Approaching Empowerment Holistically: are Physicians Willing And Able?

Patient empowerment is evident nowadays through the increased role undertaken by patients in the evaluation of healthcare, shaping health policy and involvement in clinical research. But are physicians willing and able to empower their patients? The biopsychosocial model offers a holistic approach to care by including the subjective experience of illness into clinical processes. Within this context, effective communication is key as it can contribute towards better clinical outcomes for patients as well as protect physicians from burnout due to emotional exhaustion. Hematological malignancies are the focus of this contribution as their nature and management pose serious challenges for patients to understand and physicians to explain. Physicians can play a pivotal role in encouraging patients' empowerment by educating them about their illness, supporting them in self-management and involving them in their care. Communication skills training, availability of consultation tools and e-health applications can support physicians in their new role.

Download Full-text

Lifestyle factors, self-management and patient empowerment in diabetes care

European Journal of Preventive Cardiology ◽

10.1177/2047487319885455 ◽

2019 ◽

Vol 26 (2_suppl) ◽

pp. 55-63 ◽

Cited By ~ 3

Author(s):

Ekaterini Lambrinou ◽

Tina B Hansen ◽

Joline WJ Beulens

Keyword(s):

Diabetes Mellitus ◽

Glycaemic Control ◽

Diabetes Care ◽

Management Education ◽

Lifestyle Modification ◽

Patient Empowerment ◽

Holistic Approach ◽

Lifestyle Factors ◽

Self Management ◽

Prevention Of Diabetes

Although management of diabetes mellitus is improving, inadequately managed cases still exist. Prevention of diabetes mellitus requires an integrated and holistic approach based on the origin of the disease. In Europe only half of diagnosed patients with diabetes mellitus have good glycaemic control. Inadequate glycaemic control is significantly increasing the use of healthcare resources, the medical costs and mortality rates. A review was conducted in order to summarise and discuss central themes for prevention. A search of the databases PubMed, CINAHL, Cochrane and Google Scholar between January 2010–May 2019 was undertaken. The following keywords: ‘diabetes mellitus’, ‘cardiovascular diseases’, ‘empowerment’, ‘self-management education’ and ‘lifestyle factors’ were used in different combinations to identify eligible articles. Important variables for the prevention of diabetes mellitus and its complications are self-management of diabetes mellitus and the management of risk factors. Education and support for self-management are fundamental when caring for people with a chronic disease like diabetes mellitus. In order to achieve effective self-management including lifestyle modification it is also crucial to motivate people. In this review, the role of the three main pillars in diabetes care are identified and discussed; patient empowerment, self-management education and lifestyle modification in the management of people with diabetes mellitus.

Download Full-text

The Effects of Patient Communication Skills Training on Compliance

Archives of Family Medicine ◽

10.1001/archfami.9.1.57 ◽

2000 ◽

Vol 9 (1) ◽

pp. 57-64 ◽

Cited By ~ 127

Author(s):

D. J. Cegala

Keyword(s):

Communication Skills ◽

Skills Training ◽

Patient Communication ◽

Communication Skills Training ◽

Patient Communication Skills Training

Download Full-text

Critical Care Communication Skills Training for Internal Medicine Residents

MedEdPORTAL ◽

10.15766/mep_2374-8265.10212 ◽

2015 ◽

Vol 11 (1) ◽

Author(s):

Laura Rock ◽

Nina Gadmer ◽

Robert Arnold ◽

David Roberts ◽

Asha Anandaiah ◽

...

Keyword(s):

Internal Medicine ◽

Critical Care ◽

Communication Skills ◽

Skills Training ◽

Communication Skills Training ◽

Internal Medicine Residents

Download Full-text

Teaching a Clinical Method Adapted to Contemporary Medicine

10.1093/oso/9780199370818.003.0011 ◽

2018 ◽

Author(s):

J. Donald Boudreau ◽

Eric J. Cassell ◽

Abraham Fuks

Keyword(s):

Clinical Observation ◽

Skills Training ◽

Spoken Language ◽

Communication Skills Training ◽

Clinical Method ◽

Medical Interviewing ◽

The Status ◽

Clinical Thinking ◽

Contemporary Medicine ◽

Person Centered Approach

A truly person-centered curriculum requires important changes to how the clinical method is taught. Medical interviewing demands explicit instruction in how the spoken language works and specific strategies that elevate the status of attentive listening so that this aspect is seen as important as the more mechanical aspects of traditional communication skills training. The term chief complaint is declared outdated and suggestions for its replacement are offered. The medical record is considered an important educational instrument, and recommendations are made so that it is in service of functional assessment and better aligned to a person-centered approach. Modifications to the physical examination, particularly a renewed emphasis on clinical observation, are outlined. The chapter concludes with a discussion of clinical thinking and judgment. A plea is made for inculcating a receptiveness toward a narrative competence within medicine.

Download Full-text

Enablers of Patient Knowledge Empowerment for Self-Management of Chronic Disease: An Integrative Review

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18052247 ◽

2021 ◽

Vol 18 (5) ◽

pp. 2247

Author(s):

Vestina Vainauskienė ◽

Rimgailė Vaitkienė

Keyword(s):

Public Health ◽

Knowledge Management ◽

Health Management ◽

Patient Empowerment ◽

Integrative Review ◽

Management Theory ◽

Self Management ◽

Patient Knowledge ◽

Knowledge Management Theory ◽

Public Health Management

The non-development of the concept of patient knowledge empowerment for disease self-management and the non-development of the theory of patient knowledge empowerment in patients with chronic diseases, cause methodological inconsistency of patient empowerment theory and does not provide a methodological basis to present patient knowledge empowerment preconditions. Therefore, the aim of the present integrative review was to synthesize and critically analyze the patient knowledge enablers distinguished in the public health management theory, the knowledge sharing enablers presented in the knowledge management theory and to integrate them by providing a comprehensive framework of patient knowledge enablers. To implement the purpose of the study, in answering the study question of what patient knowledge empowerments are and across which levels of patient knowledge empowerment they operate, an integrative review approach was applied as proposed by Cronin and George. A screening process resulted in a final sample of 78 papers published in open access, peer-review journals in the fields of public health management and knowledge management theories. Based on the results of the study, the Enablers of Patient Knowledge Empowerment for Self-Management of Chronic Disease Framework was created. It revealed that it is important to look at patient knowledge empowerment as a pathway across the empowerment levels through which both knowledge enablers identified in public health management theory and knowledge sharing enablers singled out in knowledge management theory operate. The integration of these two perspectives across patient empowerment levels uncovers a holistic framework for patient knowledge empowerment.

Download Full-text

Effect of Communication Skills Training Program for Oncologists Based on Patient Preferences for Communication When Receiving Bad News: A Randomized Controlled Trial

Journal of Clinical Oncology ◽

10.1200/jco.2013.51.2756 ◽

2014 ◽

Vol 32 (20) ◽

pp. 2166-2172 ◽

Cited By ~ 91

Author(s):

Maiko Fujimori ◽

Yuki Shirai ◽

Mariko Asai ◽

Kaoru Kubota ◽

Noriyuki Katsumata ◽

...

Keyword(s):

Communication Skills ◽

Patient Preferences ◽

Controlled Trial ◽

Intervention Group ◽

Depression Scale ◽

Skills Training ◽

Control Group ◽

Communication Skills Training ◽

Communication Performance

Purpose The aim of this study was to identify the effects of a communication skills training (CST) program for oncologists, developed based on patient preferences regarding oncologists' communication. Participants and Methods Thirty oncologists were randomly assigned to either an intervention group (IG; 2-day CST workshop) or control group (CG). Participants were assessed on their communication performance during simulated consultation and their confidence in communicating with patients at baseline and follow-up. A total of 1,192 patients (response rate, 84.6%) who had consultations with the participating oncologists at baseline and/or follow-up were assessed regarding their distress using the Hospital Anxiety and Depression Scale, satisfaction with the consultation, and trust in their oncologist after the consultation. Results At the follow-up survey, the performance scores of the IG had improved significantly, in terms of their emotional support (P = .011), setting up a supportive environment (P = .002), and ability to deliver information (P = .001), compared with those of the CG. Oncologists in the IG were rated higher at follow-up than those in the CG in terms of their confidence in themselves (P = .001). Patients who met with oncologists after they had undergone the CST were significantly less depressed than those who met with oncologists in the CG (P = .027). However, the CST program did not affect patient satisfaction with oncologists' style of communication. Conclusion A CST program based on patient preferences is effective for both oncologists and patients with cancer. Oncologists should consider CST as an approach to enhancing their communication skills.

Download Full-text