Browsing by Subject "patient"

Now showing 1 - 5 of 5
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    Clinician-Patient Small Talk: Comparing Competent Students and Expert Dentists in a Standardized Patient Encounter
    (Office of the Vice Chancellor for Research, 2016-04-08) Maupome, Gerardo; Holcomb, C.; Schrader, S.
    Objectives: To establish whether the frequency of non-diagnostic, non-management exchanges between clinicians and patient (socioemotional communication, SC) during the consultation differed between senior dental students and dentists, controlling for clinically driven exchanges of information. Methods: Dentists and students were recorded while undergoing a consultation with a live standardized patient, and subsequently interviewed by investigators; their shared interpretation of cognitive strategies were recorded and compared for differences in the presence of SC using a χ2 test; first consultation occurrence of SC using log-rank tests; and number of times that SC occurred using mixed-model ANOVA. Results: Most clinicians engaged in SC throughout the consultation with a few exceptions. Statistical analyses produced non-significant differences for overall SC presence (p=0.62), time to first instance of SC from overall start of the consultation (p=0.73), and time after first intraoral examination had taken place (p=0.76). Non-significant differences were also recorded for the summary of time intervals when SC occurred at time from overall start of the consultation (p=0.89), and time after first intra-oral examination had taken place (p=0.12). Conclusions: SC occurred in most clinicians. Patterns depicted this interaction occurring throughout the consultation, not concentrated at the beginning or end. SC did not appear to differ between experts and students in terms of prevalence, frequency, or timing. Future research should examine the detailed association between SC and diagnostic thinking processes, to further delineate their relationship and characterize possible pedagogical applications.
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    Communication Between Registered Nurses and Family Members of Intensive Care Unit Patients
    (AACN, 2022-12-01) Dees, Mandy L.; Carpenter, Janet S.; Hoffman-Longtin, Krista; School of Nursing
    Background Effective communication between intensive care unit patients and their families and nurses promotes relationship-centered care and improves nurses’ ability to meet patient and family needs. However, communication with these patients is challenging because of their critical illness. Families often become surrogate decision makers for adult intensive care unit patients. Objective To systematically assess available evidence on communication between adult intensive care unit patients and their families and nurses as the initial step in developing nursing strategies to strengthen communication skills. Methods In this integrative review, the method of Whittemore and Knafl was used to synthesize findings from qualitative and quantitative (descriptive and experimental) research. Results The review revealed a variety of research designs, measurement tools, and types of interventions. The qualitative findings suggest that nurses can strengthen relationship-centered care by regularly updating patients’ families and providing information that can assist with decision-making. The quantitative findings suggest that nurses should be mindful of family members’ needs for assurance, comfort, and support. Providing information on patient status can help alleviate family concerns. Conclusions Improved communication between patients and families and intensive care unit nurses is essential to strengthen relationship-centered care. Additional research is needed to better understand the communication needs of adult patients and their families in the intensive care unit.
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    Daily Situational Brief, May 17, 2011
    (MESH Coalition, 5/17/2011) MESH Coalition
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    The Effect of Physician Endorsement on Patients’ Perceived Importance and Necessity in Disclosing Genetic Disease to Family
    (Office of the Vice Chancellor for Research, 2016-04-08) Harsin, Amanda; Head, Katy
    When a physician diagnoses a patient with a genetic disease, disclosure to family is an important communication action for both the patient and family. Timely disclosure by the patient to family may help to “activate” [1] family into providing needed support to the patient [2,3], as well as activate individuals in that family to be tested for the disease [4,5,6]. This study examines whether physician endorsement of disclosing a genetic disease diagnosis to family influences patients’ perceptions of importance and necessity to disclose to family their diagnosis. We conducted online surveys with patients (N = 237, Mean age: 54 years; 85.0% Caucasian) diagnosed with a genetic disease called polycystic kidney disease (PKD). The patients in this study are the first person in their family diagnosed with PKD, called the proband. Four variables were examined in this study. IVs included participant recall of physician explaining family members’ risk for the disease and recall of whether the physician suggested sharing the diagnosis with family. DVs were participant’s perceived importance and perceived necessity to disclose diagnosis to family, with each measured on a three-point scale. Analyses revealed that participants were significantly more likely to think it was important to disclose when the physician explained that family members were at risk and to think it was important to disclose when the physician recommended disclosing the diagnosis to family. Based on these results, physicians should be made aware their endorsement of disclosing to family can significantly increase probands’ perceived importance and necessity of talking to their family and that emphasizing the genetic risk for family can increase a patient’s perception that it is important and necessary to tell their family.
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    The Story of Medicine: From Paternalism to Partnership
    (2013-01-09) Marks, Jennifer Lynn; Parrish-Sprowl, John; Sheeler, Kristina K. Horn; Karnick, Kristine Brunovska, 1958-
    Physicians were interviewed and asked about their perspectives on communicating with patients, media, and the ways in which the biomedical and biopsychosocial models function in the practice of medicine. Fisher’s Narrative Paradigm was the primary critical method applied to themes that emerged from the interviews. Those emergent themes included the importance of a team approach to patient care; perspectives on physicians as bad communicators; and successful communication strategies when talking to patients. Physicians rely on nurses and other support staff, but the most important partnership is that between the physician and patient. Narrative fidelity and probability are satisfied by strategies physicians use in communicating with patients: using understandable language when talking to patients; engaging in nonverbal tactics of sitting down with patients, making eye contact with patients, and making appropriate physical contact with them in the form of a handshake or a light touch on the arm. Physicians are frustrated by media’s reporting of preliminary study results that omit details as well as media’s fostering of expectations for quick diagnostic processes and magical cures within the public. Furthermore, physicians see the biomedical and biopsychosocial models becoming increasingly interdependent in the practice of medicine, which carries the story of contemporary medicine further into the realm of partnership, revealing its humanity as well as its fading paternalism.