Relationship, Communication, and Efficiency in the Medical Encounter&lt;subtitle&gt;Creating a Clinical Model From a Literature Review&lt;/subtitle&gt;

BackgroundMedication counselling sessions are key times for a pharmacist to speak to patients about their medications and the changes made to their therapies during their hospital stay. ObjectivesTo explore hospital pharmacists' perceptions of their roles and goals in patient medication counselling, and perceived barriers and facilitators to achieving their goals. MethodsHospital pharmacist focus groups were held in two tertiary referral hospitals. Eligible pharmacists had provided medication counselling within the previous six months in inpatient and/or outpatient settings. Interested pharmacists attended a focus group designed to elicit their opinions and perceptions of patient medication counselling. Focus groups were audio recorded and transcribed verbatim. Inductive thematic analysis was applied to the data to identify initial patterns (codes) which were then organized into common overarching themes using NVivo ® software. The codes were reviewed for reliability by pharmacists independent of the focus groups. ResultsSix, one-hour focus groups were conducted with a total of 24 pharmacists participating. Saturation of information was determined after four focus groups. Greater than 80% consensus was achieved for reliability of the identified codes. A number of themes emerged from these codes around the goals, roles, and the barriers and facilitators to meeting these goals. Pharmacists' patient-centred goals in medication counselling were to build rapport, to empower patients and to improve patients' experience, health and safety. These goals would be accomplished through specific roles such as being an assessor, educator and problem-solver. Pharmacists frequently cited time pressures caused by systemic (hospital), and pharmacy specific processes as key challenges to achieving their goals. Factors that enabled pharmacists to meet their goals were those related to effective interprofessional collaboration and the quality of professional practice (such as training, expanded roles and advanced planning for discharge). ConclusionsHospital pharmacists emphasised patient-centred goals in medication counselling and outlined the challenges to meet those goals. The findings from this study will be used to develop strategies for effective communication and inform pharmacy practice changes to improve patient care. Key Words Hospital pharmacist Focus group Goal Role Communication M A N U S C R I P T A C C E P T E D ACCEPTED MANUSCRIPTPage 2 of 27 IntroductionDischarge from hospital to community or to other healthcare facilities marks an important transition in care for patients. Discharge and other transitions such as admission to hospital or transfers within a hospital have been identified as particular times when patients may be at risk of experiencing medication errors and adverse events. 1-3 Medication counselling opportunities are key times for pharmacists to speak to patients about their medications and the changes made to their therapies during their hospital stay. 2,[4][5][6][7] Failure by a hospital phar...

show abstract

“…[52][53][54][55][56][57][58][59] Few researchers have studied the effects of rapport building between pharmacists and patient. [60][61][62] …”

Section: Building Rapportmentioning

confidence: 99%

Hospital pharmacists' perceptions of medication counseling: A focus group study

Chevalier

Watson

Barras

et al. 2016

Research in Social and Administrative Pharmacy

View full text Add to dashboard Cite

show abstract

“…Multiple studies have shown that communication skills can be improved with effective training, and that effective communication improves medical outcomes, safety, patient adherence, patient satisfaction, and provider satisfaction and efficiency. [5][6][7][8][9][10][11][12][13][14] Organization-wide communication skills improvement programs are rare and reports are limited to case studies. 15 We designed and implemented an experiential, relationship-centered communication skills course and measured its impact on patient satisfaction, physician empathy, burnout, and self-efficacy in a large, multispecialty academic medical center.…”

Section: Introductionmentioning

confidence: 99%

Communication Skills Training for Physicians Improves Patient Satisfaction

et al. 2016

View full text Add to dashboard Cite

“…Although it is a very general term which can entail various levels of complexity and also be perceived differently by physicians, it is noteworthy that this outcome was mentioned by a high percentage of on-call physicians, and although in many cases (74%) they were warned of a possible family conflict, it is an aspect that points to the need of specific preparation so as to avoid such conflict or, if occurred, to solve it. 21,22 Staff physicians had a lower perception of a chance of mistaking information of one patient with that of another one when compared to residents. This could be indicative of a sign of a broader experience.…”

Section: Discusssionmentioning

confidence: 96%

Communication during patient handoff in the areas of intensive care of a university hospital. A cross-sectional study

2014

Arch Argent Pediat

View full text Add to dashboard Cite

Objective. To assess how the quality of communication is perceived during patient handoff in areas of intensive care. Materials and Methods. Cross-sectional study conducted at a university hospital. The study assessed the perception of the quality of information received during patient handoff and the chance of physicians working on-call shifts in intensive care areas mistaking the information of one patient with that of another one. Results. Information was perceived as being "good" quality when patient handoff took place in pediatric areas (85.7%), it was conducted in a calm environment (74.4%), it was performed according to a case presentation system (82.9%), the physician was responsible for less than 17 patients (91%), and training on handoff communication had been provided (87.5%). No significant association with the rest of the analyzed outcome measures was observed. The chance of mistaking information of one patient with that of another one was perceived as "low" when handoff took place in pediatric areas (95.2%), it was performed according to a case presentation system (80%), there were not more than three interruptions (84.6%), the physician was responsible for less than 17 patients (90.9%), training on handoff communication had been provided (91.7%), and the physician was a staff doctor (77.1%).Conclusions. The quality of information received during patient handoff and the chance of mistaking the information of one patient with that of another one were associated with environmental, organizational and educational aspects that can potentially be improved.

show abstract

Relationship, Communication, and Efficiency in the Medical Encounter<subtitle>Creating a Clinical Model From a Literature Review</subtitle>

Cited by 237 publications

References 84 publications

Hospital pharmacists' perceptions of medication counseling: A focus group study

Hospital pharmacists' perceptions of medication counseling: A focus group study

Communication Skills Training for Physicians Improves Patient Satisfaction

Communication during patient handoff in the areas of intensive care of a university hospital. A cross-sectional study

Contact Info

Product

Resources

About