Family physicians’ problems with patients and own limitations – a qualitative study

Abstract

A -study Design, B -Data collection, C -statistical analysis, d -Data interpretation, E -Manuscript Preparation, F -literature Search, G -Funds collection Background. Family physicians cooperate in the treatment process, not only with patients, but also with other medical professionals. there is no doubt that their psychological competency, such as communication skills and emotional intelligence, are just as important as their clinical experience. Objectives. the aim of the present study was to identify the difficulties that family physicians encountered in working with patients, as well as with their work-related emotions. Material and methods. a total of 36 physicians in the final year of specialisation in family medicine were engaged in the research. Results. Family physicians reveal that dealing with aggressive patients, setting boundaries with patients and motivating them to treatment were the hardest for them in their work. there are specific psychological difficulties experienced by family physicians (e.g. helplessness of self-limitation, disharmony between experienced feelings and beliefs about the duty of a doctor, contradictory attitudes towards patient autonomy). the way to prepare for the professional role of a physician leads to the reinforcement of strict injunctions and prohibitions on the performance. consequently, this leads to the development of ineffective strategies to build relationships with the patients and also deal with physicians' own emotions.Conclusions. the present study may be helpful for the development of a set of psychological tools useful for solving problems raised by the family physicians in the intra-and interpersonal area and during specialisation training. SummaryISSN 1734-3402, eISSN 2449-8580 this is an Open access article distributed under the terms of the creative commons attribution-noncommercial-sharealike 4.0 international (cc By-nc-sa 4.0). license (http://creativecommons.org/licenses/by-nc-sa/4.0/). Bankiewicz-nakielska J, walkiewicz M, tyszkiewicz-Bandur M. Family physicians' problems with patients and own limitations -a qualitative study. Fam Med Prim Care Rev 2020; 22(1): 18-21, doi: https://doi.

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“…Entre os 19 estudos, nove foram quantitativos transversais [16][17][18][19][20][21][22][23][24] , oito foram qualitativos 15,[25][26][27][28][29][30][31] e dois tiveram abordagem mista 32,33 .…”

“…Sete estudos foram conduzidos na Europa (dois na Turquia 17,18 , um na Polônia 25 , um nos Países Baixos 26 , um na Suécia 19 , um na Suíça 21 e um na Alemanha 20 ), seis nos Estados Unidos [27][28][29][30]32,33 , dois no Canadá 15,16 , dois na China 22,24 , um no Brasil 31 e um no Chile 23 .…”

“…Nove estudos foram realizados na atenção primária [15][16][17][19][20][21]25,26,30 , um em consultórios 31 e o restante no âmbito hospitalar 18,[22][23][24][27][28][29][32][33] , um destes em unidades de emergência 32 . Apenas seis incluíram a participação de pacientes 16,19,21,23,26,28 , sendo um deles com os pais dos pacientes 28 .…”

“…O restante empregou questionários próprios [17][18][19][20]23 , e um deles analisou também o prontuário 23 . Nos estudos com métodos qualitativos de pesquisa, sete coletaram informações por meio de entrevista semiestruturada 15,[25][26][27][28][29]31 , e um por narrativa 30 .…”

Barriers to effective communication between family physicians and pa-tients in Georgia

“…Through training, doctors can understand the theory of good communication with the patient, learn and apply these skills in practice and change their communication style. The study of communication skills improves the relationship between physicians and patients; however, their continuous development is essential [45,46].…”