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Reflection on communication with patients
Effective communication and patient care
Effective communication and patient care
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In a 2010 Journal of Cutaneous and Aesthetic Surgery publication, Bhanu Prakash defined patient satisfaction as a “proxy but a very effective indicator to measure the success of doctors and hospitals” (Prakash, 2010). Patient satisfaction is an important tool commonly used by healthcare organizations to measure the quality of care delivered in their facility. On the hand hand Hostutler, Taft & Snyder described patient satisfaction as “occurring when services are rendered in terms of customer expectations, needs, and perceptions” (Hostutler et al, 1999). Trout, Magnusson & Hedges in support of defining patient satisfaction based on patient expectation opined that patient satisfaction is when “patient’s own expectations for treatment and care …show more content…
ER staff, to include receptionist, administrative staff, nurses and physician courtesy, concern, and communication with their patient is the second significant factor affecting patient satisfaction. A study by Krishel & Baraff shows that there is a strong positive association between provider patient communication and patient satisfaction. Hence Krishel & Baraff enjoins ER staff and physicians to put in every effort to communicate and enhance patients’ understanding of their care and processes of care (Krishel & Baraff, 1993). This in turn will improve patient satisfaction for their …show more content…
Pain is the most common reason why patients come to the ER. In all the survey analyzed there is generally an increase in patient satisfaction when the patient’s pain is managed in a timely manner during their visit. In a study conducted by Downey & Zun to measure the correlation, if any, between pain reduction and the level of satisfaction in patients who presented to the ER with pain as their chief complaint concluded that patients who experienced pain relief during their stay in the ER had significant increases in distress relief and a positive outlook. Overall, majority of the patients surveyed were satisfied with the care they received and gave positive feedback with “(60%) stating that the doctor was interested in them as a person, seemed warm and friendly (65%), took their problems seriously (68%), and they felt free to talk to the doctor about private matters (55%), and the doctor gave advice that was easy to follow (73%)” (Downey & Zun,
Due to the increasing financial implications, patient satisfaction has become a growing priority for health care organizations, as well as transitioning the health care organization’s philosophy about the delivery of health care (Murphy, 2014). This CMS value based purchasing initiative has created a paradigm shift in health care in which leaders and clinicians must focus on patient centered care and the patient experience which ultimately will result in better outcomes. Leaders and clinicians alike must be committed to the patient satisfaction. As leaders within the organization, these groups must be role models and lead by example for front-line staff. Ultimately, if patients are satisfied, they are more likely to be compliant with their treatment plans and continue to seek follow up care with their health care provider, which will result in decreased lengths of stay, decreased readmissions, increased referrals and decreased costs (Murphy, 2014). One strategy employed by health care leaders to capture the patient experience, is purp...
According to Fred Lee (2004) hospitals use clinical results and process improvement as a gauge of quality as this data can be readily measured and objective. Conversely, patients judge the quality of care by individual perception. Therein a gap of what the patient’s perception of quality care and how the healthcare providers perceive quality of care is created. The purpose of this paper is to discuss the Gaps Model of Service Quality while comparing the findings of the work done by Fred Lee in the book, If Disney Ran Your Hospital: 91/2 Things You would Do Differently.
Patients expect instant response to call lights due to today’s technological advancements. This can negatively impact nurse stress and cause contempt toward the patient. However, the expectation to respond promptly improves safety and encourages frequent rounding. Also, aiming for high patient satisfaction scores on the HCAHPS/Press Ganey by fulfilling patient requests can overshadow safe, efficient, and necessary healthcare. Although patient satisfaction is important, ultimately, the patient’s health takes precedence over satisfying patient and family requests, especially when those requests are unnecessary, harmful, or take away from the plan of care (Junewicz & Youngner, 2015). The HCAHPS/Press Ganey survey focuses on the patient’s perception of care. The problem with this aspect of the survey is that the first and foremost goal of nurses should not be to increase a patient’s score based on perception. According to an article in Health Facilities Management, the nurse’s top priority is to provide the safest, most quality care possible for patients with the resources they are given (Hurst, 2013). Once this has been accomplished, the nurse can then help the patient realize that the most
Patient satisfaction surveys have been in debate being that the concept of ‘patient satisfaction’ is not clear and because this term means something different to everyone (Junewicz & Youngner, 2015). However, Junewicz and Younger (2015) discuss how these surveys can improve aspects of a patient’s care such as humanism, communication, safety, and confidentiality. The part that is still not covered is that these aspects patient satisfaction has no clear relationship with the technical quality of healthcare such as nosocomial infections, surgical complications, and readmission rates (Junewicz & Youngner, 2015).
In her paper emerging model of quality, June Larrabee discusses quality as a construct that includes beneficence, value, prudence and justice (Larrabee, 1996). She speaks of quality and value as integral issues that are intertwined with mutually beneficial outcomes. Her model investigates how the well-being of individuals are affected by perceptions of how services are delivered, along with the distribution of resources based on the decisions that are made (Larrabee, 1996). She speaks of the industrial model of quality and how the cornerstone ideas of that model (that the customer always knows what is best for themselves) does not fit the healthcare model (Larrabee, 1996). Larrabee introduces the concept that the patient va provider goal incongruence affects the provide (in this case the nurse) from being able to positively affect healthcare outcomes (Larrabee, 1996). The recent introduction of healthcare measures such as HCAHPS: Patients' Perspectives of Care Survey has encouraged the healthcare community to firmly espouse an industrial model of quality. HCAHPS is a survey where patients are asked questions related to their recent hospitalization that identifies satisfaction with case based solely on the individuals’ perception of the care given. This can lead to divergent goals among the healthcare team or which the patient is a member. Larrabee’s model of quality of care model
...tive pain management and Improvement in patients outcomes and satisfaction [Magazine]. Critical Care Nurse, 35(3), 37,35,42. Retrieved from
[19]Press I. 2005. Patient Satisfaction: Understanding and Managing the Experience of Care, 2nd Edition. Chicago, IL: Health Administration Press.
Introduction 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 it is a fundamental part of nursing and the skills all nurses need. It leads those interested in delivering quality nursing to read on. Showing us the significance that communication makes in the perception of the quality of care that patient perceives they received based not on the care it’s self but on the patient-nurse communication.. Purpose/Problem/Hypothesis
Patients make up a huge part in achieving service excellence for the healthcare industry. My healthcare facility helps the patients redeem themselves and correct with sensitivity. The patients are my customers, and my healthcare facility must remember our mission and vision of giving spectacular healthcare to our customers who are our priority. By giving quality customer service, my healthcare facility earns the gratitude and patronage of its patients. The patients pass their experiences to their families and that keeps my healthcare facilities’ reputation successful
increases in patient satisfaction, which in a hospital setting is important not only for our
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.
Those that held a higher level of education were a less satisfied with care received than those with the least amount of education. The expectations that patients already had about how their healthcare was going to procede was a determining factor in their level of satisfaction and the level of involvement in their own care was also a factor. Patients’ who developed a trusting, honest and respectful relationship with their nurse reported a higher level of satisfaction and expressed receiving quality nursing care when the nurse took time to listen. The final indicators for quality care, was the competence and knowledge of the nursing staff and the organization of the facility in regards to continuity of care. Patients expressed greater satisfaction when the staff worked together to care for them and the staff appeared skillful and knowlegable in their
Findings. Pain has many different meanings to many people. What is important to know as a nurse or health care provider is that pain is what the patient says it is. It is not the nurse or provider’s place to determine what the patient’s pain is but rather take an in-depth history and assessment. Using this assessment and history can therefore help treat your patient’s pain accordingly. Also pain theories have been proposed and used the implications of nursing practice in regard to pain.
Health care must be fully accountable for quality and the patient experience is simply the patient's perception of quality. Society should question and debate on how healthcare organizations should show improvement for consumers. This can help organizations create reliable health coverage cost and evaluate medical performances for families and individuals in the future. Physicians and organizations are now evaluating patients with collection of electronic data to improve a patient’s...
In the ED setting, patients do not always have the luxury of long detailed conversations about a treatment plans and options. They might not even have the time or the ability to ask questions about what is happening to them regarding their care. If nurses provided some sort of information to the patient as to what was going on, it could not only reduce their stress and provide a sense of comfort, but also increase the amount of satisfaction the patient has with their overall ED experience. A short debriefing session or even a simple sentence saying: “we are going to do this thing, because we need it for (or to do) this thing” would be beneficial in so many ways. First, using the previous statement or something similar informs the patient what