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Communication skills
Published in Michael Parker, Charlie James, Fundamentals for Cosmetic Practice, 2022
Research reminds us that patients closely observe their doctors for not only what is being said but also regarding their body language during a consultation. One observational study highlighted that the degree of eye contact was perceived by patients to correlate with the level of interest a doctor had in them, and a lack of eye contact was particularly bothersome to younger and more well-educated patients. Further research demonstrated that doctors who had a more engaging posture and maintained better eye contact were likely to have more information volunteered to them by patients than those who did the opposite. This implies that having an open, upright posture and maintaining eye contact are not only good manners but also good practices. The utilisation of body language and posture can not only allow for you to garner useful information from patients but also from those who demonstrate good eye contact, head nods and gestures, positive position and an engaging tone of voice have improved patient satisfaction and understanding, heightened awareness of emotional distress, and lower rates of litigation.
Patient–Professional Communication
Published in Richard J. Holden, Rupa S. Valdez, The Patient Factor, 2021
Onur Asan, Bradley H. Crotty, Avishek Choudhury
There is a strong relationship between nonverbal aspects of patient–professional communication and various health outcomes, systematically reviewed elsewhere (Henry et al., 2012). For instance, eye contact is found to influence patient-centeredness, rapport, physician awareness, and patients’ physical and cognitive functioning (D’Agostino & Bylund, 2014). Body language such as head nodding, facial expression, body orientation, and postures are linked with patient satisfaction in many studies (Henry et al., 2012). Most studies of this kind collected video and subsequently analyzed recordings. Human factors researchers have also analyzed patient–professional nonverbal communication to understand needs for a better system and technology design to improve and facilitate nonverbal communication (Asan, 2017; Asan et al., 2014; Asan, Kim, et al., 2018; Asan & Montague, 2012; Asan, Tyszka, et al., 2018; Asan et al., 2015; Frankel et al., 2005).
Interpersonal Gaps
Published in Robert McAlpine, Anthony Hillin, Interpersonal Psychotherapy for Adolescents, 2020
Robert McAlpine, Anthony Hillin
Even small gaps in the young person’s grasp of just one facet of communication can have major negative impacts on his ability to relate to others. The gaps may be either in relation to the young person’s ability to recognise and interpret these components of communication in others, to utilise them appropriately in his own communication, or both. Eye contact is a good example of the power of a single aspect that can make or break communication. Used appropriately it can be inviting and a way of showing interest in others. Too much eye contact can be uncomfortable and may be intimidating. Conversely, people who avoid eye contact can give a negative impression, perhaps of lying, being nervous, or wishing the other person would go away. However, in some cultures, for example, Australian Aboriginal culture, avoiding eye contact may be a sign of respect. Too much or too little eye contact can sabotage an otherwise adequate, or even excellent, set of social skills.
‘Good’ and ‘bad’ doctors - a qualitative study of the Austrian public on the elements of professional medical identity
Published in Medical Education Online, 2022
Julia S. Grundnig, Verena Steiner-Hofbauer, Henri Katz, Anita Holzinger
The largest category of the ‘bad’ doctor is ‘social skills’ with 576 statements (32.9% of ‘bad’ doctor responses). The answers mainly refer to doctors who do not take time for their patients and do not liste attentively. According to the public, social incompetence is due to an arrogant, condescending, preachy, or overly theoretical manner. Doctors who do not respond to the individual, cannot soothe their patients, lack understanding, do not have personal contact, or go into too much detail are perceived as unsuitable. If doctors are not on a par with their patients, do not make eye contact, or do not know or recognize them, their behavior is perceived as disinterest. Social incompetence also includes a lack of empathy or care and the feeling of not being taken seriously (Table 10).
Eccentric Gaze as a Possible Cause of “Zoom Fatigue”
Published in Journal of Binocular Vision and Ocular Motility, 2021
It appears that untrained lay observers are extremely sensitive to detecting when a person is not looking directly at them during a video chat. The literature on the effect of the lack of direct eye contact during a conversation is somewhat conflicting,4–6 but a general review7 supports the ideas that we pay close attention to other people’s gaze because it provides a lot of information about their intentions, and we are strongly influenced by other people’s gaze direction. Perceiving other individual’s direct gaze has robust positive effects on various attentional and cognitive processes and increases positive affective arousal and reaction.8 As adults, we detect faces with direct eye gaze more rapidly and this direct eye contact is also more effective at holding our attention.8
Observing and Identifying Hospitalist Best Communication Practices in Patient Interactions
Published in Hospital Topics, 2019
Julie Apker, Scott Shank, Maggie Baker, Kristen Hatten, Sally VanSweden
Hospitalists use a range of nonverbal relationship-building techniques to enhance dynamics with patients with whom they lacked familiarity and minimize distractions. Across observations, we saw hospitalists engaging in behaviors such as: (1) relaxed posture/leaning in to conversation; (2) using inclusive eye contact; (3) facial expressions appropriate to the situation; and (4) using touch to reassure. These behaviors convey intimacy even though in most cases hospitalists did not know their patients well. Hospitalists were also seen routinely staging patient rooms to alter the physical space for better communication. For example, they turn off TVs, sit down near the patient, and move unneeded equipment, trays, etc. away from the bedside. Such actions effectively remove material barriers, focus patient attention, and visibly show the medical encounter’s importance. These techniques also enable hospitalists to streamline the conversation to reduce time wasted on environmental distractions.