Related Experiment Video
Updated: May 8, 2026
06:28
E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
Solicitations in GP, nurse and pharmacist prescriber consultations: an observational study
Marjorie C Weiss1, Jo Platt, Ruth Riley
1Department of Pharmacy and Pharmacology, University of Bath, Bath.
Family Practice
|August 13, 2013
Summary
Pharmacist prescribers asked fewer opening solicitations than GPs and nurse prescribers. Encouraging more open questions and multiple solicitations can improve patient expression and outcomes.
Area of Science:
- Primary Care Medicine
- Health Services Research
- Communication in Healthcare
Background:
- The opening solicitation in primary care consultations is crucial for patients to voice concerns and expectations, potentially improving outcomes.
- However, effective opening solicitations are not consistently utilized in practice.
- This study examines opening solicitations within a multi-professional prescribing context.
Purpose of the Study:
- To compare the characteristics, frequency, and patient response to opening solicitations used by nurse prescribers (NPs), pharmacist prescribers (PPs), and general practitioners (GPs).
Main Methods:
- An observational study involving audio-recordings of 533 patient consultations across 36 primary care practices in southern England.
- Consultations were with GPs, NPs, and PPs, with 7-13 recordings per prescriber.
- A standardized pro forma, based on prior research, was employed to analyze the recordings.
Main Results:
- Pharmacist prescribers (PPs) used fewer opening solicitations compared to GPs and nurse prescribers (NPs).
- General practitioners (GPs) utilized more open questions than NPs and PPs.
- Patients completed their initial agenda in 20% of consultations, irrespective of the prescriber's profession; redirection of the patient's agenda occurred at a mean of 24 seconds.
Conclusions:
- All prescribers should be encouraged to employ more open-ended questions and multiple solicitations during consultations.
- Implementing these communication strategies is likely to enhance patient expression of concerns and lead to better patient outcomes.
Related Concept Videos
01:19Pharmacovigilance
Post-marketing surveillance is a critical component of pharmaceutical regulation, often uncovering unanticipated adverse drug reactions (ADRs) once a drug is widely used over an extended period.
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
01:28Dosage Regimens: Designs and Approaches
Designing a dosage regimen, which refers to the manner of drug administration, is a complex process involving the selection of drug dose, route, and frequency. This process is underpinned by pharmacokinetic parameters derived from tests and population averages. These parameters are then tailored to patient-specific variables such as diagnosis, demographics, and allergy status. Once therapy commences, therapeutic response monitoring is critical and achieved through clinical and physical...
01:01Dosage Regimens: Partial Pharmacokinetic Parameters
It is not uncommon for complete drug pharmacokinetic profiles to remain elusive in pharmacokinetics. This necessitates certain educated assumptions by pharmacokineticists to determine appropriate dosage regimens without comprehensive pharmacokinetic data from animal or human studies. One prevalent assumption is setting the bioavailability factor, denoted as F, to 1 or 100%. This assumption caters to the scenario where a drug doesn't achieve full systemic absorption, resulting in the patient...
01:02Prescription, Nonprescription and Orphan Drugs
Prescription drugs require a prescription from a medical practitioner and can only be obtained from a pharmacy. They have many applications, including treating pain, anxiety, and hypertension.
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
01:15Drug Dosing: Geriatric Patients
Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
01:08Obedience
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation, obedience...