Message applications in the doctor-patient relationship as a stressor

Veiga, Melissa Gonzalez; Felizi, Rogério Tadeu; Trevisan, Gislayne Darly; Cubero, Daniel de Iracema Gomes; Fernandes, César Eduardo; Oliveira, Emerson

doi:10.1590/1806-9282.20220253

Cited by 4 publications

(1 citation statement)

References 20 publications

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“…In recent years, social networking applications have enabled asynchronous communication by large numbers of people Similar "wisdom of crowds", enjoyed via social media has been thought to be helpful when specialized communities of practice actively consult with multiple colleagues in the same eld via applications such as Whatsapp. Indeed, this technology has proven useful in medicine for both clinician-patient communication [5] and between professionals [6]. This method may be particularly useful for niche medical disciplines involving a small number of professionals who could bene t from timely consultation with each other.…”

Section: Introductionmentioning

confidence: 99%

What are the most common controversial clinical issues in fertility preservation? A content analysis of a collaborative professional online consultation group

Tsafrir

Ben-Haroush

Hyman

et al. 2023

Preprint

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Research Question Clinicians involved in fertility preservation (FP) are often required to make prompt and consequential decisions despite the absence of evidence-based data. We established a collaborative professional online consultation group for fertility preservation issues. We sought to determine the main controversial clinical issues in FP as raised by participants of this group. Design Content analysis of a dedicated community of practice interacting via a messaging application (WhatsApp) and a survey of group participants. Results Between January 2019 and July 2022, group members posed 39 clinical questions which were discussed and debated by the group. Common themes included management of oncofertility cases (33%), potential gonadotoxicity of various therapies (23 %), fertility preservation in women and girls with premature ovarian insufficiency (POI) (18%), and technical aspects of ovarian tissue cryopreservation (10%). All but one query received prompt response (mean time for first response for 95% of queries 7.1±9.0 minutes) from a mean of 5.4±3.2 members. An anonymous online survey of group members was conducted during August 2022 (n=31, response rate 94%). The majority of respondents stated they gained knowledge and assistance in clinical decision making from participation in the discussion group (90% and 58% of respondents, respectively). Conclusions Management of clinical oncofertility cases, potential gonadotoxic effect of therapeutics and fertility preservation in women and girls with POI were the most common controversial issues in our fertility preservation community of practice. Intra-professional collaborative communication via a messaging application can aid in clinical management of fertility preservation and augment clinician’s knowledge.

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Section: Introductionmentioning

confidence: 99%

What are the most common controversial clinical issues in fertility preservation? A content analysis of a collaborative professional online consultation group

Tsafrir

Ben-Haroush

Hyman

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

What are the most common controversial clinical issues in fertility preservation? A content analysis of a collaborative professional online consultation group

Tsafrir,

BenHaroush,

Hyman

et al. 2023

Reprod Biol Endocrinol

View full text Add to dashboard Cite

Research question Clinicians involved in fertility preservation (FP) are often required to make prompt and consequential decisions despite the absence of evidence-based data. We established a collaborative professional online consultation group for fertility preservation issues. We sought to determine the main controversial clinical issues in FP as raised by participants of this group. Design Content analysis of a dedicated community of practice interacting via a messaging application (WhatsApp) and a survey of group participants. Results Between January 2019 and July 2022, group members posed 39 clinical questions which were discussed and debated by the group. Common themes included management of oncofertility cases (33%), potential gonadotoxicity of various therapies (23%), fertility preservation in women and girls with premature ovarian insufficiency (POI) (18%), and technical aspects of ovarian tissue cryopreservation (10%). All but one query received prompt response (mean time for first response for 95% of queries 7.1 ± 9.0 min) from a mean of 5.4 ± 3.2 members. An anonymous online survey of group members was conducted during August 2022 (n = 31, response rate 94%). The majority of respondents stated they gained knowledge and assistance in clinical decision making from participation in the discussion group (90% and 58% of respondents, respectively). Conclusions Management of clinical oncofertility cases, potential gonadotoxic effect of therapeutics and fertility preservation in women and girls with POI were the most common controversial issues in our fertility preservation community of practice. Intra-professional collaborative communication via a messaging application can aid in clinical management of fertility preservation and augment clinician’s knowledge.

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Anger: an underappreciated destructive force in healthcare

Grünebaum

McLeod-Sordjan

Pollet

et al. 2023

Journal of Perinatal Medicine

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Anger is an emotional state that occurs when unexpected things happen to or around oneself and is “an emotional state that varies in intensity from mild irritation to intense fury and rage.” It is defined as “a strong feeling of displeasure and usually of antagonism,” an emotion characterized by tension and hostility arising from frustration, real or imagined injury by another, or perceived injustice. It can manifest itself in behaviors designed to remove the object of the anger (e.g., determined action) or behaviors designed merely to express the emotion. For the Roman philosopher Seneca anger is not an uncontrollable, impulsive, or instinctive reaction. It is, rather, the cognitive assent that such initial reactions to the offending action or words are in fact unjustified. It is, rather, the cognitive assent that such initial reactions to the offending action or words are in fact unjustified. It seems that the year 2022 was a year when many Americans were plainly angry. “Why is everyone so angry?” the New York Times asked in the article “The Year We Lost It.” We believe that Seneca is correct in that anger is unacceptable. Anger is a negative emotion that must be controlled, and Seneca provides us with the tools to avoid and destroy anger. Health care professionals will be more effective, content, and happier if they learn more about Seneca’s writings about anger and implement his wisdom on anger from over 2000 years ago.

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Message applications in the doctor-patient relationship as a stressor

Cited by 4 publications

References 20 publications

What are the most common controversial clinical issues in fertility preservation? A content analysis of a collaborative professional online consultation group

What are the most common controversial clinical issues in fertility preservation? A content analysis of a collaborative professional online consultation group

What are the most common controversial clinical issues in fertility preservation? A content analysis of a collaborative professional online consultation group

Anger: an underappreciated destructive force in healthcare

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