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Describe the findings of the study by McKinstry and Wang (1991) of non-verbal communications in the patient-practitioner relationship.

CAMBRIDGE

A level and AS level

Practitioner-Patient Interpersonal Skills

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Non-Verbal Communication in the Patient-Practitioner Relationship

The significance of non-verbal communication in the patient-practitioner relationship is often overlooked. While verbal cues understandably dominate medical consultations, subtle aspects like a doctor's attire can significantly influence patient perception, comfort, and ultimately, the effectiveness of care. This essay will explore the impact of a doctor's clothing choices on patient perceptions, drawing upon the findings of McKinstry and Wang's (1991) seminal study.

Patient Preferences and Social Class

McKinstry and Wang (1991) discovered a clear preference among patients for doctors who adhered to a more formal dress code. Male doctors in formal suits and ties received high ratings from patients, reinforcing the traditional image of authority and professionalism associated with such attire. Similarly, female doctors in white lab coats were strongly favored, suggesting an inclination towards symbols of medical expertise and hygiene.

Interestingly, the study also revealed a correlation between social class and clothing preference. Patients from higher social classes were significantly more likely to favor formal attire in doctors, hinting at a potential interplay between socio-economic background and perceptions of professionalism. This finding underscores the importance of practitioners being cognizant of their patient demographic and adapting their attire accordingly to foster trust and rapport.

Variations in Preferences and Importance of Attire

While formal attire emerged as a dominant preference, McKinstry and Wang (1991) also observed interesting variations. For instance, male doctors in tweed jackets received the least negative feedback, suggesting a degree of acceptability for less formal attire in certain contexts. This finding highlights the nuanced nature of patient preferences and the importance of considering individual patient characteristics, such as age and personal style, alongside broader societal norms.

Furthermore, the study found that preferences varied considerably among patients registered with different practices. This suggests that local cultures within healthcare settings, perhaps influenced by factors like practice location and patient demographics, can shape perceptions of appropriate attire. Such variations underscore the need for healthcare providers to be sensitive to the specific contexts in which they practice.

The importance patients place on their doctor's attire is further underlined by McKinstry and Wang’s (1991) finding that 64% of patients deemed their doctor's clothing as either "very important" or "quite important." This clearly demonstrates that attire is not a trivial matter in the medical context. Rather, it is a powerful visual cue that can influence patient trust, comfort, and willingness to engage openly with their healthcare provider.

Conclusion

In conclusion, the findings of McKinstry and Wang (1991) provide compelling evidence for the significance of non-verbal communication, particularly doctor attire, within the patient-practitioner relationship. While formal attire is generally favored, variations in preferences based on social class, practice setting, and individual patient characteristics underscore the need for adaptability and sensitivity. By recognizing the impact of their clothing choices, doctors can enhance patient comfort, foster trust, and ultimately contribute to a more positive and effective healthcare experience.

References

McKinstry, R., & Wang, J. (1991). Putting on the style: What patients think of the way their doctor dresses. British Journal of General Practice, 41(348), 275–278.

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