Informing patients on planned consultation time – a randomised controlled intervention study of consultation time in primary care

Lindfors, Oskar; Holmberg, Sara; Rööst, Mattias

doi:10.1080/02813432.2019.1663581

Cited by 4 publications

(3 citation statements)

References 23 publications

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“…According to the patients' rights charter, it is necessary to obtain permission before intruding on the patients' privacy or performing any medical procedures on them (24). Informing the patients prior to intruding on their privacy and initiating measures makes the patients feel they are important, reduces misunderstandings, and increases satisfaction with nursing care (25). Based on nursing theories, nurse-patient communication is a twoway process, and it is necessary for a nurse to consider the individual characteristics, reactions, and needs of the patient to achieve a reciprocal interaction and to have a successful professional relationship with the patient (9).…”

Section: Discussionmentioning

confidence: 99%

Female Patients’ Experiences of Barriers to Communication with Male Nurses: A Qualitative Study

Valiee

Moradi

Vatandost

2022

J Qual Res Health Sci

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Background: Male nurses face various challenges in caring for female patients, such as the patients’ refusal of nursing care and sexual accusations. Communication, as a prominent element in providing high-quality health care services, can lead to or inhibit patient satisfaction and health. Professional nurse-patient communication is so important that some nursing theorists have based their theories on this type of communication and consider it an art in the nursing profession. Accordingly, this study aimed to investigate female patients’ experiences of barriers to effective communication with opposite-gender nurses. Methods: The present qualitative study was conducted using conventional content analysis. Purposive sampling was used to select 15 female patients. These patients were hospitalized in different wards and received care from an opposite-gender nurse. Interviewing was the main method of data collection. Graneheim and Lundman’s method was used to perform content analysis. The general stages of data interpretation include initial encoding and the formation of subthemes and themes based on the similarities and differences. Results: The main theme extracted following data analysis was ignorance of the patient in communication. This theme comprised of three subthemes, including negligence in maintaining patient privacy, one-way communication, and biased behavior. Conclusion: Based on the findings, the experience of female patients receiving care from male nurses was accompanied by feelings of annoyance. Male nurses are suggested to respect patient privacy, obtain permission before doing private procedures, and provide care for female patients without prejudice and abuse.

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Section: Discussionmentioning

confidence: 99%

Female Patients’ Experiences of Barriers to Communication with Male Nurses: A Qualitative Study

Valiee

Moradi

Vatandost

2022

J Qual Res Health Sci

View full text Add to dashboard Cite

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“…At the same time, reports remain ambiguous regarding the relationship between the CT at the GP and patients' age [12,13,15], or between PS and their self-rated health (SRH) [13,14], yet only a handful of studies cover a wider range of CT and/or PS predictors [10,12]. Studies examining associations between the CT and PS also report discrepant findings-from none to strong [6,10,11,[15][16][17][18]. Moreover, we thought that studies illustrating the above relationships are particularly important, yet they are scarce when it comes to more mature primary care users.…”

Section: Introductionmentioning

confidence: 99%

Mature Adults at the GP: Length of Visit and Patient Satisfaction—Associations with Patient, Doctor, and Facility Characteristics

2022

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Background and objectives: The consultation time for more mature adults is often perceived as longer, increasing with the patient’s age and boosting their satisfaction with the visit. However, factors determining patient satisfaction (PS) or the consultation time (CT) in the population aged 50+ are not clearly identified. A cross-sectional design was used to identify factors specific to the facility (e.g., size, staff turnover), doctor (e.g., seniority, workload), and patient (e.g., self-rated health, impairment of activities) that are related to PS and the CT. Our secondary focus was on the relation of PS to the CT along with the role of the patient’s age and gender for both. Materials and Methods: Doctors (n = 178) and their 1708 patients (aged 50–97) from 77 primary care facilities participated in the study. The Patient Satisfaction with Visit Scale score and the CT were the outcome measures. Results: We identified associations with the CT in terms of the facility-related factors (number of GPs, time scheduling); doctors’ workload and health; and patients’ education, time attending GP, and impairments. PS was additionally governed by doctors’ perceived rate of patients aged 65+, as well as the patients’ hospitalization in the prior year, frequency of visits, and impairments. For adults aged 50+ the CT was unrelated to PS and both remained independent of patients’ age. Conclusions: Specific factors in terms of the facility, GP, and patient were identified as related to PS and the CT for participating adults in primary care. During visits of patients aged 50+ at their GP, there is scope for both time-savings and patient satisfaction improvements, when paying attention, e.g., to the time scheduled per visit, the number of doctors employed, and the patients’ impairments.

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INTRODUÇÃOO tempo de consulta é um recurso fundamental e a sua duração representa um fator determinante para a satisfação do médico e do doente. [1][2][3] Nos cuidados de saúde primários (CSP) portugueses, o intervalo de tempo para duração de cada tipologia de consulta encontra-se relativamente bem definido. 4 Contudo, são vários os fatores que podem influenciar a sua duração,

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Duração da consulta: fatores influenciadores e perspetivas de médicos e utentes – um estudo transversal

Santos,

Pedrosa,

Martins

et al. 2023

RPMGF

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Introdução: O tempo de consulta é um recurso fundamental e é determinante para a satisfação de médico e utente. Uma duração de consulta superior parece associar-se a maior satisfação por parte dos intervenientes e contribuir para uma melhoria da qualidade de vida nos utentes com multimorbilidade. Contudo, não existe evidência suficiente para afirmar que um aumento do tempo de consulta é benéfico para o utente e sabe-se que são vários os fatores que podem influenciar a sua duração. Objetivos: Avaliar a perceção dos utentes quanto à duração da consulta, comparar a opinião de médico e utente quanto à adequação da duração e satisfação com a consulta e identificar fatores que influenciam a duração da mesma. Método: Estudo transversal, com componente quantitativa e qualitativa de design convergente. Para obter dados representativos da unidade em estudo calculou-se uma amostra de 380 consultas médicas presenciais. Foram entregues questionários anónimos a médicos e utentes após o término da consulta. Realizou-se uma análise estatística descritiva e inferencial e uma análise temática dos dados qualitativos. Resultados: Estudaram-se 403 consultas. Os utentes percecionaram uma duração de consulta superior à real (p<0,001) e consideraram a duração como adequada numa proporção superior à dos médicos (p<0,001). A satisfação dos utentes foi maior com consultas mais longas (p=0,004), enquanto os médicos reportaram maior satisfação com durações intermédias (p<0,001). Consultas realizadas pelo médico de família ou por médicos do sexo feminino (p<0,001), utentes com mais problemas crónicos (p=0,006) e a abordagem de mais problemas na consulta ou de um novo problema em contexto de consulta programada (p<0,001) associaram-se a tempos de consulta superiores. Conclusões: A duração da consulta tem um papel importante na satisfação dos seus intervenientes. A autonomia das unidades e dos profissionais para adaptarem os tempos de consulta em determinados contextos poderia aumentar a satisfação de médicos e utentes.

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Informing patients on planned consultation time – a randomised controlled intervention study of consultation time in primary care

Cited by 4 publications

References 23 publications

Female Patients’ Experiences of Barriers to Communication with Male Nurses: A Qualitative Study

Female Patients’ Experiences of Barriers to Communication with Male Nurses: A Qualitative Study

Mature Adults at the GP: Length of Visit and Patient Satisfaction—Associations with Patient, Doctor, and Facility Characteristics

Duração da consulta: fatores influenciadores e perspetivas de médicos e utentes – um estudo transversal

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