ArticlePrimary health care research & development2018
Nurse practitioner consultations in primary health care: an observational interaction analysis of social interactions and consultation outcomes.
Article in Primary health care research & development, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 8 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Does the duration of ambulatory consultations affect the quality of healthcare? A systematic review.BMJ open quality · 2023Pooled it
- Registered nurse-patient communication and decision-making in primary care consultations: a scoping review.BMC nursing · 2026Article
- A realist evaluation case study of the implementation of advanced nurse practitioner roles in primary care in Scotland.Journal of advanced nursing · 2022Article
- Understanding healthcare providers' experiences with video recording of patient consultations.Primary health care research & development · 2022Article
- Characterising the outcomes, impacts and implementation challenges of advanced clinical practice roles in the UK: a scoping review.BMJ open · 2021Article
- Patients' perspective of attending nursing consultations-A pilot and feasibility study.Nursing open · 2020Article
- Nurse practitioner consultations in primary health care: patient, carer, and nurse practitioner qualitative interpretations of communication processes.Primary health care research & development · 2018Article
- A New Normality Illuminated by Past and Present! A Qualitative Study: Experiences and Challenges of Everyday Life in Patients With Advanced Heart or Lung Failure.Global qualitative nursing researchArticle
Corrections and comments
- Erratum issued
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine the discrete nature of social interactions occurring in nurse practitioner consultations and investigate the relationship between consultation social interaction styles (biomedical and patient-centred) and the outcomes of patient satisfaction, patient enablement, and consultation time lengths.
methodsA case study-based observational interaction analysis of verbal social interactions, arising from 30 primary health care nurse practitioner consultations, linked with questionnaire measures of patient satisfaction and enablement.
resultsA significant majority of observed social interactions used patient-centred communication styles (P=0.005), with neither nurse practitioners nor patients or carers being significantly more verbally dominant. Nurse practitioners guided the sequence of consultation interaction sequences, but patients actively participated through interactions such as asking questions. Usage of either patient-centred or biomedical interaction styles were not significantly associated with increased levels of patient satisfaction or patient enablement. The median consultation time length of 10.1 min (quartiles 8.2, 13.7) was not significantly extended by high levels of patient-centred interactions being used in the observed consultations.
conclusionHigh usage levels of patient-centred interaction styles are not necessarily contingent upon having longer consultation times available, and clinicians can encourage patients to use participatory interactions, whilst still then retaining overall guidance of the phased sequences of consultations, and not concurrently extending consultation time lengths. This study adds to the body of nurse practitioner consultation communication research by providing a more detailed understanding of the nature of social interactions occurring in nurse practitioner consultations, linked to the outcomes of patient satisfaction and enablement.
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