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Relationship centered communication

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https://www.readbyqxmd.com/read/28623114/characterizing-the-relationship-between-surgical-resident-and-faculty-perceptions-of-autonomy-in-the-operating-room
#1
Katelyn A Young, Samantha M Lane, John E Widger, Nina M Neuhaus, James T Dove, Marcus Fluck, Marie A Hunsinger, Joseph A Blansfield, Mohsen M Shabahang
OBJECTIVE: Characterize the concordance among faculty and resident perceptions of surgical case complexity, resident technical performance, and autonomy in a diverse sample of general surgery procedures using case-specific evaluations. DESIGN: A prospective study was conducted in which a faculty surgeon and surgical resident independently completed a postoperative assessment examining case complexity, resident operative performance (Milestone assessment) and autonomy (Zwisch model)...
June 13, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28619273/the-many-disguises-of-patient-centered-communication-problems-of-conceptualization-and-measurement
#2
Richard L Street
OBJECTIVE: To critically examine different approaches to the measurement of patient-centered communication. METHODS: Provides a critique of 7 different measures of patient-centered communication with respect to differences in their assumptions about what constitutes patient-centeredness and in their approaches to measurement. RESULTS: The measures differed significantly with regard to whether the measure captured behavior (what the interactants did) or judgment (how well the behavior was performed), focused on the individual clinician or on the interaction as a whole, and on who makes the assessment (participant or observer)...
May 5, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28617622/treatment-and-communication-that-is-what-matters-an-analysis-of-complaints-regarding-end-of-life-care
#3
Jiska Cohen-Mansfield, Michal Skornick-Bouchbinder, Rinat Cohen, Shai Brill
BACKGROUND: Investigating complaints concerning end-of-life (EoL) care is a necessary step for improving the quality of life at its final stage. OBJECTIVE: We aimed to classify and quantify the aspects of EoL care that require improvement by analyzing caregivers' feedback on the care their relatives received before death. DESIGN: A survey of primary family caregivers of deceased patients. SETTING/SUBJECTS: Relatives of decedents were recruited through two geriatric medical centers and from persons contacted for other studies, who reported losing a relative...
June 15, 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/28604917/older-adults-views-and-communication-preferences-about-cancer-screening-cessation
#4
Nancy L Schoenborn, Kimberley Lee, Craig E Pollack, Karen Armacost, Sydney M Dy, John F P Bridges, Qian-Li Xue, Antonio C Wolff, Cynthia Boyd
Importance: Older adults with limited life expectancy are frequently screened for cancer even though it exposes them to risks of screening with minimal benefit. Patient preferences may be an important contributor to continued screening. Objective: To examine older adults' views on the decision to stop cancer screening when life expectancy is limited and to identify older adults' preferences for how clinicians should communicate recommendations to cease cancer screening...
June 12, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28598947/moral-distress-in-picu-and-neonatal-icu-practitioners-a-cross-sectional-evaluation
#5
Charles Philip Larson, Karen D Dryden-Palmer, Cathy Gibbons, Christopher S Parshuram
OBJECTIVES: To measure the level of moral distress in PICU and neonatal ICU health practitioners, and to describe the relationship of moral distress with demographic factors, burnout, and uncertainty. DESIGN: Cross-sectional survey. SETTING: A large pediatric tertiary care center. SUBJECTS: Neonatal ICU and PICU health practitioners with at least 3 months of ICU experience. INTERVENTIONS: A 41-item questionnaire examining moral distress, burnout, and uncertainty...
June 8, 2017: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/28594536/surgeon-patient-communication-the-key-to-patient-satisfaction-patient-centered-care-and-shared-decision-making
#6
Dwight W Burney Iii
The surgeon-patient relationship is rapidly evolving from surgeon-centric to patient-centric. External forces, such as the Affordable Care Act and the unsustainable growth of healthcare costs in the United States, have disrupted the old model of medical care. Effective communication between surgeons and patients as well as patient satisfaction, treatment adherence, and shared decision making are essential components of the patient-centered care paradigm. Effective communication carries high stakes for surgeons, including increased surgeon satisfaction and a reduced risk of surgeon burnout and malpractice litigation...
February 15, 2017: Instructional Course Lectures
https://www.readbyqxmd.com/read/28592480/implementing-family-centered-care-through-facilitated-sensemaking
#7
Judy E Davidson, Sidney Zisook
The Society of Critical Care Medicine has released updated recommendations for care of the family in neonatal, pediatric, and adult intensive care units. Translation of the recommendations into practice may benefit from a supporting theoretical framework. Facilitated sensemaking is a mid-range theory built from the same literature that formed the basis for recommendations within the guidelines. The process of facilitated sensemaking may be used to help nurses adopt the SCCM recommendations into practice through the development of caring relationships, promoting family presence, teaching family engagement strategies, and supporting families with communication, information gathering, and participation in decision-making...
2017: AACN Advanced Critical Care
https://www.readbyqxmd.com/read/28567067/medication-adherence-in-patients-with-hypertension-does-satisfaction-with-doctor-patient-relationship-work
#8
Ahmad Mahmoudian, Ahmadreza Zamani, Neda Tavakoli, Ziba Farajzadegan, Fariba Fathollahi-Dehkordi
BACKGROUND: It is assumed that doctor-patient relationship plays an effective role in patients' satisfaction, medication adherence, and health outcomes since exploring different aspects of this relationship, such as addressing medication adherence, has rarely been investigated. Therefore, the main aim of the present study was to assess the impact of patients' satisfaction derived from communicating with doctors on medication adherence in hypertensive patients. MATERIALS AND METHODS: This cross-sectional survey was conducted on three hundred patients with hypertension, using multistage sampling technique in health care centers in Isfahan, Iran...
2017: Journal of Research in Medical Sciences: the Official Journal of Isfahan University of Medical Sciences
https://www.readbyqxmd.com/read/28557875/supporting-the-support-system-how-assessment-and-communication-can-help-patients-and-their-support-systems
#9
Jane Harkey, Jared Young, Jolynne Jo Carter, Michael Demoratz
PURPOSE/OBJECTIVE: The benefits of having a support system, such as social relationships with close friends and family, have been well documented for patients with serious health issues. As scientific evidence has shown, individuals who have the lowest level of involvement in social relationships face a greater mortality risk. Support systems, however, are not infallible. Relationship stress can have a negative impact on people-patient and caregiver alike-behaviorally, psychosocially, and physiologically...
July 2017: Professional Case Management
https://www.readbyqxmd.com/read/28557375/identifying-metrics-of-success-for-transitional-care-practices-in-childhood-cancer-survivorship-a-qualitative-study-of-survivorship-providers
#10
Karim Thomas Sadak, Joseph P Neglia, David R Freyer, Eileen Harwood
BACKGROUND: Long-term survival in childhood cancer is excellent. Most survivors will have a therapy-related chronic condition, yet very few receive survivor-focused care as they transition from adolescence to young adulthood. The purpose of this study is to identify indicators of success in current transitional care practices for young adult survivors of childhood cancer as defined by all members of survivorship care teams. PROCEDURE: An exploratory, phenomenologic qualitative study was conducted with key informants from medical teams involved in transitional care of childhood cancer survivors...
May 30, 2017: Pediatric Blood & Cancer
https://www.readbyqxmd.com/read/28549460/learning-to-use-electronic-health-records-can-we-stay-patient-centered-a-pre-post-intervention-study-with-family-medicine-residents
#11
Cédric Lanier, Melissa Dominicé Dao, Patricia Hudelson, Bernard Cerutti, Noëlle Junod Perron
BACKGROUND: The Electronic Health Record (EHR) is now widely used in clinical encounters. Because its use can negatively impact the physician-patient relationship, several recommendations on the "patient-centered" use of the EHR have been published. However, the impact of training to improve EHR use during clinical encounters is not well known. The aim of this study was to assess the impact of training on residents' EHR-related communication skills and explore whether they varied according to the content of the consultation...
May 26, 2017: BMC Family Practice
https://www.readbyqxmd.com/read/28545074/influence-of-distance-between-residence-and-health-facilities-on-non-communicable-diseases-an-assessment-over-hypertension-and-diabetes-in-bangladesh
#12
Raaj Kishore Biswas, Enamul Kabir
OBJECTIVE: This paper reflected on the prevalence of hypertension and diabetes in Bangladesh, which is spreading rapidly in low-income countries. The rationale of constructing more health centers for addressing NCDs was assessed in this paper by determining the relationship between prevalence of NCDs, particularly hypertension and diabetes, and distance to health facilities. METHODS: From BDHS (Bangladesh Health and Demographic Survey) 2011 data set, 7544 samples were analyzed to demonstrate association between Non-communicable diseases (NCD) and distance from respondents' home to health facilities like hospitals, community clinics, pharmacies or doctors' chambers, and community facilities like market, post office or cinema hall...
2017: PloS One
https://www.readbyqxmd.com/read/28522229/patient-centered-communication-in-digital-medical-encounters
#13
Jordan M Alpert, Karen E Dyer, Jennifer Elston Lafata
OBJECTIVE: Patients are increasingly using the secure messaging function available through online patient portals to communicate with their health care providers, yet little is known about the characteristics of conversations that occur. The goal of this study is to describe the types of messages initiated by patients communicating via patient portals and to assess whether providers employ patient-centered strategies in their electronic responses. DESIGN: A total of 193 messages from 58 message threads between patients and providers were collected during a one-week period in a large health care system...
May 2, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28499519/association-between-sexual-problems-and-relationship-satisfaction-among-people-with-cardiovascular-disease
#14
Molly Byrne, Patrick Murphy, Maureen D'Eath, Sally Doherty, Tiny Jaarsma
BACKGROUND: Relationship satisfaction is generally positively correlated with sexual satisfaction, but this relation has been poorly examined in people with cardiovascular disease who are at increased risk of sexual problems compared with the general population. AIM: To document reported changes to sex after a diagnosis of cardiac disease and determine whether there is an association between sexual function and relationship satisfaction. METHODS: Semistructured telephone interviews focused on relationship satisfaction and sexual problems were conducted with 201 people with cardiovascular disease who were currently in a sexual relationship with one main partner and were recruited from six hospital cardiac rehabilitation centers in Ireland...
May 2017: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/28496382/elements-of-family-centered-care-in-the-pediatric-intensive-care-unit-an-integrative-review
#15
Claire A Richards, Helene Starks, M Rebecca O'Connor, Ardith Z Doorenbos
This paper reports result from a systematic search and thematic analysis of qualitative literature to identify key issues related to family-centered care, behaviors, and communication skills that support the parental role and improve patient and family outcomes in the PICU. Five themes were identified: 1) sharing information; 2) hearing parental voices; 3) making decisions for or with parents; 4) negotiating roles; and 5) individualizing communication. These themes highlight several gaps between how parents want to be involved and perceive clinicians engage them in the care of their child...
June 2017: Journal of Hospice and Palliative Nursing: JHPN
https://www.readbyqxmd.com/read/28486075/barriers-to-patient-centered-human-immunodeficiency-virus-hiv-care-with-african-american-patients-who-use-drugs-social-construction-of-the-typical-and-ideal-care-visit
#16
Suzanne Carlberg-Racich, Lindsey Roden
BACKGROUND: A successful patient-provider relationship ensures that patients are treated as individuals and receive appropriate care for their unique circumstances. For this to occur, the relationship needs open communication and trust. African American persons who inject drugs (PWIDs) and who smoke crack cocaine are at elevated risks of poor health outcomes and are often lost to care. In addition, providers often experience difficulty serving this population. Although some barriers are documented in the peer-reviewed literature, this study sought to provide in-depth context to the relationship and how it is constructed...
April 2017: Substance Abuse
https://www.readbyqxmd.com/read/28479412/perceived-family-functioning-predicts-baseline-psychosocial-characteristics-in-u-s-participants-of-a-family-focused-grief-therapy-trial
#17
Tammy A Schuler, Talia I Zaider, Yuelin Li, Melissa Masterson, Glynnis A McDonnell, Shira Hichenberg, Rebecca Loeb, David W Kissane
CONTEXT AND OBJECTIVES: Screening and baseline data on 170 American families (620 individuals), selected by screening from a palliative care population for inclusion in a RCT of Family Focused Grief Therapy (FFGT), were examined to determine whether family dysfunction conferred higher levels of psychosocial morbidity. We hypothesized that greater family dysfunction would indeed be associated with poorer psychosocial outcomes among palliative care patients and their family members. METHODS: Screened families were classified according to their functioning on the Family Relationships Index (FRI) and consented families completed baseline assessments...
May 4, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28464961/supporting-home-hospice-family-caregivers-insights-from-different-perspectives
#18
Lee Ellington, Kristin G Cloyes, Jiayun Xu, Lanell Bellury, Patricia H Berry, Maija Reblin, Margaret F Clayton
OBJECTIVE: Our intention was to describe and compare the perspectives of national hospice thought leaders, hospice nurses, and former family caregivers on factors that promote or threaten family caregiver perceptions of support. METHOD: Nationally recognized hospice thought leaders (n = 11), hospice nurses (n = 13), and former family caregivers (n = 14) participated. Interviews and focus groups were audiotaped and transcribed. Data were coded inductively, and codes were hierarchically grouped by topic...
May 3, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28452250/implementation-of-a-complex-intervention-to-support-leadership-development-in-nursing-homes-a-multimethod-participatory-study
#19
Belinda Dewar, Karen Barrie, Cathy Sharp, Julienne Meyer
Leadership is key to quality improvement in nursing homes. This article reports on the initial analysis of the transformational My Home Life Leadership Support program for nursing home managers being implemented in Scotland. It analyses learning from a multimethod participatory descriptive study. Contribution analysis theory informed the evaluation. Evidence-Based Practice, Relationship-Centered Care, Appreciative Inquiry, and Caring Conversations informed the intervention to develop transformational leadership...
April 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/28423928/engaging-parents-to-promote-children-s-nutrition-and-health
#20
Dipti A Dev, Courtney Byrd-Williams, Samantha Ramsay, Brent McBride, Deepa Srivastava, Ashleigh Murriel, Chrisa Arcan, Anna M Adachi-Mejia
PURPOSE: Using the Academy of Nutrition and Dietetics benchmarks as a framework, this study examined childcare providers' (Head Start [HS], Child and Adult Care Food Program [CACFP] funded, and non-CACFP) perspectives regarding communicating with parents about nutrition to promote children's health. DESIGN: Qualitative. SETTING: State-licensed center-based childcare programs. PARTICIPANTS: Full-time childcare providers (n = 18) caring for children 2 to 5 years old from varying childcare contexts (HS, CACFP funded, and non-CACFP), race, education, and years of experience...
March 2017: American Journal of Health Promotion: AJHP
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