title: A comparison of GP, pharmacist and nurse prescriber responses to patients' emotional cues and concerns in primary care consultations.
abstract: OBJECTIVE
  Recognising patients' cues and concerns is an important part of patient centred care. With nurses and pharmacists now able to prescribe in the UK, this study compared the frequency, nature, and professionals' responses to patient cues and concerns in consultations with GPs, nurse prescribers and pharmacist prescribers.
  
  
  METHODS
  Audio-recording and analysis of primary care consultations in England between patients and nurse prescribers, pharmacist prescribers and GPs. Recordings were coded for the number of cues and concerns raised, cue or concern type and whether responded to positively or missed.
  
  
  RESULTS
  A total of 528 consultations were audio-recorded with 51 professionals: 20 GPs, 19 nurse prescribers and 12 pharmacist prescribers. Overall there were 3.5 cues or concerns per consultation, with no difference between prescriber groups. Pharmacist prescribers responded positively to 81% of patient's cues and concerns with nurse prescribers responding positively to 72% and GPs 53% (PhP v NP: U = 7453, z = -2.1, p = 0.04; PhP v GP: U = 5463, z = -5.9, p < 0.0001; NP v GP: U = 12,070, z = -4.9, p < 0.0001).
  
  
  CONCLUSIONS
  This evidence suggests that pharmacists and nurses are responding supportively to patients' cues and concerns.
  
  
  CONCLUSIONS
  The findings support the importance of patient-centredness in training new prescribers and their potential in providing public health roles.
authors.affiliation: Department of Pharmacy and Pharmacology, University of Bath, Bath, UK.
authors.forename: Ruth
authors.initials: R
authors.lastname: Riley
authors.forename: Marjorie C
authors.initials: MC
authors.lastname: Weiss
authors.forename: Jo
authors.initials: J
authors.lastname: Platt
authors.forename: Gordon
authors.initials: G
authors.lastname: Taylor
authors.forename: Susan
authors.initials: S
authors.lastname: Horrocks
authors.forename: Andrea
authors.initials: A
authors.lastname: Taylor
mesh_terms: D002755:Choice Behavior; D006801:Humans; D008297:Male; D011795:Surveys and Questionnaires; D014956:Writing