scholarly journals Relationships of trainee dentists’ empathy and communication characteristics with simulated patients’ assessment in medical interviews

2018 ◽  
Author(s):  
Sho Watanabe ◽  
Toshiko Yoshida ◽  
Takayuki Kono ◽  
Hiroaki Taketa ◽  
Noriko Shiotsu ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Emotional Expression ◽  
Interaction Analysis ◽  
Data Gathering ◽  
Simulated Patients ◽  
Information Giving ◽  
Medical Interviews ◽  
Roter Interaction Analysis System ◽  
Jefferson Scale Of Empathy ◽  
Analysis System

AbstractObjectivesWe aimed to clarify the characteristics of communication between trainee dentists and simulated patients (SPs) and to examine how the level of trainee dentists’ self-reported empathy influences assessment by SPs in medical interviews.Materials and methodsThe study involved 100 trainee dentists at Okayama University Hospital and eight SPs. The trainee dentists conducted initial interviews with the SPs after completing the Japanese version of the Jefferson Scale of Empathy. Their interviews were recorded and analyzed using the Roter Interaction Analysis System. The SPs assessed the trainees’ communication immediately after each interview. The trainee dentists were classified into two groups (more positive and less positive groups) according to SP assessment scores.ResultsCompared with the less positive trainees, the more positive trainees scored higher on the [Emotional expression] and lower on the [Medical data gathering] Roter Interaction Analysis System categories. There was no difference in [Dental data gathering] between the two groups. The SPs of more positive trainees had higher rates of [Positive talk] and [Emotional expression] and lower rates of [Medical information giving] and [Dental information giving]. The trainees with more positive ratings from SPs had significantly higher Jefferson Scale of Empathy total scores.ConclusionThe results of this study suggest that responding to the SPs’ emotions is a relevant characteristic of dentist–SP communication to SPs’ positive assessment in medical interviews. Further, trainees’ self-reported empathy was related with the SPs’ assessment of trainees’ communication, which indicated that patient satisfaction can be improved by increasing the dentist’s empathy. Thus, an empathic attitude among dentists is a significant determinant of patient satisfaction.

Hospital consultants breaking bad news with simulated patients: An analysis of communication using the Roter Interaction Analysis System

2011 ◽  
Vol 83 (2) ◽  
pp. 185-194 ◽  
Author(s):  
Laura Vail ◽  
Harbinder Sandhu ◽  
Joanne Fisher ◽  
Heather Cooke ◽  
Jeremy Dale ◽  
...  
Keyword(s):  
Interaction Analysis ◽  
Bad News ◽  
Simulated Patients ◽  
Breaking Bad News ◽  
Breaking Bad ◽  
Roter Interaction Analysis System ◽  
Analysis System

scholarly journals Asymmetrical Talk between Physicians and Patients: A Quantitative Discourse Analysis

2007 ◽  
Vol 32 (3) ◽  
Author(s):  
Han Z. Li ◽  
Naghmeh G. Desroches ◽  
Young-Ok Yum ◽  
Corinne Koehn ◽  
George Deagle
Keyword(s):  
British Columbia ◽  
Patient Satisfaction ◽  
Discourse Analysis ◽  
Interaction Analysis ◽  
Satisfaction Des Patients ◽  
Male Patients ◽  
Roter Interaction Analysis System ◽  
Analysis System ◽  
Physician Patient

Abstract: This study examined the discursive dynamics between physicians and patients in order to understand associations between physicians’ communication patterns and patient satisfaction. Fieldwork was conducted in a clinic in northern British Columbia. Thirty-one physician-patient consultations were audiotaped, and follow-up questionnaires on satisfaction were filled out by patients. The Roter Interaction Analysis System was used to examine nine categories of talk. Our study confirmed previous assertions that physicians’ and patients’ talk patterns are highly asymmetrical. Physicians controlled the medical consultation by asking more questions than patients, and patients did not necessarily appreciate this type of communication. Male physicians tended to make more facilitative remarks when interviewing female than male patients, which was negatively correlated with patient satisfaction. Résumé : Cette étude examine les dynamiques discursives entre médecins et patients afin de comprendre le rapport entre les pratiques de communication des médecins et la satisfaction des patients. On a mené un travail sur le terrain dans une clinique du nord de la Colombie-Britannique. On y a enregistré trente et une consultations entre médecin et patient, après lequel les patients ont rempli des questionnaires sur leur niveau de satisfaction. On a recouru au système Roter (« Roter Interaction Analysis System ») pour examiner neuf catégories de parole. Notre étude a confirmé les résultats de recherches antérieures en reconnaissant une asymétrie entre le discours du médecin et celui du patient. En effet, les médecins ont contrôlé les consultations en posant plus de questions que les patients, et les patients n’ont pas forcément apprécié ce type de communication. Les hommes médecins avaient tendance à faire plus de remarques facilitatrices avec leurs patientes qu’avec leurs patients, ce qui a produit un effet négatif sur la satisfaction des patients en général.

scholarly journals A Profile of Novice and Senior Nurses’ Communication Patterns during the Transition to Practice Period: An Application of the Roter Interaction Analysis System

2021 ◽  
Vol 18 (20) ◽  
pp. 10688
Author(s):  
Li-Fen Chao ◽  
Su-Er Guo ◽  
Xaviera Xiao ◽  
Yueh-Yun Luo ◽  
Jeng Wang
Keyword(s):  
Interaction Analysis ◽  
Communication Patterns ◽  
Transition To Practice ◽  
Novice Nurse ◽  
Information Giving ◽  
Analysis Technique ◽  
Novice Nurses ◽  
Roter Interaction Analysis System ◽  
Analysis System ◽  
Practice Period

Novice nurses’ successful transition to practice is impacted by their interactions with senior nurses. Ensuring that novice nurses are adequately supported during their transition to practice has wide-ranging and significant implications. The aim of this study is to explore the communication patterns between novice and senior nurses by applying an interaction analysis technique. Trimonthly onboarding evaluations between novice and senior nurses were recorded. The Roter Interaction Analysis System was adapted and deployed to identify communication patterns. In total, twenty-two interactions were analyzed. Senior nurses spoke more (64.5%). Task-focused exchange was predominant amongst senior (79.7%) and novice (59.5%) nurses. Senior nurses’ talk was concentrated in clusters of information-giving (45%) and advice or instructions (17.2%), while emotional expression (1.4%) and social talk (0.4%) were rare. Novice nurses’ talk was concentrated in clusters-information giving (57%) and positive talk (39.5%). The communication patterns between senior and novice nurses during the onboarding period indicate aspects of novice nurse transition that could be addressed, such as encouraging novice nurses to use these interactions to communicate more, or emphasizing the importance of social talk. These insights can be used to inform mentorship and preceptorship training to ensure that senior nurses are able to adequately support novice nurses through all parts of the transition to practice period.

scholarly journals Does Postgraduate Clinical Training Reduce Empathy Among Japanese Trainee Dentists? A Multi-perspective Assessment

2020 ◽  
Author(s):  
Toshiko Yoshida ◽  
Sho Watanabe ◽  
Takayuki Kono ◽  
Hiroaki Taketa ◽  
Noriko Shiotsu ◽  
...  
Keyword(s):  
Clinical Training ◽  
Interaction Analysis ◽  
Japanese Version ◽  
University Hospital ◽  
Simulated Patients ◽  
Educational Support ◽  
Medical Interviews ◽  
Analysis System ◽  
One Year ◽  
Assessment Questionnaire

Abstract Background: Even though enhancing empathy in healthcare education is a critical component of delivering better care to patients, the erosion of empathy has been frequently reported, especially when the curriculum transitions to clinical training. However, some studies have questioned the significance and frequency of this decline in empathy. Thus, this study determined whether postgraduate clinical training reduced dental trainees’ empathy.Methods: This study included 64 trainee dentists at Okayama University Hospital and 13 simulated patients (SPs). The trainee dentists completed the Japanese version of the Jefferson Scale of Empathy for health professionals immediately before conducting initial medical interviews with SPs twice, at the beginning and the end of their clinical training. The SPs evaluated the trainees’ communication using an assessment questionnaire immediately after the interviews. The videotaped dialogue in interview was analyzed using the Roter Interaction Analysis System. Results: Sustained levels of trainees’ self-reported empathy, decreased communication behavior in emotional responsiveness for trainees, and unchanged SPs’ assessment of trainees’ communication were found when comparing results from the beginning and the end of the training.Conclusions: Overall, one-year postgraduate dental training neither reduced nor increased the empathy of the trainees. Providing regular educational support may help trainees to foster their empathy.

scholarly journals Does postgraduate clinical training reduce empathy among Japanese trainee dentists? A multi-perspective assessment

2020 ◽  
Author(s):  
Toshiko Yoshida ◽  
Sho Watanabe ◽  
Takayuki Kono ◽  
Hiroaki Taketa ◽  
Noriko Shiotsu ◽  
...  
Keyword(s):  
Clinical Training ◽  
Interaction Analysis ◽  
Japanese Version ◽  
University Hospital ◽  
Simulated Patients ◽  
Medical Interviews ◽  
Analysis System ◽  
One Year ◽  
Education Support ◽  
Assessment Questionnaire

Abstract Background: Enhancing empathy in healthcare education is a critical component of delivering better patient care; however, the decline of empathy among students has been frequently reported. It is especially common when the curriculum transitions to a clinical setting. However, some studies have questioned the significance and frequency of this decline. Thus, this study aimed to determine whether postgraduate clinical training reduced dental trainees’ empathy levels toward patients.Methods: This study included 64 trainee dentists at Okayama University Hospital and 13 simulated patients (SPs). The trainee dentists completed the Japanese version of the Jefferson Scale of Empathy for health professionals just before conducting initial medical interviews with SPs twice, at the beginning and the end of their clinical training. The SPs evaluated the trainees’ communication using an assessment questionnaire immediately after the interviews. The videotaped interview data were analyzed using the Roter Interaction Analysis System. Results: When comparing the results from the beginning and end of training, trainee dentists showed sustained levels of self-reported empathy, decreased communication behavior in the emotional responsiveness category, and an unchanged assessment in communication from the simulated patients.Conclusions: Overall, a one-year postgraduate dental training program neither reduced nor increased trainee dentists’ empathy levels. Providing regular education support in this area may help trainees foster their empathy.

Action cameras and the Roter interaction analysis system to assess veterinarian-producer interactions in a dairy setting

2017 ◽  
Vol 182 (8) ◽  
pp. 227-227 ◽  
Author(s):  
Caroline Ritter ◽  
Herman W Barkema ◽  
Cindy L Adams
Keyword(s):  
Production Management ◽  
Interaction Analysis ◽  
Relationship Building ◽  
Herd Health ◽  
Veterinary Education ◽  
Clinical Communication ◽  
Roter Interaction Analysis System ◽  
Farmer Education ◽  
Analysis System ◽  
On Farm

Herd health and production management (HH&PM) are critical aspects of production animal veterinary practice; therefore, dairy veterinarians need to effectively deliver these services. However, limited research that can inform veterinary education has been conducted to characterise these farm visits. The aim of the present study was to assess the applicability of action cameras (eg, GoPro cameras) worn by veterinarians to provide on-farm recordings, and the suitability of these recordings for comprehensive communication analyses. Seven veterinarians each recorded three dairy HH&PM visits. Recordings were analysed using the Roter interaction analysis system (RIAS), which has been used to evaluate medical conversations in human and companion animal contexts, and provided insights regarding the importance of effective clinical communication. However, the RIAS has never been used in a production animal environment. Results of this pilot study indicate that on-farm recordings were suitable for RIAS coding. Dairy practitioners use a substantial amount of talk allocated to relationship-building and farmer education but that communication patterns of the same veterinarian vary considerably between farm visits. Consecutive studies using this method will provide observational data for research purposes and promise to aid in the improvement of veterinary education through identification of communication priorities and gaps in dairy advisory discussions.

Roter Interaction Analysis System

1977 ◽  
Author(s):  
Debra Roter ◽  
Susan Larson
Keyword(s):  
Interaction Analysis ◽  
Roter Interaction Analysis System ◽  
Analysis System

Educare : interactions soignantes à domicile. Un outil d’observation pour évaluer la centration sur la personne

2019 ◽  
Vol 11 (1) ◽  
pp. 10204  ◽  
Author(s):  
Olivier Walger ◽  
Véronique Haberey-Knuessi ◽  
Mélinée Schindler
Keyword(s):  
Nous Avons ◽  
Interaction Analysis ◽  
Éducation Thérapeutique ◽  
Nous Sommes ◽  
Étude Longitudinale ◽  
Soins À Domicile ◽  
Roter Interaction Analysis System ◽  
Analysis System ◽  
Professionnels De La Santé ◽  
Education Thérapeutique

Contexte : Cet article s’inscrit dans une étude longitudinale contrôlée à travers laquelle nous avons émis l’hypothèse selon laquelle une éducation thérapeutique centrée sur la personne donnait plus de satisfaction aux professionnels de la santé qu’une éducation thérapeutique biomédicale centrée sur la maladie ou le traitement. Pour tester l’hypothèse, nous avions besoin d’un outil d’observation des interactions soignantes à domicile. Objectifs : Construire et valider un nouvel outil d’observation des interactions soignantes à domicile. Méthodes : Nous nous sommes inspirés du Roter Interaction Analysis System (RIAS) initié par Debra Roter, pour élaborer cet outil dont nous avons ensuite testé la fidélité à travers l’analyse de sa concordance interne. Résultats : Nous avons observé 25 soignants, 72 patients et 223 soins. La fidélité varie entre un α de Cronbach de 0,23 à 0,81 en fonction des dimensions analysées, avec une moyenne de 0,58. L’analyse de la régression entre les réactions des clients et les interventions des soignants corrobore une certaine validité de construit. Discussion : Bien que partiellement fidèle, cet outil nous semble un instrument pertinent pour analyser les interactions des soignants centrés sur la personne dans le cadre des soins à domicile. Son contenu doit encore être amélioré afin d’augmenter sa fidélité. Conclusion : Cet outil contribue à la mise en évidence d’interactions soignantes réellement centrées sur la personne à domicile tout en identifiant les méthodes et les éléments qui les favorisent.

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