Estudio cualitativo de los intercambios comunicativos en la asistencia sanitaria hospitalaria a través de los estudiantes del grado de Medicina

Diego Matos Agudo; Francisco Javier Rubio Gil; Enrique Nieto Manibardo; José Carlos Gómez Sánchez

doi:10.35669/rcys.2025.15.e373

Authors

Diego Matos Agudo Complejo Asistencial Universitario de Salamanca https://orcid.org/0000-0002-2264-8946
Francisco Javier Rubio Gil Complejo Asistencial Universitario de Salamanca https://orcid.org/0000-0002-4813-2761
Enrique Nieto Manibardo Complejo Asistencial Universitario de Salamanca https://orcid.org/0000-0002-4840-4093
José Carlos Gómez Sánchez Complejo Asistencial Universitario de Salamanca https://orcid.org/0000-0001-6096-7051

DOI:

https://doi.org/10.35669/rcys.2025.15.e373

Keywords:

communication in healthcare, active listening, communication skills, compassion, empathy, healthcare assistance

Abstract

Introduction: Communication is key in healthcare systems. This study had the objectives of training medical students in communication and, at the same time, understanding how communication was being carried out at a clinical and interpersonal level in our hospital. Methodology. A teaching activity was proposed to medical students. They were offered to observe communication skills while attending their clinical rotation. First there was an initial session in which the main elements of communication in healthcare systems were reviewed. They were asked to complete an empathy survey and received different tools for collecting observations including a 16-option form specifically developed, which they could use to assemble observations in a more closed and anonymous format. A qualitative analysis of the observations raised in the focus group was planned, as well as a quantitative analysis of the answers made through the online survey. Results and discussion. The main result observed is that a specific training action in students can be useful both for their learning about communication and, in addition, for knowing the reality of these skills in a particular center. The particularities of patients and healthcare providers mean that each care process has its own uniqueness and needs to be approached in different ways. Conclusions. Rotation of students through clinical services generates many training opportunities. Immersing in real care allows them to exercise clinical reasoning, relate and apply theoretical knowledge. But it is also the forum where they can soak up transversal skills that make the most off professionalism, such as empathy, compassion, and all the emotional skills necessary for communication.

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Author Biographies

Diego Matos Agudo, Complejo Asistencial Universitario de Salamanca

Journalist, PhD in Communication, Master in Business and Institutional Communication Management and university professor. He is currently the Director of Communication at the Complejo Asistencial Universitario de Salamanca and the head of the “Communication and Health” research group/platform at the Instituto de Investigación Biomédica de Salamanca. He is also part of the “MacGuffin” research group at the Pontifical University of Salamanca. Researcher and speaker at national and international conferences, lectures and as a teacher at various universities and centers. His main line of research is the study of comics, especially in relation to comics as a journalistic genre. He is the author of several informative books. His work has been developed at local level in press, radio and television and he has published in specialized media at national level. He also studies (1) cultural processes (cinema, television), (2) the culture of nostalgia, (3) documentary sources and (4) communication in the field of health. He is the president of the Salamanca Association of Journalists (ASPE).

Francisco Javier Rubio Gil, Complejo Asistencial Universitario de Salamanca

Diploma in Nursing from the University of Salamanca since 1992 and granted the degree in Nursing by the Ministry of Education in 2016. Member of the transversal communication platform of the Institute of Biomedical Research of Salamanca. Head nurse of the Quality Unit of the University Hospital of Salamanca since 2016. Research areas: breastfeeding, intensive care and health communication. 6 publications in indexed journals, 3 communications in national congresses, 4 poster communications in national congresses.

Enrique Nieto Manibardo, Complejo Asistencial Universitario de Salamanca

Law Degree; Master in Digital Advocacy and New Technologies; Master in Legal Practice. He has worked for more than five years in the Complejo Asistencial Universitario de Salamanca, as responsible for information security and currently he is also Head of the Legal Department. He is a teaching collaborator at the University of Salamanca. Professor of the Master's Degree in Digital Law and New Technologies and the Master's Degree in Legaltech and digital management of the legal profession, both at the University of Salamanca. Professor of the Master in Management and Direction of Clinical Admission and Documentation Services (GEDISA). His main areas of research include health law, data protection and law and new technologies.

José Carlos Gómez Sánchez, Complejo Asistencial Universitario de Salamanca

Neurologist, specialist physician at the Complejo Asistencial Universitario de Salamanca, Doctor of Medicine, accredited training in Neurosonology, researcher of the Molecular Neurobiology group of the Biomedical Research Institute of Salamanca, associate professor at the University of Salamanca. Stays at UCL Queen Square Institute of Neurology (stroke unit), London, at the Neurological Rehabilitation Unit of the Rehabilitation Service of the University Hospital Complex of A Coruña and at the Hospital Complex of Alessandria (Italy). He held health management positions as Deputy Medical Director and Medical Director of the Complejo Asistencial Universitario de Salamanca. Member of the Communication and Health platform of the Biosanitary Research Institute of Salamanca.

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