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Patient Educ Couns. 1996 Oct;29(1):67-73.

Professional responses to innovation in clinical method: diabetes care and negotiating skills.

Author information

1
Department of General Practice, University of Wales College of Medicine, Llanedeyrn Health Centre, Cardiff, UK.

Abstract

OBJECTIVE:

To describe the responses of family doctors and nurses to applying an innovative clinical technique and technology in the context of a randomised controlled trial.

DESIGN:

Multi-faceted descriptive analysis of professional responses in the experimental arm of the trial.

SUBJECTS AND SETTING:

29 family practices involving 30 doctors and 33 nurses over a 3-year time scale and 200 patients with type II diabetes.

INTERVENTION:

A new visual agenda-setting technology and other visual aids applied using the techniques of negotiation and motivational interviewing.

OUTCOME MEASURES:

Uptake of training, use of the method, group discussions, willingness to accept consultation recordings.

RESULTS:

100% of clinicians welcomed two or more formal training sessions. The agenda-setting technology was used frequently by 71% of clinicians and occasionally by a further 22%. High levels of engagement with the method occurred among nurses but many doctors also reported benefits.

CONCLUSIONS:

Family doctors and nurses in Wales have found a new technology to facilitate negotiation in diabetes consultation acceptable and useful. Analysis of outcome is now awaited.

PMID:
9006223
DOI:
10.1016/0738-3991(96)00935-4
[Indexed for MEDLINE]

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