ASSESSING THE ATTITUDES OF AL-NEELAIN MEDICAL STUDENTS TOWARDS LEARNING COMMUNICATION SKILLS AND ITS IMPLICATIONS ON HEALTH PRACTICES IN CLINICAL WARDS, 2022
Main Article Content
Keywords
Communication, Clinical Wards, Medicine, Medical Students, Attitudes, Skills, Healthcare, Health
Abstract
Background and objectives: health system is maintained through good doctor-patient communication. We aim to find a correlation between student's attitudes and views regarding communication skills learning and their practice of communication skills at clinical wards. Additionally, we aim to compare these attitudes between males and females.
Methods: cross-sectional study with 161 participants from Al-neelain university faculty of medicine. We used communication skills attitude scale (CSAS) to assess student’s attitudes and opinions, and Medical Communication Perceived Self-Efficacy (ME-CO) to assess their clinical communication. We then assessed the correlation between them and compared both gender groups in regards to positive and negative attitudes.
Results: there were positive correlation (0.29 / P<0.01) between positive attitudes and clinical communication, while an inverse correlation (-0.187 / P<0.05) between negative attitudes and clinical communication was detected. Females appeared to have more positive attitudes than males when comparing their mean ranks (P<0.05), but mean ranks comparison regarding negative attitude was not justified due to unequal distribution.
Conclusion: our study showed the influence of communication skills attitudes on student’s clinical skills. Females tends to have more positive view towards studying communication skills. There’s a significant amount of students with negative attitude. These results emphasize the importance of good quality of learning, as a predictor of student’s practice at clinical wards.
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30. Nourein AAE, Shahadah RF, Alnemer MA, Al-Harbi SS, Fadel HT, Kassim S. Comparative study of attitudes towards communication skills learning between medical and dental students in saudi arabia. Int J Environ Res Public Health. 2021 Jan 1;18(1):1–9.
31. Alotaibi FS, Alsaeedi A. Attitudes of medical students toward communication skills learning in Western Saudi Arabia. Saudi Med J. 2016 Jul 1;37(7):791–5.
32. Kerr AM, Thompson CM. A longitudinal study of third-year medical students’ communication competence, communication anxiety, and attitudes toward patient-centered care. Patient Educ Couns. 2022 May 1;105(5):1298–304.
33. Ruiz-Moral R, Martin DM, De Leonardo CG, Denizon S, Pérez AC, Martínez FC. Medical students’ attitudes towards communication skills training: A longitudinal study with one cohort. GMS J Med Educ. 2021;38(6).
34. Dhaliwal U, Singh S, Singh N. Reflective student narratives: honing professionalism and empathy. Indian J Med Ethics. 2018 Jan 1;3(1):9–15.
35. Groene OR, Ehrhardt M, Bergelt C. Attitude and communication skills of German medical students. BMC Res Notes. 2022 Dec 1;15(1).
36. Bejarano G, Csiernik B, Young JJ, Stuber K, Zadro JR. Healthcare students’ attitudes towards patient centred care: a systematic review with meta-analysis. BMC Med Educ. 2022 Dec 1;22(1).
37. Smith RC, Dwamena FC, Grover M, Coffey J, Frankel RM. Behaviorally defined patient-centered communication-A narrative review of the literature. J Gen Intern Med. 2011;26(2):185–91.
38. Ribeiro MMF, Krupat E, Amaral CFS. Brazilian medical students’ attitudes towards patient-centered care. Med Teach. 2007 Jul;29(6).
39. Gude T, Tyssen R, Anvik T, Grimstad H, Holen A, Baerheim A, et al. Have medical students’ attitudes towards clinical communication skills changed over a 12- year period? A comparative long-term study. BMC Med Educ. 2020 Jan 10;20(1).
40. Givron H, Desseilles M. Longitudinal study: Impact of communication skills training and a traineeship on medical students’ attitudes toward communication skills. Patient Educ Couns. 2021 Apr 1;104(4):785–91.
41. Steinauer JE, Teherani A, Preskill F, ten Cate O, O’Sullivan P. What Do Medical Students Do and Want When Caring for “Difficult Patients”? Teach Learn Med. 2019 May 27;31(3):238–49.
42. Foong AL, Sow CF, Ramasamy S, Yap PS. Pre-tertiary education, ethnicity, and attitudes of Asian medical undergraduates towards communication skills. Int J Med Educ. 2019 Jan 25;10:1–8.
2. Vogel D, Meyer M, Harendza S. Verbal and non-verbal communication skills including empathy during history taking of undergraduate medical students. 2018;1–7.
3. Strategic WHO, Framework C, For P, Communications E. Table of Contents.
4. Keshavarzi MH, Azandehi S, Koohestani HR, Baradaran HR, Hayat AA, Ghorbani AA. Exploration the role of a clinical supervisor to improve the professional skills of medical students : a content analysis study. 2022;1–10.
5. Giulia B, Lorenza S, Srna T. Healthcare and communication in Africa.
6. Increasing access to health workers in remote and rural areas through improved retention.
7. Fragstein M Von, Silverman J, Cushing A, Quilligan S, Salisbury H. communication curricula UK consensus statement on the content of communication curricula in undergraduate medical education. 2008;1100–7.
8. Dubois A, Patil V. The status quo of modern medical professionalism. 2012;267–8.
9. Access O. Do medical students like communication ? Validation of the German CSAS ( Communication Skills Attitude Scale ). 2015;32(1):1–21.
10. Gilligan C, Powell M, Mc L, Bm W, Lonsdale C, Harvey P, et al. communication in medical consultations ( Review ). 2021;
11. Ruiz-moral R, De CG, Caballero F. Medical students ’ attitudes towards communication skills training : a longitudinal study with one cohort. 2021;38(6):1–15.
12. Hojat M, Mangione S, Nasca TJ, Rattner S, Erdmann JB, Gonnella JS, et al. An empirical study of decline in empathy in medical school. Med Educ [Internet]. 2004 Sep [cited 2022 Nov 24];38(9):934–41. Available from: https://pubmed.ncbi.nlm.nih.gov/15327674/
13. Woloschuk W, Harasym PH, Temple W. undergraduate medical education Attitude change during medical school : a cohort study. 2004;522–34.
14. Haidet P, Dains JE, Paterniti DA, Hechtel L, Chang T, Tseng E, et al. Medical student attitudes toward the doctor – patient relationship. 2002;568–74.
15. Bombeke K, Roosbroeck S Van, Winter B De, Debaene L, Schol S, Hal G Van, et al. Patient Education and Counseling Medical students trained in communication skills show a decline in patient- centred attitudes : An observational study comparing two cohorts during clinical clerkships. Patient Educ Couns [Internet]. 2011;84(3):307–15. Available from: http://dx.doi.org/10.1016/j.pec.2011.03.007
16. Rees C, Sheard C, Davies S. The development of a scale to measure medical students ’ attitudes towards communication skills learning : the Communication Skills Attitude Scale ( CSAS ). 2002;(1):141–7.
17. Panczyk M, Iwanow L, Zarzeka A, Jaworski M, Gotlib J. Communication skills attitude scale: A translation and validation study in asample of registered nurses in Poland. BMJ Open. 2019 May 1;9(5).
18. Mohamad-Isa MZ, Mohamed-Yassin MS, Badlishah-Sham SF, Baharudin N, Ramli AS. Cross-Cultural Adaptation and Psychometric Properties of the Malay Version of the Communication Skills Attitude Scale (CSAS) among Medical Students in Malaysia. Int J Environ Res Public Health [Internet]. 2021 Apr 1 [cited 2022 Nov 24];18(7). Available from: https://pubmed.ncbi.nlm.nih.gov/33916335/
19. Zhang Y, Jiang G, Sun Y, Zhao X, Yu X. Cross-cultural adaptation and psychometric properties of the Chinese version of the Communication Skills Attitude Scale among medical students in Liaoning province, China: a cross-sectional study. BMJ Open. 2018 Sep 10;8(9):e020931.
20. Moult A, Mckinley RK, Yeates P, Mckinley RK, Yeates P. Understanding patient involvement in judging students ’ communication skills in OSCEs Understanding patient involvement in judging students ’ communication skills in OSCEs. Med Teach [Internet]. 2021;43(9):1070–8. Available from: https://doi.org/10.1080/0142159X.2021.1915467
21. Charmaz K, Belgrave LL. Qualitative interviewing and grounded theory analysis. SAGE Handb Interview Res Complex Cr. 2012 Jan 1;347–66.
22. Lee M. Empathy and attitude toward communication skill learning as a predictor of patient-centered attitude : a cross- sectional study of dental students in Korea. 2021;1–11.
23. Article O. Psychometric properties of the communication skills attitude scale (CSAS) measure in a sample of Iranian medical students. 2018;6(1):14–21.
24. Capone V. Medical Communication Perceived Self-Efficacy ( ME-CO ) Scale : Construction and Validation of a New Measuring Instrument from a Socio-Cognitive Perspective. 2022;765–80.
25. Health R, Nayana Á, Mata DS, Pablo K, Azevedo M De, Braga LP, et al. Training in communication skills for self ‑ efficacy of health professionals : a systematic review. Hum Resour Health [Internet]. 2021;1–9. Available from: https://doi.org/10.1186/s12960-021-00574-3
26. Park WB, Phyo SR, Jang EY, Kang SH, Myung SJ, Shin HY, et al. Correlations of Communication and Interpersonal Skills between Medical Students and Residents. 2010;269–74.
27. Rees C, Sheard C. The relationship between medical students ’ attitudes towards communication skills learning and their demographic and education-related characteristics. 2002;1017–27.
28. Knight A, Whelan K. Communication skills teaching for student dietitians using experiential learning and simulated patients. 2020;(8):1–13.
29. Pers M, Górski S, Stalmach-Przygoda A, Balcerzak Ł, Szopa M, Karabinowska A, et al. Clinical communication course and other factors affecting patient-centered attitudes among medical students. Folia Med Cracov. 2019;59(2):81–92.
30. Nourein AAE, Shahadah RF, Alnemer MA, Al-Harbi SS, Fadel HT, Kassim S. Comparative study of attitudes towards communication skills learning between medical and dental students in saudi arabia. Int J Environ Res Public Health. 2021 Jan 1;18(1):1–9.
31. Alotaibi FS, Alsaeedi A. Attitudes of medical students toward communication skills learning in Western Saudi Arabia. Saudi Med J. 2016 Jul 1;37(7):791–5.
32. Kerr AM, Thompson CM. A longitudinal study of third-year medical students’ communication competence, communication anxiety, and attitudes toward patient-centered care. Patient Educ Couns. 2022 May 1;105(5):1298–304.
33. Ruiz-Moral R, Martin DM, De Leonardo CG, Denizon S, Pérez AC, Martínez FC. Medical students’ attitudes towards communication skills training: A longitudinal study with one cohort. GMS J Med Educ. 2021;38(6).
34. Dhaliwal U, Singh S, Singh N. Reflective student narratives: honing professionalism and empathy. Indian J Med Ethics. 2018 Jan 1;3(1):9–15.
35. Groene OR, Ehrhardt M, Bergelt C. Attitude and communication skills of German medical students. BMC Res Notes. 2022 Dec 1;15(1).
36. Bejarano G, Csiernik B, Young JJ, Stuber K, Zadro JR. Healthcare students’ attitudes towards patient centred care: a systematic review with meta-analysis. BMC Med Educ. 2022 Dec 1;22(1).
37. Smith RC, Dwamena FC, Grover M, Coffey J, Frankel RM. Behaviorally defined patient-centered communication-A narrative review of the literature. J Gen Intern Med. 2011;26(2):185–91.
38. Ribeiro MMF, Krupat E, Amaral CFS. Brazilian medical students’ attitudes towards patient-centered care. Med Teach. 2007 Jul;29(6).
39. Gude T, Tyssen R, Anvik T, Grimstad H, Holen A, Baerheim A, et al. Have medical students’ attitudes towards clinical communication skills changed over a 12- year period? A comparative long-term study. BMC Med Educ. 2020 Jan 10;20(1).
40. Givron H, Desseilles M. Longitudinal study: Impact of communication skills training and a traineeship on medical students’ attitudes toward communication skills. Patient Educ Couns. 2021 Apr 1;104(4):785–91.
41. Steinauer JE, Teherani A, Preskill F, ten Cate O, O’Sullivan P. What Do Medical Students Do and Want When Caring for “Difficult Patients”? Teach Learn Med. 2019 May 27;31(3):238–49.
42. Foong AL, Sow CF, Ramasamy S, Yap PS. Pre-tertiary education, ethnicity, and attitudes of Asian medical undergraduates towards communication skills. Int J Med Educ. 2019 Jan 25;10:1–8.
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Published
Jul 29, 2023
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Mohamed Fouad Sheikheldin Atta, Fahimah Nambwaayo Ssemanda, & Asma Noureldaim mahmoud Mohamed. (2023). ASSESSING THE ATTITUDES OF AL-NEELAIN MEDICAL STUDENTS TOWARDS LEARNING COMMUNICATION SKILLS AND ITS IMPLICATIONS ON HEALTH PRACTICES IN CLINICAL WARDS, 2022. Journal of Population Therapeutics and Clinical Pharmacology, 30(16), 467–476. https://doi.org/10.53555/jptcp.v30i16.2097
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Author Biographies
Mohamed Fouad Sheikheldin Atta
Al-Neelain University - Faculty of medicine
Fahimah Nambwaayo Ssemanda
El-razi University faculty of medicine
Asma Noureldaim mahmoud Mohamed
Department of pharmacy practice, faculty of pharmacy, International University of Africa