{"id":1266,"date":"2025-04-09T12:00:56","date_gmt":"2025-04-09T02:30:56","guid":{"rendered":"https:\/\/blogs.flinders.edu.au\/caring-futures-institute\/?p=1266"},"modified":"2025-04-09T12:00:56","modified_gmt":"2025-04-09T02:30:56","slug":"quality-relationships-at-the-core-of-fundamental-care","status":"publish","type":"post","link":"https:\/\/blogs.flinders.edu.au\/caring-futures-institute\/2025\/04\/09\/quality-relationships-at-the-core-of-fundamental-care\/","title":{"rendered":"Quality relationships at the core of fundamental care"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p><span data-contrast=\"none\">Trust is fundamental to successful health care, but too often the relationships between health care recipients and providers are compromised by <\/span><span data-contrast=\"none\">anxiety, fear and dread<\/span><span data-contrast=\"none\">. Flinders University researchers have found this doesn\u2019t have to be the case \u2013 and that solutions are easily attained.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335557856&quot;:16777215,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\"><a href=\"https:\/\/researchnow.flinders.edu.au\/en\/persons\/rebecca-rosamaria-feo\">Dr Rebecca Feo<\/a>, from Flinders University\u2019s Caring Futures Institute, has investigated how Health providers can develop high-quality relationships with the people they care for.\u202f<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335557856&quot;:16777215,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<figure id=\"attachment_1268\" aria-describedby=\"caption-attachment-1268\" style=\"width: 150px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-1268 size-thumbnail\" src=\"http:\/\/blogs.flinders.edu.au\/caring-futures-institute\/wp-content\/uploads\/sites\/95\/2025\/04\/Untitled-design-2-150x150.png\" alt=\"\" width=\"150\" height=\"150\" srcset=\"https:\/\/blogs.flinders.edu.au\/caring-futures-institute\/wp-content\/uploads\/sites\/95\/2025\/04\/Untitled-design-2-150x150.png 150w, https:\/\/blogs.flinders.edu.au\/caring-futures-institute\/wp-content\/uploads\/sites\/95\/2025\/04\/Untitled-design-2-300x300.png 300w, https:\/\/blogs.flinders.edu.au\/caring-futures-institute\/wp-content\/uploads\/sites\/95\/2025\/04\/Untitled-design-2.png 500w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><figcaption id=\"caption-attachment-1268\" class=\"wp-caption-text\">Dr Rebecca Feo<\/figcaption><\/figure>\n<p><span data-contrast=\"none\">While professional caregiving relationships are central to quality healthcare, Dr Feo\u2019s research has found these are not always developed to a consistently high standard in clinical practice.\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;335557856&quot;:16777215,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">\u201cResearch shows that when receiving care, people value the relationships they develop with healthcare providers but, in practice, the quality of these relationships is highly variable, and this can prevent the effective delivery of care,\u201d says Dr Feo.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;335557856&quot;:16777215,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Dr Feo says she observed great inconsistencies in existing research about what constitutes <\/span><span data-contrast=\"none\">high-quality relationships between health providers and care recipients<\/span><span data-contrast=\"none\"> \u2013 and the need for a clear and focused definition of quality relationships directed the purpose of her research project.\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;335557856&quot;:16777215,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">\u201cThe quality of the relationship that people have with heath care providers are what they remember most about the care they receive, however they can sometimes struggle to articulate exactly what makes a good relationship,\u201d says Dr Feo. \u201cThis is precisely what I wanted this research project to unpack.\u201d<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;335557856&quot;:16777215,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Dr Feo conducted a study that explored how 35 healthcare recipients and 37 carers conceptualise good professional caregiving relationships, regardless of the specific health discipline, care setting or clinical condition. They were asked to complete stories from brief prompts, which illustrated how they make sense of and perceive relationships with care providers.\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;335557856&quot;:16777215,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">The 72 participants&#8217; stories highlighted that being introduced to new providers can trigger unwanted emotions, such as anxiety, fear and dread, for both recipients and carers.\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;335557856&quot;:16777215,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">\u201cSpecifically, there was a fear expressed by research participants that health providers would dismiss their concerns and judge them for deciding to seek help,\u201d says Dr Feo.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;335557856&quot;:16777215,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">By comparison, good relationships developed when healthcare providers worked to relieve or minimise these unwanted emotions, ensuring that both healthcare recipients and their carers feel comfortable and at ease with the provider and the encounter.\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;335557856&quot;:16777215,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Participants said they felt that healthcare providers are primarily responsible for relieving recipients&#8217; and carers&#8217; unwanted emotions.\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;335557856&quot;:16777215,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">\u201cThey said this can be achieved via four approaches: easing into the encounter, demonstrating interest in and an understanding of recipients&#8217; problems, validating recipients&#8217; problems, and by enabling and respecting recipients\u2019 choices.\u201d<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;335557856&quot;:16777215,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">The findings suggest that high-quality relationships depend on a consistent core of healthcare provider behaviours. \u201cEmbedding these behaviours in interprofessional education and multidisciplinary healthcare delivery will enable different healthcare disciplines and teams to share a common understanding of what is required to develop high-quality relationships,\u201d says Dr Feo.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;335557856&quot;:16777215,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">\u201cBetter still, care recipients respond very positively to a high-quality relationship and this leads to them providing better and more extensive information to health professions, which in turn leads to better management of health problems and better care experiences.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;335557856&quot;:16777215,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">\u201cOur findings will serve as a very valuable reminder to all clinicians about what it feels like to be a recipient of care \u2013 and for health care students, it will emphasise what care recipients focus on the most, underlining how they want to be treated.\u201d<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;335557856&quot;:16777215,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">The research \u2013 <\/span><i><span data-contrast=\"none\">\u2018I wasn&#8217;t made to feel like a nut case after all\u2019: A qualitative story completion study exploring healthcare recipient and carer perceptions of good professional caregiving relationships,<\/span><\/i><span data-contrast=\"none\"> by Rebecca Feo, Jessica Young, Kristi Urry, Michael Lawless, Sarah Hunter, Alison Kitson and Tiffany Conroy \u2013 has been published in <\/span><a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/hex.13871\"><i><span data-contrast=\"none\">Health Expectations<\/span><\/i><span data-contrast=\"none\">.<\/span><\/a><\/p>\n<p><span data-contrast=\"none\">Dr Feo\u2019s findings will now be the subject of a short video made by Frankie Films, a South Australian video production company, with cleverly dramatized scripts to make the messages for positive change more engaging.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;335557856&quot;:16777215,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">The video is expected to be completed by the middle of 2025, and Dr Feo hopes it will be freely available to the public via the Caring Futures Institute website, and also be used within educational materials for student health workers.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;335557856&quot;:16777215,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; Trust is fundamental to successful health care, but too often the relationships between health care recipients and providers are compromised by anxiety, fear and dread. 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