Table 1

Thematic Content of Professionalism Narratives Within the Medical- Clinical Interaction Domain

Theme

%

Subcategory

#Pos

#Neg

#Hyb

#Tot*


1. Manifesting respect or disrespect in clinical interactions with patients, families, colleagues, and coworkers

33.7

a. Respecting patients'/families' decisions, wishes, or needs

14

8

9

31

b. Acting respectfully with patients/families in challenging situations

12

7

3

22

c. Having disrespect toward/from colleagues

1

14

2

17

d. Treating patient as a person and not a disease carrier

1

1

0

2

e. Using appropriate language/interaction with a patient/colleague

1

10

1

12

f. Being respectful to stigmatized populations

4

9

2

15

g. Using inappropriate humor/comments (behind the patient's back)

0

21

1

22

h. Criticizing others

2

1

0

3

i. Showing disrespect toward the profession/negative attitudes

0

3

0

3


2. Managing communication challenges with patients and families

16.7

a. Handling difficult situations/conversations with patients/families

25

3

6

34

b. Communicating in a caring and compassionate way

4

3

0

7

c. Communicating with angry/resistant patients or families

22

0

0

22


3. Demonstrating responsibility, pride, knowledge, and thoroughness

9.8

a. Displaying responsibility, honesty, and integrity

3

12

0

15

b. Acquiring updated knowledge/lifelong learning

0

0

0

0

c. Thoroughly investigating patients' problems

8

7

1

16

d. Striving toward excellence

6

0

0

6

e. Acknowledging your limitations

0

0

0

0

f. Having pride in work

0

0

0

0


4. Spending time taking care of patients, patients' education, and understanding

26.0

a. Spending time to talk and answer patients'/families' needs for information and support

54

8

3

65

b. Spending time with patients, listening respectfully, learning their history and concerns

17

3

2

22

c. Communicating in a level/language that patients can understand

2

0

0

2

d. Taking full responsibility for patient care and informing health care providers and caregivers

7

2

0

9


5. Going above and beyond, caring, and altruism

6.6

No subcategories

20

3

2

25


6. Communicating and working in teams

5.6

No subcategories

9

12

0

21


7. Unclear stories

3.2

General comments without a specific story

12


*The total number of narratives exceeds 377 because a single story may have been classified more than once under different thematic categories.

Bernard et al. BMC Emergency Medicine 2011 11:11   doi:10.1186/1471-227X-11-11

Open Data