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Reflection on effective patient communication
Importance of communication in healthcare
Communication fundamental in health care
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A hospital is a complex structure supported by an intricate web of connections. The interactions and relationships between staff members and patient are essential to the practice of healthcare and the diagnosis and treatment of disease. A hospital’s staff includes doctors, nurses, interns, residents, aides, receptionists, janitors, and more—many people are needed to run a hospital smoothly. The doctor-patient relationship remains an integral part of care—without a connection of trust and comfort, the most basic tasks such as gathering information, diagnosing, and guiding patients to recovery can become difficult which in turn adversely affects the wellbeing of the patient and the reputation of the hospital. A satisfied patient with a healthy relationship to his or her doctor will remain with that hospital and consequently improve that hospital’s reputation.
Interactions between patient and staff involve gathering information from checkups, maintaining a relationship, and guiding the patient in the road to recovery. These three functions are inexplicably intertwined. For example, a patient who is uncomfortable with his or her physician may not disclose information efficiently which raises difficulties when establishing the most effective way to treat a disease. Effective care between a physician and staff ensures that a patient will feel secure and respected, and thus willing to disclose feelings and personal information that can be utilized in treatment. Organization of these staff members and their accessibility and courtesy level provide structure in the complex environment common to hospitals. Doctors, nurses, residents, aides, receptionists, and other staff members interact with each other daily in order to support the hosp...
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... establishing follow up appointments, and calling the lab and finding out how long the results will take—examples of helping while demonstrating the skills of a future physician. Growing from mistakes and failure is essential because a medical student will often be wrong. It is important to learn and anticipate what will happen in the next encounter. Above all, a medical student should be respectful and non-judgmental of the patients he or she will daily interact with, as the patient is the reason why the hospital exists. Many patients who are in the hospital are there because they have made poor life decisions, but it is not in the place of anyone to judge them—the 600 lb man, the veteran who is smoking and drinking himself to death, or the drug addict—because in they are in the hospital to be respected and dealt with professionally because they are fellow humans.
In the healthcare system many times patients are just patients and appointments are just appointments. The outlook on the patients and appointments all depends on the area of practice and the health professional themselves. Working in the emergency department, the nurses and doctors there typically do not see the same patient more than once and if they do the chance of them remembering them is slim to none just for the simple fact of the pace of the department. When it comes down to Physicians in the hospital setting, the care is not just quick and done. Great patient to healthcare professional relationships are formed and for some it may feel as if they are taking a “journey”(209) with their patients as they receive their medical care. This essay will be based off the book Medicine in Translation: Journeys with My Patients by Danielle Ofri, in which Ofri herself gives us the stories of the journeys she went on with several of her patients. Patients are more than just an appointment to some people, and when it comes to Ofri she tends to treat her patients as if they are her own family.
Although nurses do not wield the power of doctors in hospital settings, they are still able to effectively compensate for a doctor’s deficits in a variety of ways to assure patient recovery. Nurses meet a patient’s physical needs, which assures comfort and dignity Nurses explain and translate unfamiliar procedures and treatments to patients which makes the patient a partner in his own care and aids in patient compliance. Nurses communicate patient symptoms and concerns to physicians so treatment can be altered if necessary and most importantly, nurses provide emotional support to patients in distress.
Nurses should foster collaborative planning to provide safe, high-quality, patient-centered health care. As nurses, we probably know the patients the best since we spend much more time with them than any other members of the care team. We are the liaison between the patient and the rest of the care team. We need to identify a potential problem or issue, and bring it to the attention of the whole care team. We should facilitate mutual trust, respect, shared decision-making, and open communication among all relevant persons in the care of the patients. With the collaborative support of the whole care team, the patients are in a much better position and are more likely to make an informed and deliberate decision. Besides, the collaboration among the care team can facilitate communication among the care providers, and provide a channel for the care providers to vent their stress caused by the ethical dilemmas that they encounter in work. The support from peers is very important for care providers to maintain their emotional and psychological
The health care workers in the show Nurse Jackie, are portrayed as as hard working professionals who hold a high regard for patient care. The nurses follow an established dress code which requires clean and preferably wrinkle free scrubs, as well as, a stethoscope. Since the nurses work in the ED they have had to develop strong relationships with the doctors to ensure that everyone can be trusted (Austin, 2009; Brixius, Wallem, & Dunsky, 2009; Hudis, 2009). For the most part the nurses know that the doctors hold the ultimate control, but with increasing trust the nurses can be empowered to exercise a broader scope of practice. When interacting with the patients, the nurses act in a professional manner and employ appropriate interpersonal skills and non-verbal signs. Finally, these nurses have meaningful roles because they are portrayed as individuals who provide a high level of bedside care and are willing to accommodate most of their patient’s needs (Austin, 2009; Brixius et al., 2009; Hudis, 2009).
“A healthcare provider’s bedside manner encompasses their medical knowledge, personality, and ability to understand the patient and communicate their concern for them.” (Britt). Although some individuals don’t see the importance of communication and emotional connection with patients in the medical field, doctors who have problems properly interacting with their patients will have a lower chance of success in healing them. Doctors receive so much education but are never taught proper bedside manners, which is the way that physicians interact with patients. In order to ensure a patient’s comfort, psychological well-being, and physical health, a physician must truly understand their patient.
Furthermore, there should be enough trust between the nurses and physicians where they can easily put aside their egos and ask for a second opinion when they have any doubts concerning a patient's safety. This was clearly exemplified when the nursing staff attending to Lewis Blackman failed to contact the physician when various side effects arose; instead they tailored the signs to fit the expected side effects. Even after Blackman’s health was deteriorating, the nurses remained in their “tribes” and never once broke out of it to ask for help. The entire hospital was built on strong culture of remaining in their tribes instead of having goals oriented towards patients care and safety.
The medical secretary, registered nurses, licensed practical nurses, and physicians communicated consistently and appropriately so that all staff could effectively complete the actions required of their respective roles. I noted the strong relationship between the nurses and the physicians. The nurses held a heavy influence on the physician’s decisions regarding a situation, because the nurses were the ones conveying pertinent information related to the patient’s status. Based on the information provided, the physician would make recommendations and provide guidance to the nurses. The physician’s directions were then carried out by the nurse, influencing the nurse’s plan of care for his/her
Berg, L., & Danielson, E. (2007). Patients’ and nurses’ experiences of the caring relationship in hospital: an aware striving for trust. Scandinavian Journal of Caring Sciences, 501-506.
Healthcare professionals in the medical office should be friendly and open. Patients entering the medical office should be greeted immediately with a smile and having a gentle touch also let the patient know you care. “Healthcare professionals in a medical office are held to a higher standard than most professions because they are dealing with the dignity of patients and the ability to be healed” (Wolff). Educating the staff to be professional in the medical office represents the office as being excellent in patient care. Patient-centered care success is required by the whole office which is treatment and patient experience, from the time they enter the office until they leave.
.... Each day your will leave a lasting impression on the people you interact with. By providing care and communicating with your patients, you will foster not only trust but also you will heal not only your patients’ bodies but their minds too. The sense of gratification felt from such service is unparalleled.
The problem of poor communication stems from an environment of high stress levels. After a consulting company scrutinized processes throughout the hospital related to care coordination and patient flow, the evidence was clear. The company identified areas for improvement around communication at many different levels. In order for patients to have a seamless transition from admission to discharge, the lines of communication needed to change. Daily face-to-face meetings were productive for the staff, hospital and overall satisfaction. The consulting firm worked for the hospital for several months, but as they departed, the prior culture of poor communication started to engulf...
...ctors? Besides, if a hospital works like this , doctors should equip with medical ethics such as, doctor should equip with autonomy of the individual, professional justice ,beneficence to everyone and non maleficent. Otherwise, it loss of meaning of this jobs. It is believed that most of the healthcare staff are enthusiastic. However, there are so many annoying social activities staff should attend but that is not include in their working scope.(醫者心) Therefore, even healthcare staff full of conscientious however it scattered the attention or energy by the social activities. Thus the quality of health care gradually decrease.(irrational non humanized)
The provision of patient/family-centered care, which assure safety and quality in the service, would have a team work approach as a foundation and underpinning. In a healing process or in the preservation of health intervene several factors, some of them are closely related with the environment. Healthcare providers constitute an important part of that environment, and definitely, communication with patients, families, and among themselves, have a significant impact on it. The environment would influence the patient’s perception of care, and the staff’s level of
Friendships may be formed; however, having professional interactions is something that is not always followed. In terms of patient confidentiality, we may not realize that a HIPPA violation has occurred due to a friendly conversation with coworkers. If a patient were to overhear their nurse discussing their information in an unprofessional manner, then it may cause issues with a patient’s dignity and their rights. If a patient’s right is violated, then it can lead to a patient’s mistrust in their caregiver, leading to mistrust in the facilities, and can end with a patient’s health being compromised. The patient is the reason for this career; if the needs of the patient are being unmet or violated then the purpose of our occupation will be unsuccessful and indifferent.
A therapeutic nurse-patient relationship is outlined as a helping relationship grounded on shared respect, trust, the encouragement of having faith and hope in oneself and others, and emotional support (Pullen et al., 2010). In doing so, the nurse can establish complete satisfaction of the patients needs, whether it be physical, emotional or spiritual. This relationship produces when the patient and the nurse come together in harmony and peace (Pullen et al., 2010). Efficient verbal and nonverbal communication is an essential aspect of interaction between nurse and patient – in doing this, the patient feels on par with the nurse, as an equal, rather than having no indication of what procedures are taking place (Pullen et al., 2010).