Behavioral observation has become a fundamental component of medical practice and a primary source of clinical research data. The use of video technology in nurse-patient interaction research offers important advantages to scientists in unraveling complex behavior patterns and finding relationships between behaviors, nutrition, effectiveness of interventions, and more.
Topics: The Observer XT, doctor patient interaction, medical encounter, coding schemes, media recorder, healthcare, Viso, coding behavior, healthcare education, medical simulation, health effects, nursing science
Many professions, such as counselors, medical staff, and others, require you to have developed the necessary practical skills prior to starting the actual job. In educational or clinical psychology, for example, it is important to be able to observe interactions in a systematic way in order to be able to assess behavior. These skills are defined as core competencies for practitioner’s psychologist training.
Delaware Valley University - Counseling Psychology Master’s Program
It shouldn’t, but it does.
Although men and women are equally at risk for sudden cardiac arrest, studies have found that women are less likely to be resuscitated – by both bystanders and medically-trained personnel. Chelsea Kramer and her colleagues discovered that in the experiment they set up, when faced with either a male or female patient simulator, both men and women rescuers appeared reluctant to remove a female patient simulator’s clothing, with men being significantly more hesitant to do so. However, the hand placement for CPR on the female was more ideal compared to on the male simulated patient.
Embracing the technological advances of the last decade, many health care professionals have incorporated information technology into their daily routines. Doctors can carry patient files around on their tablets or laptops and can quickly update a status when needed. Convenience has without a doubt increased, but does such easy access to technology impact the quality of doctor-patient interactions?
The use of video feedback is well established and encouraged in the world of health care education and research. Clinical encounters, behavioral protocols, and doctor-patient interactions can be evaluated. Video recording also enables the assessment of communication in great detail.
Evelien Spelten and colleagues set forth to gain insight into the midwife-client interaction in relation to the quality of care provided by midwives. Focusing on the first antenatal consultation, their study describes the introduction of video recording in midwifery practices for research purposes, the coding process, and the resulting dataset.
The importance of dealing with emotions in medical encounters
Unfortunately, sometimes doctors have to give bad news to their patients. Communication studies have shown that breaking bad news is best be done immediately and with clear wording. What is the best step forward? From previous research, we know that hearing bad news evokes physiological arousal. In an aroused condition, it can be hard to stay focused. The information density of a medical encounter can be quite overwhelming. Since doctors explain treatment options and implications in a medical encounter, it is important that the patient recalls the information given to be able to take a well-founded decision. In a recent study, researchers gave the following advice: Clinicians should deal with patients’ emotions before providing additional medical information (Sep et al., 2014).
Milou Sep and colleagues explain how behavioral research techniques can help us understand and improve doctor-patient interaction. According to Sep and colleagues, a doctor can influence the information recall by using affective communication. When reassuring the patient and focusing on continued support, the doctor can help decrease evoked physiological arousal. Decreased physiological arousal then improves the level of information recall.
Does reassuring help a child to settle down and be comforted?
In order to help health professionals and parents manage child distress more effectively, researchers started observations of interactions in healthcare. They were not observing simulated events, but real interactions in a community setting. In medical encounters, both the parents and the health professionals can play an important role in handling the stress level of children. Yuefang Zhou and Gerry Michael Humphris from the University of St Andrews, Scotland (2013) investigated the relationship between reassurance by dental staff and distress behavior of children receiving preventive procedures. Since this study concerned a preventive procedure where no pain was involved, this study aims to shed light on these specific interventions in healthcare. The researchers selected children aged 3 to 5 years and measured the level of anxiety to determine a base level. The knowledge gained from this study could be used to design more effective interventions for the improvement of child behavioral distress associated with mildly invasive clinical procedures.
Colleagues from many different universities study communication in healthcare to empower themselves in this process. Every day, new training programs find their way to hospitals and clinics in order to help professionals. From medical encounters between patient and radiation oncologists to nurse-patient interaction between direct-care staff and Korean Americans in nursing or senior living homes, all of these professionals need to be able to convey their message efficiently and effectively in order to practice their profession.
Comparing real cases with simulated cases in healthcare communication
Effective teamwork is important in many occupations but it is crucial when working under the pressure of time in a crisis situation. Most of us can only imagine how stressful it could be when working as a fire fighter, squad team member, or operating room nurse. Understandably, researchers dive into these teamwork processes to see how effective and efficient they are and how they could be improved. In these cases, one minor change in the procedure could influence the stress level and the efficiency in teamwork and thus, the outcome of a crisis situation.
Efficient and effective communication is necessary in doctor-patient as well as nurse-patient consultations. When listening to a patient, the professional uses the information given to organize care, diagnostics, or treatment, and utilizes skills which are crucial in these professional conversations, such as summarization as a check on correct interpretation.