THE INFLUENCE OF PROGNOSIS DISCLOSURE ON PATIENTS’ TRUST WITH SKILLED HEALTHCARE PROVIDERS IN UNIVERSITY OF BENIN TEACHING HOSPITAL, EDO STATE.
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Abstract
Prognosis disclosure is a critical component of patient-centered care that can influence patients’ trust in healthcare providers. Understanding how patients perceive prognosis disclosure and its impact on trust is vital for improving communication and healthcare outcomes. This study examined the influence of prognosis disclosure on patients’ trust in healthcare providers at the University of Benin Teaching Hospital (UBTH), Edo State, Nigeria. A descriptive cross-sectional survey design was employed. Using a convenience sampling technique, 101 patients were selected, and 99 valid responses were obtained, yielding a 98% response rate. Data were analysed using the Statistical Package for the Social Sciences (SPSS) version 26.0. Descriptive statistics, including frequencies, percentages, means, and grand means, were used to summarize socio-demographic characteristics, patient perceptions of prognosis disclosure, and trust in healthcare providers. Most participants were young adults (78.8% aged 18–25), female (75.8%), single (86.9%), and educated (84.8% with tertiary education). Findings showed that prognosis disclosure had a positive effect on patient trust, with 71% of respondents reporting high trust following disclosure. Key factors influencing trust included transparent communication, patient involvement in treatment planning, and emotional support. Although cultural and religious factors were largely non-influential, patients preferred gradual, staged disclosure sensitive to emotional readiness. The relationship between prognosis disclosure and trust was significant, with patients recognizing that clear, empathetic communication strengthens relationships. Prognosis disclosure, when delivered transparently and empathetically, enhances trust in healthcare providers. Emotional support and gradual communication are essential in maintaining positive relationships. Healthcare providers should receive training on sensitive prognosis disclosure, and structured, patient-centered protocols emphasizing empathy and emotional support should be implemented.
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