Patients with schizophrenia assessing psychiatrists’ communication skills

Pestana-Santos, Adriana; Loureiro, Luís; Santos, Vítor; Carvalho, Irene P.

doi:10.1016/j.psychres.2018.08.040

Cited by 12 publications

(10 citation statements)

References 29 publications

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“…For example, some studies found that warm and friendly behavior such as properly greeting the patient was a weakness among physicians [ 7 ] while others found this to be a strength [ 8 ]. Our findings certainly agree with studies that consistently rank the ability to encourage questions as a low-performing skill among physicians [ 7 , 9 ]. This particular finding reinforces a well-known issue in healthcare dubbed by some as “white-coat silence [ 10 ].” Additionally, our findings reaffirmed more directly observable strengths such as explaining terms and avoiding medical jargon [ 7 - 9 ].…”

Section: Discussionsupporting

confidence: 91%

Can incoming United States pediatric interns be entrusted with the essential communication skills of informed consent?

Sevey

Barratt

Omoruyi

2020

J Educ Eval Health Prof

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Purpose: According to the entrustable professional activities (EPA) for entering residency by the Association of American Medical Colleges, incoming residents are expected to independently obtain informed consent for procedures they are likely to perform. This requires residents to not only inform their patients but to ensure comprehension of that information. We assessed the communication skills demonstrated by 372 incoming pediatric interns between 2007 and 2018 at the University of Texas Health Science Center at Houston, obtaining informed consent for a lumbar puncture.Methods: During a simulated case in which interns were tasked with obtaining informed consent for a lumbar puncture, a standardized patient evaluated interns by rating 7 communication-based survey items using 5-point Likert scale from “poor” to “excellent.” We then converted the scale to a numerical system and calculated intern proficiency scores (sum of ratings for each resident) and average item performance (average item rating across all interns).Results: Interns received an average rating of 21.6 per 28 maximum score, of which 227 interns (61.0%) achieved proficiency by scoring 21 or better. Notable differences were observed when comparing groups before and after EPA implementation (76.97% vs. 47.0% proficient, respectively). Item-level analysis showed that interns struggled most to conduct the encounter in a warm and friendly manner and encourage patients to ask questions (average ratings of 2.97/4 and 2.98/4, respectively). Interns excelled at treating the patient with respect and actively listening to questions (average ratings of 3.16, each). Both average intern proficiency scores and each average item ratings were significantly lower following EPA implementation (P<0.001).Conclusion: Interns demonstrated moderate proficiency in communicating informed consent, though clear opportunities for improvement exist such as demonstrating warmth and encouraging questions.

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Section: Discussionsupporting

confidence: 91%

Can incoming United States pediatric interns be entrusted with the essential communication skills of informed consent?

Sevey

Barratt

Omoruyi

2020

J Educ Eval Health Prof

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“…Among the findings, it was determined that the nursing students encountered psychological obstacles such as fear, anxiety, and stress while communicating with the IMDs. In fact, this situation was in parallel with the findings of many studies on the subject (Alshowkan & Kamel, 2016; Hung, Huang, & Lin, 2009; McCabe et al, 2007; Pestana-Santos et al, 2018). In similar studies, it has been reported that students experience more stress, anxiety, and fear about the patients at psychiatric clinics.…”

Section: Discussionsupporting

confidence: 78%

“…The results showed the importance of effective nurse–patient communication skills as the first step in improving the clinical practice of nurses at psychiatry clinics. However, there are limited data on effective communication in people with mental illness, and there is no specific theory about good communication in psychiatry (Demir & Ercan, 2018; Pestana-Santos et al, 2018; Priebe et al, 2011). In this context, educational policymakers and clinical supervisors may use the findings of this study to develop strategies that facilitate and support adaptation of nursing students to psychiatric clinics.…”

Section: Discussionmentioning

confidence: 99%

“…These conditions may be challenging for both the patient and the clinician, given that long-term medical relationships with individuals with mental disorder (IMDs) are necessary (McCabe et al, 2007). Patients regard the quality of the therapeutic relationship as the most important component of good psychiatric care (Pestana-Santos, Loureiro, Santos, & Carvalho, 2018).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

What Do Nursing Students Tell Us About Their Communication With People With Mental Illness? A Qualitative Study

Yıldız

2019

J Am Psychiatr Nurses Assoc

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BACKGROUND: Communication with individuals with mental disorder (IMDs) may often be a nonlinear, complex, and variable situation. In general, the first contact of nurses with IMDs occurs during training rotations at a psychiatric clinic. Psychiatric nursing students’ initial communication experiences with IMDs may be critical to their thinking of psychiatric nursing as a career. AIM: To determine the communication experiences of psychiatric nursing students with IMDs. METHOD: A qualitative interview study was conducted with psychiatric nursing students studying at a nursing faculty in the east of Turkey in 2019 who completed the clinical practice. Semistructured interviews were conducted by an independent researcher. The data were analyzed using content analysis with an inductive approach. RESULTS: In this study, maximum effort was made for data saturation criteria, and data saturation was achieved with 26 students. As a result of the data analysis, four main themes and 11 categories were developed. The main themes were as follows: (1) restrictions caused by psychological barriers, (2) restrictions caused by thinking and perceptions, (3) restrictions caused by personal and behavioral barriers, and (4) effective communication and therapeutic environment. CONCLUSIONS: In this study, although it is seen that nursing students encounter many communication barriers with IMDs, it is an important development that they implement approaches to provide effective therapeutic communication. The results show the importance of effective nurse–patient communication skills as the first step in improving the clinical practice of nurses in psychiatry clinics.

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“…10 Communication represents the means by which the patient's symptoms are elicited, diagnosis is delivered, and treatment is recommended; it is the core of medical care and is important in all health care settings. 11,12 Even though, it plays a crucial role in mental health care specifically in conditions that focus on hope, selfdetermination and self-efficacy, such as schizophrenia.…”

Section: Introductionmentioning

confidence: 99%

Treatment satisfaction and its association with anxiety, depression and fear of COVID-19 among Lebanese inpatients with schizophrenia

Bitar¹,

Haddad²,

Obeïd³

et al. 2021

Pharm Pract (Granada)

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Background: The patient's evaluation of treatment and its associated outcomes define the treatment satisfaction. The quality of treatment satisfaction and healthcare service has been affected by depression, anxiety and fear of the current coronavirus disease 2019 (COVID-19) pandemic. Objective: Therefore, this study aimed to assess factors associated with treatment satisfaction among Lebanese inpatients with schizophrenia, namely depression, anxiety and fear of COVID-19. Methods: A cross-sectional study was conducted between September and November 2020, enrolled 118 patients with chronic schizophrenia consecutively admitted to Psychiatric Hospital of the Cross, Lebanon. The Functional Assessment of Chronic Illness Therapy-Treatment Satisfaction-Patient Satisfaction Scale (FACIT-TS-PS) was used to assess treatment satisfaction, the Lebanese Anxiety Scale -10 (LAS-10) was used to assess anxiety, Montgomery-Asberg Depression Rating Scale (MADRS) to assess depression and the Fear of COVID-19 Scale to assess the level of fear of the COVID-19 pandemic. Results: The mean scores of the scales were as follows: treatment satisfaction (65.20; SD 16.11; median=71), LAS-10 (13.65; SD 6.02), MADRS (9.09; SD 6.69) and fear of COVID-19 (18.59; SD 6.78). Higher depression (r= -0.46, p<0.001) was significantly associated with lower treatment satisfaction. Female gender (beta=7.51, p=0.029) was significantly associated with higher treatment satisfaction score. Fear of COVID-19 did not show any significant association with the treatment satisfaction score. Conclusions: Results of this study found that depression and gender were associated with treatment satisfaction among inpatients with schizophrenia. No association has been found between fear of COVID-19 and treatment satisfaction among those patients. More research is warranted to evaluate treatment satisfaction and associated factors among chronic inpatients with schizophrenia, specifically during the COVID-19 pandemic, in order to improve treatment satisfaction and subjective well-being of patients.

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Patients with schizophrenia assessing psychiatrists’ communication skills

Cited by 12 publications

References 29 publications

Can incoming United States pediatric interns be entrusted with the essential communication skills of informed consent?

Can incoming United States pediatric interns be entrusted with the essential communication skills of informed consent?

What Do Nursing Students Tell Us About Their Communication With People With Mental Illness? A Qualitative Study

Treatment satisfaction and its association with anxiety, depression and fear of COVID-19 among Lebanese inpatients with schizophrenia

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