Physician’s communicational skills. Experience in the medicine department of a pediatric hospital.
DOI:
https://doi.org/10.31053/1853.0605.v78.n3.29306Keywords:
communication, quality of healthcare, Physician-Patient RelationAbstract
Background: Communication is an essential task to achieve quality in medical practice. It includes a series of acquired skills that collaborate in improving patient safety. Exploring physician´s communication skills could improve the care quality of an Institution.
Our objective was to evaluate the attending physicians´communicative competence in a Pediatric Hospital, and to explore which professionals’ factors could be potentially associated with this competence quality
Methods: Analytical, cross-sectional study. 40 doctor-patient interviews were observed from December 2018 to March 2019, in the Hospitalization Units. The Kalamazoo Essential Elements Communication Checklist (adapted) was used as a tool to assess competence in the communication process.
Result: In 62.5% (25/40) of the observed interviews, communicative competence was evaluated as acceptable (95% CI 47.03-75.78). No association was found between physicians' practice experience or years since their graduation and the communicational acceptability. Female sex was an independent predictor for acceptable communication (OR: 10.3, 95% CI 1.9-53.1, p = 0.005).
Conclusion: Communication skills of the medical staff observed in the Hospital were acceptable in 62.5% of the cases. Female sex resulted in an independent factor for acceptable communication. Even though the observed physicians´ communicative competence was generally acceptable, it is important to carry out actions aimed at optimizing communication skills since they do not only improve with experience.
Downloads
References
1. Moore P, Gómez G, Kurtz S. Comunicación médico-paciente: una de las competencias básicas pero diferente [Doctor-patient communication: one of the basic competencies, but different]. Aten Primaria. 2012 Jun;44(6):358-65. Spanish. doi: 10.1016/j.aprim.2011.07.008.
2. Braga ML, Tarantino MG. La comunicación en Pediatría: niñas, niños y adolescentes, sujetos de derecho [Communication in Pediatrics: children and adolescents, subjects of right]. Arch Argent Pediatr. 2011 Feb;109(1):36-41. Spanish. doi: 10.1590/S0325-00752011000100009.
3. Levetown M; American Academy of Pediatrics Committee on Bioethics. Communicating with children and families: from everyday interactions to skill in conveying distressing information. Pediatrics. 2008 May;121(5):e1441-60. doi: 10.1542/peds.2008-0565.
4. Ceriani Cernadas JM. Communication among health care teams: a major challenge for the improvement of patient safety. Arch Argent Pediatr. 2014 Apr;112(2):114-5. English, Spanish. doi: 10.5546/aap.2014.114.
5. Curran JA, Bishop A, Plint A, MacPhee S, Zemek R, Chorney J, Jabbour M, Porter S, Sawyer S. Understanding discharge communication behaviours in a pediatric emergency care context: a mixed methods observation study protocol. BMC Health Serv Res. 2017 Apr 17;17(1):276. doi: 10.1186/s12913-017-2204-5.
6. Makoul G. Essential elements of communication in medical encounters: the Kalamazoo consensus statement. Acad Med. 2001 Apr;76(4):390-3. doi: 10.1097/00001888-200104000-00021.
7. Rider EA, Nawotniak RH. A Practical Guide to Teaching and Assessing the ACGME Core Competencies, 2nd edition. Marblehead, MA: HCPro, Inc., 2010, pp 1-137.
8. Dong T, LaRochelle JS, Durning SJ, Saguil A, Swygert K, Artino AR Jr. Longitudinal effects of medical students' communication skills on future performance. Mil Med. 2015 Apr;180(4 Suppl):24-30. doi: 10.7205/MILMED-D-14-00565.
9. Joyce BL, Steenbergh T, Scher E. Use of the kalamazoo essential elements communication checklist (adapted) in an institutional interpersonal and communication skills curriculum. J Grad Med Educ. 2010 Jun;2(2):165-9. doi: 10.4300/JGME-D-10-00024.1.
10. Peterson EB, Calhoun AW, Rider EA. The reliability of a modified Kalamazoo Consensus Statement Checklist for assessing the communication skills of multidisciplinary clinicians in the simulated environment. Patient Educ Couns. 2014 Sep;96(3):411-8. doi: 10.1016/j.pec.2014.07.013.
11. Rodríguez S., Vassallo JC. Comunicación en la atención médica. Programa Nacional de Actualización pediátrica. Sociedad Argentina de Pediatría. Mód 1, cap 2. 2016.
12. Duffy FD, Gordon GH, Whelan G, Cole-Kelly K, Frankel R, Buffone N, Lofton S, Wallace M, Goode L, Langdon L; Participants in the American Academy on Physician and Patient's Conference on Education and Evaluation of Competence in Communication and Interpersonal Skills. Assessing competence in communication and interpersonal skills: the Kalamazoo II report. Acad Med. 2004 Jun;79(6):495-507. doi: 10.1097/00001888-200406000-00002.
13. Gobierno de la Ciudad de Buenos Aires. República Argentina. [Resolución N° 595/MSGC/2014] Requisitos y procedimientos aplicables a proyectos y trabajos de investigación conductuales, socio-antropológicas y epidemiológicas que se efectúen en la Ciudad Autónoma de Buenos Aires. Buenos Aires, Argentina, 2014. Available: https://www.buenosaires.gob.ar/sites/gcaba/files/rs-595--msgc-2014-anexo-epidm_0.pdf
14. Fallowfield L, Jenkins V, Farewell V, Saul J, Duffy A, Eves R. Efficacy of a Cancer Research UK communication skills training model for oncologists: a randomised controlled trial. Lancet. 2002 Feb 23;359(9307):650-6. doi: 10.1016/S0140-6736(02)07810-8.
15. Díaz Reina R. Habilidades comunicativas en la entrevista clínica de médicos residentes de oncología del IREN Norte, Trujillo, Universidad Privada Antenor Orrego, 2016.
16. Salazar-Blanco O., Casasbuenas-Duarte L., Idárragas-Arenas C., Marcela-Vélez C. Valoración de las habilidades comunicativas en la entrevista clínica de estudiantes de último año de medicina de la universidad de Antioquia, por medio de la escala CICAA, FEM 2014; 17 (4): 293-248.
17. Apker J, Baker M, Shank S, Hatten K, VanSweden S. Optimizing Hospitalist-Patient Communication: An Observation Study of Medical Encounter Quality. Jt Comm J Qual Patient Saf. 2018 Apr;44(4):196-203. doi: 10.1016/j.jcjq.2017.08.011.
18. Roger Ruiz Moral. Comunicación clínica, principios y habilidades para la práctica. Madrid: Médica Panamericana, D.L. 2014.p. 75-96.
19. Coleman T. Using video-recorded consultations for research in primary care: advantages and limitations. Fam Pract. 2000 Oct;17(5):422-7. doi: 10.1093/fampra/17.5.422.
20. Peralta Munguia L. La participación del paciente en la toma de decisiones en la consulta de atención primaria. Facultad de Medicina Departamento de Medicina y Psiquiatría, Santander. Universidad de Cantabria. España. 2010. Available: http://hdl.handle.net/10902/1539
21. Laidlaw TS, Kaufman DM, MacLeod H, van Zanten S, Simpson D, Wrixon W. Relationship of resident characteristics, attitudes, prior training and clinical knowledge to communication skills performance. Med Educ. 2006 Jan;40(1):18-25. doi: 10.1111/j.1365-2929.2005.02345.x.
Downloads
Published
Issue
Section
License
Copyright (c) 2021 Universidad Nacional de Córdoba
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
The generation of derivative works is allowed as long as it is not done for commercial purposes. The original work may not be used for commercial purposes.