Clinical Communication in the Aspect of Development of New Technologies and E-Health in the Doctor-Patient Relationship

2016 ◽  
pp. 18-51
Author(s):  
Aleksandra Rosiek-Kryszewska ◽  
Łukasz Leksowski ◽  
Anna Rosiek ◽  
Krzysztof Leksowski ◽  
Aleksander Goch
Keyword(s):  
New Technologies ◽  
Healthcare Providers ◽  
Work Environments ◽  
Shared Decision ◽  
Clinical Communication ◽  
Professional Discourse ◽  
Medical Environment ◽  
Close Analysis ◽  
Communication Challenges ◽  
Clinician Communication

Patient-clinician communication presents the views of several national authorities on the principles and expectations of shared decision-making between patients and their healthcare providers, including doctors, and nurses and oncology nurses. In this chapter authors focus on the communication challenges facing doctors who trained in medical environment in Poland, in order to prepare communications training designed specifically for doctors and to illustrate how a close analysis of professional discourse can be transferred to work environments beyond the medical world. Authors draw attention to clinical roles performed by medical staff practicing locally and trained doctors.

Clinical Communication in the Aspect of Development of New Technologies and E-Health in the Doctor-Patient Relationship

2016 ◽  
pp. 1465-1497
Author(s):  
Aleksandra Rosiek-Kryszewska ◽  
Łukasz Leksowski ◽  
Anna Rosiek ◽  
Krzysztof Leksowski ◽  
Aleksander Goch
Keyword(s):  
New Technologies ◽  
Healthcare Providers ◽  
Work Environments ◽  
Shared Decision ◽  
Clinical Communication ◽  
Professional Discourse ◽  
Medical Environment ◽  
Close Analysis ◽  
Communication Challenges ◽  
Clinician Communication

Patient-clinician communication presents the views of several national authorities on the principles and expectations of shared decision-making between patients and their healthcare providers, including doctors, and nurses and oncology nurses. In this chapter authors focus on the communication challenges facing doctors who trained in medical environment in Poland, in order to prepare communications training designed specifically for doctors and to illustrate how a close analysis of professional discourse can be transferred to work environments beyond the medical world. Authors draw attention to clinical roles performed by medical staff practicing locally and trained doctors.

Clinical trials — the personal perspective of the research physician?

2020 ◽  
Vol 75 (3) ◽  
pp. 256-263
Author(s):  
Maria Y. Egorova ◽  
Irina A. Shuvalova ◽  
Olga I. Zvonareva ◽  
Igor D. Pimenov ◽  
Olga S. Kobyakova ◽  
...  
Keyword(s):  
Clinical Trials ◽  
Medical Care ◽  
New Technologies ◽  
Healthcare Providers ◽  
Study Drug ◽  
Well Being ◽  
Personal Perspective ◽  
Public And Private ◽  
Factors Affecting ◽  
To Receive

Background. The organization of clinical trials (CTs) requires the participation and coordination of healthcare providers, patients, public and private parties. Obstacles to the participation of any of these groups pose a risk of lowering the potential for the implementation of CTs. Researchers are a key human resource in conducting of CT. Their motivation for participation can have a significant impact on the recruitment and retention of patients, on the quality of the data collected, which determines the overall outcome of the study. Aims to assess the factors affecting the inclusion of Russian physicians-researchers in CT, and to determine their role in relations with patients-participants. Materials and methods. The study was organized as a part of the Russian multicenter face-to-face study. A survey was conducted of researchers from 10 cities of Russia (20172018). The participation in the survey for doctors was anonymous and voluntary. Results. The study involved 78 respondents. Most research doctors highly value the importance of research for science (4,84 0,39), society (4,67 0,46) and slightly lower for participating patients (4,44 0,61). The expectations of medical researchers are related to improving their financial situation and attaining new experience (n = 14; 18,18%). However, the opportunity to work with new technologies of treatment and diagnosis (n = 41; 52,56%) acted as a motivating factor. According to the questionnaire, the vast majority of research doctors (n = 29; 37,18%) believe that the main reason for patients to participate in CT is to receive quality and free medical care. The most significant obstacle to the inclusion of participants in CT was the side effects of the study drug (n = 38; 48,71%). Conclusions. The potential of clinical researchers in Russia is very high. The patient-participant acts for the research doctor as the subject of the study, and not the object, so the well-being of the patient is not indifferent to the doctor. However, the features of the functioning of our health care system form the motivation of doctors-researchers (additional earnings, professional self-development) and the way they perceive the motivation of patients (CT as an opportunity to receive quality medical care).

Communication regarding adverse neonatal birth events: Experiences of parents and clinicians

2021 ◽  
pp. 251604352110177
Author(s):  
Davia Liba Loren ◽  
Anne Drapkin Lyerly ◽  
Lauren Lipira ◽  
Madelene Ottosen ◽  
Emily Namey ◽  
...  
Keyword(s):  
Family Involvement ◽  
Extended Family ◽  
Healthcare Providers ◽  
High Expectations ◽  
Normal Birth ◽  
Qualitative Thematic Analysis ◽  
Academic Medical ◽  
Adverse Neonatal Outcomes ◽  
Communication Challenges ◽  
Communication Dynamics

Objectives Communicating with parents about adverse birth outcomes is challenging. We sought to describe attitudes and experiences of parents and providers regarding communication about adverse newborn birth events. Methods From 2011–2012, we conducted semi-structured in-depth interviews with parents who believed they had experienced an adverse birth-related neonatal outcome and focus groups with healthcare providers who have communicated with parents about adverse newborn birth events from three geographically diverse US academic medical centers. We conducted qualitative thematic analysis to identify key themes. Results Parents and providers described unique communication challenges around adverse neonatal outcomes in six categories: 1) High expectations for a positive delivery experience and the view that birth is a life event, not a medical encounter; 2) Powerful emotions associated with birth, amplified when an adverse event occurs; 3) Rapid changes when expectations for a normal birth take a sudden negative turn; 4) Family involvement adding complexity to communication; 5) Multiple patients and providers complicating communication dynamics with inter-professional teams seeking to coordinate information and care; and, 6) Concerns about litigation surrounding the birth experience. Strategies to educate parents and enhance communication were identified by both parents and providers. Conclusion Both parents and providers experience – and may suffer as a result of – communication challenges following adverse birth events affecting the newborn. Training and resources for this care environment are needed to meet parental, extended family, and provider expectations for communication when these events occur.

scholarly journals Patient subjective experience of treatment with long-acting injectable antipsychotics: a systematic review of qualitative studies

2021 ◽  
Vol 70 (1) ◽  
pp. 68-77
Author(s):  
Gianluca Fiore ◽  
Davide Elia Bertani ◽  
Mattia Marchi ◽  
Graça Cardoso ◽  
Gian Maria Galeazzi
Keyword(s):  
Subjective Experience ◽  
Healthcare Providers ◽  
Qualitative Studies ◽  
Common Finding ◽  
Accurate Information ◽  
Shared Decision ◽  
Depot Therapy ◽  
Key Concepts ◽  
Long Acting ◽  
Lack Of Knowledge

ABSTRACT Objective: To gain a better understanding of how long-acting injectable antipsychotic (LAI) therapy is perceived by patients. Methods: A search for qualitative studies has been carried out on PubMed, Google Scholar, PsycINFO and PsycArticles, yielding 11 studies suitable for a review of qualitative studies. The reporting approach chosen was meta-ethnography, following the ENTREQ statement recommendations. Key concepts common to the different studies were extrapolated and then analysed in a systematic and comparative way. Results: Some recurrent issues were associated with LAIs, such as fear of coercion, fear of needles and lack of knowledge about depot therapy. These topics are linked to each other and the patients most concerned about the disadvantages of LAIs are those who are less informed about them, or who have experienced coercion and trauma during hospitalisation. On the other hand, patients who had already received LAIs, and those who had a good therapeutic relationship with their healthcare providers expressed satisfaction with this form of treatment and its continuation. Conclusion: Long-acting injectable antipsychotics are a tool in the management of mental disorders, and a viable alternative to oral medication. Patients show curiosity towards this method of administration, but lack of knowledge is a common finding. Shared decision making about the use of LAIs antipsychotics requires that patients receive accurate information and support for their decision regarding medication.

Life-limiting fetal conditions and pregnancy continuation: parental decision-making processes

2021 ◽  
pp. bmjspcare-2020-002857
Author(s):  
Erin Denney-Koelsch ◽  
Denise Cote-Arsenault
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Medical Information ◽  
Healthcare Providers ◽  
Shared Decision ◽  
Parental Decision ◽  
Parental Decision Making ◽  
Case Comparison ◽  
Theme Identification ◽  
Iterative Coding

ObjectivesWhen parents are facing a life-limiting fetal condition (LLFC), decision making about prenatal and neonatal care is very stressful. To participate in successful shared decision making, interdisciplinary care teams need to understand factors that parents consider and the process by which they make decisions about care of their baby.MethodsThis study reports on findings about parental decision making from a larger longitudinal, naturalistic study of parents’ experiences of continuing pregnancy with an LLFC. Mothers and fathers over 18 were interviewed in person, on phone or via video, twice during pregnancy and twice after birth and death. Transcripts were professionally transcribed and verified. Data were analysed with iterative coding and theme identification, using within-case and cross-case comparison.ResultsThirty parents (16 mothers, 13 fathers, 1 lesbian partner) from multiple US states and a range of racial/ethnic backgrounds were interviewed. Parents’ experience with decision making was difficult, stressful and time-sensitive. They described a three-phase process: (1) identifying the decision to be made, (2) conducting a risk–benefit analysis to weigh objective medical information and subjective factors (values and spirituality, impact on self, partner, baby and the other children) and (3) making a decision. Parents considered diagnostic and prognostic certainty, likelihood of a good outcome and avoidance of suffering and regrets.ConclusionFor shared-decision making, healthcare providers must discuss objective medical information as well as recognise parents’ subjective values and priorities. This study expands on the literature on parental decision making around the numerous types of decisions after LLFC, informing obstetrics, neonatology and palliative care.

Evaluation of Secure Mobile and Clinical Communication Solution (SMaCCS) across acute and community practice settings

2020 ◽  
Vol 7 (1) ◽  
pp. 109-116
Author(s):  
Sean P Spina ◽  
Kristin M Atwood ◽  
Peter Loewen
Keyword(s):  
Survey Data ◽  
Secure Communication ◽  
Healthcare Providers ◽  
Community Practice ◽  
Communication Tool ◽  
Cross Sectional ◽  
Secure Messaging ◽  
Clinical Communication ◽  
Study Island ◽  
System Data

AimsClinicians struggle to provide information to each other that supports safe patient transitions, especially across acute and community care jurisdictions. They need flexible communication tools to improve care coordination. Island Health introduced a Secure Mobile and Clinical Communication Solution (SMaCCS) to address these challenges in 2018. In this study we evaluated the SMaCCS system to understand the (1) volume and flow of healthcare communication, (2) degree of adoption and accessibility of the system and (3) user experience.MethodsThis was a prospective, cross-sectional, observational study. Island Health Information Management/Information Technology (IMIT) selected Vocera Collaboration Suite as the secure messaging platform. We invited healthcare providers in various roles in the hospital and community to use SMaCCS for their daily communications and system and survey data were collected between February and August 2018. System data and survey data were used to determine outcomes.ResultsA Sankey diagram represents the volume and flow of communication. A total of 2542 messages were sent and 79% of conversations included more than a single message. Eighty-one per cent of participants agreed that using a secure communication tool made them feel more comfortable sharing patient information. Most users (65%) perceived that the application was a useful method for transmitting simple information.ConclusionHowever, our study showed that different occupational roles require different frequencies and volumes of communication and there are numerous barriers to adoption that must be addressed before secure messaging can be an effective, ubiquitous method of clinical communication.

Smart City = Smart Citizen = Smart Economy?

2020 ◽  
pp. 161-180
Author(s):  
Elizabeth Frank ◽  
Gloria Aznar Fernández-Montesinos
Keyword(s):  
New Technologies ◽  
Smart Cities ◽  
Well Being ◽  
Work Environments ◽  
Transport Systems ◽  
World Population ◽  
The Public ◽  
Technological Advances ◽  
City Population

With a rapidly growing world population, urban populations are estimated to increase significantly over the next decades. This trend is reason for concern since the planet's resources are limited, and climate change is inherent. This chapter focusses on the question about whether new technologies employed in smart cities can be the answer to current and future needs of a city population. Cutting-edge technological advances are reshaping our ecosystem; transforming society, living, and work environments; transport systems; energy grids; healthcare; communications; businesses; and education. How can cities respond to the multitude of challenges by employing technology and at the same time ensure the public well-being, improve the quality of life of city inhabitants, and make sure that the human is still at the center of decisions?

Compassion and Responsibility

2020 ◽  
pp. 205-256
Author(s):  
Joshua Hordern
Keyword(s):  
Decision Making ◽  
Christian Theology ◽  
Shared Decision ◽  
Preventive Healthcare ◽  
Second Person ◽  
Clinical Communication ◽  
Book Of Job ◽  
Conceptual Clarity ◽  
The Relationship ◽  
Over Time

This chapter explores how responsibility, fault, and desert matter for the content of compassion with particular reference to the idea of rationing by fault, shared decision-making, and recent UK law regarding the relationship between responsibility, risk, and consent. Conceptual clarity is sought through exploring how tragedy differs from Christian theology by deploying the contrasting categories of the ‘undeserving sick’, the ‘obstinate sick’ and the ‘sad sick’, as applied to clinical communication, pastoral discretion, and mercy. The chapter considers what may be learnt for the interrelation of responsibility with compassion from the Book of Job. This analysis deepens the earlier account of second-person relatedness and compassion, by considering the category of ‘remonstration’. This is then applied to practice through a discussion of the constraints on certain forms of public and preventive healthcare. The chapter concludes by drawing on ecclesiological motifs to describe how compassionate relationships can persevere over time.

scholarly journals Paradigm Shift or Annoying Distraction

2010 ◽  
Vol 01 (02) ◽  
pp. 96-115 ◽  
Author(s):  
J. O’Donnell ◽  
M. Clayton ◽  
P. Anderson ◽  
A. Krueger ◽  
H. Spallek
Keyword(s):  
Web 2.0 ◽  
Virtual Worlds ◽  
Paradigm Shift ◽  
New Technologies ◽  
Healthcare Providers ◽  
Web 2.0 Technologies ◽  
Healthcare Organizations ◽  
Social Technologies ◽  
Research Challenge ◽  
Collaborative Research Networks

SummaryWeb 2.0 technologies, known as social media, social technologies or Web 2.0, have emerged into the mainstream. As they grow, these new technologies have the opportunity to influence the methods and procedures of many fields. This paper focuses on the clinical implications of the growing Web 2.0 technologies. Five developing trends are explored: information channels, augmented reality, location-based mobile social computing, virtual worlds and serious gaming, and collaborative research networks. Each trend is discussed based on their utilization and pattern of use by healthcare providers or healthcare organizations. In addition to explorative research for each trend, a vignette is presented which provides a future example of adoption. Lastly each trend lists several research challenge questions for applied clinical informatics. Citation: Spallek H, O’Donnell J, Clayton M, Anderson P, Krueger A. Paradigm shift or annoying distraction – emerging implications of Web 2.0 for clinical practice. Appl Clin Inf 2010; 1: 96–115 http://dx.doi.org/10.4338/ACI-2010-01-CR-0003

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