Abstract：
OBJECTIVES:To examine how medical students notice issues in a vignette and construct their meaning, and how this construction influences their plan to communicate with the patient. METHODS:Following a breaking bad news course for 112 senior medical students, we qualitatively analyzed the participants' written descriptions of the issues they noticed as requiring special attention, using an Immersion/Crystallization iterative consensus process. RESULTS:Different students noticed different issues, but no-one noticed all 19 planted issues (Mean of issues noticed by students = 6.77; SD = 2.29). The students wrote about the issues in 46 different ways, representing the diverse meanings they ascribed, ranging from identifying, through inferring, to interpreting while jumping to conclusions. Moreover, for some issues, some students focused on the patient whereas others focused on the physician or the physician-patient relationship. Noticing issues led to preparing for communication with the patient. CONCLUSIONS:Noticing the issues and the subsequent meaning-making process facilitated the preparation to address them in the envisioned encounter. PRACTICE IMPLICATIONS:When teaching communication skills, it would be helpful to focus on increasing students' awareness of the issues they notice or fail to notice and their personal meaning-making process. This might reduce bias and enhance their preparation for effective patient-centered communication.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Karnieli-Miller O,Michael K,Eidelman S,Meitar Ddoi
10.1016/j.pec.2018.04.004subject
Has Abstractpub_date
2018-09-01 00:00:00pages
1645-1653issue
9eissn
0738-3991issn
1873-5134pii
S0738-3991(18)30161-7journal_volume
101pub_type
杂志文章abstract：OBJECTIVE:To assess patients' preferences and trade-offs for mode of delivery in case of breech presentation at term. METHODS:Eighty women (40 with a foetus in breech presentation and 40 with a foetus in cephalic presentation) with a gestational age from 36 weeks onwards were offered scenarios of vaginal and caesarean...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2008.04.008
更新日期：2008-08-01 00:00:00
abstract：:The present prospective study aimed at (1) investigating the frequency of high levels of psychological distress in women with early-stage breast cancer almost two years after diagnosis and (2) identifying characteristics associated with long-term distress. One hundred and seventy women participated on two occasions. T...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(99)00085-3
更新日期：2000-06-01 00:00:00
abstract：OBJECTIVE:Most women diagnosed with unilateral breast cancer without BRCA1 or BRCA2 mutations are at low risk of contralateral breast cancer. Contralateral Prophylactic Mastectomy (CPM) decreases the relative risk of contralateral breast cancer, but may not increase life expectancy; yet international uptake is increasi...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2015.11.012
更新日期：2016-05-01 00:00:00
abstract：:Patients with diabetes are ultimately responsible for their disease management, but many patients with diabetes do not have the necessary knowledge or skill. Recently developed National Standards for diabetes care include patient education. A nonprobability, convenience sample of 50 patients and 50 staff nurses was se...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/0738-3991(90)90074-u
更新日期：1990-12-01 00:00:00
abstract：OBJECTIVE:To investigate the processes of change, demographic, health- and smoking-related predictors of both smoking cessation and smoking reduction in adolescents. METHODS:Data were drawn from a sample of 755 adolescent smokers who participated in a study testing the efficacy of a text messaging-based intervention f...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2014.03.004
更新日期：2014-06-01 00:00:00
abstract：OBJECTIVE:To examine whether patient characteristics are associated with communication patterns between oncologists and breast cancer patients. METHODS:The study was conducted at 14 practices with 58 oncologists with 405 newly diagnosed patients with no prior history of breast cancer. The initial consultation between ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2006.06.011
更新日期：2006-09-01 00:00:00
abstract：OBJECTIVE:With increased recognition of the importance of sound communication skills and communication skills education, reliable assessment tools are essential. This study reports on the psychometric properties of an assessment tool based on the Kalamazoo Consensus Statement Essential Elements Communication Checklist....
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2014.07.013
更新日期：2014-09-01 00:00:00
abstract：:Responding to concerns articulated by Canadian women living with breast cancer and their families, the federal government has provided $2.7 million over five years to establish five regional information exchange pilot projects. Women experience considerable variation in access to information reflecting different resou...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/0738-3991(96)00898-1
更新日期：1996-07-01 00:00:00
abstract：OBJECTIVES:Massachusetts (MA) public schools conduct mandated body-mass index (BMI) screening and until recently, communicated results in a letter to parents/caregivers, to encourage primary care visits and provide aggregate data to the state Department of Public Health. This study assessed the letter's readability and...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2013.10.016
更新日期：2014-02-01 00:00:00
abstract：:It is important that congestive heart failure (CHF) patients know how to monitor and manage disease-associated signs and symptoms. CHF patients were randomised to follow-up at a nurse-based outpatient clinic (intervention group (IG); n = 103), or to follow-up in primary healthcare (control group (CG); n = 105). Patien...
journal_title：Patient education and counseling
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/j.pec.2004.08.005
更新日期：2005-08-01 00:00:00
abstract：OBJECTIVE:To assess the feasibility and outcome of measuring the theory of planned behaviour (TPB) in patients receiving routine counselling versus counselling with a decision aid (DA) during primary care consultation on cardiovascular risk prevention. METHODS:A DA was developed, based on models of shared decision-mak...
journal_title：Patient education and counseling
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.pec.2009.06.010
更新日期：2010-02-01 00:00:00
abstract：OBJECTIVE:This study applied an extended theory of planned behavior (E-TPB) model to investigate factors that contribute to the intention to use psychological cybercounseling in a Chinese sample. The moderating effects of intergenerational differences on relationships of E-TPB variables were also tested. METHODS:A tot...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2020.02.035
更新日期：2020-08-01 00:00:00
abstract：:Randomised evaluations of resources to facilitate informed decisions about prostate cancer screening are rarely conducted. In this study, 421 men recruited from the community were randomly allocated to receive a leaflet (n = 140) or one of two resources meeting criteria for a decision-aid: a video (n = 141) or an evid...
journal_title：Patient education and counseling
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/j.pec.2004.05.011
更新日期：2005-05-01 00:00:00
abstract：OBJECTIVE:To experimentally test whether presenting logically equivalent, but differently valenced effectiveness information (i.e. attribute framing) affects perceived effectiveness of the human papillomavirus (HPV) vaccine, vaccine-related intentions and policy opinions. METHODS:A survey-based experiment (N=334) was ...
journal_title：Patient education and counseling
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.pec.2010.08.014
更新日期：2010-12-01 00:00:00
abstract：OBJECTIVE:Our objective was to evaluate the utility of an educational program consisting of a workshop based on the Take the HEAT communication strategy, designed specifically for addressing patients who are angry, using a novel tool to evaluate residents' skills in employing this method. METHODS:33 first-year pediatr...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2016.12.012
更新日期：2017-06-01 00:00:00
abstract：OBJECTIVE:To explore contexts of experiences of physical activity perceived as beneficial or harmful for CFS patients. METHODS:A qualitative study with empirical data from two focus groups with purposive sampling. Mean age was 50, two of ten participants were male, and social demographics varied. Participants were inv...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2010.05.027
更新日期：2011-05-01 00:00:00
abstract：OBJECTIVE:Emotions, are in part conveyed by varying levels of fundamental frequency of voice pitch (f0). This study tests the hypothesis that patients display heightened levels of emotional arousal (f0) during Verona Coding Definitions of Emotional Sequences (VR-CoDES) cues and concerns versus during neutral statements...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2016.08.003
更新日期：2016-12-01 00:00:00
abstract：OBJECTIVE:To evaluate a web-based self-management training for health professionals. Patients spend 99% of their time outside the healthcare system. Thus self-management support from health professionals is central to optimal care. Our objective was to teach health professionals the skills to provide this support. MET...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2012.09.003
更新日期：2013-01-01 00:00:00
abstract：OBJECTIVE:To explore general practitioners (GPs') beliefs about the causes and solutions to obesity, to compare them to those held by a lay sample and to assess the role of beliefs about causes in explaining beliefs about solutions. METHODS:Questionnaires regarding the causes and solutions to obesity were completed by...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2007.11.022
更新日期：2008-04-01 00:00:00
abstract：OBJECTIVE:Our aim was to develop a measurement which enables research into the interdependent nature of clinical encounters. The prime objective was to develop an instrument capable of assessing the extent to which patients have been involved in (shared) decision making from two viewpoints-that of the patient and the c...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2009.07.009
更新日期：2010-02-01 00:00:00
abstract：:This study adopted a qualitative approach to explore patients' views on the usefulness of a decision analytic decision aid (DA). Semi-structured interviews were conducted with 15 newly diagnosed hypertensive patients who had been recruited for a factorial randomised controlled trial of two decision aids. Issues invest...
journal_title：Patient education and counseling
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/S0738-3991(03)00148-4
更新日期：2004-05-01 00:00:00
abstract：:Although significant others (spouses, relatives and friends) of cancer patients play an important role in providing support and assistance to the patient, their need for information regarding the disease is frequently overlooked by the health care system. This analysis examines information needs of (1) diagnosed cance...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/0738-3991(90)90060-x
更新日期：1990-04-01 00:00:00
abstract：OBJECTIVE:Contemporary clinical communication teaching and research reflect the axiomatic importance of building a clinical relationship and of empowering patients as partners. The apparent moral unassailability of these principles has inhibited their scientific scrutiny. By questioning this current hegemony in communi...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2005.05.018
更新日期：2005-09-01 00:00:00
abstract：OBJECTIVE:To determine the association between self-efficacy and health-related quality of life (HRQoL) in people with Chronic Obstructive Pulmonary Disease (COPD) and the moderating effect of self-efficacy type (exercise task, exercise barrier, COPD symptom, general) and HRQoL type (generic, COPD specific). METHODS:D...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2019.12.003
更新日期：2020-04-01 00:00:00
abstract：OBJECTIVE:The purpose of this study was to gain a greater understanding of the potential mechanisms of life coaching in relation to young people with Type 1 diabetes (T1DM); including how it influences their motivation and their ability to see opportunities and overcome barriers. METHODS:Within the theoretical framewo...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2019.10.010
更新日期：2020-03-01 00:00:00
abstract：OBJECTIVE:Partners have a significant role in a person's ability to adjust to a chronic physical illness, which warrants their inclusion in couples interventions. However to deliver more specific, tailored support it is necessary to explore which types of couples interventions are most effective across certain chronic ...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2017.02.015
更新日期：2017-07-01 00:00:00
abstract：OBJECTIVE:Identifying patient characteristics predicting categories of patient adherence to Chronic Obstructive Pulmonary Disease (COPD) exacerbation action plans. METHODS:Data were obtained from self-treatment intervention groups of two COPD self-management trials. Patients with ≥1 exacerbation and/or ≥1 self-initiat...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2020.06.015
更新日期：2021-01-01 00:00:00
abstract：OBJECTIVE:To investigate the effect of a video intervention, Managing Your Diabetes Medicines, on patient self-efficacy, problems with using medication, and medication adherence in a rural, mostly African American population. METHODS:Patients selected their problem areas in medication use and watched one of nine 2-min...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2016.07.024
更新日期：2017-01-01 00:00:00
abstract：OBJECTIVE:to systematically review all available studies that investigated the longitudinal relationships between the psychological characteristics of children and adolescents suffering from asthma and those of their caregivers, and the onset and course of the asthma. METHODS:relevant studies were identified using Med...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2010.03.011
更新日期：2011-01-01 00:00:00
abstract：:Early hospital discharges, greater reliance on outpatient care, and the growing prevalence of chronic diseases has increased the demands on family members who care for patients at home. Family caregivers need information and training to insure that patients' needs are met and that home care is coordinated with that of...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/0738-3991(95)00790-3
更新日期：1996-01-01 00:00:00
