ArticleHealth expectations : an international journal of public participation in health care and health policy2017
Investigating strategies used by hospital pharmacists to effectively communicate with patients during medication counselling.
Article in Health expectations : an international journal of public participation in health care and health policy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 35 citations in OpenAlex.
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- Type 2 Diabetes Patients' Views of Local Pharmacists and Fulfilment with Pharmaceutical Diabetes Care in Syria's Latakia Governorate: An Online Survey Research.Healthcare (Basel, Switzerland) · 2023Article
- Towards Better CARE for Superficial Fungal Infections: A Consultation Guide for the Community Pharmacy.Pharmacy (Basel, Switzerland) · 2022Article
- Associations of person-related, environment-related and communication-related factors on medication errors in public and private hospitals: a retrospective clinical audit.BMC health services research · 2021Article
- The New Era of Pharmacists in Ambulatory Patient Care.Innovations in pharmacy · 2019Article
- Using Discursis to enhance the qualitative analysis of hospital pharmacist-patient interactions.PloS one · 2018Article
- Investigating strategies used by hospital pharmacists to effectively communicate with patients during medication counselling.Health expectations : an international journal of public participation in health care and health policy · 2017Article
- Developing Preliminary Steps in a Pharmacist Communication - Patient Outcome Pathway.The Canadian journal of hospital pharmacyArticle
- Measuring Communication Similarity Between Hospice Nurses and Cancer Caregivers Using Latent Semantic Analysis.Cancer nursingArticle
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMedication counselling opportunities are key times for pharmacists and patients to discuss medications and patients' concerns about their therapy. Communication Accommodation Theory (CAT) describes behavioural, motivational and emotional processes underlying communication exchanges. Five CAT strategies (approximation, interpretability, discourse management, emotional expression and interpersonal control) permit identification of effective communication.
objectiveTo invoke CAT to investigate communication strategies used by hospital pharmacists during patient medication counselling.
designThis was a theory-based, qualitative study using transcribed audiorecordings of patients and hospital pharmacists engaged in medication counselling. SETTING AND
participantsRecruited pharmacists practised in inpatient or outpatient settings. Eligible patients within participating pharmacists' practice sites were prescribed at least three medications to manage chronic disease(s).
main outcome measuresThe extent to which pharmacists accommodate, or not, to patients' conversational needs based on accommodative behaviour described within CAT strategies.
resultsTwelve pharmacists engaged four patients (48 total interactions). Exemplars provided robust examples of pharmacists effectively accommodating or meeting patients' conversational needs. Non-accommodation mainly occurred when pharmacists spoke too quickly, used terms not understood by patients and did not include patients in the agenda-setting phase. Multiple strategy use resulted in communication patterns such as "information-reassurance-rationale" sandwiches. DISCUSSION AND
conclusionsMost pharmacists effectively employed all five CAT strategies to engage patients in discussions. Pharmacists' communication could be improved at the initial agenda-setting phase by asking open-ended questions to invite patients' input and allow patients to identify any medication-related concerns or issues.
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