Communication relating to family members' involvement and understandings about patients' medication management in hospital

Manias, Elizabeth

doi:10.1111/hex.12057

Cited by 30 publications

(38 citation statements)

References 19 publications

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“…144,[146][147][148][149][150][151][152][153][171][172][173] However, while these studies utilise qualitative methods to capture information about the pharmacist-patient interaction occurring in either hospital or ambulatory clinic settings, most are atheoretical, some lack detail about the methods used and most do not directly address our project's aim to examine aspects of effective communication.…”

Section: -170mentioning

confidence: 99%

“…Instead, family members observed pharmacists or pharmacy staff to mostly be delivering and stocking medication supplies. 172 Researchers interviewed physicians, nurses, pharmacists as well as patients and their families in specialty hospital settings to find out the barriers and facilitators in engaging patients and their families in conversations about managing medications. 173 Family members and patients stated that they were often hesitant to request information and to discuss issues about their medications as they observed that healthcare professionals often appeared very busy.…”

Section: -170mentioning

confidence: 99%

“…Those studies reviewed had focused on skill assessment only, 145 had flaws in their methods 144 and most lacked theoretical frameworks. [146][147][148][149][150][151][152][153]172,173 Theoretical frameworks used in pharmacy practice research…”

Section: -170mentioning

confidence: 99%

“…172,370,372 Rushed conversations have been associated with less patient engagement and satisfaction. 372 In turn, lack of patient participation in discussions about their medications may leave patients with unanswered questions and poor knowledge about their medications.…”

Section: Discourse Managementmentioning

confidence: 99%

“…102,113,370 In other studies, inpatients and their families have stressed the importance of having sufficient time to discuss medications with pharmacists. 172,370 Consequences of hurried conversations include low patient satisfaction and engagement, 372 and patients left with a poor understanding of their medications. 145,153 Processes for building rapport between pharmacists and patients aligned well with the emotional expression strategy.…”

Section: Interpersonal Control (Empowerment)mentioning

confidence: 99%

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Investigating the effectiveness of communication taking place between hospital pharmacists and patients during medication counselling

Chevalier¹

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However, before these relationships could be explored, it was essential to first investigate what was taking place in these pharmacist-patient interactions.The overall aim of this thesis was to investigate the effectiveness of communication between hospital pharmacists and patients during medication counselling.This theory-driven research employed qualitative, quantitative and mixed methods.Communication accommodation theory (CAT) was the theoretical framework invoked to study, analyse and interpret the pharmacist-patient communication exchanges. There are five CAT strategies which measure whether effective communication has occurred: approximation (speech tone, volume, rate, accent), interpretability (using easy-to-understand language, avoiding jargon), discourse management (asking open-ended questions or repairing conversations), emotional expression (appropriate reassurance to patients' concerns) and interpersonal control (strategies to promote equality between speakers and encourage patients to take active roles in managing their healthcare). In this thesis, effective pharmacist-patient communication refers to the extent pharmacists accommodate, or not, to patients' conversational needs based on accommodative behaviour described within CAT strategies.There were two phases to this thesis. The first involved six focus groups (24 pharmacists) from two large metropolitan hospitals. Pharmacists shared their perceptions of their roles and goals in patient medication counselling, and barriers and facilitators in meeting their goals.Audio recorded transcripts were thematically analysed and goals identified by pharmacists were successfully mapped onto the five CAT strategies. Results of phase one helped inform the contents of the semi-structured interview guides utilised in phase two.iii Phase two represented the major portion of this PhD, and took place at a large hospital with multiple specialities. Twelve pharmacists engaged four patients for a total of 48 medication counselling sessions. Each individual session took place first, followed by separate semistructured interviews with pharmacists and patients. Counselling sessions and interviews were audio recorded and observational field notes were taken. Transcribed recordings were selectively coded for the five CAT strategies in pattern-based discourse analysis. Discursis software, as an adjunct to qualitative analysis, was used to visualise pharmacist-patient speech patterns, episodes of engagement and to detect CAT strategies employed by Analysis of the pharmacist-patient counselling sessions revealed that most pharmacists effectively used all five CAT communication strategies during medication counselling sessions as they adapted to patients' conversational needs. Non-accommodation occurred when pharmacists spoke too quickly, used terms not understood by patients, and did not include patients in the initial, agenda-setting phase. Discursis software identified pharmacistpatient engagement episodes, often revealing effectively applied CAT strategies.Semi-structure...

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