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Related Concept Videos

Guidelines and Strategies for Safe Computer Charting01:18

Guidelines and Strategies for Safe Computer Charting

The guidelines and strategies provided by the American Nurses Association (ANA) and the Canadian Nurses Association (CNA) offer essential principles for ensuring safe and secure computer charting systems in healthcare settings. Let's break down each recommendation:
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Barriers to Effective Communication II01:21

Barriers to Effective Communication II

The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
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E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
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Talking with the alien: interaction with computers in the GP consultation.

Anthony Dowell1, Maria Stubbe, Kathy Scott-Dowell

  • 1Department of Primary Health Care and General Practice, University of Otago, Wellington, PO Box 7343, Wellington South 6242, New Zealand.

Australian Journal of Primary Health
|September 28, 2013
PubMed
Summary
This summary is machine-generated.

General practitioners (GPs) in New Zealand use computers extensively during patient consultations, impacting interaction dynamics. Developing strategies to manage computer use is crucial for effective doctor-patient communication.

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Area of Science:

  • Medical Informatics
  • Human-Computer Interaction
  • General Practice

Background:

  • The integration of computers into clinical practice has become ubiquitous.
  • Understanding the nuanced ways technology affects doctor-patient interactions is essential for optimizing healthcare delivery.

Purpose of the Study:

  • To analyze how general practitioners (GPs) in New Zealand interact with computers during routine consultations.
  • To investigate the allocation of doctor's time and attention between computer use and patient engagement.
  • To identify the roles computers assume within the consultation and their influence on interactional flow.

Main Methods:

  • Micro-analysis of 28 video-recorded consultations from 10 New Zealand GPs.
  • Detailed examination of doctor-computer and doctor-patient interaction patterns.
  • Qualitative assessment of computer's roles and impact on consultation dynamics.

Main Results:

  • GPs spent at least 20% of consultation time interacting with computers, with 12% focused solely on the device.
  • Computer use varied, with most GPs inputting notes during the consultation and some post-consultation.
  • Computers functioned as information repositories and decision legitimizers, altering consultation flow through silences and head-turns.
  • GPs employed multitasking strategies (e.g., verbalizing, social chat) to maintain patient engagement during computer use.

Conclusions:

  • Computer use significantly influences the micro-details of general practice consultations.
  • While beneficial, computer integration necessitates conscious strategies from GPs to manage its impact on doctor-patient interaction.
  • Optimizing technology use in primary care requires attention to its effects on communication dynamics.