Silence in physician clinical practice: a scoping review protocol.

Area of Science:

• Medical Communication
• Healthcare Interactions
• Clinical Practice Research

Background:

• Silence is a common element in physician-patient interactions.
• Understanding the role and perception of silence is crucial for effective clinical communication.
• Existing literature lacks a comprehensive overview of silence in healthcare settings.

Purpose of the Study:

• To map and describe the existing literature on silence in physician-patient interactions.
• To conceptualize how silence is discussed within clinical settings.
• To identify factors influencing the use of silence in medical encounters.

Main Methods:

• A comprehensive scoping review methodology based on Arksey & O'Malley, adapted by Levac et al and JBI.
• Inclusion of empirical studies (quantitative, qualitative, mixed methods, observational) and reviews, commentaries, editorials, and grey literature.
• Systematic search of multiple databases (MEDLINE, CINAHL, PsycINFO, Scopus, Web of Science) and PRISMA-ScR reporting.

Main Results:

• The review will provide an extensive description of physician engagement with silence.
• It will identify perceptions and roles of silence in physician-patient communication.
• Key factors influencing the use of silence will be elucidated.

Conclusions:

• Findings will inform the development of educational initiatives on the use of silence in clinical practice.
• This research aims to enhance physician-patient communication through a better understanding of silence.
• The study contributes to the field of medical communication and patient-centered care.