatives (88.4%). most of the residents (73.7%) said "yes, definitely" to the question "Do you think there is a communication problem between patients and physicians in Turkey?". No significant difference was found between trained and untrained residents. The most frequent answers to reasons for communication problems were limited time (50.6%), socio-cultural level of the patient (20.5%) and heavy workload of physicians (20.5%). Conclusions. most residents indicated that they had communication problems with patients or patients' relatives before, and there is a serious communication problem between patients and physicians in Turkey. In this study, there was no significant difference between whether residents had received training about communication and those having problems in this area.

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Resident reflections on resident-patient communication during family medicine clinic visits

Cited by 10 publications

References 24 publications

Intervening on health literacy by knowledge translation processes in kidney transplantation: A feasibility study

Intervening on health literacy by knowledge translation processes in kidney transplantation: A feasibility study

Using EmPalPed—An Educational Toolkit on Essential Messages in Palliative Care and Pain Management in Children—As a Strategy to Promote Pediatric Palliative Care

Communication in patient–physician relationship in Turkey: opinions of family medicine residents

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