Qualitative StuNocebo Phenomenon (NP) Involved in Doctor-Patient Communication

Background Doctor-patient communication has far reaching influences on the overall well-being of the patients. Words are powerful tools in the doctor’s armamentarium, having both healing as well as harming effects. Doctors need to be conscious about the choice of their words. This study aimed to d...

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Main Authors: Bushra Ashraf, Muhammad Saaiq, Khaleeq Uz-Zaman
Format: Article
Language:English
Published: Kerman University of Medical Sciences 2014-06-01
Series:International Journal of Health Policy and Management
Subjects:
Online Access:http://www.ijhpm.com/pdf_2851_ef7d42a16c09ba98d1f86094331b8207.html
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author Bushra Ashraf
Muhammad Saaiq
Khaleeq Uz-Zaman
author_facet Bushra Ashraf
Muhammad Saaiq
Khaleeq Uz-Zaman
author_sort Bushra Ashraf
collection DOAJ
description Background Doctor-patient communication has far reaching influences on the overall well-being of the patients. Words are powerful tools in the doctor’s armamentarium, having both healing as well as harming effects. Doctors need to be conscious about the choice of their words. This study aimed to determine the frequency and pattern of Nocebo Phenomenon (NP) un-intentionally induced by the communication of surgeons and anesthetists through the course of various interventional procedures such as surgery, anesthesia, and crucial communication encounters with their patients. Methods The study was carried out by the Department of Medical Education (DME), Pakistan Institute of Medical Sciences (PIMS), Shaheed Zulfiqar Ali Bhutto Medical University (SZABMU), Islamabad over six months period. All residents and faculty members serving at our institute in various surgical and anesthesia departments constituted the study population. A questionnaire was employed as the data collection tool. Results Significant proportions of the doctor-patient communications under scrutiny entailed NP. It was more frequently observed in association with female gender of the involved professionals, residency status versus faculty position, and shorter professional experience (i.e. Conclusion NP existed in the clinical practice of the surgeons and anesthetists during their communication with patients. It was more frequently found among females, residents and professionals with less than five years of working experience. There is need to create awareness among these professionals about the subtle negative messages conveyed by such communication and alert them that the nocebo effects have negative repercussions on the clinical outcomes of their patients. The professionals should be formally educated to avoid nocebo words and phrases.
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spelling doaj.art-947b721897cb4a35864b97ace718937d2022-12-22T03:07:22ZengKerman University of Medical SciencesInternational Journal of Health Policy and Management2322-59392322-59392014-06-0131232710.15171/ijhpm.2014.54Qualitative StuNocebo Phenomenon (NP) Involved in Doctor-Patient CommunicationBushra Ashraf0Muhammad Saaiq 1Khaleeq Uz-Zaman2Department of Obstetrics & Gynecology, Mother and Child Health Centre, Pakistan Institute of Medical Sciences, Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad, PakistanDepartment of Plastic Surgery and Burns, Pakistan Institute of Medical Sciences, Islamabad, PakistanDepartments of Neurosurgery and Medical Education, Pakistan Institute of Medical Sciences, Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad, PakistanBackground Doctor-patient communication has far reaching influences on the overall well-being of the patients. Words are powerful tools in the doctor’s armamentarium, having both healing as well as harming effects. Doctors need to be conscious about the choice of their words. This study aimed to determine the frequency and pattern of Nocebo Phenomenon (NP) un-intentionally induced by the communication of surgeons and anesthetists through the course of various interventional procedures such as surgery, anesthesia, and crucial communication encounters with their patients. Methods The study was carried out by the Department of Medical Education (DME), Pakistan Institute of Medical Sciences (PIMS), Shaheed Zulfiqar Ali Bhutto Medical University (SZABMU), Islamabad over six months period. All residents and faculty members serving at our institute in various surgical and anesthesia departments constituted the study population. A questionnaire was employed as the data collection tool. Results Significant proportions of the doctor-patient communications under scrutiny entailed NP. It was more frequently observed in association with female gender of the involved professionals, residency status versus faculty position, and shorter professional experience (i.e. Conclusion NP existed in the clinical practice of the surgeons and anesthetists during their communication with patients. It was more frequently found among females, residents and professionals with less than five years of working experience. There is need to create awareness among these professionals about the subtle negative messages conveyed by such communication and alert them that the nocebo effects have negative repercussions on the clinical outcomes of their patients. The professionals should be formally educated to avoid nocebo words and phrases.http://www.ijhpm.com/pdf_2851_ef7d42a16c09ba98d1f86094331b8207.htmlNocebo Phenomenon (NP)Nocebo WordsNocebo EffectsNocebo ResponsePlacebo PhenomenonDoctor-Patient Communication
spellingShingle Bushra Ashraf
Muhammad Saaiq
Khaleeq Uz-Zaman
Qualitative StuNocebo Phenomenon (NP) Involved in Doctor-Patient Communication
International Journal of Health Policy and Management
Nocebo Phenomenon (NP)
Nocebo Words
Nocebo Effects
Nocebo Response
Placebo Phenomenon
Doctor-Patient Communication
title Qualitative StuNocebo Phenomenon (NP) Involved in Doctor-Patient Communication
title_full Qualitative StuNocebo Phenomenon (NP) Involved in Doctor-Patient Communication
title_fullStr Qualitative StuNocebo Phenomenon (NP) Involved in Doctor-Patient Communication
title_full_unstemmed Qualitative StuNocebo Phenomenon (NP) Involved in Doctor-Patient Communication
title_short Qualitative StuNocebo Phenomenon (NP) Involved in Doctor-Patient Communication
title_sort qualitative stunocebo phenomenon np involved in doctor patient communication
topic Nocebo Phenomenon (NP)
Nocebo Words
Nocebo Effects
Nocebo Response
Placebo Phenomenon
Doctor-Patient Communication
url http://www.ijhpm.com/pdf_2851_ef7d42a16c09ba98d1f86094331b8207.html
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