CUSHING, AM

MURRAY, EL

Packham, S

English

Queen Mary Research Online

Importance, Intentions and Behaviour:  Predictors of exploring the patient’s perspective  Cushing A. PhD FDSRCS BDS, Murray E. CPsychol SFHEA, Packham S. MBBS  Institute of Health Sciences Education 0%10%20%30%40%50%1 2 3 4 5 6 7 8 9 10IntentionImportance PREImportance POSTCorrelations (Spearman’s Rho)Importance & Intention: Pre-placement = 0.328Importance: Pre & Post placement = 0.325Background Patient-centred care requires exploration of each patient’s unique perspective in addition to biomedical symptoms.  Learning communication in simulation settings does not transfer to practice unless applied immediately and supported1,2,3  Theories of planned behaviour have been applied to health professionals behavioural intentions4 . Dimensions of importance and confidence are known to underpin motivation for behaviour5. References: 1. Heaven C, et al. Transfer of communication skills training from workshop to workplace: The impact of clinical supervision. Pat Educ Couns. 2006;60:313–25. 2. Brown J. Transferring Clinical Communication Skills from Classroom to the Clinical Environment: Perceptions of a Group of Medical Students in UK. Acad Med. 2010;85:1052–9.Brown J (2010). 3. Rowlands et al. (2013) Meeting the Students on Their Own Territory. International Journal of Practice-based Learning in Health and Social Care 2013;1(1), 93-97. 4. Lapkin S et al. Using the Theory of Planned Behaviour to examine health professional students' behavioural intentions in relation to medication safety and collaborative practice. Nurse Educ Today 2015;35(8):935-40. 5. Miller W & Rollnick S. 2012. Motivational Interviewing. 3rd ed. New York, NY: Guilford Press. Sometimes71%Once17.5%Never11.5%Observed by Clinician Factors affecting behaviour Take home points:   Students held positive attitudes and intentions towards patient-centred communication.  Behaviour was moderately correlated with intention.  Time, Patient Willingness, Forgetting, Emotion & Context influenced behaviour.  Clinicians in placements have potential to support or undermine students’ exploration of the patient’s perspective. Method A cohort study using a brief 10-point Likert-scale questionnaire prior to a nine-week clinical placement for 3rd year medical students: Importance of exploring patients’ perspectives and likelihood of doing so (intention). A post-placement questionnaire: Reported behaviour, reported observation and free text comments. Questionnaires were matched but anonymised.  Results Questionnaires (pre- and post placement) were available for 165 students (75% response). Contact: a.m.cushing@qmul.ac.uk Importance and Intention 19%58%21%1%0%0% 25% 50%AlwaysOftenSometimesRarelyNeverCorrelation (Spearman’s Rho) Intention to Reported behaviour = 0.197 Reported Behaviour 

Importance, Intentions and Behaviour: Predictors of exploring the patient's perspective

https://qmro.qmul.ac.uk/xmlui/bitstream/123456789/43504/2/AMEE%20Final%2035161%20Intention%20Behaviour%20Gap%20v11%2020-08-18.pdf

Importance, Intentions and Behaviour: Predictors of exploring the patient's perspective

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