| How much is residents' distress detection performance during a clinical round related to their characteristics? | |
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MedLine Citation:
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PMID: 21131159 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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OBJECTIVE: The aim of this study was to investigate residents' characteristics associated with their performance in detecting patients' distress (detection performance). METHODS: Residents' detection performance was assessed in a clinical round. A mean detection performance score was calculated for each resident by comparing residents' rating of patients' distress (VAS) with patients' reported distress (HADS). Residents' characteristics include general (socio-demographic, professional and psychological), detection (self-efficacy, attitudes and outcome expectancies) and performance characteristics (communication skills (LaComm), psychological arousal (STAI) and physiological arousal (heart rate and blood pressure) in a highly emotional and complex simulated interview task). RESULTS: Ninety-four residents and 442 inpatients were included. 30% of the variance in residents' detection performance was related to residents' performance characteristics: anxiety level (p=.040) and mean arterial blood pressure (p=.019) before the task; empathy (p=.027) and mean heart rate (p=.043) during the task; mean arterial blood pressure changes (p=.012) during the assessment procedure. CONCLUSION: Residents' detection performance is partly related to their performance characteristics. Psychological and physiological arousals are key characteristics - beside empathic skills - that need to be considered in models designed to determine detection performance. PRACTICE IMPLICATIONS: Future interventions designed to improve residents' detection performance should focus notably on their performance characteristics. |
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Authors:
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Julie Meunier; Yves Libert; Isabelle Merckaert; Nicole Delvaux; Anne-Marie Etienne; Aurore Liénard; Serge Marchal; Christine Reynaert; Jean-Louis Slachmuylder; Darius Razavi |
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Publication Detail:
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Type: Journal Article Date: 2010-12-04 |
Journal Detail:
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Title: Patient education and counseling Volume: 85 ISSN: 1873-5134 ISO Abbreviation: Patient Educ Couns Publication Date: 2011 Nov |
Date Detail:
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Created Date: 2011-10-17 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8406280 Medline TA: Patient Educ Couns Country: Ireland |
Other Details:
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Languages: eng Pagination: 180-7 Citation Subset: N |
Copyright Information:
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Copyright © 2010 Elsevier Ireland Ltd. All rights reserved. |
Affiliation:
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Université Libre de Bruxelles, Faculté des Sciences Psychologiques et de l'Éducation, Brussels, Belgium; C.P.O. (training and research group), Brussels, Belgium. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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