A systematic review of skills and techniques to improve patient-physician feedback

Authors

DOI:

https://doi.org/10.35622/j.ram.2022.04.001

Keywords:

feedback; physician; patient; systematic review.

Abstract

Currently, medical personnel require a wider range of skills to foster understanding and strengthen autonomy during their consultations. Innovative methods should be taught to enhance communication skills between physicians and patients, in order to enable them to jointly make decisions under certain circumstances. Therefore, the aim of the present work is to identify by means of a systematic review different techniques and communication skills for doctor-patient interpersonal improvement. A systematic review was carried out using the Scielo, Web of Science, PsycINFO and Scopus databases, and after applying the inclusion and exclusion criteria, nine articles were left for review. The results reveal certain techniques and skills for improving interpersonal communication between doctor-patient. In conclusion, it is relevant to train medical staff in communication skills. In this way, they could learn to recognize the patient's emotions and needs and favor reflection, which will be used for diagnostic purposes and improvement of treatment results.

Author Biographies

  • José-Gabriel Soriano-Sánchez, University of La Rioja

    Doctorando en Educación y Psicología en la Universidad de La Rioja (España). Máster Universitario en Intervención en Convivencia Escolar por la Universidad de Almería (España) y Máster en Dirección y Transformación digital de Centros Docentes por la Universidad de Nebrija (España). Ha publicado diferentes artículos en revistas científicas de impacto: MDPI, Anales de Psicología, entre otras. Además, ha participado en Proyectos de Investigación por la Universidad de Almería.

  • David Jiménez-Vázquez, University of Jaén

    Investigador en Universidad de Jaén (España), departamento de Psicología. Titulado en Grado de Psicología en la Universidad de Sevilla (España). Máster Universitario en Psicología General Sanitaria (Universidad de Sevilla, España) y Máster en Psicogerontología en la Universidad Complutense de Madrid (España). Cuenta con estudios publicados en Ciencias de la Educación y Psicología.

References

Catani RR, Valadares EDS, Lacombe JB, Mendonça TM da S, Silva CHM da, Paro HBM da S. Cross-cultural adaptation of the Four Habits Coding Scheme (4HCS) for teaching and assessing patient-centered communication skills in Brazil. Cad Saude Publica [Internet]. 2018;34(11):e00013918. Disponible en: http://dx.doi.org/10.1590/0102-311X00013918

Vasilyeva E, Northern State Medical University, Tomilova M, Arkhangelsk, Russia, Northern State Medical University; Arkhangelsk, Russia. Assessment of communicative competence of resident doctors. Educ Self Dev [Internet]. 2019;14(4):81-90. Disponible en: http://dx.doi.org/10.26907/esd14.4.08

Hartley BR, Elowitz E. Barriers to the enhancement of effective communication in neurosurgery. World Neurosurg [Internet]. 2020;133:466-73. Disponible en: http://dx.doi.org/10.1016/j.wneu.2019.08.133

Noordman J, Post B, van Dartel AAM, Slits JMA, Olde Hartman TC. Training residents in patient-centred communication and empathy: evaluation from patients, observers and residents. BMC Med Educ [Internet]. 2019;19(1):128. Disponible en: http://dx.doi.org/10.1186/s12909-019-1555-5

Silvera L, De Palleja MP, Álvarez C. How to tell bad news in anesthesiology. Rev Chil de Anest [Internet]. 2019; 48(5): 395-401. Disponible en: https://doi.org/10.25237/revchileanestv48n05.03

Kaper MS, Reijneveld SA, van Es FD, de Zeeuw J, Almansa J, Koot JAR, et al. Effectiveness of a comprehensive health literacy consultation skills training for undergraduate medical students: A randomized controlled trial. Int J Environ Res Public Health [Internet]. 2019;17(1):81. Disponible en: http://dx.doi.org/10.3390/ijerph17010081

Martín I, Trujillo C. Comunicación de malas noticias a pacientes con enfermedades neurodegenerativas: habilidades del personal médico. Rev Latinoam Bioet [Internet]. 2009; 9(2): 76-85. Disponible en: https://doi.org/10.18359/rlbi.1061

Patell R, Gutierrez A, Lee N, Neuendorf K. Practicing communication skills for responding to emotionally charged questions. J Palliat Care [Internet]. 2018;33(4):209-14. Disponible en: http://dx.doi.org/10.1177/0825859718777319

Bragard I, Libert Y, Etienne A-M, Merckaert I, Delvaux N, Marchal S, et al. Insight on variables leading to burnout in cancer physicians. J Cancer Educ [Internet]. 2010;25(1):109–15. Disponible en: http://dx.doi.org/10.1007/s13187-009-0026-9

Drummond D. Physician burnout: Its origin, symptoms, and five main causes. Fam Pract Manag. 2015;22(5):42-7.

Zanini C, Sarzi-Puttini P, Atzeni F, Di Franco M, Rubinelli S. Building bridges between doctors and patients: the design and pilot evaluation of a training session in argumentation for chronic pain experts. BMC Med Educ [Internet]. 2015;15(1):89. Disponible en: http://dx.doi.org/10.1186/s12909-015-0374-6

Lino CA, Augusto KL, Oliveira RAS de, Feitosa LB, Caprara A. Uso do protocolo Spikes no ensino de habilidades em transmissão de más notícias. Rev Bras Educ Med [Internet]. 2011;35(1):52-7. Disponible en: http://dx.doi.org/10.1590/s0100-55022011000100008

Ferreira da Silveira FJ, Botelho CC, Valadão CC. Breaking bad news: doctors’ skills in communicating with patients. Sao Paulo Med J [Internet]. 2017;135(4):323-31. Disponible en: http://dx.doi.org/10.1590/1516-3180.20160221270117

Weiland A, Blankenstein AH, Van Saase JLCM, Van der Molen HT, Jacobs ME, Abels DC, et al. Training medical specialists to communicate better with patients with medically unexplained physical symptoms (MUPS). A randomized, controlled trial. PLoS One [Internet]. 2015;10(9):e0138342. Disponible en: http://dx.doi.org/10.1371/journal.pone.0138342

Mahmoudian A, Zamani A, Tavakoli N, Farajzadegan Z, Fathollahi-Dehkordi F. Medication adherence in patients with hypertension: Does satisfaction with doctor-patient relationship work? J Res Med Sci [Internet]. 2017;22(1):48. Disponible en: http://dx.doi.org/10.4103/jrms.JRMS_205_16

Price-Haywood EG, Harden-Barrios J, Cooper LA. Comparative effectiveness of audit-feedback versus additional physician communication training to improve cancer screening for patients with limited health literacy. J Gen Intern Med [Internet]. 2014;29(8):1113-21. Disponible en: http://dx.doi.org/10.1007/s11606-014-2782-4

Nestel, D. Evaluation of a communication skills course: cultural relevance of the patient-centred interview in a Hong Kong Chinese setting. Med Teach, [Internet]. 2001; 23(2):212-14. Disponible en: http://dx.doi.org/10.1080/01421590020031147

Soriano-Sánchez J, Jiménez-Vázquez D. Importancia de la innovación docente como proceso y gestión en el ámbito de Ciencias de la Salud: una revisión sistemática. Rev Gestionar [Internet]. 2022;2(4):73-85. Disponible en: http://dx.doi.org/10.35622/j.rg.2022.04.006

Soriano-Sánchez J, Jiménez-Vázquez D. Predictores del consumo de alcohol en adolescentes: una revisión sistemática de estudios transversales. Rev estudios psicol [Internet]. 2022;2(4):73-86. Disponible en: http://dx.doi.org/10.35622/j.rep.2022.04.006

Soriano-Sánchez J, Jiménez-Vázquez D. Una revisión sistemática de la utilización de las TIC e inteligencia emocional sobre la motivación y el rendimiento académico. Technol innov j [Internet] 2022;1(3):7-27. Disponible en: https://doi.org/10.35622/j.ti.2022.03.001

Li N, Pyrkova KV, Ryabova TV. Teaching communication skills and decision-making to university students. Eurasia j math sci technol educ [Internet]. 2017;13(8):4715-23. Disponible en: http://dx.doi.org/10.12973/eurasia.2017.00950a

Peddle M, Bearman M, Nestel D. Virtual patients and nontechnical skills in undergraduate health professional education: An integrative review. Clin Simul Nurs [Internet]. 2016;12(9):400-10. Disponible en: http://dx.doi.org/10.1016/j.ecns.2016.04.004

Drdla S, Löffler-Stastka H. Influence of conversation technique seminars on the doctoral therapeutic attitude in doctor-patient communication. Wien Klin Wochenschr [Internet]. 2016;128(15–16):555-9. Disponible en: http://dx.doi.org/10.1007/s00508-016-1023-8

Koponen J, Pyörälä E, Isotalus P. Communication skills for medical students: Results from three experiential methods. Simul Gaming [Internet]. 2014;45(2):235-54. Disponible en: http://dx.doi.org/10.1177/1046878114538915

Bai S, Wu B, Yao Z, Zhu X, Jiang Y, Chang Q, et al. Effectiveness of a modified doctor-patient communication training Programme designed for surgical residents in China: a prospective, large-volume study at a single Centre. BMC Med Educ [Internet]. 2019;19(1):338. Disponible en: http://dx.doi.org/10.1186/s12909-019-1776-7

Henselmans I, van Laarhoven HWM, van Maarschalkerweerd P, de Haes HCJM, Dijkgraaf MGW, Sommeijer DW, et al. Effect of a skills training for oncologists and a patient communication aid on shared decision making about palliative systemic treatment: A randomized clinical trial. Oncologist [Internet]. 2020;25(3):e578-88. Disponible en: http://dx.doi.org/10.1634/theoncologist.2019-0453

Bhagat PR, Prajapati KM, Bhatt RB, Prajapati VK, Dureja R, Tank GP. Development and introduction of a communication skills module for postgraduate students of ophthalmology. Indian J Ophthalmol [Internet]. 2019;67(11):1810-5. Disponible en: http://dx.doi.org/10.4103/ijo.IJO_366_19

Al-Kindi N, Al-Waili S, Jaju S, Al Mahrezi AM. Patients’ perceptions of communication and clinical skills of primary healthcare physicians in Oman. Sultan Qaboos Univ Med J [Internet]. 2019;19(2):e148-52. Disponible en: http://dx.doi.org/10.18295/squmj.2019.19.02.011

Sandell R, Carlsson J, Schubert J, Broberg J, Lazar A, Grant, J. Therapist attitudes and patient outcome: development and validation of the therapeutic attitudes’ scales (TASC-2). Psycho Res, [Internet]. 2004;14(4), 469-484.

Al-Mohameed, A. A., Sharaf, F. K. (2013). Breaking bad news issues: a survey among physicians. OMJ, [Internet]. 2013;28(1), 20-25. Disponible en: https://doi.org/10.5001/omj.2013.05

Rees C, Sheard C, Davies S. The development of a scale to measure medical students’ attitudes towards communication skills learning: the Communication Skills Attitude Scale (CSAS): Communication Skills Attitude Scale. Med Educ [Internet]. 2002;36(2):141–7. Disponible en: http://dx.doi.org/10.1046/j.13652923.2002.01072.x

Soriano-Sánchez JG. Factores psicológicos y consecuencias del Síndrome Fear of Missing Out: Una Revisión Sistemática. Rev Psicol Educ - J Psychol Educ [Internet]. 2022;17(1):69. Disponible en: http://dx.doi.org/10.23923/rpye2022.01.217

Soriano-Sánchez J, Jiménez-Vázquez D. Prácticas educativas innovadoras en la educación superior: una revisión sistemática. Rev Innova Educ [Internet]. 2022;5(1):23-37. Disponible en: http://dx.doi.org/10.35622/j.rie.2023.05.002

Published

2022-09-07

Issue

Section

Artículos de revisión

How to Cite

Soriano-Sánchez, J.-G., & Jiménez-Vázquez, D. (2022). A systematic review of skills and techniques to improve patient-physician feedback. Revista Acciones Médicas, 1(4), 7-21. https://doi.org/10.35622/j.ram.2022.04.001

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