Understanding team, interpersonal and situational factors is essential for routine communication with patients in the emergency department (ED): A scoping literature review and formation of the ‘T.IP.S’ conceptual framework

Abstract

Introduction Most patient-provider communication skills frameworks focus on interpersonal behaviours within the context of a single consultation. In contrast, Emergency Department (ED) patient encounters consist of many new interactions with different professionals over a short time period. Additionally, ED care often occurs in a chaotic, unpredictable, and overcrowded environment. While these factors are recognised to present a major challenge to effective patient-provider communication in the ED, there is no accepted framework to guide how professionals or teams should approach and optimise communication with patients in the ED. Objectives This review aims to identify the current literature relating to routine patient provider communication processes in the ED and synthesise a new framework to enhance understanding of routine patient-provider communication processes in the ED. Methods Searches of Scopus, Medline, EMBASE and CINAHL were conducted to identify literature written between 2000 and 2016 using the terms ((communication OR consultation OR health literacy) AND (patient) AND (emergency medicine OR emergency department)). Results Fifty-five relevant articles were selected for final inclusion. A qualitative synthesis was conducted and content interpreted as either facilitating factors or obstacles to routine ED communication were coded and grouped into three overarching

Initial Development of a Patient Reported Experience Measure for Older Adults Attending the Emergency Department: Part I—Interviews with Service Users

“…In addition to the existing five analytical themes, a new descriptive theme emerged, describing the role of staff professionalism and teamwork in contributing to the patient experience. This is supported by the previous literature suggesting that patients are direct observers of team-based processes [37,38] and that observation of constructive teamwork is a positive determinant of patient experience in the ED.…”

“Get the shot, now!” Disentangling content-related and social cues in physician–patient communication

“…However, systematic analyses of how these two aspects interrelate are scarce (but cf. Graham and Smith, 2016 ; Richmond et al., 2002 ).…”