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Professional responses to innovation in clinical method: diabetes care and negotiating skills
N C Stott1, M Rees, S Rollnick
1Department of General Practice, University of Wales College of Medicine, Llanedeyrn Health Centre, Cardiff, UK.
Objective:
To describe the responses of family doctors and nurses to applying an innovative clinical technique and technology in the context of a randomised controlled trial.
Design:
Multi-faceted descriptive analysis of professional responses in the experimental arm of the trial.
Subjects And Setting:
29 family practices involving 30 doctors and 33 nurses over a 3-year time scale and 200 patients with type II diabetes.
Intervention:
A new visual agenda-setting technology and other visual aids applied using the techniques of negotiation and motivational interviewing.
Outcome Measures:
Uptake of training, use of the method, group discussions, willingness to accept consultation recordings.
Results:
100% of clinicians welcomed two or more formal training sessions. The agenda-setting technology was used frequently by 71% of clinicians and occasionally by a further 22%. High levels of engagement with the method occurred among nurses but many doctors also reported benefits.
Conclusions:
Family doctors and nurses in Wales have found a new technology to facilitate negotiation in diabetes consultation acceptable and useful. Analysis of outcome is now awaited.