Solicitations in GP, nurse and pharmacist prescriber consultations: an observational study

Marjorie C. Weiss, Jo Platt, Ruth Riley, Gordon Taylor, Susan Horrocks, Andrea Taylor

Research output: Contribution to journalArticle

  • 2 Citations

Abstract

Background. The opening solicitation is a key element of the primary care consultation as it enables patients to express their ideas, concerns and expectations that can lead to improved patient outcomes. However, in practice, this may not always occur. With nurses and pharmacists now able to prescribe, this research explored the opening solicitation in a multi-professional context.

Objective. To compare the nature, frequency and response to opening solicitations used in consultations with nurse prescribers (NPs), pharmacist prescribers (PPs) and GPs.

Methods. An observational study using audio-recordings of NP, PP and GP patient consultations in 36 primary care practices in southern England. Between 7–13 prescriber–patient consultations were recorded per prescriber. A standardized pro forma based upon previous research was used to assess recordings.

Results. Five hundred and thirty-three patient consultations (213 GPs, 209 NPs, 111 PPs) were audio-recorded with 51 prescribers. Across the prescribing groups, pharmacists asked fewer opening solicitations, while GPs used more open questions than NPs and PPs. The mean number of patient agenda items was 1.3 with more items in GP consultations. Patients completed their opening agenda in 20% of consultations, which was unaffected by professional seen. Redirection of the patient’s agenda occurred at 24 seconds (mean).

Conclusion. All prescribers should be encouraged to use more open questions and ask multiple solicitations throughout the consultation. This is likely to result in greater expression of patients’ concerns and improved patient outcomes.
LanguageEnglish
Pages712-718
Number of pages7
JournalFamily Practice
Volume30
Issue number6
Early online date10 Aug 2013
DOIs
StatusPublished - Dec 2013

Fingerprint

Pharmacists
Observational Studies
Referral and Consultation
Nurses
Primary Health Care
Research
England

Cite this

Solicitations in GP, nurse and pharmacist prescriber consultations : an observational study. / Weiss, Marjorie C.; Platt, Jo; Riley, Ruth; Taylor, Gordon; Horrocks, Susan; Taylor, Andrea.

In: Family Practice, Vol. 30, No. 6, 12.2013, p. 712-718.

Research output: Contribution to journalArticle

Weiss, Marjorie C. ; Platt, Jo ; Riley, Ruth ; Taylor, Gordon ; Horrocks, Susan ; Taylor, Andrea. / Solicitations in GP, nurse and pharmacist prescriber consultations : an observational study. In: Family Practice. 2013 ; Vol. 30, No. 6. pp. 712-718
@article{6e3b23d9e5d345b18aa4c7b187ddf1df,
title = "Solicitations in GP, nurse and pharmacist prescriber consultations: an observational study",
abstract = "Background. The opening solicitation is a key element of the primary care consultation as it enables patients to express their ideas, concerns and expectations that can lead to improved patient outcomes. However, in practice, this may not always occur. With nurses and pharmacists now able to prescribe, this research explored the opening solicitation in a multi-professional context. Objective. To compare the nature, frequency and response to opening solicitations used in consultations with nurse prescribers (NPs), pharmacist prescribers (PPs) and GPs. Methods. An observational study using audio-recordings of NP, PP and GP patient consultations in 36 primary care practices in southern England. Between 7–13 prescriber–patient consultations were recorded per prescriber. A standardized pro forma based upon previous research was used to assess recordings. Results. Five hundred and thirty-three patient consultations (213 GPs, 209 NPs, 111 PPs) were audio-recorded with 51 prescribers. Across the prescribing groups, pharmacists asked fewer opening solicitations, while GPs used more open questions than NPs and PPs. The mean number of patient agenda items was 1.3 with more items in GP consultations. Patients completed their opening agenda in 20{\%} of consultations, which was unaffected by professional seen. Redirection of the patient’s agenda occurred at 24 seconds (mean). Conclusion. All prescribers should be encouraged to use more open questions and ask multiple solicitations throughout the consultation. This is likely to result in greater expression of patients’ concerns and improved patient outcomes.",
author = "Weiss, {Marjorie C.} and Jo Platt and Ruth Riley and Gordon Taylor and Susan Horrocks and Andrea Taylor",
year = "2013",
month = "12",
doi = "10.1093/fampra/cmt042",
language = "English",
volume = "30",
pages = "712--718",
journal = "Family Practice",
issn = "0263-2136",
publisher = "Oxford University Press",
number = "6",

}

TY - JOUR

T1 - Solicitations in GP, nurse and pharmacist prescriber consultations

T2 - Family Practice

AU - Weiss,Marjorie C.

AU - Platt,Jo

AU - Riley,Ruth

AU - Taylor,Gordon

AU - Horrocks,Susan

AU - Taylor,Andrea

PY - 2013/12

Y1 - 2013/12

N2 - Background. The opening solicitation is a key element of the primary care consultation as it enables patients to express their ideas, concerns and expectations that can lead to improved patient outcomes. However, in practice, this may not always occur. With nurses and pharmacists now able to prescribe, this research explored the opening solicitation in a multi-professional context. Objective. To compare the nature, frequency and response to opening solicitations used in consultations with nurse prescribers (NPs), pharmacist prescribers (PPs) and GPs. Methods. An observational study using audio-recordings of NP, PP and GP patient consultations in 36 primary care practices in southern England. Between 7–13 prescriber–patient consultations were recorded per prescriber. A standardized pro forma based upon previous research was used to assess recordings. Results. Five hundred and thirty-three patient consultations (213 GPs, 209 NPs, 111 PPs) were audio-recorded with 51 prescribers. Across the prescribing groups, pharmacists asked fewer opening solicitations, while GPs used more open questions than NPs and PPs. The mean number of patient agenda items was 1.3 with more items in GP consultations. Patients completed their opening agenda in 20% of consultations, which was unaffected by professional seen. Redirection of the patient’s agenda occurred at 24 seconds (mean). Conclusion. All prescribers should be encouraged to use more open questions and ask multiple solicitations throughout the consultation. This is likely to result in greater expression of patients’ concerns and improved patient outcomes.

AB - Background. The opening solicitation is a key element of the primary care consultation as it enables patients to express their ideas, concerns and expectations that can lead to improved patient outcomes. However, in practice, this may not always occur. With nurses and pharmacists now able to prescribe, this research explored the opening solicitation in a multi-professional context. Objective. To compare the nature, frequency and response to opening solicitations used in consultations with nurse prescribers (NPs), pharmacist prescribers (PPs) and GPs. Methods. An observational study using audio-recordings of NP, PP and GP patient consultations in 36 primary care practices in southern England. Between 7–13 prescriber–patient consultations were recorded per prescriber. A standardized pro forma based upon previous research was used to assess recordings. Results. Five hundred and thirty-three patient consultations (213 GPs, 209 NPs, 111 PPs) were audio-recorded with 51 prescribers. Across the prescribing groups, pharmacists asked fewer opening solicitations, while GPs used more open questions than NPs and PPs. The mean number of patient agenda items was 1.3 with more items in GP consultations. Patients completed their opening agenda in 20% of consultations, which was unaffected by professional seen. Redirection of the patient’s agenda occurred at 24 seconds (mean). Conclusion. All prescribers should be encouraged to use more open questions and ask multiple solicitations throughout the consultation. This is likely to result in greater expression of patients’ concerns and improved patient outcomes.

UR - http://www.scopus.com/inward/record.url?scp=84888147678&partnerID=8YFLogxK

UR - http://dx.doi.org/10.1093/fampra/cmt042

U2 - 10.1093/fampra/cmt042

DO - 10.1093/fampra/cmt042

M3 - Article

VL - 30

SP - 712

EP - 718

JO - Family Practice

JF - Family Practice

SN - 0263-2136

IS - 6

ER -