Soft Technologies in Doctor-Patient Communication: The Perspective of Medical Residents
Hospital Psychology, Doctor-Patient Relationship, Social Skills, Humanization of Care, Public Health Services.
Communication skills, empathic understanding, and welcoming attitudes are essential factors for comprehensive care and the quality of care provided by professionals to healthcare users. This research aimed to understand medical residents' perceptions of the challenges of communication in daily hospital life, as well as to investigate their repertoire of interpersonal skills when caring for patients and their caregivers. To this end, a multiple case study was conducted with two female physicians enrolled in the residency program at a federal hospital in the city of Rio de Janeiro. Self-administered questionnaires were applied, and two individual meetings were held with each participant, involving semi-structured interviews and discussions of two clinical cases. The aim was to gain insight into their perceptions, knowledge, and practices regarding communication processes in the institutional context. The data were subjected to Bardin Content Analysis and organized into three thematic areas: communication with patients/families, including the importance attributed and perceived challenges; interpersonal skills in hospital practice, including training/qualification and self-assessment of one's own repertoire; and delivering bad news, including its impact on professionals and patient reactions. Categories were identified bases on challenges related to management (abuse of hierarchies, moral harrasment), services (pressure for productivity, work overload, and limited time), patients (resistance, low educational level, religious beliefs), and the professionals themselves (technical unpreparedness, emotional exhaustion, and lack of bonding). The residents had little exposure to doctor-patient communication during their initial training, but they evaluated their social and communication skills positively, noting some difficulties, particularly regarding clarity in providing guidance and emotional regulation. Regarding the delivery of bad news, categories related to the impact of breaking difficult news on doctors (self-identification, self-blame, empathy, and discomfort with the youth of some patients) and the management of patient and family reactions (anger, questioning, and emotional unpredictability) were identified. It is hoped that the data generated by studies like this can inform professional education initiatives capable of contributing to the greater humanization of hospital services, expanding the reach of soft technologies in healthcare.