Information provision and attentive listening as determinants of patient perceptions of shared decision-making around chronic illnesses
نویسندگان
چکیده
BACKGROUND While chronic illnesses are a major concern of the health system worldwide, little is known about patients-physicians communication. Growing demand for patient-centered care and shared decision-making have increased the interest for patients-physicians communication. Based on previous literature, we propose a model in which the effect of information provision and attentive listening over patients' perceptions of shared decision-making (PPSDM) is mediated by the variables self-efficacy and proactivity. Primary data were collected between April and August 2014 through an online survey of patients with haemophilia. Haemophilia is a chronic disease in which many options of treatment are available. The right option depends, to some extent, on patient's preferences. In this context, great uncertainty exists when choosing treatment option and shared decision-making plays an essential role. RESULTS A total of 181 patients with haemophilia participated in the survey. The psychometric properties of the measurement scales were evaluated by means of a confirmatory factor analysis. A structural equation model was designed. Results show that provision of information and attentive listening determine PPSDM through patients' self-efficacy and proactivity in requesting information. CONCLUSIONS It is important to incorporate communication training in medical education, particularly provision of information and attentive listening. These skills help the healthcare professional to gain a deeper understanding of the patient. Furthermore, provision of information and attentive listening are fundamental in helping patients not to undervalue their personal knowledge and expertise in relation to their doctors. These strategies encourage them to adopt a more active position in requesting information. Encouraging a proactive behaviour of patients and their relatives helps them to realize the need to participate and to make them feel that they are part of the decision-making process.
منابع مشابه
Language Skill-Task Corollary: The Effect of Decision-Making vs. Jigsaw Tasks on Developing EFL Learners’ Listening and Speaking Abilities
Task-based language Teaching (TBLT) has occupied the pertinent literature for some long years. However, the role of specific task type in developing specific skill type seems to be amongst the intact issues in the literature. To shed more light on this issue, the present study was conducted to compare the effect of jigsaw and decision-making tasks on improving listening and speaking abilities o...
متن کاملHealth literacy–listening skill and patient questions following cancer prevention and screening discussions
OBJECTIVE Patient question-asking is essential to shared decision making. We sought to describe patients' questions when faced with cancer prevention and screening decisions, and to explore differences in question-asking as a function of health literacy with respect to spoken information (health literacy-listening). METHODS Four-hundred and thirty-three (433) adults listened to simulated phys...
متن کاملComparing Faculty and Students Perceptions on Clinical Competency Achievement in Rehabilitation Programs
Objectives: Clinical competencies are learning outcomes the student should display by the end of the program and competency based instruction measures what participants have learned as opposed to what instructors think they have thought. Objective of this study was to compare student and faculty perceptions of the importance and achievement of clinical competencies in rehabilitation programs. ...
متن کاملNurses' perception of clinical decision making in hospitals of Shahrekord University of Medical Sciences in 2019
Background and aim: The most important factor affecting the quality of care is the ability of nurses to make effective clinical decisions. Since identifying nurses 'perceptions of clinical decision making is an important step in improving the quality of care, this study done to determine nurses' perceptions of clinical decision making in hospitals of Shahrekord University of Medical Sciences. M...
متن کاملPrioritization of Purchasing Criteria by Linear Best-Worst Multi-Criteria Decision-Making Method for Optimal Provision of Medical Supplies
Introduction: One of the main challenges of the health system is improving the quality of healthcare services by adjusting the costs. The right choice of tools will bring economic savings besides excellent service quality. Since medical supplies are among the fundamental and costly elements in providing services, the expertise of purchasing has become an important and complex issue. This study ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره 5 شماره
صفحات -
تاریخ انتشار 2016