Hostname: page-component-78c5997874-m6dg7 Total loading time: 0 Render date: 2024-11-19T06:00:46.056Z Has data issue: false hasContentIssue false
  • English
  • Français

A patient-centred approach to defining and assessing interviewing competency

Published online by Cambridge University Press:  11 October 2011

Cathy Heaven ,
Peter Maguire  and
Claire Green
Cathy Heaven*
Affiliation:
CRUK Psychological Medicine Group, Manchester, United Kingdom
Peter Maguire
Affiliation:
CRUK Psychological Medicine Group, Manchester, United Kingdom
Claire Green
Affiliation:
CRUK Psychological Medicine Group, Manchester, United Kingdom
*
Address for correspondence: Dr. C. Heaven, CRUK Psychological Medicine Group Stanley House, Christie Hospital. Wilmslow Road, Manchester M20 4BX (United Kingdom). Fax:+161-446.8103 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Summary

The inclusion of communication skills as a core competency in health care curricula, has led to the need to define adequacy in this area. Developments in the field of interview analysis have meant that robust and objective ways of assessing interview behaviours are now available; however, these systems in themselves do not provide a model for assessing competency. As adequacy in interviewing is contextually driven, this paper discusses the potential of using patient centeredness to address the issue. It suggests two ways in which patient centeredness may be operationally defined, permitting data available from current rating systems, and from a new system shortly to be available, to be used to assess interviewing competency.

Declaration of Interest: the authors would like to acknowledge Cancer Research UK for funding this work.

Keywords

communicationassessmentcompetencypatient-centrednessinterviewing.
Type
Sequence Analysis of Patient-Provider Interaction
Information
Epidemiology and Psychiatric Sciences , Volume 12 , Special Issue 2: Sequence Analysis of Patient-Provider Interaction , June 2003 , pp. 86 - 91
Copyright
Copyright © Cambridge University Press 2003

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Anderson, J.L. 1982. Evaluation of a practical approach to teaching about communicaiton with terminal cancer patients. Medical Education 16, 202–207.CrossRefGoogle Scholar
Bensing, J.M. 2000. Bridging the gap. The separate worlds of evidence-based medicine and patient-centrered medicine. Patient Education and Counseling 39, 17–25.CrossRefGoogle Scholar
Bensing, J.M. & Sluijs, E.M. 1985. Evaluation of an interview training course for general practitioners. Social Science and Medicine 20, 737–744.CrossRefGoogle ScholarPubMed
Booth, K. & Maguire, P. 1989. Workshop Evaluation Manual. Report to the Cancer Research Campaign.Google Scholar
Booth, K., Maguire, P. & Hillier, V.F. 1999. Measurement of communicaiton skills in cancer care: myth or reality? Journal of Advanced Nursing 30, 1073–1079.CrossRefGoogle ScholarPubMed
Buijs, R., Sluijs, E.M. & Verhaak, P.F.M. 1984. Byrne and Long: a classification for rating the interivew style of doctors. Social Science and Medicine 19, 683–690.CrossRefGoogle Scholar
Butow, P.N., Dunn, S.M., Tattersall, M.H.N. & Jones, Q.L. 1995. Computer-based interaction analysis of the cancer consultation. British Journal of Cancer 71, 1115–1121.CrossRefGoogle ScholarPubMed
Ceichanowski, P., Katon, W., Russo, J. & Walker, E. 2001. The patientprovider relationship: attachment theory and adherence to treatment in diabetes American Journal of Psychiatry 158, 29–35.CrossRefGoogle Scholar
Comstock, L.M.Hooper, E.M.Goodwin, J.M. & Goodwin, J.S. 1982. Physician behaviours that correlate with patient satisfaction. Journal of Medical Education 57, 105–112.Google ScholarPubMed
Cox, A., Rutter, M. & Holbrook, D. 1988. Psychiatric Interviewing: a second experimental study: eliciting feelings. British Journal of Psychiatry 1152, 64–72.CrossRefGoogle Scholar
Crute, V.C., Hargie, O.D.W. & Ellis, R.A.F. 1989. An evaluation of a communication skills course for health visitor students. Journal of Advanced Nursing 14, 546–552.CrossRefGoogle ScholarPubMed
Davenport, S., Goldberg, D. & Miller, T. 1987. How psychiatric disorders are missed during medical consultations Lancet 4, 439–441.CrossRefGoogle Scholar
Del Piccolo, L., Benpensanti, G., Boninn, P., Cellerino, P., Saltini, A. & Zimmerman, Ch. 1999. II Verona-Medical Interview Classification System/Patient (VR-MICS/P). Epidemiologia e Psichiatria Sociale 8, 56–67.CrossRefGoogle Scholar
Evans, B.J., Kiellerup, F.D., Stanley, R.O., Burrows, G.D. & Sweet, B. 1987. A communicaiton skills programme for increasing patients' satisfaction with general practice comsultations. British Journal of Medical Psychology 60, 373–378.CrossRefGoogle Scholar
Evans, B.J., Sweet, B. & Coman, G.J. 1993. Behavioural assessment of the effectiveness of a communicaiton programme for medical students. Medical Education 27, 344–350.CrossRefGoogle Scholar
Fogerty, L.A., Curbow, B.A., Wingard, J.R., McDonnell, K. & Somerfield, M.R. 1999. Can 40 seconds of compassion reduce patient anxiety Journal of Clinical Oncology 17, 371–379.CrossRefGoogle Scholar
Ford, S., Hall, A., Radcliffe, D., Eves, R., Duffy, A. & Fallowfield, L. 1999. The Medical Interview Process System (MIPS): tlie Manual: CRUK Psychosocial Oncology Group: Brighton.Google Scholar
Gask, L., Goldberg, D., Lesser, A.L. & Millar, T. 1988. Improving the psychiatric skills of the general practive trainee: an evaluation of a group training course. Medical Education 22, 132–138.CrossRefGoogle Scholar
Goldberg, D.P., Steele, J.J., Smith, C. & Spivey, L. 1980. Training the family doctors to recognise psychiatric illness with increased accuracy. Lancet September, 521–523.Google Scholar
Graugaard, K.P., Eide, H. & Finset, A. 2003. Interaction analysis of physician-patient communication: the influence of trait anxiety on communication and outcome. Patient Education and Counseling 49, 149–156.CrossRefGoogle ScholarPubMed
Heaven, C.M. 1994. Teaching hospice nurses to elicit patients' concerns. M. Sc. Thesis, University of Manchester: Manchester.Google Scholar
Heaven, C.M. 2001. The role of clinical supervision in communication skills training. PhD. Thesis, University of Manchester: Manchester.Google Scholar
Heaven, C.M. & Maguire, P. 1996. Training hospice nurses to elicit patient concerns. Journal of Advanced Nursing, 23, 280–286.CrossRefGoogle ScholarPubMed
Heaven, C.M., Fletcher, I. & Maguire, P. (in press). Are specialist nurses communication skills sufficient to take on the demands of the National Cancer Plan Abstract from proceeding of the British Psychosocial Oncology Society annual Scientific Meeting, Harrogate. Psycho-Oncology.Google Scholar
Heisler, M., Bouknight, R.R., Hayward, R.A., Smith, D.M. & Kerr, E.A. 2002. The relative importance of physician communicaiton, participatory decision making, and patient understanding in diabetes self-management. Journal of General Internal Medicine 17, 243–252.CrossRefGoogle Scholar
Kendrick, T. & Freeling, P. 1993. A communication skills course for preclinical students: evaluation of general practice based teaching using group methods. Medical Education 27, 211–217.CrossRefGoogle ScholarPubMed
Kraiger, K., Ford, K. & Salas, E. 1993. Application of cognitive, skillbased, and affective theories of learning outcomes to new methods of training evaluation. Journal of Applied Psychology 78, 311–328.CrossRefGoogle Scholar
Laine, C. & Davidoff, F. 1996. Patient-centred medicine: a professional evolution. Journal of American Medical Association 275, 152–156.CrossRefGoogle Scholar
Ley, P. 1982. Satisfaction, compliance and communication. British Journal of Clinical Psychology 21, 241–254.CrossRefGoogle ScholarPubMed
Macleod, R.M. 1991. Patients with advanced breast cancer: the nature and disclosure of their concerns. Unpublished MSc thesis, University of Manchester: Manchester.Google Scholar
Maguire, P. & Faulkner, A. 1988. Improving the counselling skills of doctors and nurses in cancer care. British Medical Journal 297, 847–849.CrossRefGoogle ScholarPubMed
Maguire, P., Roe, P., Goldberg, D., Jones, S., Hyde, C. & O'Dowd, T. 1978. The value of feedback in teacning interviewing skills to medical students. Psycliological Medicine 8, 695–704.CrossRefGoogle Scholar
Maguire, P., Chir, B., Tait, A. & Brooke, M. 1980. Mastectomy; a conspiracy of pretence. Nursing Mirror 150, 17–19.Google ScholarPubMed
Maguire, P., Brooke, M., Tait, A., Thomas, C. & Sellwood, R. 1983. The effect of counselling on physical disability and social recovery after mastectomy. Clinical Oncology 9, 319–324.Google ScholarPubMed
Maguire, P., Fairbairn, S. & Fletcher, C. 1986. Consultation skills of young doctors: I - benefits of feedback training in interviewing as students persist. British Medical Journal 292, 1573–1578.CrossRefGoogle ScholarPubMed
Maguire, P., Faulkner, A., Booth, K., Elliot, C. & Hillier, V. 1996. Helping cancer patients disclose their concerns. European Journal of Cancer 32A, 78–81.CrossRefGoogle ScholarPubMed
Marks, J.N., Goldberg, D.P. & Hillier, V.F. 1979. Determinants of the ability of general practitioners to detect psychiatric illness. Psychological Medicine 9, 337–353.CrossRefGoogle ScholarPubMed
Mead, N. & Bower, P. 2000. Patient-centredness: a conceptual framework and review of the emperical literature. Social Science and Medicine 51, 1087–1110.CrossRefGoogle Scholar
Morrison, P. & Buraard, P. 1989. Students' and trained nurses' perceptions of their own interpersonal skills: a report and comparison. Journal of Advanced Nursing 14, 321–329.CrossRefGoogle ScholarPubMed
Morrison, A. & Cameron-Jones, M. 1972. A procedure for training for general practice. British Journal of Medical Education 6, 125–132.CrossRefGoogle ScholarPubMed
Mumford, E., Schlesinger, H., Cuerdon, T. & Scully, J. 1987. Rating of video simulated patient interivew and four other methods of evaluating a psychiatric clerkship. American Journal of Psychiatry 144, 316–322.Google Scholar
Norman, G.R., Van der Vleuten, C.P. & de Graaff, E. 1991. Pitfalls in the pursuit of objectivity: Issues of validity, efficacy and acceptability. Medical Education 25, 119–126.CrossRefGoogle Scholar
O'Keefe, M., Sawyer, M. & Roberton, D. 2001. Medical Student interviewing skills and mother-reported satisfaction and recall Medical Education 35, 637–644.CrossRefGoogle ScholarPubMed
Pieters, H.M., Touw-otten, F.W.W.M. & de Melker, R.A. 1994. Simulated patients in assessing consultations skills of trainees in general practice vocational training: a validity study. Medical Education 28, 226–233.CrossRefGoogle ScholarPubMed
Putnam, S.M., Stiles, W.B., Jacob, M.C & James, S.A. 1988. Teaching the medical interview: an intervention study. Journal of General Internal Medicine 3, 38–47.CrossRefGoogle ScholarPubMed
Razavi, D., Delvaux, N., Farvaques, C. & Robaye, E. 1988. Immediate effectiveness of brief psychological training for health professionals dealing with terminally ill cancer patients: a controlled study. Social Science and Medicine 27, 369–375.CrossRefGoogle ScholarPubMed
Roter, D.L. 1991. Tlie Roter Method of Interaction Process Analysis. RIAS Manual. John Hopkins University: Baltimore, MD.Google Scholar
Rutter, D.R. & Maguire, G.P. 1976. History-taking for medical students. II - evaluation of a training programme. Lancet September 11, 558–560.Google Scholar
Saltini, A., Cappellari, D., Cellerino, P., Del Piccolo, L. & Zimmermann, C. 1998. [An instrument for evaluating the medical interview in general practice: VR-MICS/D (Verona-Medical Interview Classification System/Doctor)]. Epidemiologia e Psichiatria Sociale 7, 210–223.CrossRefGoogle ScholarPubMed
Savage, R. & Armstrong, D. 1990. The effect of a general practitioners consulting style on patients' satisfaction: a controlled study. British Medical Journal 301, 968–970.CrossRefGoogle Scholar
Selfe, S.A.Matthews, Z. & Stones, R.W. 1988. Factors influencing outcome in consultations for chronic pelvic pain Journal of Women's Health 7, 1041–1048.CrossRefGoogle Scholar
Stiles, W.B., Putnam, S.M. & Jacob, M.C. 1982. Verbal exchange structure of initial medical interviews. Health Psychology 1, 315–336.CrossRefGoogle Scholar
Van der Vleuten, C.P., Norman, G.R. & de Graaff, E. 1991. Pitfalls in the pursuit of objectivity: Issues of reliability. Medical Education 25, 110–118.CrossRefGoogle ScholarPubMed
Verby, J.E., Holden, P. & Davis, R.H. 1979. Peer review of consultations in primary care: the use of audiovisual recordings. British Medical Journal June 23, 1686–1688.CrossRefGoogle Scholar
Wilkinson, S. 1991. Factors which influence how nurses communicate with cancer patients. Journal of Advanced Nursing 16, 677–688.CrossRefGoogle ScholarPubMed
Wilkinson, S., Roberts, A. & Aldridge, J. 1998. Nurse-Patient communication in palliative care: an evaluation of a communication skills programme. Palliative Medicine 12, 13.CrossRefGoogle ScholarPubMed