Patient focused interventions and communication in the surgical clinic: a systematic review and meta-analysis

Herath, Matheesha; Reid, Jessica; Ting, Ying Yang; Bradshaw, Emma L.; Edwards, Suzanne; Bruening, Martin; Maddern, Guy

doi:10.1016/j.eclinm.2023.101893

Cited by 6 publications

(8 citation statements)

References 100 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Unlike the findings presented here, the existing literature has not specifically or consistently identified these strategies as useful for ensuring recipients and carers are comfortable with the provider and the encounter, highlighting a potentially important point of departure between recipient/carer and provider perspectives. Where previous research has noted the importance of relieving emotions such as anxiety or fear, the ways this can be achieved have either not been explored or have been vague (e.g., through trust, rapport and engagement) 53–56,61,62 . Notable exceptions are studies exploring chronic, long‐term or stigmatised conditions, 58,63 however, the strategies identified are often specific to the presenting condition and there is minimal, if any, focus on relieving unwanted or undesired emotions that carers might be experiencing.…”

Section: Discussionmentioning

confidence: 99%

“…Where previous research has noted the importance of relieving emotions such as anxiety or fear, the ways this can be achieved have either not been explored or have been vague (e.g., through trust, rapport and engagement). 53 , 54 , 55 , 56 , 61 , 62 Notable exceptions are studies exploring chronic, long‐term or stigmatised conditions, 58 , 63 however, the strategies identified are often specific to the presenting condition and there is minimal, if any, focus on relieving unwanted or undesired emotions that carers might be experiencing. Our work builds on this literature by demonstrating how relationship development, with both recipients and carers, might be achieved regardless of the nature of recipients' clinical conditions.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

‘I wasn't made to feel like a nut case after all’: A qualitative story completion study exploring healthcare recipient and carer perceptions of good professional caregiving relationships

Feo,

Young,

Urry

et al. 2023

Health Expectations

View full text Add to dashboard Cite

BackgroundProfessional caregiving relationships are central to quality healthcare but are not always developed to a consistently high standard in clinical practice. Existing literature on what constitutes high‐quality relationships and how they should be developed is plagued by dyadic conceptualisations; discipline, context and condition‐specific research; and the absence of healthcare recipient and informal carer voices. This study aimed to address these issues by exploring how healthcare recipients and carers conceptualise good professional caregiving relationships regardless of discipline, care setting and clinical condition.DesignA qualitative story completion approach was used. Participants completed a story in response to a hypothetical stem that described a healthcare recipient (and, in some instances, carer) developing a good relationship with a new healthcare provider. Stories were analysed using reflexive thematic analysis.ParticipantsParticipants were 35 healthcare recipients and 37 carers (n = 72 total).ResultsParticipants' stories were shaped by an overarching discourse that seeking help from new providers can elicit a range of unwanted emotions for both recipients and carers (e.g., anxiety, fear, dread). These unwanted emotions were experienced in relation to recipients' presenting health problems as well as their anticipated interactions with providers. Specifically, recipient and carer characters were fearful that providers would dismiss their concerns and judge them for deciding to seek help. Good relationships were seen to develop when healthcare providers worked to relieve or minimise these unwanted emotions, ensuring healthcare recipients and carers felt comfortable and at ease with the provider and the encounter. Participants positioned healthcare providers as primarily responsible for relieving recipients' and carers' unwanted emotions, which was achieved via four approaches: (1) easing into the encounter, (2) demonstrating interest in and understanding of recipients' presenting problems, (3) validating recipients' presenting problems and (4) enabling and respecting recipient choice. Participants' stories also routinely oriented to temporality, positioning relationships within recipients' and carers' wider care networks and biographical and temporal contexts.ConclusionThe findings expand our understanding of professional caregiving relationships beyond dyadic, static conceptualisations. Specifically, the findings suggest that high‐quality relationships might be achieved via a set of core healthcare provider behaviours that can be employed across disciplinary, context and condition‐specific boundaries. In turn, this provides a basis to support interprofessional education and multidisciplinary healthcare delivery, enabling different healthcare disciplines, specialties, and teams to work from the same understanding of what is required to develop high‐quality relationships.Patient or Public ContributionThe findings are based on stories from 72 healthcare recipient and carer participants, providing rich insight into their conceptualisations of high‐quality professional caregiving relationships.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

‘I wasn't made to feel like a nut case after all’: A qualitative story completion study exploring healthcare recipient and carer perceptions of good professional caregiving relationships

Feo,

Young,

Urry

et al. 2023

Health Expectations

View full text Add to dashboard Cite

show abstract

“…The results of the study suggest that patients are well-informed and adequately prepared for echocardiographic examinations. A meta-analysis, including 38 studies with over six thousand patients, revealed that patient-oriented interventions increased patient knowledge (10). The predominance of female patients undergoing echocardiography could be attributed to the growing interest in cardiovascular disease among women in the last decade (18).…”

Section: Discussionmentioning

confidence: 99%

“…Informed consent is a statement from the patient that authorizes the doctor to conduct the diagnostic examination in this case, and it is stored in the patient's documentation, among other things, for legal protection. In addition to the written information form, there is also a need for oral communication between the medical staff and the patient, as this allows the patient to ask questions and receive direct and clear answers (10). During communication with the patient, the nurse provides as much information as they are authorized to give.…”

Section: Patient Information and The Role Of The Nursementioning

confidence: 99%

Informing and Preparing Patients for Echocardiography

Erak,

Farčić,

Ljubojević

et al. 2023

Croat. nurs. j. (Online)

View full text Add to dashboard Cite

Aim. To examine the awareness and preparedness of patients for echocardiography regarding age, gender, education level, and the type of examination. Methods. A cross-sectional study included patients who came for echocardiography through the outpatient clinic and Clinical Departments of the Clinical Hospital Center Osijek during March and April 2023. A survey questionnaire developed for this research was used as the research instrument on patients’ awareness and preparedness for echocardiography. Results. The study included 106 participants, of which 52 (49%) were males and 54 (51%) were females, with 51% of them having undergone 1 – 3 echocardiographic examinations before. Most participants, 83 (78%), received information verbally. There was no significant difference in the awareness and preparation of participants for echocardiography regarding gender and age. Participants with higher education levels agreed that they knew how the examination was conducted before coming, unlike participants with lower levels of education, and there was a significant statistical difference between the groups (p=0.02). Participants who underwent transesophageal echocardiography stated that they were better informed and prepared compared to those who underwent transthoracic echocardiography (p=0.01). Conclusion. The results of the conducted research indicate that participants are well informed and prepared for echocardiographic examinations, with no significant differences based on gender and age. Participants who underwent transesophageal ultrasound of the heart considered themselves better informed and prepared compared to those who underwent transthoracic echocardiography.

show abstract

“…Moreover, decision coaching, clinical counseling, and patient decision aids (PDAs) are rapidly developing ( 2 ). PDAs have demonstrated greater effectiveness than that demonstrated by usual care in reducing decisional conflicts, increasing patient participation, and enhancing knowledge of treatment options and potential outcomes ( 47 , 48 ). Visualization techniques allow PDAs to present personalized and tailored information that is easy to access before the actual physician-patient interaction ( 49 ).…”

Section: Remaining Challenges In Establishing An Sdm Culture In Sarco...mentioning

confidence: 99%

Shared decision making in sarcopenia treatment

An,

Wu,

Qiu

et al. 2023

Front. Public Health

View full text Add to dashboard Cite

The implementation of shared decision making (SDM) in management of sarcopenia is still in its nascent stage, especially compared to other areas of medical research. Accumulating evidence has highlighted the importance of SDM in older adults care. The current study overviews general SDM practices and explores the potential advantages and dilemmas of incorporating these concepts into sarcopenia management. We present common patient decision aids available for sarcopenia management and propose future research directions. SDM can be effectively integrated into daily practice with the aid of structured techniques, such as the “seek, help, assess, reach, evaluate” approach, “making good decisions in collaboration” questions, “benefits, risks, alternatives, doing nothing” tool, or “multifocal approach to sharing in shared decision making.” Such techniques fully consider patient values and preferences, thereby enhancing adherence to and satisfaction with the intervention measures. Additionally, we review the barriers to and potential solutions to SDM implementation. Further studies are required to investigate measurement and outcomes, coordination and cooperation, and digital technology, such as remote SDM. The study concludes that sarcopenia management must go beyond the single dimension of “Paternalism” choice. Integrating SDM into clinical practice offers promising opportunities to improve patient care, with patient-centered care and partnership of care approaches positively impacting treatment outcomes.

show abstract

Patient focused interventions and communication in the surgical clinic: a systematic review and meta-analysis

Cited by 6 publications

References 100 publications

‘I wasn't made to feel like a nut case after all’: A qualitative story completion study exploring healthcare recipient and carer perceptions of good professional caregiving relationships

‘I wasn't made to feel like a nut case after all’: A qualitative story completion study exploring healthcare recipient and carer perceptions of good professional caregiving relationships

Informing and Preparing Patients for Echocardiography

Shared decision making in sarcopenia treatment

Contact Info

Product

Resources

About