Nonverbal Communication in Clinician-Patient Interaction and Influence on Healthcare Outcome

Authors

  • Alphonse Ekole Ascension Saint John Hospital

DOI:

https://doi.org/10.18034/ajtp.v9i1.619

Keywords:

Nonverbal Communication, Health Care Outcome, Clinician Patient, Community Medicine, Patient Education and Counseling

Abstract

Communication is essential during clinicians' patient encounters in determining the health outcome. The importance of nonverbal communication has received less attention in the patient direct care model, both in practice and healthcare communication. This is because of the nature of the approach itself. Our goal was to investigate the impact nonverbal communication research conducted during the last quarter century has had on various health outcomes. Body language is a powerful tool that may help healthcare providers connect with patients and build mutual respect. In the context of medical encounters, this research aims to provide a summary of the previous research that has been conducted on nonverbal communication. After giving the roles of nonverbal behavior and its importance in medicine, we show how physician nonverbal conduct relates to patient pleasure, trust, or adherence. We then present nonverbal behavior assessment tools. Finally, it has been determined whether or not interpersonal sensitivity affects patient outcomes.

Downloads

Download data is not yet available.

Author Biography

Alphonse Ekole, Ascension Saint John Hospital

Dr Alphonse Ekole MD, MSc., CFNM. is a Family Medicine Specialist in Eastpointe, MI, with over 27 years of experience in the medical field. He graduated from Universite de Yaounde I, Faculty of Medicine and Biomedical Sciences, in 1995. He also holds a master's degree in Clinical Research from Drexel University. He has affiliated with Ascension Saint Johns hospital and is Associate Program Director of the Family Medicine Residency Program of Detroit Authority Health. He is an Adjunct Prof. of Clinical Medicine at Michigan State University and Wayne State University.

References

Atreja, A., Bellam, N., Levy, S. R. (2005). Strategies to enhance patient adherence: making it simple. MedGenMed. 7(1). https://ncbi.nlm.nih.gov/pmc/articles/PMC1681370/

Blanch-Hartigan, D., Ruben, M. A., Hall, J. A., Mast, M. S. (2018). Measuring nonverbal behavior in clinical interactions: A pragmatic guide. Patient Education and Counseling, 101(12), 2209-2218. https://doi.org/10.1016/j.pec.2018.08.013 DOI: https://doi.org/10.1016/j.pec.2018.08.013

Burcher, P. (2011). Emotional intelligence and empathy: its relevance in the clinical encounter. Patient Intelligence, 2011(3), 23-28, https://doi.org/10.2147/PI.S11070 DOI: https://doi.org/10.2147/PI.S11070

Caris‐Verhallen, W. M., Kerkstra, A., & Bensing, J. M. (1999). Non‐verbal behavior in nurse–elderly patient communication. Journal of Advanced Nursing, 29(4), 808-818. https://doi.org/10.1046/j.1365-2648.1999.00965.x DOI: https://doi.org/10.1046/j.1365-2648.1999.00965.x

Coelho, K. R., & Galan, C. (2012). Physician Cross-Cultural Nonverbal Communication Skills, Patient Satisfaction and Health Outcomes in the Physician-Patient Relationship. International Journal of Family Medicine, 2012(376907), 1-5. https://doi.org/10.1155/2012/376907 DOI: https://doi.org/10.1155/2012/376907

Cousin, G. & Mast, M. (2014). Chapter: Nonverbal communication in health settings, In book: Encyclopedia of Health Communication. Publisher: Sage.

DiMatteo, M. R., Hays, R. D., & Prince, L. M. (1986). Relationship of physicians' nonverbal communication skill to patient satisfaction, appointment noncompliance, and physician workload. Health Psychology, 5(6), 581–594. https://doi.org/10.1037/0278-6133.5.6.581 DOI: https://doi.org/10.1037/0278-6133.5.6.581

Griffith, C. H., Wilson, J. F., Langer, S., & Haist, S. A. (2003). House Staff Nonverbal Communication Skills and Standardized Patient Satisfaction. Journal of General Internal Medicine, 18(3), 170-174. https://doi.org/10.1046/j.1525-1497.2003.10506.x DOI: https://doi.org/10.1046/j.1525-1497.2003.10506.x

Hall, J. (1984). Nonverbal Sex Differences: Communication Accuracy and Expressive Style, Johns Hopkins Univ. Press, Baltimore.

Hannawa, A. F. (2011). Shedding light on the dark side of doctor-patient interactions: verbal and nonverbal messages physicians communicate during error disclosures. Patient Education and Counseling, 84(3), 344-351. https://doi.org/10.1016/j.pec.2011.04.030 DOI: https://doi.org/10.1016/j.pec.2011.04.030

Hannawa, A. F. (2014). Disclosing medical errors to patients: Effects of nonverbal involvement. Patient Education and Counseling, 94(3), 310-313. https://doi.org/10.1016/j.pec.2013.11.007 DOI: https://doi.org/10.1016/j.pec.2013.11.007

Irving, P. and Dickson, D. (2004). Empathy: towards a conceptual framework for health professionals. International Journal of Health Care Quality Assurance, 17(4), 212-220. https://doi.org/10.1108/09526860410541531 DOI: https://doi.org/10.1108/09526860410541531

Kravitz, R. L. (1998). Patient Satisfaction with Health Care: Critical Outcome or Trivial Pursuit? Journal of General Internal Medicine, 13(4), 280-282. https://doi.org/10.1046/j.1525-1497.1998.00084.x DOI: https://doi.org/10.1046/j.1525-1497.1998.00084.x

Manary, M., Boulding, W., Staelin, R., & Glickman, S. W. (2013). The Patient Experience and Health Outcomes. The New England Journal of Medicine, 368(3), 201-203. https://nejm.org/doi/full/10.1056/nejmp1211775 DOI: https://doi.org/10.1056/NEJMp1211775

Martin, L. R., Williams, S. L., Haskard, K. B., & DiMatteo, M. R. (2005). The challenge of patient adherence. Therapeutics and Clinical Risk Management, 1(3), 189-199. https://ncbi.nlm.nih.gov/pmc/articles/pmc1661624

Mast, M. S. (2007). On the importance of nonverbal communication in the physician–patient interaction. Patient Education and Counseling, 67(3), 315-318. https://doi.org/10.1016/j.pec.2007.03.005 DOI: https://doi.org/10.1016/j.pec.2007.03.005

Mast, M.S., Cousin. G. (2013). The role of nonverbal communication in medical interactions: Empirical results, theoretical bases, and methodological issues. In: Martin LR, DiMatteo R. The Oxford Handbook of Health Communication, Behavior Change, and Treatment Adherence. DOI: https://doi.org/10.1093/oxfordhb/9780199795833.013.021

Mazor, K. M., Reed, G. W., Yood, R. A., Fischer, M. A., Baril, J. L., & Gurwitz, J. H. (2006). Disclosure of Medical Errors: What Factors Influence How Patients Respond? Journal of General Internal Medicine, 21(7), 704-710. https://doi.org/10.1111/j.1525-1497.2006.00465.x DOI: https://doi.org/10.1111/j.1525-1497.2006.00465.x

Pearson, S. D., & Raeke, L. H. (2000). Patients' Trust in Physicians: Many Theories, Few Measures, and Little Data. Journal of General Internal Medicine, 15(7), 509-513. https://doi.org/10.1046%2Fj.1525-1497.2000.11002.x DOI: https://doi.org/10.1046/j.1525-1497.2000.11002.x

Rahman, M. M., Chakraborty, S., Paul, A., Jobayer, A. M. and Hossain, M. A. (2017). Wheel therapy chair: A smart system for disabled person with therapy facility. 2017 International Conference on Electrical, Computer and Communication Engineering (ECCE), pp. 630-635, https://doi.org/10.1109/ECACE.2017.7912981 DOI: https://doi.org/10.1109/ECACE.2017.7912981

Rogers, C. R. (1957). The necessary and sufficient conditions of therapeutic personality change. Journal of Consulting Psychology, 21(2), 95–103. https://doi.org/10.1037/h0045357 DOI: https://doi.org/10.1037/h0045357

Stewart, M. (1995). Effective physician-patient communication and health outcomes: a review. Canadian Medical Association Journal, 152(9), 1423-1433. https://ncbi.nlm.nih.gov/pmc/articles/pmc1337906

Thiedke, C. C. (2007). What Do We Really Know About Patient Satisfaction. Family practice management, 14(1), 33-36. https://aafp.org/fpm/2007/0100/p33.html

Thom, D. H., Hall, M. A., & Pawlson, L. G. (2004). Measuring Patients’ Trust In Physicians When Assessing Quality Of Care. Health Affairs, 23(4), 124-132. https://doi.org/10.1377/hlthaff.23.4.124 DOI: https://doi.org/10.1377/hlthaff.23.4.124

Winnick, S., Lucas, D. O., Hartman, A. L., & Toll, D. (2005). How do you improve compliance. Pediatrics, 115(6). https://doi.org/10.1542/peds.2004-1133 DOI: https://doi.org/10.1542/peds.2004-1133

Zolnierek, K. B., & DiMatteo, M. R. (2009). Physician communication and patient adherence to treatment: a meta-analysis. Medical Care, 47(8), 826-834. https://doi.org/10.1097%2FMLR.0b013e31819a5acc DOI: https://doi.org/10.1097/MLR.0b013e31819a5acc

--0--

Downloads

Published

2022-04-30

How to Cite

Ekole, A. (2022). Nonverbal Communication in Clinician-Patient Interaction and Influence on Healthcare Outcome. American Journal of Trade and Policy, 9(1), 43–50. https://doi.org/10.18034/ajtp.v9i1.619

Issue

Section

Policy and Practice Reviews