'Any questions?'--Clinicians' usage of invitations to ask questions (IAQs) in outpatient plastic surgery consultations

Copyright © 2014. Published by Elsevier Ireland Ltd..

OBJECTIVE: To explore use of 'Invitations to Ask Questions' (IAQs) by plastic surgeons in outpatient consultations, and consider how type of IAQ impacts on patients' responses to, and recollection of, IAQs.

METHODS: Descriptive study: 63 patients were audio recorded in consultation with 5 plastic surgeons, and completed a brief questionnaire immediately after the consultation. Consultation transcripts were analyzed using inductive qualitative methods of Discourse Analysis and compared with questionnaire findings.

RESULTS: A taxonomy of IAQs was developed, including three types of IAQ (Overt, Covert, and Borderline). Overt IAQs were rarely identified, and almost all IAQs occurred in the closing stages of the consultation. However, when an overt IAQ was used, patients always recollected being asked if they had any questions after the consultation.

CONCLUSIONS: Patients are rarely explicitly offered the opportunity to ask questions. When this does occur, it is often in the closing stages of the consultation. Clinicians should openly encourage patients to ask questions frequently throughout the consultation, and be mindful that subtle differences in construction of these utterances may impact upon interpretation.

PRACTICE IMPLICATIONS: Clear communication, of message and intention, is essential in clinical encounters to minimize misunderstanding, misinterpretation, or missed opportunities for patients to raise concerns.

Medienart:

E-Artikel

Erscheinungsjahr:

2014

Erschienen:

2014

Enthalten in:

Zur Gesamtaufnahme - volume:97

Enthalten in:

Patient education and counseling - 97(2014), 3 vom: 04. Dez., Seite 347-51

Sprache:

Englisch

Beteiligte Personen:

Bristowe, Katherine [VerfasserIn]
Patrick, Peter L [VerfasserIn]

Links:

Volltext

Themen:

Clinician–patient interaction
Journal Article
Outpatient interactions
Patient integration
Question use
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 06.07.2016

Date Revised 25.11.2016

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.pec.2014.08.011

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM241609887