Imperial College London
Alternate

ProfessorFernandoBello

Faculty of Medicine, Department of Surgery & Cancer

Professor of Surgical Computing and Simulation Science
 
 
 
//

Contact

 

+44 (0)20 3315 8231f.bello Website

 
 
//

Location

 

G3.50Chelsea and Westminster HospitalChelsea and Westminster Campus

//

Summary

 

Publications

Citation

BibTex format

@article{Kelay:2019:10.1136/bmjstel-2017-000249,
author = {Kelay, TK and Ako, E and Cook, C and Yasin, M and Gold, M and Chan, KL and Bello, F and Kneebone, R and Malik, I},
doi = {10.1136/bmjstel-2017-000249},
journal = {BMJ Simulation & Technology Enhanced Learning},
title = {Physician-patient interactions & communication with conscious patients during simulated cath-lab procedures:  An exploratory study},
url = {http://dx.doi.org/10.1136/bmjstel-2017-000249},
volume = {5},
year = {2019}
}
Download

RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Background This exploratory study investigates the feasibility for observing and evaluating intraoperative communication practices using simulation techniques. Complex procedures are increasingly performed on patients under local anaesthesia, where patients are fully conscious. Interventional cardiac procedures are one such example where patients have reported high levels of anxiety undergoing procedures. Although communication styles can serve to alleviate patient anxiety during interventions, leading to a better patient experience, there has been little observational research on communication, while patient perspectives in intraoperative contexts have been underexplored.Methods In this mixed-methods study, observational analysis was conducted on 20 video-recorded simulated scenarios, featuring physician operators (of varied experience levels), communication and interactions with a simulated patient (trained actor), in a controlled and highly realistic catheter laboratory setting. Two independent raters and the simulated patient embedded in scenarios retrospectively rated physician communication styles and interactions with the patient via four key parameters. Patient perspectives of communication were further explored via a quantitative measure of anxiety and semistructured qualitative interviews.Results While independent ratings of physician–patient communications demonstrated few discernible differences according to physicians’ experience level, patient ratings were consistently higher for experienced physicians and lower for novice physicians for the four interaction styles. Furthermore, the patient’s anxiety scores were differentiable according to operators’ experience level. Thematic analysis provided further insights into how patient perspectives, including affective dimensions are characterised, and how physician interactions can amplify or attenuate feelings of anxiety through tone of voice, continuity in communication during the pr
AU  - Kelay,TK
AU  - Ako,E
AU  - Cook,C
AU  - Yasin,M
AU  - Gold,M
AU  - Chan,KL
AU  - Bello,F
AU  - Kneebone,R
AU  - Malik,I
DO  - 10.1136/bmjstel-2017-000249
PY  - 2019///
SN  - 2056-6697
TI  - Physician-patient interactions & communication with conscious patients during simulated cath-lab procedures:  An exploratory study
T2  - BMJ Simulation & Technology Enhanced Learning
UR  - http://dx.doi.org/10.1136/bmjstel-2017-000249
UR  - http://hdl.handle.net/10044/1/56886
VL  - 5
ER  -
Download