2320 – Nurses’ opinions about the consultation-liaison psychiatry and the relationship between empathy and communication skills

Interpersonal and communication skills (ICS) are central to the practice of psychiatry. These skills are broad and can be defined in several ways, and several frameworks are presented, using the Accreditation Council for Graduate Medical Education competencies as well as other published guidelines. ICS are essential to good patient care and require special knowledge in psychiatry due to the particular diseases that are encountered. ICS are equally valuable to psychiatrists in communicating with family members, other physicians, and other members of the healthcare team, as well as in education and leadership. Recommendations for adapting ICS to these circumstances are outlined. For psychiatry trainees, regular evaluation of ICS is mandated but is also recommended for practicing psychiatrists. If deficiencies are noted, strategies for addressing them can be pursued, and suggested improvement practices are provided. This review contains 2 figures, 4 tables, and 21 references. Key Words: communication, communication skills, consultation-liaison psychiatry, doctor-patient communication, interpersonal, psychiatry, psychotherapy, therapeutic alliance, rapport

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Relationship between Etiology and Phenomenologic Profile in Delirium

Journal of Geriatric Psychiatry and Neurology ◽

10.1177/089198879801100305 ◽

1998 ◽

Vol 11 (3) ◽

pp. 146-149 ◽

Cited By ~ 44

Author(s):

David J. Meagher ◽

Donal O'Hanlon ◽

Edmond O'Mahony ◽

Patricia R. Casey ◽

Paula T. Trzepacz

Keyword(s):

Rating Scale ◽

Liaison Psychiatry ◽

Symptom Profiles ◽

Symptom Profile ◽

Consultation Liaison Psychiatry ◽

Mood Lability ◽

Perceptual Changes ◽

The Relationship ◽

Treatment Responsiveness

This study describes the symptom profile of 46 patients with delirium seen as consecutive referrals to a consultation-liaison psychiatry service. The relationship between symptoms rated on the Delirium Rating Scale (DRS) and delirium subtypes defined according to three putative etiologic groups are described. The relationship between etiologic groups and motoric subtype of the delirium episode is also described. Drug-related cases had the highest total DRS score and higher scores than the anticholinergic group for perceptual changes, delusions, psychomotor disturbance, and mood lability. Drug-related cases had higher scores than both the anticholinergic and infectious/electrolyte group for changes in sleep-wake cycle and fluctuation of symptoms. Those from the anticholinergic etiologic group were more likely to fit the hypoactive motoric subtype. Although our findings are tentative, etiologic categories may present with different symptom profiles, which may be associated with differing treatment responsiveness and course.

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The Application of Competency-Based Education to Consultation-Liaison Psychiatry: III. Implications

The International Journal of Psychiatry in Medicine ◽

10.2190/hepv-tar8-j1v4-9pg2 ◽

1977 ◽

Vol 7 (4) ◽

pp. 321-328 ◽

Cited By ~ 7

Author(s):

Michael L. Russell ◽

Harvey M. Weinstein ◽

Jeffrey L. Houpt

Keyword(s):

Program Design ◽

Training Programs ◽

Liaison Psychiatry ◽

Competency Based Education ◽

Competency Based ◽

Consultation Liaison Psychiatry ◽

Relationship Of ◽

The Relationship

In this paper the authors consider the implications of a competency-based model of education in relation to issues that affect the training of consultation-liaison psychiatrists. These issues include program design, the integration of consultation-liaison psychiatry to psychiatry in general, and the relationship of consultation-liaison psychiatry to medicine. Training programs in consultation-liaison psychiatry need to respond to the issues that derive from each of these areas. The authors argue that the competency-based model provides a framework which offers guidelines for designing a program that addresses these concerns.

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Examining the Relationship between the Communication Skills and Self-efficacy Levels of Physical Education Teacher Candidates

Procedia - Social and Behavioral Sciences ◽

10.1016/j.sbspro.2014.09.228 ◽

2014 ◽

Vol 152 ◽

pp. 440-445 ◽

Cited By ~ 7

Author(s):

Huseyin Ozkan ◽

Mehmet Dalli ◽

Erkan Bingol ◽

Sabri Can Metin ◽

Duygu Yarali

Keyword(s):

Physical Education ◽

Communication Skills ◽

Self Efficacy ◽

Teacher Candidates ◽

Physical Education Teacher ◽

Education Teacher ◽

The Relationship

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Diagnostic Agreement between Physicians and a Consultation–Liaison Psychiatry Team at a General Hospital: An Exploratory Study across 20 Years of Referrals

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18020749 ◽

2021 ◽

Vol 18 (2) ◽

pp. 749

Author(s):

Mattia Marchi ◽

Federica Maria Magarini ◽

Giorgio Mattei ◽

Luca Pingani ◽

Maria Moscara ◽

...

Keyword(s):

General Hospital ◽

Depressive Disorders ◽

Psychiatric Morbidity ◽

Clinical Signs ◽

Kappa Statistics ◽

Comorbid Depression ◽

Liaison Psychiatry ◽

Consultation Liaison Psychiatry ◽

Psychiatric Conditions ◽

Diagnostic Concordance

Consultation–liaison psychiatry (CLP) manages psychiatric care for patients admitted to a general hospital (GH) for somatic reasons. We evaluated patterns in psychiatric morbidity, reasons for referral and diagnostic concordance between referring doctors and CL psychiatrists. Referrals over the course of 20 years (2000–2019) made by the CLP Service at Modena GH (Italy) were retrospectively analyzed. Cohen’s kappa statistics were used to estimate the agreement between the diagnoses made by CL psychiatrist and the diagnoses considered by the referring doctors. The analyses covered 18,888 referrals. The most common referral reason was suspicion of depression (n = 4937; 32.3%), followed by agitation (n = 1534; 10.0%). Psychiatric diagnoses were established for 13,883 (73.8%) referrals. Fair agreement was found for depressive disorders (kappa = 0.281) and for delirium (kappa = 0.342), which increased for anxiety comorbid depression (kappa = 0.305) and hyperkinetic delirium (kappa = 0.504). Moderate agreement was found for alcohol or substance abuse (kappa = 0.574). Referring doctors correctly recognized psychiatric conditions due to their exogenous etiology or clear clinical signs; in addition, the presence of positive symptoms (such as panic or agitation) increased diagnostic concordance. Close daily collaboration between CL psychiatrists and GH doctors lead to improvements in the ability to properly detect comorbid psychiatric conditions.

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Application of Practice Oriented–Peer Review for Prosthodontics (PRO-PReP)—A Qualitative Study

The International Journal of Psychiatry in Medicine ◽

10.1177/0091217421990142 ◽

2021 ◽

pp. 009121742199014

Author(s):

Varsha Murthy ◽

KR Sethuraman ◽

Sunayana Choudhury ◽

R Shakila

Keyword(s):

Peer Review ◽

Communication Skills ◽

Training Programs ◽

Residency Education ◽

Relationship Building ◽

Self Reflection ◽

Novel Concept ◽

The Relationship ◽

Difficult Situations ◽

Balint Method

Objective Communication skills diminish with time and must be applied and updated frequently. Due to various professional constraints, the dentists may not be able to attend training programs to sharpen their skills. During patient interactions, dentists may face difficult situations which they may be unable to handle and, consequently, make them overreact. Therefore, there is a need to provide a platform to freely discuss their feelings, ideas, and take opinion from peers. Methods Training in communication skills customized for dealing with complete denture patients was conducted for the prosthodontic postgraduates. Based on feedback obtained, it was decided to have periodic meetings and the concept of Practice-Oriented–Peer Review for Prosthodontics (PrO-PReP) was introduced. This novel concept is a combination of the Relationship building, exploring Reactions, exploring Content, and Coaching (R2C2) model of residency education and the Balint method. The meetings were scheduled every one or two months based on the available caseload of the patients treated by the postgraduates. Results The thematic analysis of the postgraduates’ self-reflection during the sessions and the video recorded observations (assessed using the Kalamazoo scale) revealed that these sessions were effective in positively engaging the postgraduates to discuss their experiences, reflect on their performances, practice their newly gained skills, and learn from peer sharing. Conclusion The postgraduates felt that they have changed in their working style and were more confident to manage patients. They found such sessions very useful for being updated with the already-learned skills.

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The Use of Play Assessment to Examine the Development of Communication Skills in Children who are Deaf-Blind

Journal of Visual Impairment & Blindness ◽

10.1177/0145482x9408800411 ◽

1994 ◽

Vol 88 (4) ◽

pp. 349-356 ◽

Cited By ~ 4

Author(s):

D.M. Finn ◽

R.R. Fewell

Keyword(s):

Communication Skills ◽

Assessment Scale ◽

Play Assessment ◽

Play Behaviors ◽

Nonverbal Skills ◽

The Relationship

This study evaluated the relationship between the play behaviors of 18 children aged 3–12 who are deaf-blind and their communication skills using the Play Assessment Scale and several multidomain developmental checklists. The results revealed that behaviors observed during play assessment are highly related to ratings of receptive, expressive, and nonverbal skills.

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