scholarly journals Effectiveness of clinical scenario dramas to teach doctor-patient relationship and communication skills

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Yinan Jiang ◽  
Lili Shi ◽  
Jinya Cao ◽  
Liming Zhu ◽  
Yue Sha ◽  
...  
Keyword(s):  
Medical Students ◽  
Communication Skills ◽  
Patient Communication ◽  
Clinical Scenario ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Clinical Communication ◽  
Doctor Patient Communication ◽  
Self Confidence ◽  
Chinese Medical Students

Abstract Background The doctor-patient relationship in China has deteriorated in recent years, and poor doctor-patient communication is one of the main reasons. How to effectively carry out doctor-patient communication training originated from the West among Chinese medical students still to be studied. In the past decade, Peking Union Medical College has adopted clinical scenario drama to teach doctor-patient relationship and clinical communication skills. The aim of this study was to introduce clinical scenario dramas and evaluate its effectiveness in promoting doctor-patient relationships and clinical communication skills through students’ self-perceptions in Chinese medical students. Methods This study was a retrospective, self-controlled study and conducted from March 2009 to October 2018. Doctor-patient relationship and communication skills training were administered to all sixth-year medical students, which involved lectures and various clinical scenario dramas. The program totaled 24 h, of which each class session was 3 h, with 8 sessions in total. All students were requested to complete an anonymous 5 likert self-rating survey including self-confidence in using communication skills and self-perceived learning attitude and ability before and at the end of the course. In addition, they were requested to evaluate the curriculum after completion of the course. Results Clinical scenario dramas helped students improve their self-confidence in clinical communication skills except for psychosomatic history taking (p < 0.05). The interests for participation in clinical scenario dramas were higher compared to attending lectures (4.39 ± 0.610 Vs 4.07 ± 0.831, p<0.01). Study participants were highly satisfied in the course setting, teaching instructors and content (4.61 ± 0.546, 4.65 ± 0.535, 4.63 ± 0.534). The self-evaluation results demonstrated that clinical scenario dramas improved the learning ability of medical students (p < 0.05). Conclusion The use of clinical scenario dramas was helpful in teaching doctor-patient communication skills.

Patient's Perceived Empathy Can Predict Doctor-patient Relationship in Medical Interaction

2021 ◽  
Author(s):  
Caixia Han ◽  
Qing Wu ◽  
Chenchen Liu ◽  
Pei Wang
Keyword(s):  
Communication Skills ◽  
Skills Training ◽  
Patient Communication ◽  
Mediating Effect ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Patient Centered ◽  
Doctor Patient Communication ◽  
Medical Environment ◽  
Patient’S Perception

Abstract Objective To explore the relationship among patient perception of doctors' empathy, doctor-patient communication, and doctor-patient relationship.Methods From November 2019 to April 2020, we used the CARE scale, the SEGUE framework and the PDRQ-15 scale to survey 3,039 patients from 14 provinces in China, ranging in age from 18 to 92 years old.Results 1. The age of the patient, the level and type of hospital, the length of consultation, and the presence or absence of verbal and physical conflict have significant differences in the scores of perceived empathy; 2. There was a significantly positive correlation among patient's perceived empathy, doctor-patient communication, and the doctor-patient relationship (r = 0.65 ~ 0.75, p < 0.001). 3. The patient's perception of doctor empathy can not only directly predict doctor-patient relationship (β = 0.75, p < 0.001), but also influence doctor-patient relationship through the mediating effect of doctor-patient communication (β = 0.56, p < 0.001). Besides, the scores of CARE can effectively explain the variation of each stage of doctor-patient communication skills (R2 = 0.28 ~ 0.37) and the satisfaction (52%) and approachability (54%) of the doctor-patient relationship scale.Conclusion The age of the patient, the type and level of the hospital, and the consultation time affected perceived empathy. Doctor-patient communication plays a partial mediating effect in the influence of empathy on the doctor-patient relationship.Practice implications: Medical institutes should improve the medical environment and carry out humanistic education and patient-centered communication skills training for doctors. These approaches will enhance patients' perceived empathy and therefore improve the doctor-patient relationship.

Patient's Perceived Empathy Can Predict Doctor-patient Relationship in Medical Interaction in China

2021 ◽  
Author(s):  
Caixia HAN ◽  
Qing WU ◽  
CHENCHEN LIU ◽  
Pei WANG
Keyword(s):  
Communication Skills ◽  
Skills Training ◽  
Patient Communication ◽  
Mediating Effect ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Patient Centered ◽  
Doctor Patient Communication ◽  
Medical Environment ◽  
Patient’S Perception

Abstract ObjectiveTo explore the relationship among patient perception of doctors' empathy, doctor-patient communication, and doctor-patient relationship.MethodsFrom November 2019 to April 2020, we used the CARE scale, the SEGUE framework and the PDRQ-15 scale to survey 3,039 patients from 14 provinces in China, ranging in age from 18 to 92 years old.Results1. The age of the patient, the level and type of hospital, the length of consultation, and the presence or absence of verbal and physical conflict have significant differences in the scores of perceived empathy; 2. There was a significantly positive correlation among patient's perceived empathy, doctor-patient communication, and the doctor-patient relationship (r = 0.65 ~ 0.75, p < 0.001). 3. The patient's perception of doctor empathy can not only directly predict doctor-patient relationship (β = 0.75, p < 0.001), but also influence doctor-patient relationship through the mediating effect of doctor-patient communication (β = 0.56, p < 0.001). Besides, the scores of CARE can effectively explain the variation of each stage of doctor-patient communication skills (R2 = 0.28 ~ 0.37) and the satisfaction (52%) and approachability (54%) of the doctor-patient relationship scale.ConclusionThe age of the patient, the type and level of the hospital, and the consultation time affected perceived empathy. Doctor-patient communication plays a partial mediating effect in the influence of empathy on the doctor-patient relationship.Practice implicationsMedical institutes should improve the medical environment and carry out humanistic education and patient-centered communication skills training for doctors. These approaches will enhance patients' perceived empathy and therefore improve the doctor-patient relationship.

Psychological contract violation and patient’s antisocial behaviour

2020 ◽  
Vol 31 (4) ◽  
pp. 647-664
Author(s):  
Po-Chien Chang ◽  
Ting Wu ◽  
Juan Du
Keyword(s):  
Psychological Contract ◽  
Antisocial Behaviour ◽  
Patient Communication ◽  
Patient Relationship ◽  
Patient Trust ◽  
Doctor Patient Relationship ◽  
Content Type ◽  
Doctor Patient Communication ◽  
Psychological Contract Violation ◽  
Contract Violation

Purpose The purpose of this study is to examine the dual effects of the violation of psychological contract on patient’s antisocial behaviour via the mediator of patient trust and the role of doctor-patient communication as a critical contingent variable in the psychological contract violation of patient’s antisocial behaviour relationship. Design/methodology/approach The data were collected from 483 hospitalized patients distributed in Shanxi province, China by using a self-administered survey. Findings The results indicated that psychological contract violation is positively associated with patient antisocial behaviour via patient trust. Moreover, the study found that doctor-patient communication moderates the mediated effects of psychological contract violation on patient’s antisocial behaviour through patient trust; that is, the mediated effect on antisocial behaviour is weaker when both doctor and patients have more communication. Research limitations/implications Due to a cross-sectional design in nature, the causal relationship cannot be developed based on the results. Despite the limitation, the present study provides insights for improving doctor-patient relationship by emphasizing the importance of increasing patient trust and doctor-patient communication. Practical implications To improve the quality of doctor-patient relationship, this study addresses the significance of properly showing understandings and care to regain mutual trust and reducing the likelihood of patient’s antisocial behaviour. Social implications The research findings have implications for both the health system and medical schools in China to reinforce the professional ethics and improve their medical humanities as the main concerns to generate a more sustainable doctor–patient relationship. Originality/value This study includes patient trust as a mediator and doctor-patient communication as a moderator to investigate the moderated mediation relationship among patients and medical professionals. By further examining the doctor-patient relationship, the results may not only help improve the efficient implementation of medical practices but also support the institutes and develop medical professionals for more positive doctor-patient relationships.

scholarly journals Teaching communication in medical students – a cornerstone for patient’s outcome

2021 ◽  
Vol 16 (2) ◽  
pp. 143-147
Author(s):  
Nicoleta SUCIU ◽  
◽  
Lorena Elena MELIȚ ◽  
Cristina Oana MĂRGINEAN ◽  
◽  
...  
Keyword(s):  
Medical Students ◽  
Medical School ◽  
Communication Skills ◽  
Medical Schools ◽  
Patient Relationship ◽  
Cross Culture ◽  
Patient Centered ◽  
Clinical Communication ◽  
Centered Care ◽  
Patient’S Outcome

Communication is definitely one of the most important contributing factor for an ideal doctor-patient relationship. The major importance of communication is to build a proper relationship with the patients, in which the empathy and respect play an essential role and can be taught and improved with proper training. This process is defined as cross-culture communication and it has to be taught during medical school. Patient-centered communication is a concept closely related to cross-culture communication and it might be defined by the physician’s ability to tailor communication to each patient’s need and level of understanding in order to provide patient-centered care. Training of clinical communication skills in medical students is an incontestable emergency for the patient’s outcome. Medical education formerly focused on training students for solving only the medical problems by providing the treatment for their organic problems. Medical schools recently included in undergraduate curricula clinical communication courses in order to improve student’s and future physician’s the ability to obtain relevant information from their patients, to build strong doctorpatient relationships and provide patient-centered care. Various models were elaborated for teaching and assessing clinical communication skills, which were found to improve multiple aspects of physician-patient communication among which counseling, interviewing techniques and prescription. Medical schools should properly address to clinical communication skills by including training courses in each year of education focused on the specific of the learned medical fields. It is crucial for implementing proper assessment methods in order to prevent and diminish as much as possible the factors that might negatively impact the development of doctor-patient relationship. Proper medical training in terms of clinical communication skills should be initiated during medical school in all students that deal with patients, but also after the graduation, periodically in all health care providers for assuring an ideal outcome for their patients.

scholarly journals A Study of Patient-Physician Communication and Barriers in Communication

2015 ◽  
Vol 3 (2) ◽  
pp. 71-78
Author(s):  
Ashok Mittal ◽  
Ginny Kaushal ◽  
Nikita Sabherwal ◽  
NK Pandey ◽  
Paul Kaustav
Keyword(s):  
Patient Safety ◽  
Partial Information ◽  
Patient Communication ◽  
Physician Communication ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Good Doctor ◽  
Doctor Patient Communication ◽  
Healthcare Settings ◽  
Self Administered Questionnaire

ABSTRACT Context Effective doctor-patient communication is the basic requirement in building a good doctor-patient relationship. Safe practices and effective, patient-centered communication is key to quality care. Good doctor-patient communication has the potential to help regulate patients’ emotions, facilitate comprehension of medical information and allow for better identification of patients’ needs, perceptions and expectations. Doctors with better communication and interpersonal skills are able to detect problems earlier, can prevent medical crisis and expensive intervention, and provide better support to their patients. Current research indicates that ineffective communication among healthcare professionals is one of the leading causes of medical errors and patient harm. There are many barriers to good communication in the doctor-patient relationship, including patients’ anxiety and fear, doctors’ burden of work, fear of litigation, fear of physical or verbal abuse, and unrealistic patient expectations. National accreditation board for hospitals and healthcare providers (NABH) standards and international patient safety goals focus on the importance of effective communication in healthcare settings and how it leads to patient safety. This study is an attempt to identify gaps in patient physician communication in the current healthcare settings, find the barriers in communication and give recommendation to enhance good practices in the future. Aims The aim of the study is to analyze the current levels of effective patient communication in a tertiary care hospital in Delhi-NCR with help of a self-administered questionnaire. The study will assess the level of information shared with the patient. Settings and design The design of our proposed study is a descriptive study where we will use a self-administered questionnaire to assess the level of patient-physician communication in the selected study setting. Materials and methods The NABH standard were used as a guideline for preparing the self-administered questionnaire. All admitted vulnerable patients of the selected study area will consist of the population for the study. Simple random sampling technique will be used to derive the sample out of the population. Statistical analysis used Correlation and analysis of variance (ANOVA) were used to establish associations between the independent and dependent variables. Results The study shows that 48% of the respondents were of opinion that they were given partial information, while 20% of the respondents alleged that they were not given any information about the explanation of their disease, its prognosis and the treatment option that were available, i.e. a total of 62% of the patients said that they had partial information to complete lack of information that would have made them aware of their diseases, its prognosis and the treatments options available to cure it, while only 32% of the patients agreed that they were supplied with thorough information during their interaction with the physicians. Conclusion The majority of the patients were not wellinformed about their disease, its prognosis, treatment plan and continuity of care. There was a significant positive correlation between the communication made at initial stages of hospital stay and during the end stages of stay of patient. The main barrier to patient physician communication was time. Key message To ensure patient safety, it is imperative to inform patients about all the important aspects starting from admission till discharge. How to cite this article Sabherwal N, Mittal A, Pandey NK, Kaushal G, Kaustav P. A Study of Patient-Physician Communication and Barriers in Communication. Int J Res Foundation Hosp Healthc Adm 2015;3(2):71-78.

scholarly journals La atenuación pragmática como estrategia de acercamiento en el Español de la Salud: propuesta didáctica

2017 ◽  
Author(s):  
Marta Gancedo Ruiz
Keyword(s):  
Patient Communication ◽  
Medical Examination ◽  
Bad News ◽  
Pragmatic Competence ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Doctor Patient Communication ◽  
Medical Context ◽  
Giving Bad News

Resumen: El objetivo de este trabajo es aportar una nueva manera de desarrollar la competencia pragmática de los alumnos de Español de la Salud. Para ello, se propone introducir en el aula el trabajo con una estrategia pragmática concreta para facilitar las relaciones médico-paciente, la atenuación, a través de secuencias didácticas contextualizadas en tres situaciones comunicativas concretas del ámbito hospitalario: la exploración física, la transmisión de malas noticias y la reprobación de malas conductas con consejo médico.Palabras clave: Español con Fines Específicos, atenuación, competencia pragmática, relación médico-paciente. Abstract: The aim of this article is to provide a new way to develop the pragmatic competence in Spanish for Medical Purposes. In order to do this, it is suggested to introduce in the classroom the work with a specific pragmatic strategy, mitigation, in order to make easier the doctor-patient communication by using didactic sequences contextualised in three medical situations of the medical context: medical examination, giving bad news and rejection of misconduct.Keywords: Spanish for Specific Purposes, mitigation, pragmatic competence, doctor-patient relationship

scholarly journals Perception of patients with chronic respiratory disorders regarding doctor-patient communication at a tertiary care hospital

2021 ◽  
Vol 6 (2) ◽  
pp. 71-75
Author(s):  
Dimple Shah ◽  
Shreya Patel ◽  
Varsha J Patel
Keyword(s):  
Patient Satisfaction ◽  
Tertiary Care Hospital ◽  
Treatment Plan ◽  
Tertiary Care ◽  
Patient Communication ◽  
Care Hospital ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Good Doctor ◽  
Doctor Patient Communication

It is believed that doctor-patient relationship is an important determinant in patient’s adherence to the treatment. The doctor-patient relationship can be seen as the perception of the patient concerning shown by the doctor, and the attitude and behaviour of the doctor towards the patient. For management of chronic illness where patient adherence to treatment is challenging, good doctor patient communication is very essential. This study was planned to assess the doctor patient communication status, effectiveness and patient satisfaction resulting after consultation with the doctor in a tertiary care setting.This study aims to assess the doctor-patient communication status, patient satisfaction level and identify the factors affecting the communication with the patients. This was a cross-sectional questionnaire based analytical study. The questionnaire mainly included various questions to assess the patient satisfaction in terms of time spent by doctor during visit, examination performed, discussion on treatment plan, medication dosage and side effects explained, response to patient questions and concern and overall satisfaction of the site visit. The study population included patients of Chronic Obstructive Pulmonary Diseases (COPD) and bronchial asthma attending the outpatient departments of Medicine and Respiratory Medicine of a tertiary care hospital. Total 70 patients had filled the questionnaire and all of them were satisfied with their visit with attending physician in OPD. Age, education level and income class affect the satisfaction score of participants.Overall the study showed a good level of satisfaction of patients with services obtained from this tertiary care centre. Physician can improve the doctor-patient communication by empathising with the patients and rendering them sufficient time to explain the treatment regimens.

scholarly journals La atenuación pragmática como estrategia de acercamiento en el Español de la Salud: propuesta didáctica

2017 ◽  
Author(s):  
Marta Gancedo Ruiz
Keyword(s):  
Patient Communication ◽  
Medical Examination ◽  
Bad News ◽  
Pragmatic Competence ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Doctor Patient Communication ◽  
Medical Context ◽  
Giving Bad News

Resumen: El objetivo de este trabajo es aportar una nueva manera de desarrollar la competencia pragmática de los alumnos de Español de la Salud. Para ello, se propone introducir en el aula el trabajo con una estrategia pragmática concreta para facilitar las relaciones médico-paciente, la atenuación, a través de secuencias didácticas contextualizadas en tres situaciones comunicativas concretas del ámbito hospitalario: la exploración física, la transmisión de malas noticias y la reprobación de malas conductas con consejo médico.Palabras clave: Español con Fines Específicos, atenuación, competencia pragmática, relación médico-paciente. Abstract: The aim of this article is to provide a new way to develop the pragmatic competence in Spanish for Medical Purposes. In order to do this, it is suggested to introduce in the classroom the work with a specific pragmatic strategy, mitigation, in order to make easier the doctor-patient communication by using didactic sequences contextualised in three medical situations of the medical context: medical examination, giving bad news and rejection of misconduct.Keywords: Spanish for Specific Purposes, mitigation, pragmatic competence, doctor-patient relationship

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