Intended for healthcare professionals

Editorials Christmas 2023: Marginal Gains

“Nudging” clinicians to communicate more effectively with patients in hospital

BMJ 2023; 383 doi: https://doi.org/10.1136/bmj.p2678 (Published 15 December 2023) Cite this as: BMJ 2023;383:p2678

Linked Research

Effect of chair placement on physicians’ behavior and patients’ satisfaction

Linked Opinion

Better doctor-patient relationships start with the small things

  1. Blair P Golden, assistant professor1,
  2. Andrea Gilmore-Bykovskyi, associate professor2
  1. 1Department of Medicine, University of Wisconsin-Madison School of Medicine and Public Health, Madison, WI, USA
  2. 2Berbee Walsh Department of Emergency Medicine, University of Wisconsin-Madison School of Medicine and Public Health, Madison, WI, USA
  1. Correspondence to: B P Golden bpgolden{at}medicine.wisc.edu (or @blairgolden on Twitter)

The impact of sitting may not occur in isolation, but the approach seems promising

Effective communication between patients and doctors is fundamental to the delivery of patient centered care, but it is both difficult to measure and challenging to attain in dynamic hospital environments. Specific behaviors on the part of doctors, including sitting at the hospital bedside, are associated with improved perception of doctors’ communication by patients and have become an interventional target of interest.1234 In the linked paper, Iyer and colleagues (doi:10.1136/bmj-2023-076309) add to a growing body of evidence showing that doctors’ sitting behavior may be a potent, low cost tool to shape patients’ perceptions of and experiences with communication, with potential implications for patients’ outcomes.5

Chair placement

Iyer and colleagues conducted a single center, randomized trial examining the effect of chair placement on hospital doctors’ frequency of sitting. Before encounters between patients and physicians, a chair was moved near the patient’s bed (intervention) …

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