Practice nurses mental health provide space to patients to discuss unpleasant emotions

Griep, E.C.M.; Noordman, Janneke; Dulmen, Sandra van

doi:10.1111/jpm.12279

Cited by 10 publications

(8 citation statements)

References 39 publications

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“…[41] The explicitness of responses was assessed in studies with other primary healthcare providers. Nurses interacting with older patients or patients with mild mental health problems and general practitioners mainly responded in a non-explicit providing space way to patients' negative emotions, with brief verbal encouragements as the most common response [21,23,27]. These studies -as well as our study -are in line with the ambitions in healthcare to make consultations more patient-centred instead of provider-centred [12].…”

Section: Discussionsupporting

confidence: 74%

“…Patients presenting negative emotions mainly as cues is also common among consultations with other primary healthcare providers. [20,27,42] Nurses' and physicians' explicit responses to patients' cues and concerns vary from 12 to 82% [21,23,24,27]. This is the first study in community pharmacy to examine patients' negative emotions during a pharmacist-patient discussion about medication therapy.…”

Section: Discussionmentioning

confidence: 99%

“…[18] A study among pharmacist prescribers showed that they provided space to patients for further disclosure of cues and concerns during private consultations in 81 % of the time [19]. This is comparable to the responses of nursing staff to patients' emotional cues during private consultations [20][21][22][23][24][25]. Whereas physicians are less likely to further explore patients' emotional cues, their positive responses vary from 33 to 80% [19,22,24,[26][27][28].…”

Section: Introductionmentioning

confidence: 99%

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Pharmacists’ responses to cues and concerns of polypharmacy patients during clinical medication reviews—A video observation study

Eikenhorst

Dijk

Cords

et al. 2020

Patient Education and Counseling

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The research questions of this study are 1) How do pharmacists respond to negative emotions of patients during a clinical medication review (CMR)? 2) How do patients express negative emotions during a CMR? 3) Who (pharmacist or patient) initiates a negative emotion to be discussed during a CMR? Methods: We used video-recordings to observe 132 CMR interviews of 49 pharmacists. Videos were coded with the Verona coding definitions on emotional sequences(provider responses) (VR-CoDES(-P)). Results: In total 2538 negative emotions were identified, mainly expressed as cues (95.0 %). Often cues were expressed as verbal hints to hidden concerns (33.2 %) or were related to cognitive or physical causes (28.3 %).Three-quarters of the negative emotions were elicited by patients. 2670 pharmacists' responses were coded. The most common response was non-explicit providing space (77.6 %) and the least common response was explicit reducing space (5.8 %). Conclusion: Pharmacists are mainly non-explicitly providing space in their responses. While this hinders their ability to capture patients' problems it also may enable patients to initiate topics. Practice implications: : Pharmacists are able to respond to patients' negative emotions. Training should focus on developing pharmacist's skills to be more explicit in their responses to get more in-depth knowledge of patients' problems.

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Section: Discussionsupporting

confidence: 74%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Pharmacists’ responses to cues and concerns of polypharmacy patients during clinical medication reviews—A video observation study

Eikenhorst

Dijk

Cords

et al. 2020

Patient Education and Counseling

View full text Add to dashboard Cite

show abstract

“…"Insider" knowledge is known to assist recruitment by encouraging rapport and collaboration with participants (Blythe et al, 2013). While other nursing settings and international primary care nursing literature indicates acceptability of the video technique (De Leeuw et al, 2014, Griep et al, 2016, Happ et al, 2011, Lenzen et al, 2018, Noordman et al, 2013, Spelten et al, 2015 our target population were much more challenging to recruit. This may, however, reflect the small business nature of Australian primary care and the subsequent complexity in accessing potential participants.…”

Section: Discussionmentioning

confidence: 99%

“…While video-based medical research has been conducted in general practice since the 1970's (Roland, 1983), it has only recently been used in GPN consultations (Dowell et al, 2018, Griep et al, 2016, Lenzen et al, 2018, Macdonald et al, 2013. To assist nurse researchers' understanding of collecting data via video observation this paper describes our experience of using this technique, examining the advantages, disadvantages and challenges for use.…”

Section: Introductionmentioning

confidence: 99%

Strategies for using non-participatory video research methods in general practice

et al. 2019

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Background Non-participatory video research is useful for observing and analysing interactions between clinicians, patients and technology. However, few clinical nursing studies have used non-participatory video observation and there is limited literature describing the approach. Aim To describe a study that used nonparticipatory video observation in general practice. Discussion The authors' experience of non-participatory video research methods indicates that the acceptability of the technique, workplace organisation and consultation space have implications for preparation and data collection. Strategies for success include engaging stakeholders early on, obtaining contextual knowledge and piloting the approach. Conclusion Nonparticipatory video observation is valuable in understanding interactions between nurses and patients in a naturalistic setting. Careful planning is essential to ensure alignment between research aims, context and technology. The methods for analysing data must be chosen carefully to ensure the research question is answered. Implications for practice Video observation provides rich data. Careful planning and engagement of participants is required for successful conduct of studies that use the technique. Abstract Background. Non-participatory video research is useful for observing and analysing interactions between clinicians, patients and technology. Few studies have used nonparticipatory video observation in clinical nursing research and there is limited literature describing the approach. Aim. To describe an experience of using non-participatory video observation in general practice nursing research. Discussion. Our experience of non-participatory video research methods indicates that acceptability of the technique, workplace organisation and consultation space have implications for preparation and data collection. Strategies for success include early stakeholder engagement, contextual knowledge, and piloting the approach. Conclusion. Non-participatory video observation is valuable for understanding interactions between nurses and patients in a naturalistic setting. Careful planning is essential to ensure alignment between research aims, context and technology selected. The choice of data analysis methods requires careful consideration to ensure that the research question is answered. Implications for practice. Video observation research provides rich data. Careful planning and engagement of participants is required for successful conduct of such studies.

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Australian general practice nurse involvement in mental health: A descriptive survey

Halcomb¹,

McInnes²,

Patterson³

et al. 2022

Collegian

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Practice nurses mental health provide space to patients to discuss unpleasant emotions

Abstract: Practice nurses mental health have passive listening skills, and to a lesser extent, use active listening techniques. However, there are no strict rules which way of responding is the best and patients value responses differently.

Cited by 10 publications

References 39 publications

Pharmacists’ responses to cues and concerns of polypharmacy patients during clinical medication reviews—A video observation study

Pharmacists’ responses to cues and concerns of polypharmacy patients during clinical medication reviews—A video observation study

Strategies for using non-participatory video research methods in general practice

Australian general practice nurse involvement in mental health: A descriptive survey

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