Skills For Communicating With Patients
Skills for Communicating with Patients, Third Edition is one of two companion books on improving communication in medicine, which together provide a comprehensive approach to teaching and learning communication skills throughout all levels of medical education in both specialist and family medicine. Since their publication, the first edition of this book and its companion, Teaching and Learning Communication Skills in Medicine, have become established standard texts in communication skills teaching throughout the world.
Skills for communicating with patients
This substantially expanded third edition has been fully updated in relation to the current literature and revised to reflect the explosion of research on healthcare communication. It incorporates considerable evidence in support of the skills of the Calgary-Cambridge Guides, offering a comprehensive and now even more evidence-based delineation of the skills that make a difference when communicating with patients. The book explores the specific skills of doctor-patient communication and provides wide-ranging evidence of the improvement that those skills can make to health outcomes and everyday clinical practice.
Skills for Communicating with Patients, Third Editionis one of two companion books on improving communication in medicine, which together provide a comprehensive approach to teaching and learning communication skills throughout all levels of medical education in both specialist and family medicine. Since their publication, the first edition of this book and its companion, Teaching and Learning Communication Skills in Medicine, have become established standard texts in communication skills teaching throughout the world.
This substantially expanded third edition has been fully updated in relation to the current literature and revised to reflect the explosion of research on healthcare communication. It incorporates considerable evidence in support of the skills of the Calgary-Cambridge Guides, offering a comprehensive and now even more evidence-based delineation of the skills that make a difference when communicating with patients. The book explores the specific skills of doctor-patient communication and provides wide-ranging evidence of the improvement that those skills can make to health outcomes and everyday clinical practice. It is unique in providing a secure platform of core skills which represent the foundations of doctor-patient communication.
Background: Since poor communication with the patient has a negative impact on the quality of nursing care, taking the necessary measures to strengthen the relationship with the patient seems necessary. This study was conducted to determine the effect of spiritual intelligence training on nurses' skills for communicating with patients.
Additionally, patients who have established an open and secure dialogue with a nurse or healthcare provider are more likely to disclose the true extent of their symptoms. According to the book Interpersonal Relationships: Professional Communication for Nurses by Arnold and Boggs, healthcare communication competency offers a primary means for establishing a trusting, collaborative relationship with patients and families. Interpersonal communication skills influence the quality of decisions made, as well as the level of patient motivation to follow treatment protocols and achieve desired clinical outcomes.
Nurses are in charge of most of the communication between the healthcare team and patients. This includes informing patients and family members of health conditions, diagnoses, treatment plans, and medication protocols. This skill is especially important for family nurse practitioners who work with patients and families to provide health and education counseling.
Good communication leaves patients and clinicians happier and can help to improve health outcomes. But how can you improve your consultation skills at a time of rising pressure on the NHS? Healthcare professionals from primary and secondary care share expert tips on building positive relationships with patients
Good communication can make all the difference when it comes to your patients feeling supported, trusting your judgment and engaging with your advice. It can even help to improve health indicators such as blood pressure and blood sugar levels.1-3
In our analysis article we explore the impact of good and bad communication with patients. We also find that clinicians are working within a system where it can be hard to completely focus on the patient. Overwhelming workloads, archaic processes and stressful environments often get in the way.
Doctor-patient communication is an essential, though sometimes challenging, aspect of the health care process. The following suggestions can help you work with older patients to optimize care and make the most of your time and resources.
Effective communication can help build satisfying relationships with older patients to best manage their care. It can strengthen the patient-provider relationship, lead to improved health outcomes, help prevent medical errors, and make the most of limited interaction time.
Some patients may ask that you contact their long-distance caregivers to discuss conditions or treatment plans. Make sure these patients fill out any necessary paperwork giving permission for you to speak with specific family members or friends if they are not present at the appointment.
Approximately 85% of older adults have at least one chronic health condition, and 60% have at least two chronic conditions. Clinicians can play an important role in educating patients and families about chronic health conditions and can connect them with appropriate community resources and services.
Some patients will still avoid issues that they think are inappropriate to discuss with clinicians. One way to overcome this hesitation is to keep informative brochures and materials readily available in the exam room and waiting areas.
Family physicians routinely have to inform patients about a new diagnosis, such as diabetes mellitus, herpes infection, or cancer. Inappropriate communication, such as an abrupt or harsh disclosure, can be psychologically devastating to the patient. Yet, there is limited empirical evidence on communication techniques for breaking bad news.13 Patients prefer that physicians be seated when breaking bad news.14 Detailed information is requested more often by patients who are younger, female, and more educated.15 Recommendations for breaking bad news include first assessing the patient's prior knowledge and understanding of the illness, and the patient's preference for an overview vs. detailed information. Important points to consider are included in Table 5.14,16 Patients should be given time to absorb the news. Physicians should empathize with the patient's emotions while limiting further information in this initial stage.
By discussing treatment options, physicians can help patients make more informed choices. The pros and cons of each option should be outlined, including benefits, risks (potential immediate and long-term adverse effects or complications), and costs (direct and indirect).17 The option of no active treatment with follow-up (watchful waiting) may be discussed. Providing options reaffirms the patient's need to be actively involved in his or her medical care.18
Not rushing through instructions or responses will help your patients feel like a valued partner in the management of their own health and make communicating effectively more likely. Asking questions builds rapport because the patient has the opportunity to provide information from their end or offer their own opinions.
Doctors, nurses, and other healthcare workers who come across as cold or aloof damage the patient-provider relationship. Providers who signal disinterest or distraction when talking with patients may lose the goodwill and trust of the very people they seek to help.
Collectively, medical professionals have a wealth of knowledge and expertise. That wellspring goes untapped when providers rush from one appointment to the next without allowing themselves time to listen and communicate effectively with patients, when patients feel unsafe, when care teams store medical information improperly, or when health organizations fail to employ interpreters for cross-cultural communications.
Skillful communication is essential to health care. Clear, honest communication between patient and provider paves the way for accurate diagnoses and treatment decisions. Similarly, clear, confidential communication between members of a care team (which often includes patients and multiple providers) results in swiftly and ethically delivered care without breaching confidentiality.
Providers can help patients feel heard, ease their fears, and encourage them to disclose relevant information. For example, a patient who feels embarrassed about a pubic rash will likely feel more safe mentioning this to a provider who they know will treat them with compassion and a professional demeanor.
The use of information technology has been identified by the Institute of Medicine as one of the critical forces necessary to improve the quality of health care in the United States. An increasing number of physicians are using electronic health records and web messaging to communicate with their patients. Health information technology systems should be compatible with the requirements of the Health Insurance Portability and Accountability Act and flexible enough to accommodate state privacy laws 18.
It is important to use appropriate safeguards when communicating electronically with patients. The Health Insurance Portability and Accountability Act Privacy Rule allows covered health care providers to communicate electronically, provided they apply reasonable safeguards when doing so. Further, while the Privacy Rule does not prohibit the use of unencrypted e-mail for treatment-related communication between health care providers and patients, other safeguards should be applied to reasonably protect privacy, such as limiting the amount or type of information disclosed through unencrypted e-mail 19. The physician time spent answering and managing e-mail should be acknowledged, and efforts should be made to advocate for compensation for additional time spent by physicians and staff to provide this service. When the patient has a complicated question or issues or has questions regarding symptoms, face-to-face contact between the physician and the patient may be preferable. 041b061a72