Tell me your dreams and goals: Structuring communication exchanges to improve patient-centered care with chronic pain patients

Objectives. The use of interdisciplinary patient-centered care (PCC) and empathetic behaviour seems to be a promising avenue to address chronic pain management, but their use in this context seems to be suboptimal. Several patient factors can influence the use of PCC and empathy, but little is known about the impact of pain visibility on these behaviours. The objective of this study was to investigate the influence of visible physical signs on caregiver’s patient-centered and empathetic behaviours in chronic pain context. Methods. A convenience sample of 21 nurses and 21 physicians participated in a descriptive study. PCC and empathy were evaluated from self-assessment and observer’s assessment using a video of real patients with chronic pain. Results. The results show that caregivers have demonstrated an intraindividual variability: PCC and empathetic behaviours of the participants were significantly higher for patients who have visible signs of pain (rheumatoid arthritis and complex regional pain syndrome) than for those who have no visible signs (Ehler–Danlos syndrome and fibromyalgia) (p<0.001). Participants who show a greater difference in their patient-centered behaviour according to pain visibility have less clinical experience. Discussion. The pain visibility in chronic pain patients is an important factor contributing to an increased use of PCC and empathy by nurses and physicians, and clinical experience can influence their behaviours. Thus, pain invisibility can be a barrier to quality of care, and these findings reinforce the relevance to educating caregivers to these unconscious biases on their behaviour toward chronic pain patients.

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Utilizing Scribes to Improve Patient-Centered Care and Efficiency and Reduce Burnout

Oncology Issues ◽

10.1080/10463356.2019.1622367 ◽

2019 ◽

Vol 34 (4) ◽

pp. 46-50

Author(s):

Amy Hindman

Keyword(s):

Patient Centered Care ◽

Patient Centered ◽

Centered Care ◽

Improve Patient

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How can we improve patient-centered care of motor neuron disease?

Neurodegenerative Disease Management ◽

10.2217/nmt-2019-0031 ◽

2020 ◽

Vol 10 (2) ◽

pp. 95-101

Author(s):

Anne Hogden ◽

Camille Paynter ◽

Karen Hutchinson

Keyword(s):

Service Delivery ◽

Health System ◽

Motor Neuron ◽

Motor Neuron Disease ◽

System Organization ◽

Care Service ◽

Patient Centered Care ◽

Patient Centered ◽

Centered Care ◽

Improve Patient

This perspectives paper discusses patient-centered care for people living with motor neuron disease. We identify challenges and offer solutions from the patient-centered care literature for this population in frontline care, service delivery, research and health system organization. Examples from Australian and international motor neuron disease care are used to illustrate interrelated issues for practice and policy.

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Patient-centered care for chronic pain in the emergency department: A qualitative study

International Emergency Nursing ◽

10.1016/j.ienj.2015.05.005 ◽

2016 ◽

Vol 24 ◽

pp. 22-27 ◽

Cited By ~ 10

Author(s):

Jayalakshmi Jambunathan ◽

Sharon Chappy ◽

Jack (John) Siebers ◽

Alishia Deda

Keyword(s):

Emergency Department ◽

Chronic Pain ◽

Qualitative Study ◽

Patient Centered Care ◽

Patient Centered ◽

Centered Care

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Assessing patient-centered care: Validation of the French Version of the Patient-Practitioner Orientation Scale (PPOS)

European Journal for Person Centered Healthcare ◽

10.5750/ejpch.v3i3.956 ◽

2015 ◽

Vol 3 (3) ◽

pp. 295 ◽

Cited By ~ 2

Author(s):

Emilie Paul-Savoie ◽

Patricia Bourgault ◽

Emillie Gosselin ◽

Stephane Potvin ◽

Sylvie Lafrenaye

Keyword(s):

Chronic Pain ◽

Internal Consistency ◽

Content Validity ◽

Patient Centered Care ◽

Cronbach’S Alpha ◽

Patient Centered ◽

French Version ◽

Cronbach's Alpha ◽

Centered Care ◽

Nurses And Physicians

Rationale, aims and objectives: Patient-centered care (PCC) is widely acknowledged as a central component of high-quality health care and it has been associated with many positive outcomes for patients. Although many studies support the benefits of PCC, the style of practice may vary from a caregiver to another. To measure PCC and investigate the factors that may be related to this concept, it is necessary to have rigorous instruments. Thus, the aim of this study was to adapt and validate a French version of the PPOS (F-PPOS) for the assessment of PCC in both nurses and physicians who work with chronic pain patients.Method: The PPOS was translated and validated in a French population of nurses and physicians according to the Hébert methodological recommendations for translation and validation. The final version of the F-PPOS was distributed to 21 nurses and 21 physicians working with chronic pain patients. The content validity and the internal consistency were assessed. Results: The expert panel was satisfied with the content validity of this instrument. The internal consistency was acceptable for the total score for all participants (Cronbach’s alpha = 0.60), for nurses (Cronbach’s alpha = 0.62) and for physicians (Cronbach’s alpha = 0.54). The F-PPOS showed good content validity and acceptable internal consistency.Conclusions: The F-PPOS could be used in future studies in French populations, in both nurses and physicians. This instrument can also be used to compare the type of approach between caregivers in worldwide since it is available in several languages.

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