Emotional and informational patient cues: The impact of nurses’ responses on recall |
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Authors: | Jesse Jansen Julia CM van Weert Judith de Groot Sandra van Dulmen Thea J Heeren Jozien M Bensing |
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Institution: | 1. Screening and Test Evaluation Program, Sydney School of Public Health, Centre for Medical Psychology and Evidence-based Decision-making (CeMPED), University of Sydney, Australia;2. NIVEL (Netherlands Institute for Health Services Research), Utrecht, The Netherlands;3. The Amsterdam School of Communication Research ASCoR, University of Amsterdam, Amsterdam, The Netherlands;4. Comprehensive Cancer Centre North East, Groningen, The Netherlands;5. Symfora Group, Centers for Mental Health Care, Amersfoort, The Netherlands;6. Department of Psychology, Utrecht University, Utrecht, The Netherlands |
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Abstract: | ObjectiveTo investigate older cancer patients’ informational and emotional cues, how nurses respond to these cues and the effect of cues and responses on patients’ information recall.Methods105 cancer patients (aged ≥65 years) completed a recall questionnaire after an educational session preceding chemotherapy treatment. Recall was checked against the actual communication in videorecordings of the consultations. Patients’ emotional and informational cues and subsequent responses by the nurse were rated using an adaptation of the Medical Interview Aural Rating Scale (MIARS).ResultsPatients gave more informational than emotional cues. The most frequent response to emotional cues was distancing followed by acknowledgement. Nurses gave appropriate information in response to the majority of informational cues. Patients’ expression of emotional or informational cues did not influence recall; neither did nurses’ responses to informational cues. Responses to emotional cues did affect recall. The more nurses responded by giving ‘minimal’ encouragements (e.g. ‘Hmmm’), the more patients recalled, while distancing responses (e.g. switching focus) were associated with lower recall scores.ConclusionResponding to patients’ emotions is likely to impact information recall.Practice implicationsThese results highlight the importance of addressing patients’ expressions of emotions in the context of patient education, as it enhances information recall. |
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Keywords: | Emotions Communication Sequence analysis Cues |
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