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The Foundations of Effective Interprofessional and Patient Communication

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Digital Health".

Deadline for manuscript submissions: closed (31 October 2021) | Viewed by 5455

Special Issue Editor


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Guest Editor
Faculty of Medicine, Center for Medical Simulation (CAAHC), Department of Anesthesiology and Pain Medicine, University of Montreal, Montreal, QC H3T 1J4, Canada
Interests: medical simulation; medical education; regional anesthesia; airway management; emotional intelligence; debriefing and feedback
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Special Issue Information

Dear Colleagues,

As healthcare professionals, we spend more than 60% of our daily practice communicating with our colleagues and patients. This communication almost directly conditions the quality of care provided. Breakdown of interprofessional communication can alter the chain of care and its efficiency. Lame communication with the patient can result in their dissatisfaction, incomprehension, and nonadherence to the therapeutic plan. In all cases, suboptimal communication causes patient morbidity. Despite the importance of its quality and the significant amount of time spent in our daily practice communicating, communication continues to be little taught and explored. Thus, a description of the characteristics of good-quality communication and good communicative healthcare professional and research on tools to improve difficult communication would be useful in improving nonconstructive physician–patient partnerships and enhancing the entire healthcare system.

Communication reflects the emotional disposition of a person. A healthcare professional is regularly subjected to emotional overload during his daily practice, which can, indeed, be overwhelming and might saturate their entire cognitive load. The outcome of emotions is directly reflected in the quality of the care offered by a healthcare professional and their communication. One would rightly think that emotional intelligence, which is basically our awareness of the surrounding people’s emotions and control over our own emotions, also conditions the quality of communication.

Finally, many health professionals are also educators and teachers, and the quality of communication for teaching is important. It also affects the quality of learning, the feedback given to students, and the post-crisis debriefing. Thus, a student’s learning is a direct consequence of the quality of their teacher’s communication. With ineffective communication, only an unwanted hidden curriculum might be conveyed, instead of the teacher presenting themselves as a role model. This might result in suboptimal or even harmful learning.

This Special Issue of the International Journal of Environmental Research and Public Health aims to explore the several facets of communication between healthcare professionals and patients and its importance, teaching, and improvement when communication might seem difficult. This issue will also examine how the emotional intelligence of the healthcare professional impact the quality of their communication and provided care.

Assoc. Prof. Dr. Issam Tanoubi
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • communication in healthcare
  • difficult patient
  • difficult communication
  • interprofessional relationships
  • emotional intelligence
  • feedback
  • debriefing

Published Papers (2 papers)

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11 pages, 329 KiB  
Article
A Profile of Novice and Senior Nurses’ Communication Patterns during the Transition to Practice Period: An Application of the Roter Interaction Analysis System
by Li-Fen Chao, Su-Er Guo, Xaviera Xiao, Yueh-Yun Luo and Jeng Wang
Int. J. Environ. Res. Public Health 2021, 18(20), 10688; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph182010688 - 12 Oct 2021
Cited by 2 | Viewed by 2506
Abstract
Novice nurses’ successful transition to practice is impacted by their interactions with senior nurses. Ensuring that novice nurses are adequately supported during their transition to practice has wide-ranging and significant implications. The aim of this study is to explore the communication patterns between [...] Read more.
Novice nurses’ successful transition to practice is impacted by their interactions with senior nurses. Ensuring that novice nurses are adequately supported during their transition to practice has wide-ranging and significant implications. The aim of this study is to explore the communication patterns between novice and senior nurses by applying an interaction analysis technique. Trimonthly onboarding evaluations between novice and senior nurses were recorded. The Roter Interaction Analysis System was adapted and deployed to identify communication patterns. In total, twenty-two interactions were analyzed. Senior nurses spoke more (64.5%). Task-focused exchange was predominant amongst senior (79.7%) and novice (59.5%) nurses. Senior nurses’ talk was concentrated in clusters of information-giving (45%) and advice or instructions (17.2%), while emotional expression (1.4%) and social talk (0.4%) were rare. Novice nurses’ talk was concentrated in clusters-information giving (57%) and positive talk (39.5%). The communication patterns between senior and novice nurses during the onboarding period indicate aspects of novice nurse transition that could be addressed, such as encouraging novice nurses to use these interactions to communicate more, or emphasizing the importance of social talk. These insights can be used to inform mentorship and preceptorship training to ensure that senior nurses are able to adequately support novice nurses through all parts of the transition to practice period. Full article

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7 pages, 293 KiB  
Essay
The Patient, the Physician, or the Relationship: Who or What Is “Difficult”, Exactly? an Approach for Managing Conflicts between Patients and Physicians
by Issam Tanoubi, Llian Cruz-Panesso and Pierre Drolet
Int. J. Environ. Res. Public Health 2021, 18(23), 12517; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph182312517 - 27 Nov 2021
Cited by 2 | Viewed by 2061
Abstract
It is the patient who consults, often at the last minute, the one you sigh over when you see his or her name on your list, the one who makes you feel powerless, and whom you would like to refer to a colleague. [...] Read more.
It is the patient who consults, often at the last minute, the one you sigh over when you see his or her name on your list, the one who makes you feel powerless, and whom you would like to refer to a colleague. Every practicing physician has experienced being involved in a dialog of the deaf, with a patient refusing physicians’ recommendations, in a therapeutic dead end. Faced with such patients, the physician tries to convey scientific evidence to untangle the situation. When it does not work, he looks for other arguments, raises his voice, and avoids looking the patient in the eyes. When he is out of resources, trying to sound professional, he uses a sentence such as “I understand and respect your beliefs, but I am telling you what I learned in medical school!”. At the same time, his non-verbal behavior betrays more than a hint of irritation. Far from being caricatures, such situations generally result in the physician diagnosing or labeling the patient as “difficult.” This label is affixed on more than one patient in ten, and for all sorts of reasons. How, then, do you re-establish a relationship of trust? Or, even better, how do you avoid such labeling? Full article
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