Clinical communication in inflammatory bowel disease: a systematic review of the study of clinician–patient dialogue to inform research and practice

Abstract

ObjectivesThis systematic review aims to investigate what is currently known about the characteristics of interactions between patients with inflammatory bowel disease (IBD) and their clinicians and its effect on patient outcomes.Data sourcesScopus, PubMed, Embase, Communication Abstracts, Health & Society, Linguistics and Language Behaviour Abstracts and PsycINFO were systematically searched from inception to June 2021.Study eligibility criteriaPeer-reviewed journal articles and book chapters in English investigating the characteristics of naturally occurring interactions between clinicians that manage IBD and patients with IBD during recorded consultations were included.Study appraisal and synthesis methodsRisk of bias was assessed using a specifically developed quality assessment tool, grounded in linguistic theory and the Mixed Methods Appraisal Tool. A narrative synthesis guided by the linguistic concept of metafunction was performed to synthesise the findings.ResultsOf the 2883 abstracts reviewed five formed the basis of the review. Interactions between IBD nurses and patients have been mostly characterised in terms of information provision regarding prescribed medications without consideration of the interpersonal aspect. Discussing online medical information with nurses has been shown to improve patient satisfaction. Analyses of gastroenterologist–patient interactions have concentrated on the clinical relationship which has been shown to be disease-centred. Shared decision making in ulcerative colitis has been shown to be compromised due to lack of transparency regarding treatment goals.LimitationsThis review did not include articles in languages other than English. Cumulative evidence could not be produced due to the small number of included studies and the diversity of contexts, theories and data types.Conclusions and implications of key findingsThere is a paucity of systematic research on naturally occurring clinical communication in IBD and its effect on outcomes. Further research needs to be done to address this knowledge gap.PROSPERO registration numberCRD42020169657.

Training Proposal in Palliative Care for Primary Care Nurses in a Health Area in Spain

“…Out of the 361 documents found in the literature related to basic palliative care training for nurses, five documents were selected. These include the National Consensus Project’s Clinical Practice Guidelines for Quality Palliative Care (NCP Guidelines) 4th edition [ 41 ], Competencies And Recommendations for Educating Undergraduate Nursing Students Preparing Nurses to Care for the Seriously Ill and their Families from the End-of-Life Nursing Education Consortium (ELNEC) [ 42 ], Foundations in palliative care: A Program of Facilitated Learning for Care Home Staff of the Macmillan Cancer Relief [ 43 ], Nursing competencies in palliative care [ 18 ] and Recommendations about training in palliative care in nursing degree of the Spanish Palliative Care Nurses Association [ 17 ]. The NCP Guidelines establish training in eight domains, and ELNEC adds another three.…”

IBD-PODCAST Spain: A Close Look at Current Daily Clinical Practice in IBD Management

“…Both patients and physicians reported suboptimal control less frequently than it was detected by objective assessment using the red flags. Limited alignment between HCP and patient-reported suboptimal control was also observed, potentially due to different emphasis in IBD care components between the groups, indicating the need for effective communication between patients and HCPs [ 48 , 49 ].…”

Perception and Attitude of Lebanese IBD Patients During the COVID-19 Pandemic

“…Patient–physician relationship in IBD has been studied in the past. 27 , 28 Karimi et al reported that there are still a lack of studies that evaluate the impact of a positive or negative patient–physician relationship on outcomes in IBD. 28 Nevertheless, trust in the provider appears to be an important issue for IBD patients.…”

“… 27 , 28 Karimi et al reported that there are still a lack of studies that evaluate the impact of a positive or negative patient–physician relationship on outcomes in IBD. 28 Nevertheless, trust in the provider appears to be an important issue for IBD patients. 27 This seems to be the case in Lebanese IBD patients to a greater degree.…”