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Predictors of physicians’ communication performance in a decision-making encounter with a simulated advanced-stage cancer patient: A longitudinal study

التفاصيل البيبلوغرافية
العنوان: Predictors of physicians’ communication performance in a decision-making encounter with a simulated advanced-stage cancer patient: A longitudinal study
المؤلفون: Catherine Ménard, Aurore Liénard, Laetitia Van Achte, Christine Farvacques, Christine Reynaert, Jean Klastersky, Isabelle Merckaert, Darius Razavi, Nicole Delvaux, Yves Libert, Jean-Louis Slachmuylder, Jean-François Durieux, Delphine Canivet
المصدر: Patient Education and Counseling. 100:1672-1679
بيانات النشر: Elsevier BV, 2017.
سنة النشر: 2017
مصطلحات موضوعية: Adult, Male, Longitudinal study, media_common.quotation_subject, Decision Making, Empathy, Decisional conflict, Decisional Conflict Scale, Simulated patient, 03 medical and health sciences, 0302 clinical medicine, Neoplasms, Physicians, medicine, business.product_line, Humans, 030212 general & internal medicine, Aged, media_common, business.industry, Communication, Advanced stage, Uncertainty, Cancer, General Medicine, Middle Aged, medicine.disease, Communication skills training, Patient Simulation, Affect, 030220 oncology & carcinogenesis, Female, business, Clinical psychology
الوصف: Physicians' characteristics that influence their communication performance (CP) in decision-making encounters have been rarely studied. In this longitudinal study, predictors of physicians' CP were investigated with a simulated advanced-stage cancer patient.Physicians (n=85) performed a decision-making encounter with a simulated patient (SP). Their CP was calculated by analyzing encounter transcripts with validated interaction analysis systems. Potential specific psychological predictors were physicians' empathy towards the SP (Jefferson Scale of Physician Empathy, JSPE) and their decisional conflict about the treatment (Decisional Conflict Scale, DCS). Potential general psychological predictors were physicians' empathy towards cancer patients (JSPE), their decisional conflict about cancer patients' treatments (DCS), and their affective reactions to uncertainty (Physicians' Reactions to Uncertainty, PRU).Physicians' CP was predicted by their decisional conflict about the SP's treatment (DCS) (β=0.41; p0.001) and their affective reactions to uncertainty regarding cancer treatments (PRU) (β=-0.31; p=0.003).During encounters with advanced-stage cancer patients, physicians' awareness of uncertainty about which treatments to consider may facilitate their communication performance, whereas physicians' affective reactions to uncertainty may inhibit their performance.Physicians' decisional conflict and reactions to uncertainty should be addressed in communication skills training programs.
تدمد: 0738-3991
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::391834f0e59766ef32a51fdaae690235
https://doi.org/10.1016/j.pec.2017.02.025
حقوق: CLOSED
رقم الأكسشن: edsair.doi.dedup.....391834f0e59766ef32a51fdaae690235
قاعدة البيانات: OpenAIRE
الوصف
تدمد:07383991