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"Professional communication"
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Patient–Professional and Interprofessional Communication Barriers in Cancer‐Related Fatigue Management: A Monocentric Focus‐Group Study Among Multidisciplinary Healthcare Professionals
Background: Unfavorable patient–professional and interprofessional communication have been identified as barriers to guideline‐oriented, effective care of cancer‐related fatigue (CRF). Objectives: To illuminate these interactional challenges, this study aimed to explore the perceptions of healthcare professionals (HCPs) regarding (a) handling patients with CRF, (b) challenges in patients’ everyday life, and (c) suggestions to improve CRF management. Methods: Two focus groups were recruited at the University Hospital Würzburg, Germany. Participants were HCPs working with cancer patients in the fields of medicine ( n = 4), nursing ( n = 3), and psycho‐oncology ( n = 4). Data were subjected to qualitative content analysis. Results: A circular model was generated, illustrating the potential interaction between HCPs and patients with CRF from the HCP perspective. Concerns of HCPs, such as low self‐efficacy in counseling on CRF and feelings of inadequacy through lack of feedback, interplay with patients’ suffering, resulting frustration, and pressure of expectation among others. This complicates empathic exchange, which HCPs actually highlight to meet patients’ needs and realize effective CRF management. To improve CRF management, HCPs suggested implementing standardized operating procedures to clarify responsibilities and to promote interprofessional collaboration in CRF care. Further, they expressed the need for professional training on CRF and on how to communicate with patients in this respect. Additionally, HCPs pointed out the necessity of cultivating reflective practice as HCPs to enhance empathy toward patients presenting CRF. Conclusions: The interprofessional focus‐group discussions improved our understanding of the challenges HCPs may perceive in managing CRF, outlined tasks on the institutional level to be addressed in the future, and provided suggestions for immediate adjustments on the individual level. Trial Registration: ClinicalTrials.gov identifier: NCT04921644
Journal Article
Enhancing Medical Students' Communicative Skills in a 3D Virtual World
This study explores the effects of how collaborating in a virtual world (VW) enhanced learners' healthcare professional-patient communicative skills, including physician-patient and inter-professional communication in medical discourse. Through a quasi-experimental design case study, 47 Taiwanese Freshman English students from a College of Medicine participated in this study for 3 weeks. Research data included video analysis of students' role-play creations in two different media (on the stage versus VW program), transcripts of learners' role-plays, and questionnaire results of students' perceptions of role-playing. The results include (1) rich description of the scenarios and plots created by students in the VW group, (2) VW group learners' better performance in using effective communicative skills when role-playing via the VW, including building rapport with the patients and colleagues and showing empathy and understanding toward patients; and (3) VW group learners' higher evaluation of how the role-play helped their English language skills, healthcare professional-patient communication and learning in general. The study concludes by discussing the theoretical and pedagogical implications of the results.
Journal Article
Transforming teamwork : cultivating collaborative cultures
\"Written by 3 outstanding experts in the field of education and teamwork, this book envisions three integral strands that bind synchronistic collaborative interactions into a transformative way of working--a triple helix that supports all teamwork. The focus is on how safety in relationships opens up diverse perspectives and new understandings. The authors describe how teams can foster transparent communications and greater collective intelligence from constructive conflict. And finally, the purpose for all teamwork is to build coherence around actionable learning that extends and refines knowledge. The type of knowledge worthy to be passed on to others--hence knowledge legacies. Recently there has been a resurgence of interest supporting a variety of collaborative structures to improve student learning by using data teams, professional learning communities, distributed leadership, and collaborative inquiry. This book on collaboration is different from others in that instead of expecting a facilitator to be responsible for group success these authors posit that it is the individual group members who are critical for successful collaboration. Teamwork isn't always productive. In some cases, collaboration can lead to group members feeling anxious, vulnerable, and distrustful of others. In work cultures where people do not pay attention to the quality of the relationships dysfunction sets in and limits trust, destroys open communication, and significantly reduces collective learning. These types of communication patterns often lead to a sense of futility, disappointment, and low morale\" -- Provided by publisher.
Book
The Autonomy Paradox: The Implications of Mobile Email Devices for Knowledge Professionals
Our research examines how knowledge professionals use mobile email devices to get their work done and the implications of such use for their autonomy to control the location, timing, and performance of work. We found that knowledge professionals using mobile email devices to manage their communication were enacting a norm of continual connectivity and accessibility that produced a number of contradictory outcomes. Although individual use of mobile email devices offered these professionals flexibility, peace of mind, and control over interactions in the short term, it also intensified collective expectations of their availability, escalating their engagement and thus reducing their ability to disconnect from work. Choosing to use their mobile email devices to work anywhere/anytime—actions they framed as evidence of their personal autonomy—the professionals were ending up using it everywhere/all the time, thus diminishing their autonomy in practice. This
autonomy paradox
reflected professionals’ ongoing navigation of the tension between their interests in personal autonomy on the one hand and their professional commitment to colleagues and clients on the other. We further found that this dynamic has important unintended consequences—reaffirming and challenging workers’ sense of themselves as autonomous and responsible professionals while also collectively shifting the norms of how work is and should be performed in the contemporary workplace.
Journal Article
Evaluating the Effectiveness of an Additional Risk Minimization Measure to Reduce the Risk of Prescribing Mirabegron to Patients with Severe Uncontrolled Hypertension in Four European Countries
Mirabegron, indicated for the treatment of overactive bladder, is contraindicated in patients with severe uncontrolled hypertension (systolic blood pressure ≥180 mm Hg and/or diastolic blood pressure ≥110 mm Hg). In September 2015, a Direct Healthcare Professional Communication (DHPC) letter was disseminated as an additional risk minimisation measure.
To assess the effectiveness of the DHPC in reducing the proportions of patients with severe or non-severe uncontrolled hypertension at mirabegron initiation.
An observational multi-database cohort study was undertaken using routinely collected healthcare data (December 2012-December 2016) from the PHARMO Database Network (Netherlands), SIDIAP database (Spain), CPRD (United Kingdom, UK) and national healthcare registers and electronic medical records from Finland. DHPC effectiveness was evaluated using interrupted time series analyses comparing trends and changes in monthly proportions of severe or non-severe uncontrolled hypertensive mirabegron initiations relative to the timing of the DHPC dissemination.
The study population comprised 52,078 patients. Prior to DHPC dissemination, across the four databases, 0.3-1.3% had severe uncontrolled hypertension. Estimated absolute changes (EAC) in proportions of severe uncontrolled hypertension post-DHPC indicated a tendency towards a lower proportion in the Netherlands (EAC -0.36%,
=0.053), unchanged proportions in Spain and the UK and a higher proportion in Finland (EAC +0.73%,
=0.016). For non-severe uncontrolled hypertension (13-16% pre-DHPC), post-DHPC proportions tended to be lower in the Netherlands (EAC -2.02%,
=0.038) and Spain (EAC -1.04%,
=0.071), and unchanged in the UK and Finland.
Severe uncontrolled hypertension prior to mirabegron initiation was uncommon in these four European countries even before DHPC dissemination. This suggests that other risk minimisation communications (prior to the DHPC dissemination) had worked adequately with respect to minimising mirabegron use among patients with severe uncontrolled hypertension. No strong and consistent evidence of further risk minimisation after the DHPC dissemination was observed in this study.
Journal Article
C.R.A.F.T. conversations for teacher growth : how to build bridges and cultivate expertise
\"This engaging guide explains how administrators can elevate their conversations with teachers to enhance professional relationships, strengthen leadership and teaching, and improve student learning\"-- Provided by publisher.
Book
Factors associated with assertiveness among Japanese community pharmacists: a cross-sectional study
Background
Community pharmacists play a crucial role in promoting medication safety within the community healthcare team. Effective communication by community pharmacists with other health professionals is essential to facilitate the sharing of patient healthcare information. In the context of information sharing between physicians and community pharmacists, assertive self-expression (defined as ‘a style of openly expressing one's needs and feelings while respecting others’) is beneficial. The aim of this study is to identify factors associated with assertive self-expression among community pharmacists.
Methods
A cross-sectional study was conducted by surveying 3,446 Japanese community pharmacists working at pharmacies across 10 prefectures. Participants were invited to complete a survey form by email and assessed for assertive self-expression using the Interprofessional Assertiveness Scale. Characteristics of participants and pharmacies were compared using univariate analysis. A generalized linear model was used to explore the factors associated with assertive self-expression.
Results
A total of 961 responses by community pharmacists were included in the analysis. Univariate analysis identified significant differences in assertive self-expression scores based on age, employment status, education, years of working experience as a pharmacist, pharmacist home visit service, and participation in joint regional workshops or conferences. After adjustment, participation in joint regional workshops or conferences was significantly associated with assertive self-expression (odds ratio, 1.037; 95% confidence interval, 1.005–1.070;
p
= 0.023).
Conclusions
This study showed that assertive self-expression among community pharmacists was associated with participation in joint regional workshops and conferences. Further research is needed to examine whether enhancing assertive self-expression facilitates pharmacists' interprofessional communication skills and improves medication safety.
Journal Article