Medical Staff Communication Research Articles

Exploring the Well-being Experiences of Patients Following Heart Valve Replacement Surgery through the Biopsychosocial-spiritual Model: A Qualitative Content Analysis.

Heart valve replacement (HVR) surgery represents a significant life event that can potentially impact the well-being (WB) of patients; however, there is a shortage of research on the understanding of WB in HVR patients. This study aims to elucidate the WB experiences of patients who have undergone HVR surgery. A qualitative directed content analysis approach was employed, focusing on patients who had undergone HVR surgery at hospitals affiliated with Mashhad University of Medical Sciences in Iran from March 2021 to June 2022. Data collection involved conducting 23 face-to-face, semi-structured, in-depth interviews with HVR patients until data saturation was reached. Data analysis was performed using the Elo and Kyngäs approach in MAXQDA software version 10. The analysis revealed 11 generic categories based on the Biopsychosocial-Spiritual (BPSS) model, encompassing the WB experiences of HVR patients. These categories included physical improvements, facilitated treatment compliance, personal and environmental mastery, optimism in life, resilience, healing therapeutic communication of medical staff, a positive supportive atmosphere, job and financial assurance, faith in a higher power, optimism regarding a purposeful future, and gratitude mixed with generosity. The findings of the current study revealed that the experience of WB in HVR patients was influenced by various conditions. By recognizing these conditions, healthcare providers can develop targeted interventions to improve the WB experience in these patients. Also, the findings provide a foundation for future research on WB in medical contexts.

Mobile nutrition and health management platform for perioperative recovery: an interdisciplinary research achievement using WeChat Applet.

In recent years, the number of people using mobile applications to promote health and welfare has exponentially increased. However, there are fewer applications in the field of ERAS. How to promote the rapid rehabilitation of patients with malignant tumor surgery during perioperative period and the mastery of its long-term nutritional state is a problem to be solved. The purpose of this study is to design and develop a mobile application, and use Internet technology to better manage nutritional health to achieve rapid recovery of patients with malignant tumor surgery. This study is divided into three stages: (1) Design: use participating design to make the MHEALTH APP adapt to the clinical practice of nutritional health management; (2) Development: the WeChat Applet of Nutrition and Health Assessment (WANHA) developed using the Internet technology development, and web management programs. (3) Procedure test: patients and medical staff evaluate WANHA's quality (UMARS), availability (SUS), and satisfaction, and conduct semi-structured interviews. In this study, 192 patients with malignant tumor surgery, 20 medical staff used WANHA. Patients with nutritional risks are supported by supporting treatment. The results show that patients who have not been treated during the perioperative period, the incidence of postoperative complications (22.4%) and the average hospitalization time after surgery decreased significantly. The incidence of nutritional risks is nearly more than the preoperative level. 45 patients and 20 medical staff participated in the survey of WANHA's SUS, UMARS, and satisfaction. In the interview, most patients and medical personnel believe that the procedure can improve the current medical services and nutritional health knowledge levels, promote the communication of medical staff and patients, and strengthen the nutritional health management of patients with malignant tumors under the concept of ERAS. WeChat Applet of Nutrition and Health Assessment is a MHEALTH APP that enhances the nutrition and health management of patients with perioperative period. It can play a huge role in improving medical services, increasing patient satisfaction, and ERAS.

More exposure to medical injury news, better doctor-patient communication, but less doctors' professional identity: A moderated chain mediation model.

In recent years, news of medical malignant injury events has become common in China. However, it is unclear how exposure to this news affects medical staff. The present study collected data from a sample of 311 medical staff in China. It explored the effect of exposure to such news on medical staff's communication and willingness to let their children be doctors, which was an attitude that reflects their professional identity well. In addition, this study also examined the mediating roles of outgroup attribution and anxiety, and the moderating role of social support. The results showed that exposure to news of medical injury could positively and directly predict the quality of doctor-patient communication, but negatively and indirectly predict medical staff's willingness to let their children become doctors. These effects existed through the mediating role of anxiety and the chain mediating role of both outgroup attribution and anxiety. In addition, social support could mitigate the negative correlation between news exposure and outgroup attribution. These results suggest that news of medical malignant injury events may incentivize medical staff to improve the quality of communication in the short term, but it is not conducive to medical staff's long-term mental health. That is, exposure to news of medical injury is likely to lead to a negative influence on their professional identity, although social support can alleviate this negative influence.

Challenges of Type 2 Diabetes Mellitus Management From the Perspective of Patients: Conventional Content Analysis.

Patients with type 2 diabetes mellitus (T2DM) face significant challenges in the treatment process, which can have a negative impact on disease management. Proper management of the disease can reduce symptoms and complications, improve glycemic indices, and reduce mortality and readmission. Given the influential role of patients in prevention and self-care, this study was conducted to explore the challenges of diabetes management from the perspective of patients. Two rounds of focus group discussions with T2DM patients were conducted. The principal investigator of the study and a research assistant compiled a list of volunteer patients with names and contact information and selected participants based on their medical information. Participants were chosen via a purposive sampling technique. The questions were designed to encourage patients to share their views on how the treatment team communicates and participates in treatment, how they are trained, and the health care system. The discussion continued until data saturation. During 2 rounds of focus group discussions, the voices of the participants were recorded by 2 voice recorders, and one of the team members was a transcriber. After discussion, participant views were transcribed, and common issues were identified, sorted, and reported as categories and subcategories. According to the conventional content analysis, 88 primary codes were extracted from the detailed and in-depth description of the participants. The codes were summarized after repeated readings and classified based on their similarities and semantic relevance. Through analysis and comparison, 4 categories and 7 subcategories were identified: communication challenges (poor medical staff communication, lack of psychological support), challenges to participation in treatment (lack of patient participation), educational challenges (training program bugs, inadequate training), and challenges of the health care system (inefficiency of the care system, caregiver inefficiency). This study showed that the treatment team members should pay more attention to the challenges of care and treatment from the perspective of patients with T2DM. Therefore, recommendations for future policies to overcome these obstacles include establishing a multidisciplinary health care team; using trained health care workers to provide organized treatment and care services; holding individual counseling sessions with patients in need of counseling; and providing counseling services, involving patients in the treatment and self-care process, and designing a comprehensive diabetes education program with an emphasis on education. Necessary information should be provided to the patients, and effective communicate should address patient concerns.

Chất lượng dịch vụ khám bệnh, chữa bệnh và một số yếu tố ảnh hưởng tại khoa khám bệnh, bệnh viện đa khoa quận Gò Vấp, thành phố Hồ Chí Minh năm 2021

Objective: The aim of study is assessing the healthcare service quality through patient’s perception and analyzing several effects on the quality of healthcare services. Methods: The descriptive cross-sectional study, using quantitactive and qualitative method was conducted at the Outpatient Department, Go Vap district General Hospital. 250 selected patients filled the original SERVPERF questionaire which consists 22 questions about 5 dimensions of service quality including Reliability, Responsiveness, Assurance, Empathy and Tangible. Results: The main finding showed that the mean score of all the domains is 3.94. The positive inuencies on healthcare service included: training and development of human resources, modern facilities and equipment, convenient one-stop medical examination and treatment process. The negative remarkable factor is the waiting in the drug dispensing process and the medical staff's communication is sometimes inappropriate. Conclusions: The hospital’s service quality has not been evaluated well, the department needs to calculate and determine the appropriate number of human resources, improve the drug taking stage as well as develop sanctions in handling violations to improve quality and serve the increasing needs of patients. Keywords: Healthcare service quality, outpatient department, SERVPERF.

THE CURRENT SITUATION OF MEDICAL STAFF COMMUNICATION WITH PATIENTS IN HOC MON STATE REGISTRATION HOSPITAL

Background: In addition to the professional capacity and ethical qualities, the attitude and communication behavior of medical staff with patient are important prefix can not missing, in order to create trust, satisfy patients and create quality medical examination and treatment services. Objective: Determine the state of behavioral communication and a number of factors related to the actual state of medical staff communication with patients at Hoc Mon State Registration Hospital in 2020. Methods: Cross-sectional descriptive. Results: Assessment of the importance level of communication skills in medical staff communication with the patient is 85.2% or more. In which, the level of importance: skills to establish relationships when communicating with patients 85%, listening skills to patients 91.1%; expression skills 94%, questioning skills 87.3%; emotional and behavior control skills 90.5%. Over 90% of research subjects agree with the benefits and importance of medical staff communication skills with patients during medical examination and treatment. The department’s characteristics are related to the assessment of the importance of communication with patients during medical examination and treatment. Income is positively correlated with assessment of the importance of communication with patients during medical examination and treatment. Conclusions: The actual state of medical staff communication with patients at Hoc Mon General Hospital is relatively good in both aspects: awareness and communication practice.

WORKING WITH PEOPLE WITH ANXIETY DISORDERS – THE NEED OF TRAINING FOR NURSES

Anxiety disorders are a common problem in modern society, as the number of people suffering from this type of psychological problems, has grown drastically in recent years. People with anxiety disorders often seek medical specialists for examinations or running tests, due to the physical and psychological discomfort that accompanies the condition. One of the most serious problems that we face is the wrong approach and communication of medical staff to them.Nurses are the type of health care professionals, who most often have to communicate with people with anxiety. The lack of sufficient knowledge and skills to work with people with anxiety disorders complicates all prophylactic and therapeutic activities aimed at this type of patients, whether they are related to their mental or physical health.Practice shows that in Bulgaria this process of developing the communication between the nurse and the patient is troubled and is accomplished incorrectly or ineffective. Many nurses often lack the necessary skills to maintain proper psychological and medical perspective towards patients with anxiety disorders. Misunderstanding and lack of proper approach makes the patient with anxiety to avoid medical assistance and to turn to self-medication, whether it is physiological or psychological problem. That puts him at risk and impedes the healing process in general. Simultaneously, patients with anxiety disorders endure the implementation of various manipulations much more dramatic, as they experience their interventions way more painful and at increased rates of anxiety. As a result, the stress level increases and so does the danger of unlocking an extra mental disorder such as depression, specific phobia, addiction, suicidal action.This study aims to establish awareness among the students specialty "nurse" concerning the characteristics of anxiety disorders, their knowledge and their skills to work with this type of patients. It shows the need to introduce additional classes or independent training for working with people with anxiety disorders in a wider aspect.Specific recommendations have been prepared to correct deficiencies in the education system. They are about the teachers in classes of Medical Psychology, Educational institutions and the subject "Medical psychology" in the Universities.

Symptom diary application of self-management in lymphoma patients undergoing chemotherapy

Objective To investigate the effect of symptom diary on the self-management ability of lymphoma patients. Methods A convenient sampling method was adopted to select 57 cases of lymphoma patients who received chemotherapy from February to October 2018 as the study subjects. According to the order of admission, they were divided into the intervention group (n = 25) and the control group (n = 32). The control group received the lymphoma department chemotherapy nursing routine; The intervention group applied symptom diary intervention on the basis of routine nursing, and evaluated the self-management ability of patients in the two groups before the first cycle and after the sixth cycle of chemotherapy, respectively. Results There was no significant difference in the scores of self-management ability between the two groups before intervention (P>0.05). The self-management scores of the two groups were both improved before and after the intervention, and the intervention group was higher than the control group. The difference was statistically significant (P<0.05); after intervention, for total self-management ability and the four dimensions of daily life management, symptom management, medical staff communication, and information management. the intervention group scored (4.16±0.28), (4.31±0.44),(4.31 ± 0.44), (4.38 ± 0.48), (3.96 ± 0.60) points, significantly higher than the control group (3.85 ± 0.45), (3.96 ± 0.45), (3.96 ± 0.57), (3.64 ± 0.77), (3.26±0.68) points, the difference was statistically significant (t=2.235-4.175, P<0.05). Conclusion The application of symptom diary can effectively improve the self-management ability of patients with lymphoma during chemotherapy, stimulate the ability of patients to cope with disease, improve the quality of life of patients, and promote rapid recovery. Key words: Lymphoma; Symptom diary; Self-management

The influence of visibility on staff face-to-face communication and efficiency in emergency departments

Purpose The purpose of this study is to explore the potential impacts of visibility on face-to-face communication among medical staff in community hospital emergency departments (EDs). Also, the researchers investigated how different types of visibility can increase/decrease the efficiency of EDs’ medical staff. Design/methodology/approach This study used an exploratory approach to investigate the role of visibility in enhancement of medical staff communication in four EDs within the same hospital system. Overall, 12 semi-structured interviews and 48 h of observation were manually conducted. Findings The findings suggest that communication among medical staff can be improved by enhancement of different types of visibility (general and staff-to-staff) in EDs. Also, visibility facilitates patient assessments, overall supervision, comfort and asking for help while reducing stress and distractions. Practical implications The results of this investigation can inform hospital managers and healthcare designers about one of the important ways to improve registered nurses and physicians’ performance through environmental architectural design in the enhancement of communication. Originality/value Understanding the importance of visibility as a design element would provide a crucial principle for future ED designs. Although research has been conducted with different focuses and methods in other hospital departments, nothing similar to the current study in EDs was available in the healthcare design published literature.

Communication Skills and Its Related Factors Among Medical Staff

Background: Communication skills are the main features in health care. Objectives: The current study aimed at determining communication skills and its related factors among medical staff. Methods: The current cross sectional study was conducted on 302 medical staff of hospitals (physicians, nurses, midwives, and paramedics) in 2014, Hamadan city, Iran. The subjects were randomly selected from each hospital proportional to population size. Demographic information and the Burton communication skills (verbal, listening, and feedback) were completed using questionnaires. For all of the communication skills, scores 6 to 14 were low, 15 to 22 moderate, and 23 to 30 were considered high. Collected data were analyzed with SPSS version 22 using descriptive tests, Kruskal-Wallis test, t-test, and regression analysis. Results: Subjects gained 19.22, 17.50, and 19.20 average of communication skills including verbal, listening and feedback, respectively. Medical staff communication skills were at moderate level. There was a significant difference between the scores of feedback skills (P = 0.001) and verbal skills in different educational levels (P = 0.018). Also, the verbal and feedback skills in the group of midwives were more than those of the others (P &lt; 0.001). Conclusions: The levels of communication skills among medical staff were not high. Communication skills training should be done at the time of recruitment and for vocational retraining

INFLUENCE OF COMMUNICATION OF MEDICAL PERSONNEL WITH PATIENTS ON HEALTH CARE UNITS MANAGEMENT PROCESSES

A health care is characterised of creating an individual, specific relation between representatives of health care units and patients, which means that not only medical staff professionalism but also an empathetic attitude towards patients are important questions. Literature regarding the issue of communication with patients is growing, there are as well workshops in an effective communication, nevertheless the topic is still of minor importance. Meanwhile, relations between medical personnel and patients may put a major impact on the quality of health care as well as patients satisfaction with medical services, what is important from a management point of view. A proper way of patients’ treatment by medical personnel may result not only in better attitude towards therapy, but also it may influence a more efficient management of health care facilities, as patient satisfied with medical services may recommend an organisation, which may have a positive impact on an institution’s image, allowing a manager to focus on more important aspects of an institution management. For the above reasons it is important to get to know medical personnel’s attitude to developing as well as improving communication skills in order to provide a holistic patients care, what can significantly influence a health care units management. Medical staff communication skills are important not only from a treatment perspective, but they can also be significant from the perspective of health care organisations management. The study material was gathered in the first quarter of 2014. In the final analysis questionnaires from 113 representatives of various medical professions were taken into consideration. The study results show that in the process of medical professionals education there is only a little attention paid to acquiring communication skills regarding communication between a patient and medical personnel. Also, the hypothesis according to which medical personnel is satisfied with communication with patients was confirmed. Furthermore, medical staff agree in stating that they care for a proper communication with patients. Conclusions coming from the study results may define a specific way of health care units management, which should comprise, among others, financial resources for trainings in medical personnel soft skills improvement.

Nursing experience of inter-hospital referral in hierarchical medical system: a qualitative research

Objective To explore the nursing experience of inter-hospital referral in hierarchical medical system, so as to provide references for further improvement in patient referral. Methods From March to April 2017, a total of 16 emergency nurses from a Class Ⅲ Grade A hospital were selected by purposive sampling method. Semi-structured interviews were conducted using the method of phenomenology in qualitative research, and Nvivo 8.0 qualitative analysis software was applied for data collation and analysis. Results In the current stage, the factors causing the poor access of patient referral could be summarized in the evaluation, communication and medical documents. There were 7 themes of it: lack of assessment, poor observation of patients' conditions, poor notification, poor communication between hospitals, lack of effective handover, incompleteness of the medical documents, and irregular of the medical documents. Conclusions It is necessary to strengthen the skills of evaluation and communication of medical staff in the hierarchical medical system. At the same time, standardizing medical documents and improving the efficiency of inter-hospital referral were to improve patients' referral and ensure patients safety. Key words: Progressive patient care; Patient transfer; Disease information transition; Qualitative research

The effect of nurses' communication skills with Nulliparous mothers on exclusive breastfeeding: A Clinical Trial Study

Exclusive breastfeeding (EBF) in the first six months of life has many benefits for mother and newborn. The purpose of the present study was to investigate the effect of medical staff communication skills training on breastfeeding in nulliparous mothers. This is a clinical trial study. One hundred- seventy nulliparous pregnant women were selected from Vali-e-Asr Hospital of Tehran. The samples were divided into two groups of intervention (n=85) and control (n=85) by randomized blocks method. The intervention in this study was in the form of therapeutic communication training to the ten nurses in delivery emergency department ward on how to communicate with mothers. The Therapeutic communication skills training course consisted of four communication skills (Empathy skills, Interpersonal skills, Stress and emotional management). Chi-square test and analysis of variance were used to analyze the data and compare the groups. There was a significant difference between the two groups regarding the exclusive breastfeeding for 6 months (P=0.046).The frequency of exclusive breastfeeding in interventional group was higher than the control group (37.5% vs. 23.5%). At six months old, the babies in the study group grew more than the control group (8218.82 ± 2308.57 vs. 7442.23 ± 1923.27 gr, p=0.018) The professional therapeutic relationship of medical staff with the mothers led to an increase in exclusive breastfeeding and continuation of breastfeeding in the first 6 months of childbirth. It seems that breastfeeding is associated with the higher baby growth and lower use of formula feeding.

Komunikacijske barijere medicinskih sestara u primarnoj zdravstvenoj zaštiti / Communication barriers of nurses in primary health care

In the process of communication in health institutions one of the main barriers to communication of medical staff with patients is lack of time. Due to the small number of employees and increased workload, members of the medical staff in health institutions are usually burdened with many responsibilities and must take a hard schedule your work day or during the working day. This often make at the expense of communication with patients, which becomes superficial and insufficient.The use of technical and colloquial terms could represent a significant barrier in communication with the patient. Often medical professionals forget that the patients come from different backgrounds and most of them do not have the level of education that allows them to understand the professional medical terminology. All these medical terms that experts handle daily for patients are confusing and often terrifying, which significantly complicates communication. Therefore, in an interview of nurses to patients, it is necessary to adapt their speech skills and the ability to understand patients.Emotional attitude and empathy are one of the most important parts of successful communication in general, and especially the medical staff and patients. We are witnessing, unfortunately, that severe socio-economic relations model the behavior not only in medical institutions but to the whole community. Patients often referred arrogance, recklessness, rudeness and lack of empathy medical staff as a reason for a complete breakdown of communication and expression of general discontent to healthcare professionals. Empathic communication skills can and must learn if the medical staff has a value system that places emphasis on establishing a therapeutic relationship with the patient. All health care professionals need to develop a certain level of taking care of the patient and learn how to better listen, provide support and comfort.

Hospitalized Pregnant Women Who Leave Against Medical Advice: Attributes and Reasons.

To identify the contributing factors for discharge against medical advice (DAMA) among pregnant women in Sistan and Balouchestan Province, southeastern Iran. This hospital-based case-control study included a total of 168 DAMA pregnant women and 191 pregnant women who left hospital with medical approval. The participants were recruited between August 2012 and August 2013. Logistic regression models were used for data analysis. Factors that increased the chance of DAMA in pregnant women included older age, younger spouse age, low level of education, low income level and having a health insurance. History of DAMA in previous hospitalizations, referral from other clinics, emergency admission and admission advice from non-physician individuals for hospitalization, and giving birth at home during previous pregnancies, were associated with an increase in the risk of DAMA. The most common hospital-related reason for DAMA was the teaching environment of the hospital (26.2%) followed by hospital staff misconduct (23.8%) and overcrowding in the hospital wards (23.2%). The most frequent patient-related factors for DAMA were willingness of the patients to continue treatment at home (58.9%) and feeling relative improvement (58.3%). We found that both hospital and patient related factors contribute to DAMA among pregnant women. Early identification of women at risk of DAMA and improvement of medical staff communication skills may decrease the occurrence of DAMA and improve health outcomes of pregnant women.