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Patients' growing confidence in their own knowledge to make decisions about health information, and in turn their increasing expectations of healthcare, appeared to have a detrimental effect on some health practitioners' confidence to communicate evidence.
White et al. reported that medical training was extremely effective in increasing practitioners' confidence in practicing in rural and remote communities, reducing professional isolation and increasing commitment to remain in rural practice [ 29].
However, research suggests that blurring of professional boundaries and job roles, which these reforms bring, can cause confusion for both patients and practitioners about what is expected from them [ 48, 49]; thus potentially compounding health practitioners' confidence issues.
Practitioners' confidence in, and importance of incorporating behaviour change into consultations will also be assessed (before and after training; one year after training); as will any systemic service changes at follow-up (e.g. timing of consultations).
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Low practitioner confidence and knowledge gaps may be reversed by educational interventions.
Practitioner confidence is also low so far as treatment of these conditions are concerned.
We developed a tool to assess practitioner confidence and knowledge in managing CKD compared to other chronic diseases.
A number of factors were expressed as being very important in influencing practitioner confidence with providing information to their patients.
Findings consistently demonstrate improvements in practitioner confidence and knowledge, but comparisons are either with usual care or not made.
Our objective is to compare practitioner confidence and achievement of quality indicators for CKD with hypertension and diabetes.
It may be premature to presume that the patterns of practitioner confidence described in our study are generaliseable.
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CEO of Professional Science Editing for Scientists @ prosciediting.com