Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
Reflection on effective patient communication
Reflection on effective patient communication
Good communication in health care
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Recommended: Reflection on effective patient communication
Doctors’ Listening Skills
When people go to the doctor’s office they want the doctor to listen. Competency and a correct diagnosis are appreciated too, but more than anything, patients value doctors’ silence (Richards, 1407). In addition, patients want “more and better information about their problem and the outcome, more openness about the side effects of treatment, relief of pain and emotional distress, and advice on what they can do for themselves” (Meryn, 1922). Doctors’ technical role is in excellent health; it is their interpersonal role that is in intensive care. If doctors are to meet the needs of their patients they must first listen with an empathic ear and practice responsive communication. Sadly, most doctors have better handwriting than communication skills.
“Effective listening – empathic listening – promotes growth in the listener, the one listened to, and the relationship between them” (Nichols, 1995).
Being listened to makes you feel good. The father of listening, Ralph G. Nichols said, “The most basic of all human needs is to understand and to be understood…. The best way to understand people is to listen to them.” Doctors’ can only treat physical ailments when they chose not to listen to patients’ needs. Listening is the doctors’ window to what is on the inside (Bently, 56).
Susan Urba used to take a pro-active approach with her cancer patients, doing all the talking, informing them about the disease. She learned her care was better received when she focused in on her patients’ needs and fears first. “Giving patients the chance to tell us what’s right for them can be hard,” said Urba, “but how else can we know what they truly need to feel better” (Urba, 167)?
Patients’ come to the doctor because they are suffering. So, to be treated effectively, the doctor must recognize and treat the suffering not with quick advice or a bottle of pills, but by taking the time to listen to what the patient is saying. Even though doctors can never truly experience another’s distress, they can do a better job at attending to their patients’ needs by simply listening. Because medicine has often replaced an ear to the suffering, “physicians may inadvertently cause suffering or fail to relieve it when relief is possible” (Cassell, 24). Empat...
... middle of paper ...
...7.
Cassell, Eric J. “Recognizing Suffering.” Hastings Center Report, p24 (8), May/June 1991.
Girzaitis, L. “We Listen with our Hearts.” Listening, A Response Activity, MN: St Mary's Press.
Gordon, Suzanne “What Nurses Know.” Mother Jones, 40 (7), Sept/Oct-1992.
Kaukas, Dick “A Woman's Touch.” Courier-Journal, H1+, 1 May 1994.
Krupet, E. “A Delicate Imbalance.” Psychology Today, p22 (5), November 1986.
Meryn, Siegfried “Improving Doctor-Patient Communication: Not an Option, but a Necessity.” British Medical Journal, v316 n7149 p1922 (1), 27 June 1998.
Nichols, R. “Listening: Questions and Problems.” Quarterly Journal of Speech, p3383 (4).
Richards, T. “Chasms in Communication.” British Medical Journal, p301 1407 (2), 1990.
Urba, Susan “Sometimes the Best Thing I do is Listening.” Medical Economics, v75 n9 p167 (4), 11 May 1998.
Walker, Kandi L. “Do You Ever Listen?: Discovering the Theoretical Underpinnings of Empathic Listening.” Journal of the International Listening Association.
Zimmerman, R. “Physicians' and Patients' Perceptions of Actual Versus Ideal Physicians' Communications and Listening Behaviors.” Journal of the International Listening Association, vol 4 p143 (22), 1990.
Listening is an important skill that many people take for granted. Listening empathelicay means putting oneself in “someone else’s shoes”. Listening only to get information takes away much of what the speaker is saying, by being able to empathize with someone one is on the same wavelength. In this world, there exist many different cultures and subcultures.
When we see patients, we must remember that we are not simply treating a disease. We are caring for people with lives, hobbies, jobs, families, and friends, who are likely in a very vulnerable position. We must ensure that we use the status of physicians to benefit patients first and foremost, and do what we promised to when we entered the profession: provide care and improve quality of life, and hopefully leave the world a little better than it was
Patients deserve the full attention of their doctor. (Wilkinson) One of the things that is distracting health care professionals from paying attention to their patients is technology. Physicians can get so caught up with filling out forms and answering calls that they aren’t giving enough time to their patient. (Britt) A harmless solution to this problem is just asking the person to wait a few minutes, so the doctor can finish up what they’re doing and then be able to devote their full attention to the patient. There needs to be a balance between giving someone very little time and wasting too much time on one person. That’s why doctors not only need to focus but also remain in control. Often patients will ramble on about their problem even after the doctor has figured out what’s wrong. For a case like that, every doctor should have something prepared to say in order to go treat other patients.
Truth in medicine is a big discussion among many medical professionals about how doctors handle the truth. Truth to a patient can be presented in many ways and different doctors have different ways of handling it. Many often believe that patient’s being fully aware of their health; such as a bad diagnosis, could lead to depression compared to not knowing the diagnosis. In today’s society doctor’s are expected to deliver patient’s the whole truth in order for patients to actively make their own health decisions. Shelly K. Schwartz discusses the truth in her essay, Is It Ever Ok to Lie to Patients?. Schwartz argument is that patients should be told the truth about their health and presented and addressed in a way most comfortable to the patient.
In this essay, the interactions of the nurse, doctor and patient in the video clip will be discussed from a communication perspective. Supported by the Australian Nursing and Midwifery Council (ANMC) standard and scholarly articles, the essay will also highlight how communication can affect the quality of patient care, health outcomes and the ability to meet individual patients' needs.
Understanding that all patients needed to be treated justly and given the opportunity to make decisions in their care is important. Not causing harm and preventing them from harm is also the duty of health care workers. These ethical principles are essential to keep in mind with interdisciplinary communication. Ineffective communication has been associated with medical errors, patient harm, and increase length of stay. Failure to communicate properly has been associated with 79% of sentinel events (Dingley, Daugherty, Derieg & Persing, 2008). Good communication has been shown to improve patient satisfaction, increase in patient safety, as well as a decrease in health care costs (Paget et al.,
Most of us think that we listen well, but we don’t. Not really hearing what others are trying to say can get costly. When people don’t feel heard they tend to get irritated, confused, and pull away from each other. In the book, “Why Don’t We Listen Better?” Petersen describes in detail communication in five sections. Petersen’s communication consists of two people who connect on a gut level through a respectful talking and listening interaction. One person takes the role of the talker and his or her goal is to share his or her thoughts and feelings. The other person takes the role of the listener and clarifies what the talker says in a safe and understanding environment.
Listening can be defined as empathy, silent, attention to both verbal and nonverbal communication and the ability to be nonjudgmental and accepting (Shipley 2010). Observing a patient’s non-verbal cues, for example, shaking or trembling may interpret as an underlying heart condition that may not have been addressed (Catto & Mahmud 2012). Empathy is defined as being mindful of and emotional to the feelings, opinions, and encounters of another (Merriam-Webster Online Dictionary 2009 as cited in Shipley 2010). Providing an environment conducive to nonjudgmental restraints allows the patient to feel respected and trusted whereby the patient can share information without fear of negativity (Shipley 2010). For example, a patient who trusts a nurse builds rapport enabling open communication advocating a positive outcome (Baker et al. 2013). Subsequently, repeating and paraphrasing a question displays effective listening skills of knowledge learned (Shipley 2010). Adopting a therapeutic approach to listening potentially increases the patient’s emotional and physical healing outcomes (Shipley 2010). Nonetheless, patients who felt they were genuinely heard reported feelings of fulfilment and harmony (Jonas- Simpson et al. 2006 as cited in Shipley 2010). Likewise, patients may provide
... often know their patients well enough to know details of their health status. Sadly however providers are becoming more and more specialized in order to increase efficiency and handle larger volumes of people. This is further fueled by the recent changes in healthcare reform; it’s inevitable that learning and telling a patient’s story has become an insignificant piece of the puzzle. Doctors simply can not scale to keep up with the ever growing number of health epidemics and so the story of a patient is slipping through the cracks and often has to be told and retold over and over. My view of this problem is a basic one and I believe is the root cause of why quality healthcare has become a rare commodity ties back to the lack of quality primary care where the doctor and the patient constantly communicate and the doctor has a good view of the patients health history.
(2014) used the Listening Styles Profile-Revised (LSP-R). This scale was revised by Bodie, Worthington, and Gearhart in 2013 and is “…based on four factors: relational, analytical, task-oriented, and critical listening”. Relational listeners (RL) are responsive and considerate of others’ feelings. “RL captures listening as a way to establish and maintain interpersonal relationships” (Gearhart et al., 2014). Analytical listening (AL) is used to gather all of the information from the message being received before coming to a judgment (Gearhart et al., 2014).
Despite the frequency of verbal interactions, miscommunication of patient information occurs that can lead to patient safety issues. . . . ‘Effective communication occurs when the expertise, skills, and unique perspectives of both nurses and physicians are integrated, resulting in an improvement in the quality of patient care’ (Lindeke & Sieckert, 200...
As a professional in today’s society, it is greatly important to be able to communicate effectively with other professionals, with clients, and with those that are encountered in daily living. In order to communicate in a proper manner, not only is talking and non-verbal communication, but a large aspect is the ability to listen. Listening is a vital task in order to build a relationship and find meaning in someone else’s words. In order to find this meaning one must follow the characteristics of active listening, face the challenges to listening, and reflect upon one’s own listening skills.
To further explicate this argument, it has been noted that listening, in addition to requi...
The common view on listening often does not even involve true listening. People often mistake hearing for listening. Just because you heard something does not necessarily mean that you were listening. While others do not even realize that listening is one step of a four-part process. While two people are involved in communication, the one receiving the message while “listening” formulates the next phase within their head. They miss a large percentage of what the person involved in speaking is saying (Tubbs and Moss 141). The reasons [for ineffective listening] are so obvious that they are sometimes overlooked. First, listening is mistakenly equated with hearing and since most of us can hear, no academic priority is given to this subject in college. Second, we perceive power in speech. We put a value on those who have the gift of gab. How often have you heard the compliment, “He/she can talk to anyone?” Additionally, we equate speaking with controlling both the conversation and the situation. The third and last reason we don’t listen, is that we are in an ear of information overload. We are bombarded with the relevant and the irrelevant and it is easy to confuse them. Often it is all jus...
The nurse who I assisted to ambulate this patient was much more knowledgeable about the strategies developed to communicate with this patient than I was. When the nurse communicated with this patient, she spoke directly to the patient where the patient was able to ...