Related Experiment Video
Updated: Mar 15, 2026
Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Information provision and attentive listening as determinants of patient perceptions of shared decision-making around
Ana-Belén Del Río-Lanza1, Leticia Suárez-Álvarez2, Ana Suárez-Vázquez2
1Biomedicine and Health Cluster, Business Administration Department, School of Economy and Business, University of Oviedo, Avenida del Cristo s/n, 33071 Oviedo, Asturias Spain ; Spanish Federation of Haemophilia, Madrid, Spain.
Background:
While chronic illnesses are a major concern of the health system worldwide, little is known about patients-physicians communication. Growing demand for patient-centered care and shared decision-making have increased the interest for patients-physicians communication. Based on previous literature, we propose a model in which the effect of information provision and attentive listening over patients' perceptions of shared decision-making (PPSDM) is mediated by the variables self-efficacy and proactivity. Primary data were collected between April and August 2014 through an online survey of patients with haemophilia. Haemophilia is a chronic disease in which many options of treatment are available. The right option depends, to some extent, on patient's preferences. In this context, great uncertainty exists when choosing treatment option and shared decision-making plays an essential role.
Results:
A total of 181 patients with haemophilia participated in the survey. The psychometric properties of the measurement scales were evaluated by means of a confirmatory factor analysis. A structural equation model was designed. Results show that provision of information and attentive listening determine PPSDM through patients' self-efficacy and proactivity in requesting information.
Conclusions:
It is important to incorporate communication training in medical education, particularly provision of information and attentive listening. These skills help the healthcare professional to gain a deeper understanding of the patient. Furthermore, provision of information and attentive listening are fundamental in helping patients not to undervalue their personal knowledge and expertise in relation to their doctors. These strategies encourage them to adopt a more active position in requesting information. Encouraging a proactive behaviour of patients and their relatives helps them to realize the need to participate and to make them feel that they are part of the decision-making process.
More Related Videos
Related Concept Videos
01:15Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
01:13Patient-centered Care
01:23Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
01:27Nursing Ethical Principles II
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
01:25Role of Communication in the Nursing Process II: Planning and Implementation
01:24Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...