Objective Measures of Communication Behavior Predict Clinical Performance

Yuhao Peng, Nicholas E. Anton, Jackie Cha, Tomoko Mizota, Julie M. Hennings, Ryan Stambro, Megan A. Rendina, Katie Stanton-Maxey, Dimitrios Stefanidis, Denny Yu

Research output: Contribution to journalArticle

Abstract

Objective: Effective teamwork and communication are critical to patient outcomes, and subjective assessment tools have been studied in predicting team performances. However, inherent biases remain while using subjective assessment tools. This study hypothesizes that objective communication features can assess and predict clinical performance. Design: Forty 3rd-year medical students participated in the Acute Care Trauma Simulation as the role of doctor, teaming up with a nurse confederate and a simulated patient. Participants conducted postoperative patient management, patient care diagnoses, and treatment. Audio from all team members were recorded, speech variables (e.g., speech duration, number of conversations, etc.) were extracted, and statistical analyses were performed to associate communication with clinical performance. Setting: This study was performed at the simulation center located at Fairbanks Hall, Indiana University School of Medicine. Participants: Data from forty 3rd-year medical students were collected and analyzed. Results: Majority (67%) of the communications were initiated by student. Speech ratio, intensity, and frequency of communications differed when students communicate with nurse than with patient (e.g., student communication to patient had higher intensity than nurse). Increasing frequency of check-backs between student and nurse (p < 0.05) and speech duration from student to patient (p = 0.001) positively associated with student's clinical performance score. Conclusion: Objective communication features can predict medical trainee's clinical performance and provide an objective approach for simulation-based trauma care training.

Original languageEnglish (US)
JournalJournal of Surgical Education
DOIs
StatePublished - Jan 1 2019

Fingerprint

communication behavior
Communication
Students
nurse
communication
performance
Nurses
student
simulation
trauma
medical student
Medical Students
communications
Patient Outcome Assessment
Patient Care Management
teamwork
trainee
patient care
Wounds and Injuries
conversation

Keywords

  • communication analysis
  • Interpersonal and Communication Skills
  • Patient Care
  • patient safety
  • Professionalism
  • team communication

ASJC Scopus subject areas

  • Surgery
  • Education

Cite this

Peng, Y., Anton, N. E., Cha, J., Mizota, T., Hennings, J. M., Stambro, R., ... Yu, D. (2019). Objective Measures of Communication Behavior Predict Clinical Performance. Journal of Surgical Education. https://doi.org/10.1016/j.jsurg.2019.03.017

Objective Measures of Communication Behavior Predict Clinical Performance. / Peng, Yuhao; Anton, Nicholas E.; Cha, Jackie; Mizota, Tomoko; Hennings, Julie M.; Stambro, Ryan; Rendina, Megan A.; Stanton-Maxey, Katie; Stefanidis, Dimitrios; Yu, Denny.

In: Journal of Surgical Education, 01.01.2019.

Research output: Contribution to journalArticle

Peng, Y, Anton, NE, Cha, J, Mizota, T, Hennings, JM, Stambro, R, Rendina, MA, Stanton-Maxey, K, Stefanidis, D & Yu, D 2019, 'Objective Measures of Communication Behavior Predict Clinical Performance', Journal of Surgical Education. https://doi.org/10.1016/j.jsurg.2019.03.017
Peng, Yuhao ; Anton, Nicholas E. ; Cha, Jackie ; Mizota, Tomoko ; Hennings, Julie M. ; Stambro, Ryan ; Rendina, Megan A. ; Stanton-Maxey, Katie ; Stefanidis, Dimitrios ; Yu, Denny. / Objective Measures of Communication Behavior Predict Clinical Performance. In: Journal of Surgical Education. 2019.
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