Assessment of nursing students and nurses' orientation towards patient-centeredness

Grilo, Ana Monteiro; Santos, Margarida; Rita, Joana Santos; Gomes, Ana Coelho

doi:10.1016/j.nedt.2013.02.022

“…The environment they teach in is contradictory to the ideal students are taught in lecture theatres. (20) Ayesha et al have found that Pakistani doctors didn't take consent from more than 71% patients and provided adequate confidentiality to less than 24% of their patients. 21When medical students are taught in such a doctor-centered environment it is natural for them to embody such practices because when a student realizes that doctors, not following the prima facie maxims, (7) are still able to have a very healthy practice then he wonders if formalities like consent or confidentiality even matter in the real world medicine.…”

Section: Discussionmentioning

confidence: 99%

Attitudes of medical students in Pakistan toward the doctor-patient relationship

Ahmad

¹

,

Krupat

²

,

Asmaa

³

et al. 2014

Preprint

3

1

2

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Background. We initiated this study with the aim to assess the leaning of medical students towards either a doctor-centered or a patient-centered care and explore the effects of personal attributes on it like gender, academic year etc. of the students. Methods. A cross-sectional study was conducted between July-Sep 2013. The study population consisted of 1274 medical students in years 1-5 from two medical colleges. English version of PPOS was used to assess attitudes of medical students towards doctor-patient relationship. The relationship between PPOS scores and individual characteristics like gender, academic year etc. were examined by using Independent t-test and one way ANOVA. Results. A total of 792 students formed the final sample. Characteristics associated with most patient-centered attitudes were being in 4th academic year, married, being a foreigner and belonging to a Private college (p<0.05). Characteristics associated with most doctor-centered attitudes were being in 2nd academic year, divorced, having a local origin and belonging to a Govt. college (p<0.05). Gender and having doctor parents had no bearing, statistically, on the attitudes. Conclusion. Despite ongoing debate and emphasis on a patient-centered curriculum, our study suggests that current curriculum and its teachings are not producing the results they are designed to achieve. Students should be adequately exposed to the patients from the beginning of their medical education in clinical settings which are more sympathetic to a patient-centered care.

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“…The PPOS has been used to assess the preferences of practitioners and students in the areas of medicine, nursing, physiotherapy, and dentistry, and patients with respect to patient-centredness (e.g. Beattie et al, 2012;Carlsen & Aavik, 2006;Carlsen et al, 2008;Chan & Ahmad, 2012;Cvengros et al, 2007;Davis et al, 2006;Grilo et al, 2014;Haidet et al, 2001Haidet et al, , 2002Krupat et al, 1996Krupat et al, , 2000Krupat et al, , 2001Lee et al, 2008;Moore, 2009;Ribeiro et al, 2007;Ross & Haidet, 2011;Shaw et al, 2012;Street et al, 2003;Tsimtsiou et al, 2007Tsimtsiou et al, , 2012Wahlqvist et al, 2010). The 18-item PPOS was devised following principal component analysis of the scores of medical practitioners and patients on an earlier 61-item questionnaire (Krupat et al, 1996).…”

Section: Modified Patient-practitioner Orientation Scalementioning

confidence: 99%

An Australian survey of audiologists’ preferences for patient-centredness

Laplante-Lévesque

¹

,

Hickson

²

,

Grenness

³

2014

International Journal of Audiology

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“…The environment they teach in is contradictory to the ideal students are taught in lecture theatres. (20) Ayesha et al have found that Pakistani doctors didn't take consent from more than 71% patients and provided adequate confidentiality to less than 24% of their patients. (21) When medical students are taught in such a doctor-centered environment it is natural for them to embody such practices because when a student realizes that doctors, not following the prima facie maxims, (7) are still able to have a very healthy practice then he wonders if formalities like consent or confidentiality even matter in the real world medicine.…”

Section: Discussionmentioning

confidence: 99%

Attitudes of medical students in Pakistan toward the doctor-patient relationship

Ahmad

¹

,

Krupat

²

,

Asmaa

³

et al. 2014

Preprint

1

0

View full text Add to dashboard Cite

Background. We initiated this study with the aim to assess the leaning of medical students towards either a doctor-centered or a patient-centered care and explore the effects of personal attributes on it like gender, academic year etc. of the students. Methods. A cross-sectional study was conducted between July-Sep 2013. The study population consisted of 1274 medical students in years 1-5 from two medical colleges. English version of PPOS was used to assess attitudes of medical students towards doctor-patient relationship. The relationship between PPOS scores and individual characteristics like gender, academic year etc. were examined by using Independent t-test and one way ANOVA. Results. A total of 792 students formed the final sample. Characteristics associated with most patient-centered attitudes were being in 4th academic year, married, being a foreigner and belonging to a Private college (p<0.05). Characteristics associated with most doctor-centered attitudes were being in 2nd academic year, divorced, having a local origin and belonging to a Govt. college (p<0.05). Gender and having doctor parents had no bearing, statistically, on the attitudes. Conclusion. Despite ongoing debate and emphasis on a patient-centered curriculum, our study suggests that current curriculum and its teachings are not producing the results they are designed to achieve. Students should be adequately exposed to the patients from the beginning of their medical education in clinical settings which are more sympathetic to a patient-centered care.

show abstract

Assessment of nursing students and nurses' orientation towards patient-centeredness

Cited by 39 publications

References 39 publications

Attitudes of medical students in Pakistan toward the doctor-patient relationship

Attitudes of medical students in Pakistan toward the doctor-patient relationship

An Australian survey of audiologists’ preferences for patient-centredness

Attitudes of medical students in Pakistan toward the doctor-patient relationship

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