Learning Goal: I’m working on a nursing question and need an explanation to help

Learning Goal: I’m working on a nursing question and need an explanation to help me learn.What are the differences between patient centered interviewing and clinician centered interviewing?How does integrating patient centered interviewing into clinician centered interviewing help you as the provider build your list of differential diagnosis?example belowTo begin, patient-centered interviewing places great focus on the patients personal and emotional descriptions of the patient’s symptoms and how it impacts their life. With this said, this type of interviewing encourages a spontaneous description of the patient’s symptoms. Furthermore, patient-centered interviewing allows the interviewer to establish a relationship with the patients by placing the most focusing on how the patient feels about the symptoms (Jarvis, 2016). However, even though this type of interviewing provides psychosocial data from the patient, an actual diagnosis can usually not be provided with type of data collection methods (Lein, 2007). This type of method generally need to followed up with a clinical-centered type of interview. A clinician-centered interview consists of leading a patient through a series of open-ended questions that are followed by closed-ended questions. This ensures that the interview is moving from basic information to specific details. The purpose of this type of interviewing process is used to inquire about symptoms details that have not been mentioned by the patient to ensure a full HPI is been completed (Jarvis, 2016). As seen in personal practice, the use of clinician-centered method of patient interviews is the main method of interviewing used by healthcare providers. However, the main problem of only using clinician-centered interviewing is that the collected dated is altered toward physical symptoms that can be misinterpreted with psychosocial context is left out of the interview (Lein, 2007).By integrating patient centered interviewing into clinician centered interviewing, one can collect a more rounded, and complete, set of differential diagnosis. By encouraging patients to freely express their concerns, via patient-centered interviewing, authentic data can be collected. This will also in turn lead to a rise in patient satisfaction, compliancy, and knowledge retention (Csillik, 2013). Once a patient has provided all concerns, a clinician -centered interview can begin. With this said, the use of both methods of interviewing a patient is imperative to providing the best care available. The patient-centered interviewing is the foundation that clinician-centered interviewing builds upon to make an authentic diagnosis in the end. References Csillik, A. S. (2013). Understanding motivational interviewing effectiveness: Contributions from Rogers’ client-centered approach. The Humanistic Psychologist, 41(4), 350-363.Jarvis, C. (2016). Physical Examination and Health Assessment. St. Louis, MO: Elsevier.Lein, C., & Wills, C. (2007). Using patient-centered interviewing skills to manage complex patient encounters in primary care. Journal of The American Academy of Nurse Practitioners, 19(5), 215-220.
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