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Patient-Centered Communication: Incorporating Principles of Dialogic Practice and Family Centered Rounds on an

Adrienne T Gerken1, Dost Öngür2, Soo Jin Kim3

  • 1Department of Psychiatry and Human Behavior, Thomas Jefferson University Hospital, 33 South 9th St., Suite 210, Philadelphia, PA, USA. adrienne.gerken@jefferson.edu.

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Summary
This summary is machine-generated.

Patient-Centered Communication (PCC) and Open Dialogue practices showed trends toward improving patient perceptions of care, respect, and involvement on an inpatient psychiatric unit. Greater intervention use correlated with better outcomes, suggesting potential benefits for patient experience.

Keywords:
Mental health servicesPatient care teamPatient-centered carePsychotic disordersSchizophrenia

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Area of Science:

  • Psychiatry
  • Healthcare Communication
  • Patient Experience Research

Background:

  • Effective communication is crucial in inpatient psychiatric settings.
  • Traditional rounding practices may not fully address patient needs for involvement and respect.
  • Open Dialogue principles offer a framework for enhancing therapeutic communication.

Purpose of the Study:

  • To evaluate the impact of Patient-Centered Communication (PCC) and Open Dialogue-inspired changes on patient perceptions of care.
  • To assess changes in patient ratings of explanation, involvement, respect, and support post-PCC implementation.
  • To explore the relationship between the number of implemented interventions and patient care perceptions.

Main Methods:

  • Retrospective cohort analysis of medical records, restraint/seclusion data, and Perceptions of Care (PoC) surveys.
  • Comparison of 6-month periods before and after PCC implementation on an inpatient psychotic disorders unit.
  • Statistical analysis to determine associations between PCC and patient-reported outcomes.

Main Results:

  • Trends toward improved patient perceptions in care explanation, involvement, respect, and support were observed.
  • These improvements did not reach statistical significance.
  • Teams implementing a higher number of PCC interventions showed greater positive trends in patient perceptions.

Conclusions:

  • Dialogic practice-inspired changes, including PCC, show potential for enhancing patient perceptions of inclusion and respect in acute inpatient psychiatric care.
  • Further research with larger sample sizes or longer intervention periods may be needed to achieve statistical significance.
  • Integrating patient-centered communication strategies is a promising avenue for improving the therapeutic milieu in psychiatric units.