Evidence map›Paper›PMID 35013927›Full record

ArticleJournal of general internal medicine2022

Sitting at the Bedside: Patient and Internal Medicine Trainee Perceptions.

Blair P Golden, Sean Tackett, Kimiyoshi Kobayashi, Terry Nelson, Alison Agrawal, Nicole Pritchett, Kaley Tilton, Geron Mills, Ting-Jia Lorigiano, Meron Hirpa and 5 more

Abstract read
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In one paragraph

Article in Journal of general internal medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Blair P GoldenDepartment of Medicine, University of Wisconsin-Madison School of Medicine and Public Health, K4/463 CSC, 600 Highland Avenue Madison, Madison, WI, 53792, USA. bpgolden@medicine.wisc.edu.
Sean TackettDepartment of Medicine, Division of General Internal Medicine, Johns Hopkins Bayview Medical Center, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Kimiyoshi KobayashiDepartment of Medicine, University of Massachusetts Memorial Medical Center, Worcester, MA, USA.
Terry NelsonDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Alison AgrawalCentral Billing Office, University of Maryland Medical System, Hunt Valley, Baltimore, MD, USA.
Nicole PritchettDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Kaley TiltonDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Geron MillsDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Ting-Jia LorigianoDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Meron HirpaCincinnati Health Department, Cincinnati, OH, USA.
Jessica LinDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Sarah DisneyDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Matt LautzenheiserDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Shanshan HuangDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Stephen A BerryDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSitting at the bedside may strengthen physician-patient communication and improve patient experience. Yet despite the potential benefits of sitting, hospital physicians, including resident physicians, may not regularly sit down while speaking with patients.

objectiveTo examine the frequency of sitting by internal medicine residents (including first post-graduate year [PGY-1] and supervising [PGY-2/3] residents) during inpatient encounters and to assess the association between patient-reported sitting at the bedside and patients' perceptions of other physician communication behaviors. We also assessed residents' attitudes towards sitting.

designIn-person survey of patients and email survey of internal medicine residents between August 2019 and January 2020.

participantsPatients admitted to general medicine teaching services and internal medicine residents at The Johns Hopkins Hospital. MAIN MEASURES: Patient-reported frequency of sitting at the bedside, patients' perceptions of other communication behaviors (e.g., checking for understanding); residents' attitudes regarding sitting. KEY

resultsOf 334 eligible patients, 256 (76%) completed a survey. Among these 256 respondents, 198 (77%) and 166 (65%) reported recognizing the PGY-1 and PGY-2/3 on their care team, respectively, for a total of 364 completed surveys. On most surveys (203/364, 56%), patients responded that residents "never" sat. Frequent sitting at the bedside ("every single time" or "most of the time," together 48/364, 13%) was correlated with other positive behaviors, including spending enough time at the bedside, checking for understanding, and not seeming to be in a rush (p < 0.01 for all). Of 151 residents, 77 (51%) completed the resident survey; 28 of the 77 (36%) reported sitting frequently. The most commonly cited barrier to sitting was that chairs were not available (38 respondents, 49%).

conclusionsPatients perceived that residents sit infrequently. However, sitting was associated with other positive communication behaviors; this is compatible with the hypothesis that promoting sitting could improve overall patient perceptions of provider communication.

Indexed as

Internship and ResidencyPhysiciansCommunicationHumansInternal MedicinePhysician-Patient RelationsEtiquette-based medicinePatient-physician communicationProfessionalism

Identifiers

PMID35013927
PMCPMC8744572

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.