Pedagogical encounters between nurses and patients in a medical ward—A field study

Friberg, Febe; Andersson, Ewa; Bengtsson, Jarl

doi:10.1016/j.ijnurstu.2005.12.002

Cited by 54 publications

(82 citation statements)

References 12 publications

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“…Health professionals have a crucial influence on how patients experience dignity. Patients' dignity could be either threatened or supported depending on the type of encounter the health professional use [32]. Threatening a patient's dignity was described in some reports in the present study when professionals abused their position in relation to the patient.…”

Section: Discussionmentioning

confidence: 68%

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Patients’ and relatives’ complaints about encounters and communication in health care: Evidence for quality improvement

Jangland

Gunningberg

Carlsson

2009

Patient Education and Counseling

128

139

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Results Three categories were identified: "Not receiving information or being given the option to participate", "Not being encountered in a professional manner" and "Not receiving nursing or practical support". Insufficient information, insufficient respect and insufficient empathy were described as the most common reasons for a negative professional encounter. ConclusionPatients and relatives experienced unnecessary anxiety and reduced confidence in health care after negative professional encounters. Practice implicationsThe complaints reported to the Patients' Advisory Committee could be used more effectively in health care and be regarded as important evidence when working with quality improvement. To systematically use patient stories, such as those obtained in this report, as a reflective tool in education and supervision could be one way to improve communication and bring new understanding about the patient's perspective in health care. KeywordsComplaints, communication, professional encounter and content analysis. Much research has been done on communication between patients and health professionals. For example, the power of the information communicated by the voice was studied among surgeons, and it was suggested that "how" a message is conveyed may be as important as "what" is said [8]. The physician-patient communication was studied among primary care physicians and surgeons. Physicians with no-claim seemed to conduct longer visits, educate patients more, check understanding more and use more humour during the visit than physicians with claims [9]. A study by Kuzel [10] showed that negative outcomes in the clinician-patient relationship, dominated by stories of disrespect or insensitivity, were reported as more common than technical errors in diagnosis and treatment.The Institute for Healthcare Improvement (IHI) emphasizes that the health care system needs to be more patient-centred and to involve the patients and families in the design of care. Patient-centred care requires respect for patients' values and expressed needs, information and communication, coordination of care, involvement of family, 4 and concordance between the patient and health professionals [11]. Eldh [12] concludes that health care professionals should support patient participation by recognizing the patient as an individual and as a resourceful partner. The benefits of patient-centred care could be that patients are more motivated to follow treatment advice [13] and are more satisfied with health care [14].Patient satisfaction is used as a common quality indicator in health care [15][16]. A problem using patient satisfaction as a quality indicator depends on the complexities where different factors could affect the outcome, and the reliability and validity questioned [17]. Factors such as gratitude, faith and loyalty to health care providers, could influence patient satisfaction [18] as well as background factors such as age, health status and expectations of care [19][20]. A patient's evaluation could be positive, even when care...

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Section: Discussionmentioning

confidence: 68%

“…Studies describe the advantages of using patient-centred care [13][14]31]. For example the patients were more satisfied when they were involved in the consultation with the physician or the nurse [14,32]. However, it should also be remembered that patient preferences differ regarding participation in clinical decision making.…”

Section: Discussionmentioning

confidence: 99%

Patients’ and relatives’ complaints about encounters and communication in health care: Evidence for quality improvement

Jangland

Gunningberg

Carlsson

2009

Patient Education and Counseling

128

139

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“…Specifically, we suggest that even under the constraints of patient education described by nurses, this goal can be accomplished by clearly prioritizing it and creating a high patient education climate in hospital units. A similar idea was expressed by Friberg, Andersson, and Bengtsson, [10] who concluded that healthcare organizations should create a "pedagogical climate", in which informal teaching is encouraged and patients are viewed as people who wish and deserve to be informed about their condition.…”

Section: Introductionmentioning

confidence: 77%

“…[5,6] Effective education enhances patients' ability to assume responsibility for their health and promotes higher quality healthcare. [7] It has been consistently associated with favorable patient outcomes, including satisfaction and willing- ness to adhere to treatment, [8] perceived control, [7,9] readiness for the future and reduced anxiety, [10] self-awareness, disease-related self-efficacy, [11] and health-related quality of life. [12,13] It can also affect healthcare costs by shortening patients' hospital stay.…”

Section: Introductionmentioning

confidence: 99%

“…While the importance of patient education for promoting patients' health and satisfaction has been widely evidenced, [7][8][9][10][11][12][13] its implementation is deficient. Moreover, there is a paucity in theory-based research that can point to organizational factors and managerial practices that may affect nurses' behavior in this domain.…”

Section: Introductionmentioning

confidence: 99%

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Barriers to patient education and their relationship to nurses’ perceptions of patient education climate

Livne

Peterfreund

Sheps

2017

CNS

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A core component of patient-centered care is effective patient education. Although it is a part of professional nursing and has been found to promote high-quality healthcare, its implementation is often deficient. This study responds to the need for theory-based research on health communication and aims to provide a theoretical framework for understanding nurses' barriers to patient education. Drawing on organizational climate theory, the study examines two possible predictors of barriers to effective patient education, namely nurses' perceptions of patient education climate, and of their role as patient educators. The hypotheses were tested using a cross-sectional correlational design with a sample of 328 nurses from 26 units in one general hospital. Data were obtained by means of questionnaires. The results supported our hypotheses, as each predicting variable was significantly related to the relevant barriers to patient education: i.e. patient education climate perceptions predicted the barriers of overload, lack of policies, and low priority, whereas role perception predicted the barriers of difficulty in communication with patients, insufficient professional knowledge and skills, and the belief that educating patients was not the nurse's responsibility. To conclude, this study attributes the concept of patient education to organizational climate theory and, thus, may offer a theoretical framework for understanding the reluctance of hospital nurses to provide their patients with effective education. Practical implications for reducing barriers to patient education are discussed.

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The patient perspective on the preoperative colorectal cancer care pathway and preparedness for surgery and postoperative recovery—a qualitative interview study

Cuijpers

Lubbers

Rens

et al. 2022

Journal of Surgical Oncology

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Background and Objectives This study aimed to explore colorectal cancer (CRC) patients' perspectives and experiences regarding the preoperative surgical care pathway and their subsequent preparedness for surgery and postoperative recovery. Methods CRC patients were recruited using purposive sampling and were interviewed three times (preoperatively, and 6 weeks and 3 months postoperatively) using semistructured telephone interviews. Interviews were audiotaped, transcribed verbatim and analysed independently by two researchers using thematic analysis with open coding. Results Data saturation was achieved after including 18 patients. Preoperative factors that contributed to a feeling of preparedness for surgery and recovery were patient‐centred‐ and professional healthcare organization, sincere and personal guidance, and thorough information provision. Postoperatively, patients with complications or physical complaints experienced unmet information needs regarding the impact of complications and what to expect from postoperative recovery. Conclusions The preoperative period is a vital period to prepare patients for surgery and recovery in which patients most value personalized information, personal guidance and professionalism. According to CRC patients, the feeling of preparedness for surgery and recovery can be improved by continually providing dosed information. This information should provide the patient with patient‐tailored perspectives regarding the impact of (potential) complications and what to expect during recovery.

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Pedagogical encounters between nurses and patients in a medical ward—A field study

Cited by 54 publications

References 12 publications

Patients’ and relatives’ complaints about encounters and communication in health care: Evidence for quality improvement

Patients’ and relatives’ complaints about encounters and communication in health care: Evidence for quality improvement

Barriers to patient education and their relationship to nurses’ perceptions of patient education climate

The patient perspective on the preoperative colorectal cancer care pathway and preparedness for surgery and postoperative recovery—a qualitative interview study

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