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Patient clinician communication 7 principles
Good communication in health care
Good communication in health care
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Essay #2: Mutual Health Goals for Success Mutuality is an important aspect to the effectiveness of patient-centered care, where both the physician and the patient are considered experts regarding the patient’s medical decisions and share their expertise to develop a mutual plan of action (Miller, 2014). Through this model, a patient’s preferences, needs, and values are expected to be considered and respected by the practitioner (Council, Geffken, Valeras, Orzano, Rechisky, & Anderson, 2012). That is why effective patient-practitioner communication is so important, because without it - mutuality cannot be fostered and consequently the patient’s needs are not considered. There are three components that affect effective patient-practitioner communication: …show more content…
S., Geffken, D., Valeras, A. B., Orzano, A. J., Rechisky, A., & Anderson, S. (2012). A medical home: Changing the way patients and teams relate through patient-centered care plans. Families, Systems, & Health, 30(3), 190-198. doi:http://dx.doi.org/10.1037/a0029832
Martin, L. R., Haskard-Zolnierek, K. B., DiMatteo, M. R. (2010). Health Behavior Change and Treatment Adherence: Evidence-Based Guidelines for Improving Healthcare. New York, NY: Oxford University Press.
Miller, T. (2014). Lecture 17: Evaluation & Decision-Making Strategies. [PDF document]. http://www.ilearn.ucr.edu
Miller, T. (2014). Lecture 18: Practitioner-Patient: Verbal Communication. [PDF document]. http://www.ilearn.ucr.edu
Miller, T. (2014). Lecture 19: Patient and Caregivers: Nonverbal Communication. [PDF document]. http://www.ilearn.ucr.edu
Tucker, C. M., Marsiske, M., Rice, K. G., Nielson, J. J., & Herman, K. (2011). Patient-centered culturally sensitive health care: Model testing and refinement. Health Psychology, 30(3), 342-350. doi:http://dx.doi.org/10.1037/a0022967
Williams, G. C., Lynch, M., & Glasgow, R. E. (2007). Computer-assisted intervention improves patient-centered diabetes care by increasing autonomy support. Health Psychology, 26(6), 728-734.
Douglas, Rosenkoetter, Pacquiao, Callister, Hattar-Pollara, Lauderdale, Milstead, Nardi, & Purnell (2014) outline ten guidelines for implementing culturally competent care; knowledge of cultures, education and training in culturally competent care, critical reflection, cross-cultural communication, culturally competent practice, cultural competence in health care systems and organizations, patient advocacy and empowerment, multicultural workforce, cross-cultural leadership, and evidence-based practice and research. One specific suggestion I will incorporate is to engage in critical reflection. This is mentioned both by Douglas, et al. (2014) and Trentham, et al. (2007) as an important part of cultural competency. I will do this by looking at my own culture, beliefs, and values and examining how they affect my actions. I will use this information to better inform my day to day practice when working with patients with a different culture than my
As our health care system continues to evolve and become more focused on a preventive and coordinated approach to patient care, we too must progress and create programs that follow such principles. The Patient-Centered Medical Home (PCMH) model follows similar ideologies and recently has gained increasing support. The patient’s primary care physician, who will provide preventive and continuing care for the patient, directs this medical model. The PCMH model of care is comprised of a health care team working together to serve their patient and provide quality care.1 The model works to empower the patient by promoting communication with not only the physician but with the nursing staff, specialists, and other health care providers. Every patient
Culture can be defined as behaviors exhibited by certain racial, religious, social or ethnic groups. Some factors in which culture may vary include: family structure, education, and socioeconomic status (Kodjo, 2009). Some may think cultural competence is something that has an end point, however, when the big picture is seen, it is a learning process and journey. From the writer’s perspective, the client-therapist relationship can be challenging. Culturally competent therapists must realize that behaviors are shaped by an individual’s culture. Many changes are taking place within the United States cultural makeup. Therapists and healthcare professionals are being challenged to provide effective and sensitive care for patients and their families. This type of culturally sensitive care requires the professional to be open and seek understanding in the patients diverse belief systems (Kodjo, 2009).
“Physicians and other health care professionals all agree on the importance of effective communication among the members of a health care team. However, there are many challenges associated with effective interprofessional (between physicians and other health care providers) communication, and these difficulties sometimes lead to unfavourable patient outcomes” (Canadian Medical Protection Association, 2011 p. 11).
In the article “Time to learn: Understanding patient-centered care,” Rinchen Pelzang clarifies not only what patient-centered care means but what it looks like when implemented. These clarifications are necessary because although most healthcare setting advocate patient-centered care, with no clear definition. Pelzang mentions this as one of the most prominent barriers to PCC, the misinterpretation of the concept. In order to combat this barrier proper education and emphasis on communication are needed. When this isn’t the case, “the failure to recognize nurse-patient communication as an essential component of nursing care is the greatest barrier to effective communication” (Pelzang, 2010). Collaborative care and
Nowadays the concept of patient-centeredness plays an important role in high-quality health care. Patient-centeredness joins the care the patient is getting together with the care that the patient is willing to receive, giving therefore the patient a certain ethical authority. This particular approach to practice is built upon important concepts such as patient’s preferences respect, whole-person knowledge and creating an effective relationship between the patient and the clinician. These particular concepts might vary taking in consideration the condition of the patient and the patient himself. Patient-centeredness is also known as patient centered care. [1] [2]
Effective communication between patient and clinician is an important aspect to patient care. Proper communication has a direct positive impact on patient care and adversely poor communication has a direct negative impact on patient care. I will define the seven principles of patient-clinician communication and how I apply these communications with my patients. I will also describe the three methods currently being used to improve interdisciplinary communication and the one method that my area of practice currently uses. Then, I will explain the ethical principles that can be applied to issues in patient-clinician communication. And Lastly, the importance of ethics in communication and how patient safety is influenced by good or bad team communication.
Integrating the framework will enable nurses to become culturally competent health care providers. First and foremost, the framework permit patients’ the opportunity to express their concerns and perception of their problem (Campinha-Bacote, 2011). Additionally, it focuses on incorporating the patients beliefs, values, and needs into the plan of care. The framework further give nurses an opportunity to better understand and evaluate their patients’ concerns. Campinha-Bacote (2011) reported that continuous encounters with culturally diverse backgrounds will lead nurses to validate, refine, or modify what they know of existing values, beliefs, and practices of a cultural group. This in turn, will develop into cultural desire, cultural awareness, and cultural knowledge. With the end result, being cultural
In an interview with a staff nurse (S.N), the main problem within patient communication included lack of patient’s (and family) involvement/willingness in planning cares. The staff nurse emphasized how “Patients often feel overwhelmed and do not want to participate. But, it is important for patients to be involved in their care for better outcomes” (S.N., personal communication, February 5, 2014). The staff nurse’s statement is supported by Evans (2013) whom remarked “better-informed patients avoid unnecessary care and frustration”.
There is a lack of conceptual clarity with cultural competence in the field and the research community. Cultural competence is seen as encompassing only racial and ethnic differences, and omitting other population groups who are ethnically and racially similar to providers, but are stigmatized or discriminated against, who are different in other identities, and have some differences in their health care needs that have resulted in health disparities. (Agency for Healthcare Research and Quality,
Today, many Americans face the struggle of the daily hustle and bustle, and at times can experience this pressure to rush even in their medical appointments. Conversely, the introduction of “patient-centered care” has been pushed immensely, to ensure that patients and families feel they get the medical attention they are seeking and paying for. Unlike years past, patient centered care places the focus on the patient, as opposed to the physician.1 The Institute of Medicine (IOM) separates patient centered care into eight dimensions, including respect, emotional support, coordination of care, involvement of the family, physical comfort, continuity and transition and access to care.2
Compliance with therapies recommended by a physician is a primary element towards a successful treatment. Failure to adhere can lead to serious complications which not only affects the patient but also the physician and most importantly the health care system. Even though compliance and adherence are relatively similar, there is an extensive difference between one from the other. According to World Health Organization (2003), adherence signifies “the extent to which a person's behaviour - taking medication, following a diet, and/or executing lifestyle changes, corresponds with agreed recommendations from a health care provider.” On the other hand, compliance is the amplitude to which a patient lacks any means of communication with a health care provider regarding the prescribed medication. Unlike compliance, adherence requires physician-patient collaboration and patient’s consent to prescribed medications written by a health care provider. Inevitably, both compliance and adherence are very alike and are required for a successful treatment of chronic illness or disease.
Cultural competence like so many other social constructs has been defined in various ways. One particular definition as determined by the Office of Minority Health states cultural competence is a set of behaviors, attitudes, and policies that are systematically exercised by health care professionals which enables the ability to effectively work among and within cross-cultural situations (Harris, 2010). Betancourt (2005) implied cultural competence is starting to be seen as a real strategy to help with improving healthcare quality and eliminating the injustices pertaining to healthcare delivery and healthcare access. This appeal is gaining favor from healthcare policy makers, providers, insurers and
As Blanche DuBois said, ‘I don’t want realism; I want magic’. And magic is exactly what I got when watching this production. ‘A Streetcar Named Desire’, titled after the famous ‘Desire’ streetcar line in the 1940s in New Orleans, is a play by Tennessee Williams, a work that is considered to be his magnum opus. First performed on December 3rd, 1947, ‘Streetcar' is one of the most critically acclaimed plays of the 20th century and is one of Williams’ most performed, also regarded as his most famous. It has been the subject of many adaptations, most famously the 1951 film starring Vivian Leigh, Marlon Brando, and Kim Hunter.
The patient-centered medical home (PCMH) is a model for strengthening primary care through the reorganization of existing practices to provide patient-centered, comprehensive, coordinated, and accessible care that is continuously improved through a systems-based approach to quality and safety (Lipson, Libersky, & Parchman, 2012). The principle of “Coordination of Care” would be most challenging to achieve. This principle involves coordination of access across all elements of the healthcare system, such as subspecialty care, hospitals, home health agencies, nursing homes, and the patient’s community (family, public and private community-based services). Care is facilitated by registries, information technology, health information exchange, and other means to assure that patients get the indicated care when and where they need and want it in a culturally and