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Clinical Communication Within Hospital Pharmacy Practice: Exploring Pharmaceutical Oncological Consultations.
Correia, Ana Rita; Costa, Mariana; Monteiro, Joana; Cavaco, Patrícia; Falcão, Fátima; Cavaco, Afonso Miguel.
Afiliação
  • Correia AR; Faculty of Pharmacy, University of Lisbon.
  • Costa M; Faculty of Pharmacy, University of Lisbon.
  • Monteiro J; Faculty of Humanities, University of Lisbon.
  • Cavaco P; Pharmacy Department, Hospital de S. Francisco Xavier, Centro Hospitalar de Lisboa Ocidental EPE.
  • Falcão F; Faculty of Pharmacy, University of Lisbon.
  • Cavaco AM; Pharmacy Department, Hospital de S. Francisco Xavier, Centro Hospitalar de Lisboa Ocidental EPE.
Health Commun ; 38(3): 480-489, 2023 Mar.
Article em En | MEDLINE | ID: mdl-34289767
ABSTRACT
This exploratory study aimed to identify communication trends typical of pharmacists' clinical communication in the context of hospital consultations. A cross-sectional design was used to investigate the pharmacist-patient exchange, applying the Roter Interaction Analysis System (RIAS). Communication variables and RIAS composites were assessed, including therapeutic information complexity, estimated through the ad-hoc score CTICS (Cancer Therapy Information Complexity Score). The study comprised 13 consultations of cancer patients with one female pharmacist, of which 6 included a patient family member, lasting on average 22.74 minutes and presenting repeated or overlapping consultation phases. The pharmacist's talk dominance reached 53.49%, slightly higher in dyadic consultations (U = 6.0, p = .032), and with an overall predominance of closed-ended questioning (W = 81.0, p = .013). Patients' questioning on biomedical issues was higher in dyadic consultations. The level of the pharmacist's rapport-building with the relative was higher when the patient's age was ≥80 years. Several strong correlations, both positive and negative, were found between composites, including between patient positive rapport-building and relative lifestyle/psychosocial information giving (Rho = -0.971, p = .001). Pharmaceutical consultations seem to be lengthier than other hospital practitioners' interviews, indicating a lack of  clear organization and flow, thus challenging their efficiency regarding therapy management. Still, several positive communication features were found regarding the pharmaceutical care of older cancer patients. Further studies are needed, involving larger samples and other hospital consultation settings.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Serviço de Farmácia Hospitalar / Relações Profissional-Paciente Tipo de estudo: Prognostic_studies Limite: Aged80 / Female / Humans Idioma: En Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Serviço de Farmácia Hospitalar / Relações Profissional-Paciente Tipo de estudo: Prognostic_studies Limite: Aged80 / Female / Humans Idioma: En Ano de publicação: 2023 Tipo de documento: Article