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Patient rights and responsibilities thesis
Description of the process of health communication
Factors that affect communication in health care
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The film, The Waiting Room, paints a clear picture of the variety of obstacles that commonly occur in the emergency department. The majority of patients are uninsured, are using the hospital as their primary care physician, long wait times and communication challenges. This paper will outline challenges displayed in the documentary paired with different ideas working to create a more effective health care experience. Multiple patients in the film were returning patients – they had been seen within the week. This emphasizes the importance of having a primary care physician. Visiting the emergency department is necessary sometimes, but in situations where getting a prescription refilled, a referral to another physician, a follow-up appointment or a consultation about a non-life threatening issue visiting the emergency department is not the preferred choice. If patients decreased the number of visits to the emergency department for these types of situations; there would be countless benefits. The benefits for the patient would be less wait time, they would be in a better to …show more content…
According to Du Pre (2013), effective health communication saves time and money, helps healthcare organizations run effectively and is an important source of personal confidence and coping ability. She approaches communication with each patient and their family through a process of understanding and sharing meaning (Du Pre, 2013, p. 8). She pays close attention to the people she is communicating with by listening and watching their actions and emotions; she encourages a sense of team – that they are not alone; she displays sensitivity while being pleasantly comical. The intake nurse is one of the first medical professionals the patient encounters while visiting the emergency department. She ultimately sets the tone and standard for health communication, and I feel that she does an excellent
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.
Vollmann’s story concentrates on the private experiences of individuals in a hospital. The commonality of the setting allows the reader to make necessary assumptions about the locale, timing and purpose of these hospital visits, also permitting the author flexibility in selecting events to comprise the plot. The universality of the hospital experience (lingering in the waiting room, a doctor’s examination, and a nurse’s questioning, for example) encourages the reader to relate to these private events in a shared, public manner. In this way, Vollmann relies upon one’s knowledge of hospital procedure to make greater comments about other institutions and society in general.
There has been a shortage of physicians, lack of inpatient beds, problems with ambulatory services, as well as not having proper methods of dealing with patient overflow, all in the past 10 years (Cummings & francescutti, 2006, p.101). The area of concern that have been worse...
Dr. Jey Arthur, of Sutter Memorial Hospital, is an idol when it comes to physicians within a hospital’s Emergency Room. During his shift, the entire atmosphere of the Emergency Room changes. Nurses become more interactive with their patients and the patient’s rooms are no longer filled with misery and hopelessness. From the second the patient is assigned a room, Dr. Arthur is constantly visiting keeping the patient well informed and up to date on what the physicians and nurses are doing and their progress. From my time shadowing Dr. Aurther, not a single patient had lost a smile when he left the room. Beyond the care of the patient, Dr. Arthur has established absolute order with those working in the Emergency Room. Dr. Arthur has made himself
Communication encompasses a wide range of processes such as the exchange of information, listening, posing of questions (Fleischer et al., 2009) or use of body language. In a healthcare environment where there are constant interactions among nurses, doctors, patients and other health professionals, professional and effective communication is important in ensuring high quality healthcare standards and meeting the individual needs of patients.
The introduction paragraph gives information on communication and the impact that it has on patient-nurse relationships. It gives the reader an understanding of what is involved in true communication and how that it is a fundamental part of nursing and skills all nurses need. It leads those interested in delivering quality nursing to read on. Showing us the significance that communication makes in the
“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.
Often an emergency room visit has wait times that are past what is expected. An influx of patients into an emergency room that are “less acutely ill”, increases the wait time for others that are extremely sick or injured (“Healthy People 2020, 2017). When care is not rendered in a timely manner the perceived satisfaction and quality of care is lowered, as well as individuals that have a need of immediate care may leave before receiving it (“Healthy People 2020, 2017). An associated factor in the access to care results from the lack of healthcare workers. Incentives have been made available for physicians to improve the quality and timeliness of their appointments, physicians to join primary care instead of specialties, and for some to provide healthcare in rural areas. Yet, with the limited healthcare workforce patients are left waiting long periods of time for
Due to the populations current issues with insufficient healthcare coverage, or complete lack of, many patients resort to the ED as primary access and diagnosis thus delaying treatment even further.As a result, emergency departments are providing treatment for medical, surgical, critical, and psychological emergencies. These extended wait times lead to a deterioration of patient health, discounting of the patients chief complaints with the intention of acting more efficiently, and inadvertently, occasionally, causing the spread of communicable diseases. Emergency rooms by definition are 24-hour care access to healthcare, however they are losing the fairness and impartiality to provide equal service to all patients stemming from outrageous wait
Peter Nicks and William Hirsch’s 2012 documentary film, The Waiting Room, follows the lives of patients, doctors, and staff in a hospital in California. The hospital is a safety net hospital meaning that it provides care to low-income, uninsured populations. The documentary examines the obstacles faced by people who live without healthcare in addition to showing the public what goes in a safety net hospital. The Waiting Room fits into the finger categories of government and politics and science and technology. The most relevant category is government and politics. Healthcare and insurance have played large roles in the government for years. In fact, ObamaCare, the president’s plan for health care reform was one of the root causes of the 2013 government shutdown. This draws attention to just how large and important the congressional healthcare debate truly is. The documentary also fits under the finger category of science and technology. The Waiting Room discusses the technological and scientific innovations found in today’s hospitals. Additionally, it references some of the new methods being used to treat diseases that are prevalent in society. This is particularly significant because these new technologies and treatment methods are being used to save lives every day. The implications of the Waiting Room and safety net hospitals are not limited to finger categories; they are evident in tens of thousands of hospitals throughout the world.
Robinson, F. P., Gorman, G., Slimmer, L., & Yudkowsky, R. (2010). Perceptions of effective and ineffective nurse–physician communication in hospitals.Nursing Forum, 45(3), 206-216.
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
Furthermore it’s very important not to judge the patient pertaining to what they may have to say. Good communication helps nurses build a relationship with their patient. Linking my personal experience from the clinical area relates to the practical side of nursing. It is necessary for communication between the nurse and the patient to be clear, understandable, appropriate and
Nursing is known as the ‘caring profession’, one of its main aspects is communication. Nurses spend the majority of their time communicating with patients, relatives of patients, and other healthcare professionals. Communication is a fundamental skill that underpins human interaction, and so it is mandatory that nurses are effective and adaptable in social situations (Kraszewski & McEwen, 2010: Preface).
Communication firstly starts with being a excellent listener which involves being able to hear what someone says. There is no such thing as excessively communicating. More mistakes happen from not communicating enough. Clear communication avoids mistakes. With nursing care or health care in general we need to focus on explaining, clarifying, and communicating more; which is all for the health and benefit to our patients recovery, also making you a safer and more effective nurse. Ineffective communication is reported as a significant contributing factor in medical errors and inadvertent patient harm [4]. In addition to causing physical and emotional harm to patients and their families, adverse events are also financially costly [4].