View in EDS PDF Full Text

Exploring patients' and physicians' perspectives about competent health advocacy.

Saved in:
Bibliographic Details
Title: Exploring patients' and physicians' perspectives about competent health advocacy.
Authors: LaDonna, Kori A., Watling, Christopher J., Cristancho, Sayra M., Burm, Sarah
Source: Medical Education. Apr2021, Vol. 55 Issue 4, p486-495. 10p. 2 Black and White Photographs, 1 Chart.
Subjects: School environment, Occupational roles, Work experience (Employment), Patient advocacy, Empathy, Grounded theory, Research methodology, Physicians' attitudes, Interviewing, Patient-centered care, Patients' attitudes, Clinical competence, Photography, Physicians, Listening, Patient-professional relations
Abstract: Introduction: Many residency programmes struggle to demonstrate how they prepare trainees to become competent health advocates. To meaningfully teach and assess it, we first need to understand what 'competent' health advocacy (HA) is and what competently enacting it requires. Attempts at clarifying HA have largely centred around the perspectives of consultant physicians and trainees. Without patients' perspectives, we risk training learners to advocate in ways that may be misaligned with patients' needs and goals. Therefore, the purpose of our research was to generate a multi‐perspective understanding about the meaning of competence for the HA role. Methods: We used constructivist grounded theory to explore patients' and physicians' perspectives about competent health advocacy. Data were collected using photo elicitation; patients (n = 10) and physicians (n = 14) took photographs depicting health advocacy that were used to inform semi‐structured interviews. Themes were identified using constant comparative analysis. Results: Physician participants associated HA with disruption or political activism, suggesting that competence hinged on medical and systems expertise, a conducive learning environment, and personal and professional characteristics including experience, status and political savvy. Patient participants, however, equated physician advocacy with patient centredness, perceiving that competent HAs are empathetic and attentive listeners. In contrast to patients, few physicians identified as advocates, raising questions about their ability to train or to thoughtfully assess learners' abilities. Conclusion: Few participants perceived HA as a fundamental physician role—at least not as it is currently defined in curricular frameworks. Misperceptions that HA is primarily disruptive may be the root cause of the HA problem; solving it may rely on focusing training on bolstering skills like empathy and listening not typically associated with the HA role. Since there may be no competency where the patient voice is more critical, we need to explore opportunities for patients to facilitate learning for the HA role. Seeing the same thing differently? LaDonna et al. reveal that patients and physicians do not necessarily view health advocacy the same way and suggest definitions expand to include empathy and listening to improve training. [ABSTRACT FROM AUTHOR]
Copyright of Medical Education is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
FullText Links:
  – Type: pdflink
Text:
  Availability: 0
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 149308286
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Exploring patients' and physicians' perspectives about competent health advocacy.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22LaDonna%2C+Kori+A%2E%22">LaDonna, Kori A.</searchLink><br /><searchLink fieldCode="AR" term="%22Watling%2C+Christopher+J%2E%22">Watling, Christopher J.</searchLink><br /><searchLink fieldCode="AR" term="%22Cristancho%2C+Sayra+M%2E%22">Cristancho, Sayra M.</searchLink><br /><searchLink fieldCode="AR" term="%22Burm%2C+Sarah%22">Burm, Sarah</searchLink>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Medical+Education%22">Medical Education</searchLink>. Apr2021, Vol. 55 Issue 4, p486-495. 10p. 2 Black and White Photographs, 1 Chart.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22School+environment%22">School environment</searchLink><br /><searchLink fieldCode="DE" term="%22Occupational+roles%22">Occupational roles</searchLink><br /><searchLink fieldCode="DE" term="%22Work+experience+%28Employment%29%22">Work experience (Employment)</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+advocacy%22">Patient advocacy</searchLink><br /><searchLink fieldCode="DE" term="%22Empathy%22">Empathy</searchLink><br /><searchLink fieldCode="DE" term="%22Grounded+theory%22">Grounded theory</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Physicians'+attitudes%22">Physicians' attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Patient-centered+care%22">Patient-centered care</searchLink><br /><searchLink fieldCode="DE" term="%22Patients'+attitudes%22">Patients' attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Clinical+competence%22">Clinical competence</searchLink><br /><searchLink fieldCode="DE" term="%22Photography%22">Photography</searchLink><br /><searchLink fieldCode="DE" term="%22Physicians%22">Physicians</searchLink><br /><searchLink fieldCode="DE" term="%22Listening%22">Listening</searchLink><br /><searchLink fieldCode="DE" term="%22Patient-professional+relations%22">Patient-professional relations</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Introduction: Many residency programmes struggle to demonstrate how they prepare trainees to become competent health advocates. To meaningfully teach and assess it, we first need to understand what 'competent' health advocacy (HA) is and what competently enacting it requires. Attempts at clarifying HA have largely centred around the perspectives of consultant physicians and trainees. Without patients' perspectives, we risk training learners to advocate in ways that may be misaligned with patients' needs and goals. Therefore, the purpose of our research was to generate a multi‐perspective understanding about the meaning of competence for the HA role. Methods: We used constructivist grounded theory to explore patients' and physicians' perspectives about competent health advocacy. Data were collected using photo elicitation; patients (n = 10) and physicians (n = 14) took photographs depicting health advocacy that were used to inform semi‐structured interviews. Themes were identified using constant comparative analysis. Results: Physician participants associated HA with disruption or political activism, suggesting that competence hinged on medical and systems expertise, a conducive learning environment, and personal and professional characteristics including experience, status and political savvy. Patient participants, however, equated physician advocacy with patient centredness, perceiving that competent HAs are empathetic and attentive listeners. In contrast to patients, few physicians identified as advocates, raising questions about their ability to train or to thoughtfully assess learners' abilities. Conclusion: Few participants perceived HA as a fundamental physician role—at least not as it is currently defined in curricular frameworks. Misperceptions that HA is primarily disruptive may be the root cause of the HA problem; solving it may rely on focusing training on bolstering skills like empathy and listening not typically associated with the HA role. Since there may be no competency where the patient voice is more critical, we need to explore opportunities for patients to facilitate learning for the HA role. Seeing the same thing differently? LaDonna et al. reveal that patients and physicians do not necessarily view health advocacy the same way and suggest definitions expand to include empathy and listening to improve training. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Medical Education is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=149308286
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1111/medu.14408
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 10
        StartPage: 486
    Subjects:
      – SubjectFull: School environment
        Type: general
      – SubjectFull: Occupational roles
        Type: general
      – SubjectFull: Work experience (Employment)
        Type: general
      – SubjectFull: Patient advocacy
        Type: general
      – SubjectFull: Empathy
        Type: general
      – SubjectFull: Grounded theory
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Physicians' attitudes
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Patient-centered care
        Type: general
      – SubjectFull: Patients' attitudes
        Type: general
      – SubjectFull: Clinical competence
        Type: general
      – SubjectFull: Photography
        Type: general
      – SubjectFull: Physicians
        Type: general
      – SubjectFull: Listening
        Type: general
      – SubjectFull: Patient-professional relations
        Type: general
    Titles:
      – TitleFull: Exploring patients' and physicians' perspectives about competent health advocacy.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: LaDonna, Kori A.
      – PersonEntity:
          Name:
            NameFull: Watling, Christopher J.
      – PersonEntity:
          Name:
            NameFull: Cristancho, Sayra M.
      – PersonEntity:
          Name:
            NameFull: Burm, Sarah
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 04
              Text: Apr2021
              Type: published
              Y: 2021
          Identifiers:
            – Type: issn-print
              Value: 03080110
          Numbering:
            – Type: volume
              Value: 55
            – Type: issue
              Value: 4
          Titles:
            – TitleFull: Medical Education
              Type: main
ResultId 1