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A Person, L Finch Keywords advanced practice nurse behavior, advanced practice nurse caring, advanced practice nurse communication, bedside manner, bedside manner concept, patient perceptions Citation A Person, L Finch.
Abstract Bedside manner has received little in-depth evaluation in the literature, especially from an advanced nursing practice perspective. Concept analysis revealed specific provider behaviors that are consistently deemed positive or negative by patients.
Positive behaviors include displays of respect, courtesy, and listening [ 1 ]. Negative behaviors include arrogance, indifference, and disrespect [ 3 ].
Further research in the area of bedside manner is needed to provide additional clarification of patient expectations and desires from their relationship with the clinician.
Introduction Bedside manner is a term with which most medical professionals and lay persons are familiar. This trend to provide education on bedside manner may be attributable to patient demands for more personal healthcare . In addition to being a poorly described concept, the significance and relationship of bedside manner to the Advanced Practice Nurse [APN] is lacking insight.
This paper will analyze the concept of bedside manner, determine how bedside manner impacts advanced nursing practice and education, and identify areas for further research. Concept Analysis Purpose The purpose of concept analysis is to recognize, define, and clarify phenomena to improve understanding and promote further research.
A concept is a phenomenon that occurs in nature or in thought and is derived from certain attributes.
Through the process of concept analysis, ideas area broken down and analyzed through identification of key features of the concept.
The concept of bedside manner warrants analysis and scrutiny because good bedside manner is highly valued by patients, yet bedside manner has received minimal literary attention [[[[13; 14]]]]. One study showed that patients value good bedside manner and listening skills more than clinical competence .
In addition to patient satisfaction with care, good bedside manner has also been implicated in improving overall health status [[[[5; 15; 16]]]].
The relevance of practitioner behavior in medical care has been said to be of greater importance to customers than in other service professions.
This increased significance has been related to the fact that the customers must bare themselves both physically and emotionally . While the value of good bedside manner has been established, specific behaviors and actions that dictate and guide this experience have received little attention .
Definition The term bedside manner dates back as far as From these definitions, the assumption can be made that bedside manner is a behavior or group of behaviors. All human behaviors have been theorized to result in a multitude of consequences; intentional and unintentional, positive and negative .
Considering the consequences of human behavior, it can thus be assumed that health provider behaviors, communicated through an encounter designated as bedside manner, result in an experience for patients, one that may be perceived as positive or negative.
Review of Literature Various provider behaviors have been identified by patients as consistently positive or negative. Verbal communication skills are reported as very valuable when patients assess the performance of their provider [[[[15; 16; 19]]]].
One study that assessed the value of communication skills found that physicians who where deemed as being good listeners had the best relationships with patients and the least amount of complaints .
A similar study reported that patients related bedside manner and listening skills with the feeling that their clinician really cared about them . Specific to advanced nursing practice, research has identified communication skills and longer visits as a favorite aspect of APN care .
Other non-verbal cues associated with a positive experience for patients include eye contact, body position, and tone of voice .
Humanistic behaviors such as care and concern are also frequently reported by patients as positive and desirable. One study of patients cared for by APNs found a statistically significant correlation between patient satisfaction and the feeling that the nurse practitioner was caring .
In the United Kingdom, a national summit sought feedback from the public of their expectations and desires from primary care services. Similarly, Bendapudi and colleagues  asked patients to describe their ideal doctor.
The top responses were a provider who was confident, empathetic, humane, personal, forthright, respectful, and thorough . The literature also revealed information about provider behaviors deemed negative and related to undesirable and negative patient experiences.
Behaviors such as insensitivity, lack of respect, arrogance, disinterest, and impatience were reported when a group of patients were asked to describe their worst experience with a clinician .The purpose of concept analysis is to recognize, define, and clarify phenomena to improve understanding and promote further research.
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