Effect of Bedside Compared With Outside the Room Patient Case Presentation on Patients' Knowledge About Their Medical Care

Becker, Christoph; Gamp, Martina; Schuetz, Philipp; Beck, Katharina; Vincent, Alessia; Hochstrasser, Seraina; Metzger, Kerstin; Widmer, Madlaina; Thommen, Emanuel; Müeller, Beat; Fux, Christoph A; Leüppi, Jörg D.; Schaefert, Rainer; Langewitz, Wolf; Trendelenburg, Marten; Breidthardt, Tobias; Eckstein, Jens; Osthoff, Michael; Bassetti, Stefano; Hunziker, Sabina

doi:10.7326/m21-0909

Cited by 14 publications

(27 citation statements)

References 34 publications

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“…The design, statistical analysis, and primary results have been published elsewhere. 17 In brief, patients hospitalized in the medical divisions of three Swiss tertiary care hospitals (University Hospital Basel, Kantonsspital Aarau, and Kantonsspital Baselland) between July 2017 and October 2019 were eligible to participate in the trial.…”

Section: Study Setting and Populationmentioning

confidence: 99%

Patients’ Preference for Participation in Medical Decision-Making: Secondary Analysis of the BEDSIDE-OUTSIDE Trial

et al. 2022

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Background Patients may prefer different levels of involvement in decision-making regarding their medical care which may influence their medical knowledge. Objective We investigated associations of patients’ decisional control preference (DCP) with their medical knowledge, ward round performance measures (e.g., duration, occurrence of sensitive topics), and perceived quality of care measures (e.g., trust in the healthcare team, satisfaction with hospital stay). Design This is a secondary analysis of a randomized controlled multicenter trial conducted between 2017 and 2019 at 3 Swiss teaching hospitals. Participants Adult patients that were hospitalized for inpatient care. Main Measures The primary outcome was patients’ subjective average knowledge of their medical care (rated on a visual analog scale from 0 to 100). We classified patients as active, collaborative, and passive according to the Control Preference Scale. Data collection was performed before, during, and after the ward round. Key Results Among the 761 included patients, those with a passive DCP had a similar subjective average (mean ± SD) knowledge (81.3 ± 19.4 points) compared to patients with a collaborative DCP (78.7 ± 20.3 points) and active DCP (81.3 ± 21.5 points), p = 0.25. Regarding patients’ trust in physicians and nurses, we found that patients with an active vs. passive DCP reported significantly less trust in physicians (adjusted difference, − 5.08 [95% CI, − 8.69 to − 1.48 points], p = 0.006) and in nurses (adjusted difference, − 3.41 [95% CI, − 6.51 to − 0.31 points], p = 0.031). Also, patients with an active vs. passive DCP were significantly less satisfied with their hospital stay (adjusted difference, − 7.17 [95% CI, − 11.01 to − 3.34 points], p < 0.001). Conclusion Patients with active DCP have lower trust in the healthcare team and lower overall satisfaction despite similar perceived medical knowledge. The knowledge of a patient’s DCP may help to individualize patient-centered care. A personalized approach may improve the patient-physician relationship and increase patients’ satisfaction with medical care. Trial Registration ClinicalTrials.gov (NCT03210987).

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Section: Study Setting and Populationmentioning

confidence: 99%

Patients’ Preference for Participation in Medical Decision-Making: Secondary Analysis of the BEDSIDE-OUTSIDE Trial

et al. 2022

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“…Although different training formats required a different balance of these elements, the explicit pedagogy remained the same: rapid-cycle deliberate feedback, participant-generated CIP, and a confidential small-group environment. We assume that the use of CIP helped to ensure practicality, participant problems were addressed rather than problems derived from the literature ( 20 ). The use of CIP in seminars stimulated active participation and helped to link communication theory and practice directly to rehabilitation scenarios.…”

Section: Discussionmentioning

confidence: 99%

“…Communication skills training in settings for patients with spinal cord injury/ disorder (SCI/D) was largely ineffective (13-15), but some elements such as explicitly structuring an encounter and structured delivery of information showed positive results. In addition, CST has been shown to be time-efficient while improving the patient's satisfaction with communication and trustworthiness of the professionals (16)(17)(18)(19)(20)(21)(22)(23)(24).…”

Section: Introductionmentioning

confidence: 99%

Effect of an interprofessional small-group communication skills training incorporating critical incident approaches in an acute care and rehabilitation clinic specialized for spinal cord injury and disorder

Scheel‐Sailer¹,

Eich²,

Jelmoni³

et al. 2022

Front. Rehabilit. Sci.

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AimTo investigate the impact of site-specific inter-professional small-group communication skills training (CST) that incorporates critical incident approaches to learning on patient satisfaction with communication.SettingRehabilitation clinic specialized for spinal cord injury/disorder (SCI/D).MethodsRetrospective observational cohort study design using patient and health-professional self-report data. Data for patient satisfaction with communication were collected in 2014 (existing records) and each year from 2015 to 2021 (post-program; volunteers) using the MECON survey.ResultsFifteen basic (n = 161 participants), 16 refresher (n = 84), and five short (n = 17) CST seminars were conducted. Overall, 262 employees (105 physicians, 63 nurses, 36 physio- and occupational therapists, and 58 others) participated; 92 participants (response rate 37.6%) responded to feedback surveys. They rated the seminars positive concerning the alternation between theory, discussion, and practical exercise in 91.3%, and rated the length of the training ideal in 80.2%. Post-program patient satisfaction overall increased from 83.1% (confidence interval (CI) 2.6%) to 90% (CI 0.8%; R2 = 0.776; p= 0.004). It was higher in specific communication-related topics: “receiving information” (81.1%, CI 3.1–90.2%, CI 1.0%; p = 0.003), “being able to bring in concerns” (83%, CI 1.0–90.8%; R2 = 0.707; p = 0.009) and “being treated with respect” (89.4%, CI 2.6–94.4%, CI 0.8%; R2 = 0.708; p = 0.004).Practice implicationsInter-professional CST is feasible and well accepted by professionals from various professional groups. During seven years of continuous training, independent patient ratings of satisfaction with professional communication have improved significantly. Participants attest to the training's high credibility and usefulness in everyday life.

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“…Estas y otras situaciones se plantean de manera cotidiana en las salas de internación, al lado de la cama del paciente, en el ambulatorio, en el aula, en el ateneo, etc. [40][41][42][43] . Sumado a ello, los residentes son una pieza fundamental del proceso enseñanza aprendizaje hacia el nivel superior (médicos de planta) e inferior (compañeros de años inferiores), incluidos alumnos en pregrado de distintas universidades para lo cual se los capacita 44 .…”

Section: Formación De Docencia Para Médicos De Planta Y Residentesunclassified

Residencias médicas del Hospital Británico de Buenos Aires: pasado, presente y futuro

Young¹

2022

RFEM

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En la formación del médico, tres son las fuentes: la facultad, el hospital y el ejercicio profesional mismo. En el hospital se produce la mejor enseñanza y formación, estudiando enfermos más que enfermedades. Una de las fases de la formación hospitalaria de postgrado es la residencia, sin lugar a duda la mejor metodología para la formación del médico. La primera residencia fue de cirugía, se inició en Estados Unidos en el año 1889 bajo la dirección de William Stewart Halsted. En nuestro país, se creó en 1944, en el

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Effect of Bedside Compared With Outside the Room Patient Case Presentation on Patients' Knowledge About Their Medical Care

Cited by 14 publications

References 34 publications

Patients’ Preference for Participation in Medical Decision-Making: Secondary Analysis of the BEDSIDE-OUTSIDE Trial

Patients’ Preference for Participation in Medical Decision-Making: Secondary Analysis of the BEDSIDE-OUTSIDE Trial

Effect of an interprofessional small-group communication skills training incorporating critical incident approaches in an acute care and rehabilitation clinic specialized for spinal cord injury and disorder

Residencias médicas del Hospital Británico de Buenos Aires: pasado, presente y futuro

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