Theory and practice of decision making in coronary care in general practice.

Stephenson, Anne; Fergusson, David M.; Hornblow, Andrew; Beaven, D W; Chetwynd, S. Jane

doi:10.1136/bmj.291.6503.1163

Cited by 3 publications

(2 citation statements)

References 2 publications

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“…A substantial body of research indicates that the empathic and communication skills of clinicians may have a major impact, for good or ill, on both the process and outcome of patient care (Sanson‐Fisher & Maguire 1980). Where such skills have not been acquired or are applied poorly, or doctor characteristics hinder communication, significant illness may remain unrecognized or clinical decision‐making may be affected adversely (Staudenmayer & Lefkowitz 1981; Freeling et al 1985; Stephenson et al 1985).…”

Section: Introductionmentioning

confidence: 99%

Empathic processes: perception by medical students of patients' anxiety and depression

1988

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Perceptions by medical students of patients' affective states were investigated, and the effect of the students' own emotions on such perceptions. One hundred and one fourth-year medical students rated the levels of anxiety and depression of three women patients presented on videotape, rated their own levels of anxiety and depression and completed a questionnaire on aspects of the rating process. Students had widely different and often inappropriate perceptions of patients' levels of anxiety and depression. Students who consistently overrated anxiety or depression in patients, compared to those who consistently underrated, were themselves significantly more anxious or depressed. These data suggest a need in medical education for systematic teaching of empathic skills and for recognition of potential bias in clinical decision-making arising from the clinician's own emotional state.

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Section: Introductionmentioning

confidence: 99%

Empathic processes: perception by medical students of patients' anxiety and depression

1988

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“…Assessments might be thought of as "intermediate constructs" generated to "partition problems" and draw conclusions. 85 Assessment types include (1) the patient's emotional and physical state, 143,144 (2) the probability of disease, 88,145,146 (3) the severity of the condition, 145,[147][148][149] (4) the urgency of the problem, 138 (5) the potential benefit or efficacy of treatment or action, such as hospital admission, [150][151][152] (6) the feasibility of options, 153,154 and (7) equipoise, or whether more than one legitimate choice exists. 57 Clinicians also assess risk in relation to negative outcomes, such as falling or disease progression.…”

Section: Part 2 Activity: Usual Activitymentioning

confidence: 99%