Document Detail

How much is residents' distress detection performance during a clinical round related to their characteristics?
MedLine Citation:
PMID:  21131159     Owner:  NLM     Status:  In-Data-Review    
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.
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:
Type:  Journal Article     Date:  2010-12-04
Journal Detail:
Title:  Patient education and counseling     Volume:  85     ISSN:  1873-5134     ISO Abbreviation:  Patient Educ Couns     Publication Date:  2011 Nov 
Date Detail:
Created Date:  2011-10-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8406280     Medline TA:  Patient Educ Couns     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  180-7     Citation Subset:  N    
Copyright Information:
Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.
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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