Patient education and counseling
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To report how patient viewpoints on caring inform curriculum development for teaching sessions on delivering bad news, making the transition to palliative care, and communicating about a medical error. ⋯ Teaching caring attitudes with challenging communication tasks requires that learners appreciate and value not only caring behaviors but also learn the process by which they must adjust and titrate their actions to meet patient needs.
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Burnout is high among clinicians and may relate to loss of "meaning" in patient care. We sought to develop and validate a measure of "personal meaning" that practitioners derive from patient care. ⋯ The scale could be useful in identifying providers at risk of burnout, and in evaluating interventions designed to counteract burnout, enhance meaning and improve communication and partnership between providers and patients.
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Comparative Study
Demographic disparities in numeracy among emergency department patients: evidence from two multicenter studies.
To estimate the prevalence and demographic disparities in limited numeracy among emergency department (ED) patients. ⋯ Greater understanding of the high prevalence of limited numeracy may guide healthcare providers to simplify messages and communicate health information more effectively.
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Comparative Study
The patient, the doctor and the emergency department: a cross-sectional study of patient-centredness in 1990 and 2005.
To compare and contrast the duration and content of physician-patient interaction for patients presenting to an emergency department with problems of low acuity in 1990 and 2005 treated by different grades of physician. ⋯ Video-recording consultations is feasible in an acute hospital setting, and could be used to support training and workforce development. General practitioners can make a distinctive contribution to the workforce of emergency departments. Their consulting style differs from that of hospital physicians and may benefit patient care through a greater focus on patient education and counselling.
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To explore GPs' experience of carrying out 'talking therapy'. ⋯ Formulation of a theory of talking therapy based on the views and experience of GPs and including non-specific factors could professionalize the field.