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Factors that affect communication in health care
Factors that affect communication in health care
Factors that affect communication in health care
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As a patient educator and chronic disease manager, nurses—providers of health knowledge—can adhere to a simple research supported hypothesis: curtailing HL demands on patients abates adverse health outcomes and enhances patient compliance with the plan of care. Johnson (2015) elucidates that reciprocal and effective interpersonal communication (IPC) between interprofessional team members and patients is fundamental for safe, high-quality care; consequently, ineffective communication is the primary etiology of adverse events and complaints regarding health care (p. 22). Enriched IPC begins with nurses who understand the concepts of both HL and FL, in addition to assessing (self-examining) how they organize, present information, and communicate …show more content…
There is a substantial debate with respect to employing a Universal Precaution approach: applying specific HL strategies and interventions to all clients—assuming all people have difficulty comprehending health-related information—to minimize the risk for everyone when it is uncertain which individuals may be affected (Johnson, 2015, p. 22). Nurses have an ethical and professional responsibility to adopt evidence-based and culturally competent HL strategies into practice to curtail HL demands universally for all patients. This student theorizes that time constraints for the interprofessional team lead to inadequate communication between providers and patients; however, a concerted team effort and utilizing the necessary time is far more cost-effective than treating preventable chronic disease. Similar to other nursing roles (e.g., delivering culturally competent care) nurses have the responsibility to simplify, convey, teach, and clarify health information provided by other interprofessional team members (Johnson, 2015, …show more content…
23).
According to Poureslami, Rootman, Pleasant, & FitzGerald (2016) there is a global and national appreciation that chronic disease management (CDM) can be improved through strengthening the HL skills of patients as well as the IPC skills of the interprofessional team (pp. 230–231). There are unique initiatives nursing professionals and other providers are employing to bridge the gap between health literacy and chronic disease management. These initiatives include some of the following strategies:
Enacting patient engagement focus groups for patients with chronic obstructive pulmonary disease (COPD) and asthma; the focus groups will help assess patient willingness to be involved in research projects and initiatives related to their chronic conditions.
The Respiratory Patient-Oriented Research Network (RPRN): the RPRN is utilized by chronic disease patients to foster community and healthcare partnerships.
The Center for Health Literacy and Cultural Competency in Chronic Respiratory Disease Management: This center will encourage future generations of healthcare professionals to integrate HL into chronic disease
...r illness causes them (). Service users expect respect and sensitivitiy as well as competent treatment and practical support. Nurses must be willing to engage with patients with effective therapeutic communication as well as demonstrating the 6 C’s (). It is evident that nutritional and fluid intake is important for COPD sufferers. It is a long term condition, so enabling people with the condition to self manage and to be educated about the importance of their health choices (By implementing a nursing model or theory and following the cycle of ASPIRE, it would seem impossible for the primary carer to not treat Mr B holistically. Every aspect of his life is affected by his COPD and by evaluating and backing up the care plan with evidence based practice, being in partnership with Mr B every step of the way, he would be able to get the help he needs.
Studies show that patients forget at least half of the information explained to them (Tamaru-Lis, 2013, p. 268). In addition, low health literacy correlates with poor disease management, readmissions, and poor compliance to treatments (Eadie, 2014, p. 9). The goal of teach-back, therefore, is to improve recollection and increase health literacy. Nursing practice is aimed towards meeting these goals. Ultimately, nursing practice will improve as nurses are better able to deliver quality care, promote patient safety, and increase patient satisfaction. As a result, patient outcomes are optimized because teach-back minimizes communication errors and encourages participation. Participation allows patients to make appropriate decisions which direct health care professionals to provide patient-centered care.
The Core Competencies for Interprofessional Collaborative Practice recognizes how communication places responsibility on all team members. Members must have the opportunity to speak up in a respectful way about their concerns and quality of care, and in return be treated with respect. According to the Canadian Nurses Association (CNA) position statement on inter-professional collaboration (2011), it states how the use of interprofessional collaboration is critical for improving client-centred care as well as strengthening effective collaboration with other health professionals (2011). Communication is a common theme that has repeatedly surfaced in my research.
The more health care professionals collaborate, the more knowledge is used, and patient safety can be maintained. Communication is related to interprofessional collaboration, because health care professionals collaborate with each other about the patient through communicating with each other. “Collaboration among nurses, physicians, and other members of the care team can improve the outcomes of care for patients” (Engel & Prentice, 2013; IOM, 2010).
“Communication is the heart of nursing… your ability to use your growing knowledge and yourself as an instrument of care and caring and compassion” (Koerner, 2010, as cited in Balzer-Riley, 2012, p. 2). The knowledge base which Koerner is referring to includes important concepts such as communication, assertiveness, responsibility and caring (Balzer-Riley, 2012). Furthermore, communication is complex. It includes communication with patients, patient families, doctors, co-workers, nurse managers and many others. Due to those concepts and the variety of people involved, barriers and issues are present. Knowing how to communicate efficiently can be difficult.
One of the most important elements in discharge teaching is the concept of health literacy. This can be defined as: “…the ability of the patient to understand and obtain basic health information services,” (Kornburger, 2013 p. 288). This information is to help patient better understand about their illness and treatment. Another research done by Weiss (2007) states that, “The relationship between limited health literacy and poorer health occurs in all socioeconomic groups and in many disease states”. This researcher also adds that 89 to 90 million adults in the United States have limited health literacy. Given this data, it is possible ...
Good communication encourages collaboration and helps prevent errors. Strategies to help promote good communication and collaboration should include concepts such as self-awareness, creating opportunities for different ideas to come together and clarifying communication. “Respecting the views of other disciplines and communicating in an organized, thoughtful manner has an impact on how practitioners from other disciplines perceive the nurse’s role and value as a competent health care professional” (Arnold & Boggs, 2011). AD identified strategies such as; resourcefulness, teachable moments, a good work ethic and strong leadership as being important to her teams as well. Teams that are effective are characterized by common purpose and intent, trust, respect, and collaboration. Team members value familiarity over formality and watch out for each other to make sure mistakes are not made. A collaborative experience shared by AD, was working with an LPN that was diligent in asking questions and providing information to AD and other team members. This LPN was also good at listening to what others had to say and incorporating suggestions into her care practices. AD believes that because this LPN did her job in regards to knowing her abilities and communicating relevant information that potential near misses were avoided. AD felt that because of this LPN’s
The chronic care model calls for an organizational change in the way individuals with illnesses are cared for, and the involvement of nurses, social workers and patients themselves. The challenge is moving in an effective way of improving quality from research carried out predominantly in health maintenance organizations to the mainstream of health care practice (Wielawski, 2006). Wagner’s explanation is to substitute the customary physician-centric office structure with one that supports clinical teamwork in association with the patient. The notion spreads outside the health care organization to collaborative associations in the community. Wagner et al. (2001) termed this approach the “chronic care model.” With this model, physicians, nurses, case managers, dieticians, and patient educators
The primary focus in health care is to improve patients’ health status and quality of life. Many times nurses assist in treating or managing all the apparent medical conditions of the patients, but they fail to tackle the underlying causes of the disease due to inadequate patient-nurse communication. Continuing with this idea, Patak et al. (2009) proposed a call to action for nursing administrators to position patient-provider communication as a patient safety-care quality priority within the healthcare organization and incorporate bedside practices that achieve effective patient communication, especially with those most vulnerable to impair communication. Effective patient-provider communication is an essential component of patient care, and for communication to be effective the information must be completed, accurate, timely, unambiguous, and understood by the patient (Patak et al., 2009).
"Health literacy is fundamental to quality care." (Dr. David A. Kindig, chair of the Committee on Health Literacy, the Institute of Medicine). The aim of this assignment is to inform the reader of health literacy, what health literacy is and why it is important to all individuals, how effective communication is important in culturally diverse healthcare settings, highlights the importance of the relationship of health literacy to effective communication in a culturally diverse health care environment and highlights the issues both positive and negative and challenges for health literacy in regards to effective communication in a culturally diverse healthcare setting.
As mentioned, every time a communication regarding patient handoff among health care providers occurs it correlates with Bonnie W. Battey’s Humanizing Nursing Communication Theory. It helps to understand what key factors are involved in patient handoff communications between health care providers, and their importance. Patient handoffs are the transfer of information, as well as responsibility and authority, during an exchange in care. Handoffs provide opportunities to ask questions, seek clarity, and confirm (Zou & Zhang, 2015). The conceptual framework map is designed to improve the understanding of how discontinuity of care impairs patient care by gaps in interpersonal
University of Phoenix. (2014). Syllabus. Retrieved from University of Phoenix, HCS/320 Health Care Communication Strategies website.
Patient teaching is an active process of communication built on mutual trust and respect, which in turn fosters a partnership between patient and health care providers (Falvo, 2011). Patient teaching process allows all participants to share information so mutual goals can be established and barriers to following recommendations can be identified and overcome. Patient education is a process of assisting people to learn health related behaviors that they can incorporate into everyday life with the goal of achieving optimal health and independence in self care (Bastable, 2014). In this process, the nurse is being responsible to assist ill individuals to find meaning in illness, as well as the very measures they must take to conserve health and control symptoms of illness, and cope with it effectively (Finkelman & Kenner, 2010).
261). Health literacy "is defined by the Patient Protection and Affordable Care Act of 2010, Title V, as the degree to which an individual has the capacity to obtain, communicate, process, and understand basic health information and services to make appropriate health decisions (Bastable, 2014, p. 261). Literacy and health literacy, can affect the learners motivation, compliance, ability to understand discharge instructions, properly make informed decisions and so forth. Additionally, readability and comprehension must also be taken into consideration. It is crucial to the wellbeing and safety of our learners that literacy, readability, and comprehension are determined to ensure appropriate education methods and models are used. Along these same lines, Nurse Educators should also take special consideration to the learners age, gender, socioeconomic class,
A more specific definition of nursing is “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human responses, and advocacy in the care of individuals, families, communities, and populations” (Doenges, Moorhouse, & Murr, 2016, p.1). As nurses, we must utilize the nursing process and be able to assess, diagnose, plan, implement, and evaluate the effectiveness of our plan. In order to create a plan of care, nurses must consider the patient’s opinions and thoughts, meaning that the nurse must engage with the patient and build a relationship with them. However, the patient is not the only person that we are forming a relationship with, but also the family members. Unfortunately, many nurses fail to engage with their patients according to a study carried out by Amorim et al. (2017). Creating a relationship with the patient and their family is an important part of creating a care plan with mutual goals. In addition to having a relationship with the patient, nurses must also be able to effectively collaborate with other health care providers in order to help create the most effective plan of care for the