| communication with patients families: Therapeutic Communication Jurgen Ruesch, 1961 This volume deals with universal processes of therapeutic communication, a term which covers whatever exchange goes on between people who have a therapeutic intent, with an emphasis upon the empirical observation of the communicative process. -- Preface. |
| communication with patients families: Dying in America Institute of Medicine, Committee on Approaching Death: Addressing Key End-of-Life Issues, 2015-03-19 For patients and their loved ones, no care decisions are more profound than those made near the end of life. Unfortunately, the experience of dying in the United States is often characterized by fragmented care, inadequate treatment of distressing symptoms, frequent transitions among care settings, and enormous care responsibilities for families. According to this report, the current health care system of rendering more intensive services than are necessary and desired by patients, and the lack of coordination among programs increases risks to patients and creates avoidable burdens on them and their families. Dying in America is a study of the current state of health care for persons of all ages who are nearing the end of life. Death is not a strictly medical event. Ideally, health care for those nearing the end of life harmonizes with social, psychological, and spiritual support. All people with advanced illnesses who may be approaching the end of life are entitled to access to high-quality, compassionate, evidence-based care, consistent with their wishes. Dying in America evaluates strategies to integrate care into a person- and family-centered, team-based framework, and makes recommendations to create a system that coordinates care and supports and respects the choices of patients and their families. The findings and recommendations of this report will address the needs of patients and their families and assist policy makers, clinicians and their educational and credentialing bodies, leaders of health care delivery and financing organizations, researchers, public and private funders, religious and community leaders, advocates of better care, journalists, and the public to provide the best care possible for people nearing the end of life. |
| communication with patients families: Patient Safety and Quality Ronda Hughes, 2008 Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043). - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/ |
| communication with patients families: Mastering Communication with Seriously Ill Patients Anthony Back, Robert Arnold, 2009-03-02 Physicians who care for patients with life-threatening illnesses face daunting communication challenges. Patients and family members can react to difficult news with sadness, distress, anger, or denial. This book defines the specific communication tasks involved in talking with patients with life-threatening illnesses and their families. Topics include delivering bad news, transition to palliative care, discussing goals of advance-care planning and do-not-resuscitate orders, existential and spiritual issues, family conferences, medical futility, and other conflicts at the end of life. Drs Anthony Back, Robert Arnold, and James Tulsky bring together empirical research as well as their own experience to provide a roadmap through difficult conversations about life-threatening issues. The book offers both a theoretical framework and practical conversational tools that the practising physician and clinician can use to improve communication skills, increase satisfaction, and protect themselves from burnout. |
| communication with patients families: Fragility Fracture Nursing Karen Hertz, Julie Santy-Tomlinson, 2018-06-15 This open access book aims to provide a comprehensive but practical overview of the knowledge required for the assessment and management of the older adult with or at risk of fragility fracture. It considers this from the perspectives of all of the settings in which this group of patients receive nursing care. Globally, a fragility fracture is estimated to occur every 3 seconds. This amounts to 25 000 fractures per day or 9 million per year. The financial costs are reported to be: 32 billion EUR per year in Europe and 20 billon USD in the United States. As the population of China ages, the cost of hip fracture care there is likely to reach 1.25 billion USD by 2020 and 265 billion by 2050 (International Osteoporosis Foundation 2016). Consequently, the need for nursing for patients with fragility fracture across the world is immense. Fragility fracture is one of the foremost challenges for health care providers, and the impact of each one of those expected 9 million hip fractures is significant pain, disability, reduced quality of life, loss of independence and decreased life expectancy. There is a need for coordinated, multi-disciplinary models of care for secondary fracture prevention based on the increasing evidence that such models make a difference. There is also a need to promote and facilitate high quality, evidence-based effective care to those who suffer a fragility fracture with a focus on the best outcomes for recovery, rehabilitation and secondary prevention of further fracture. The care community has to understand better the experience of fragility fracture from the perspective of the patient so that direct improvements in care can be based on the perspectives of the users. This book supports these needs by providing a comprehensive approach to nursing practice in fragility fracture care. |
| communication with patients families: Bedside Communication Handbook, The: Speaking With Patients And Families Allyn Hum, Mervyn Koh, 2021-09-28 The art of good communication is an essential skill that every healthcare professional must master in this increasingly demanding and challenging healthcare climate.From medical, nursing and allied health students to experienced doctors, nurses and healthcare professionals, the authors of The Bedside Communication Handbook — with more than 20 years of teaching 'Clinical Communication' — present common and challenging communication scenarios and share important principles and useful phrases which can be used to help busy healthcare professionals communicate better with patients and their relatives.This is probably the only such book set in an Asian context. It will contain practical tips and model statements that would help to guide the readers in improving their communication skills and preventing a communication faux pas. |
| communication with patients families: Skills for Communicating with Patients Jonathan Silverman, Suzanne M. Kurtz, Juliet Draper, 1998 This text and its companion, Teaching and Learning Communication Skills in Medicine, provide a comprehensive approach to improving communication in medicine. Exploring in detail the specific skills of doctor-patient communication, the book provides evidence of the improvements that these skills can make in health outcomes and everday clinical practice. |
| communication with patients families: Delivering High-Quality Cancer Care Committee on Improving the Quality of Cancer Care: Addressing the Challenges of an Aging Population, Board on Health Care Services, Institute of Medicine, 2014-01-10 In the United States, approximately 14 million people have had cancer and more than 1.6 million new cases are diagnosed each year. However, more than a decade after the Institute of Medicine (IOM) first studied the quality of cancer care, the barriers to achieving excellent care for all cancer patients remain daunting. Care often is not patient-centered, many patients do not receive palliative care to manage their symptoms and side effects from treatment, and decisions about care often are not based on the latest scientific evidence. The cost of cancer care also is rising faster than many sectors of medicine--having increased to $125 billion in 2010 from $72 billion in 2004--and is projected to reach $173 billion by 2020. Rising costs are making cancer care less affordable for patients and their families and are creating disparities in patients' access to high-quality cancer care. There also are growing shortages of health professionals skilled in providing cancer care, and the number of adults age 65 and older--the group most susceptible to cancer--is expected to double by 2030, contributing to a 45 percent increase in the number of people developing cancer. The current care delivery system is poorly prepared to address the care needs of this population, which are complex due to altered physiology, functional and cognitive impairment, multiple coexisting diseases, increased side effects from treatment, and greater need for social support. Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis presents a conceptual framework for improving the quality of cancer care. This study proposes improvements to six interconnected components of care: (1) engaged patients; (2) an adequately staffed, trained, and coordinated workforce; (3) evidence-based care; (4) learning health care information technology (IT); (5) translation of evidence into clinical practice, quality measurement and performance improvement; and (6) accessible and affordable care. This report recommends changes across the board in these areas to improve the quality of care. Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis provides information for cancer care teams, patients and their families, researchers, quality metrics developers, and payers, as well as HHS, other federal agencies, and industry to reevaluate their current roles and responsibilities in cancer care and work together to develop a higher quality care delivery system. By working toward this shared goal, the cancer care community can improve the quality of life and outcomes for people facing a cancer diagnosis. |
| communication with patients families: Communication with and on Behalf of Patients Javad Hekmat-Panah, MD, 2020-09-09 Part of suffering from an illness is the fear of not knowing what might happen. One needs information about the illness, about treatments, and about the outcome. Patients appreciate when their autonomy is respected, and they are given options to choose from. But for them to find the right choice is often like looking in the dark to find a path they never took before. No one is in a better position than their doctor to shed light on the paths and to guide them for the best choice to make. This book describes what a patient needs to know and what the doctor needs to communicate to enable the patient to make choices that are rational, based on medical standards, and can best lead to recovery. Such communication takes time, can be arduous, yet it is a doctor's duty and is essential for a harmonious doctor-patient relationship. |
| communication with patients families: Communication in Medical Care John Heritage, Douglas W. Maynard, 2006-07-06 This 2006 volume provides a comprehensive discussion of communication between doctors and patients in primary care consultations. It brings together a team of leading contributors from the fields of linguistics, sociology and medicine to describe each phase of the primary care consultation, identifying the distinctive tasks, goals and activities that make up each phase of primary care as social interaction. Using conversation analysis techniques, the authors analyze the sequential unfolding of a visit, and describe the dilemmas and conflicts faced by physicians and patients as they work through each of these activities. The result is a view of the medical encounter that takes the perspective of both physicians and patients in a way that is both rigorous and humane. Clear and comprehensive, this book will be essential reading for students and researchers in sociolinguistics, communication studies, sociology, and medicine. |
| communication with patients families: Textbook of Palliative Care Communication Elaine Wittenberg, Betty R. Ferrell, Joy Goldsmith, Thomas Smith, Sandra L. Ragan, George Handzo, 2015-11-20 'The Textbook of Palliative Care Communication' is the authoritative text on communication in palliative care. Uniquely developed by an interdisciplinary editorial team to address an array of providers including physicians, nurses, social workers, and chaplains, it unites clinicians and academic researchers interested in the study of communication. |
| communication with patients families: Communication in Nursing Practice (CN-53): Passbooks Study Guide National Learning Corporation, 2019-02 The Certified Nurse Examination Series prepares individuals for licensing and certification conducted by the American Nurses Credentialing Center (ANCC), the National Certification Corporation (NCC), the National League for Nursing (NLN), and other organizations. |
| communication with patients families: Communication for Nurses: Talking with Patients Lisa Kennedy Sheldon, 2009-10-07 Communication for Nurses offers valuable techniques delivered in a concise, user-friendly format that encourages reader's development of a personal, professional communication style. Topics include effective communication in difficult situations, the nurse-patient relationship, working with different patient groups and families, and communicating with other healthcare providers.-- Book Jacket. |
| communication with patients families: Talking with Patients and Families about Medical Error Robert D. Truog, David M. Browning, Judith A. Johnson, Thomas H. Gallagher, 2011-01-17 More than a million patient safety incidents occur every year, and medical error is the third leading cause of death in the United States. Illuminating the experiences of those affected by medical error—patients, their loved ones, and physicians and other medical professionals—Talking with Patients and Families about Medical Error delves deeply into the challenges of communicating honestly and openly about mistakes in medical practice. cc Based on guidelines from the Institute for Professional and Ethical Practice and the authors' own experiences, the practice-based approaches outlined here offer concrete guidance on • initiating discussions • dealing professionally and compassionately with patients' reactions • who should be included in the conversation • what information should be documented in the medical record • how to respond to questions about financial compensation Aimed at promoting resolution and healing, this book stresses the importance of clear, empathetic communication that will improve clinical and organizational responses to medical missteps and mismanagement. It emphasizes five features of the physician-patient relationship deserving of special attention: transparency, respect, accountability, continuity, and kindness (TRACK). Narrative examples of common situations demonstrate how conversations about medical error can lead to healing. |
| communication with patients families: How To Break Bad News Robert Buckman, 1992-08-08 For many health care professionals and social service providers, the hardest part of the job is breaking bad news. The news may be about a condition that is life-threatening (such as cancer or AIDS), disabling (such as multiple sclerosis or rheumatoid arthritis), or embarrassing (such as genital herpes). To date medical education has done little to train practitioners in coping with such situations. With this guide Robert Buckman and Yvonne Kason provide help. Using plain, intelligible language they outline the basic principles of breaking bad new and present a technique, or protocol, that can be easily learned. It draws on listening and interviewing skills that consider such factors as how much the patient knows and/or wants to know; how to identify the patient's agenda and understanding, and how to respond to his or her feelings about the information. They also discuss reactions of family and friends and of other members of the health care team. Based on Buckman's award-winning training videos and Kason's courses on interviewing skills for medical students, this volume is an indispensable aid for doctors, nurses, psychotherapists, social workers, and all those in related fields. |
| communication with patients families: Patient-centred Care Australian Commission on Safety and Quality in Health Care, 2011 |
| communication with patients families: Communication Skills for Doctors Peter Maguire, 2000-08-25 Aimed at senior medical students and doctors in training, the key objective of this book is to help them become more competent in dealing with common areas of communication which many find particuarly difficult. The author covers the main areas where communication takes place and the difficult scenarios students/doctors are likely to encounter, providing practical (and alternative) guidelines to cover a broad range of situations. Beginning with a review of basic communication skills, the text includes doctor/patient interchanges taken from the author's own work experience. These feature both good and bad examples of real communication and include alternative ways of handling difficult situations. Research is cited where appropriate, drawing on the body of research in medical communication. Each chapter ends with a brief summary and suggests questions for use in classrooms or self-study. |
| communication with patients families: Compassion, Caring and Communication Jacqui Baughan, Ann Smith, 2013-11-26 Compassion and caring are at the very heart of nursing – possibly that’s why you were attracted to the nursing profession in the first place. But what does compassionate caring really mean in nursing practice? Compassion, Caring and Communication: Skills for Nursing Practice is a practical book that guides you through the complex dimensions of caring. It considers the ways in which you connect with patients, families and co-workers, and the long-lasting impact of emotions and feelings. Using real-life narratives, case studies and reflection activities, the authors demonstrate how you can develop and maintain the empathy and communication skills you need to create effective, compassionate and caring partnerships. New to the second edition: Comprehensively updated throughout to reflect and highlight current professional pressures and public concerns around nursing practice. Includes a broader range of relevant case studies, discussions and scenarios to engage students and qualified nurses at all levels. Contains new content about the impacts of recent government reports and policies on nursing care, developing an awareness of contemporary issues and debates. The BOND caring framework has been revised and updated alongside new ‘caring indicators’, to support the development of compassionate caring skills. All references have been updated using the latest sources and evidence-based studies. |
| communication with patients families: Best Care at Lower Cost Institute of Medicine, Committee on the Learning Health Care System in America, 2013-05-10 America's health care system has become too complex and costly to continue business as usual. Best Care at Lower Cost explains that inefficiencies, an overwhelming amount of data, and other economic and quality barriers hinder progress in improving health and threaten the nation's economic stability and global competitiveness. According to this report, the knowledge and tools exist to put the health system on the right course to achieve continuous improvement and better quality care at a lower cost. The costs of the system's current inefficiency underscore the urgent need for a systemwide transformation. About 30 percent of health spending in 2009-roughly $750 billion-was wasted on unnecessary services, excessive administrative costs, fraud, and other problems. Moreover, inefficiencies cause needless suffering. By one estimate, roughly 75,000 deaths might have been averted in 2005 if every state had delivered care at the quality level of the best performing state. This report states that the way health care providers currently train, practice, and learn new information cannot keep pace with the flood of research discoveries and technological advances. About 75 million Americans have more than one chronic condition, requiring coordination among multiple specialists and therapies, which can increase the potential for miscommunication, misdiagnosis, potentially conflicting interventions, and dangerous drug interactions. Best Care at Lower Cost emphasizes that a better use of data is a critical element of a continuously improving health system, such as mobile technologies and electronic health records that offer significant potential to capture and share health data better. In order for this to occur, the National Coordinator for Health Information Technology, IT developers, and standard-setting organizations should ensure that these systems are robust and interoperable. Clinicians and care organizations should fully adopt these technologies, and patients should be encouraged to use tools, such as personal health information portals, to actively engage in their care. This book is a call to action that will guide health care providers; administrators; caregivers; policy makers; health professionals; federal, state, and local government agencies; private and public health organizations; and educational institutions. |
| communication with patients families: Families Caring for an Aging America National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division, Board on Health Care Services, Committee on Family Caregiving for Older Adults, 2016-12-08 Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation's family caregivers provide the lion's share of long-term care for our older adult population. They are also central to older adults' access to and receipt of health care and community-based social services. Yet the need to recognize and support caregivers is among the least appreciated challenges facing the aging U.S. population. Families Caring for an Aging America examines the prevalence and nature of family caregiving of older adults and the available evidence on the effectiveness of programs, supports, and other interventions designed to support family caregivers. This report also assesses and recommends policies to address the needs of family caregivers and to minimize the barriers that they encounter in trying to meet the needs of older adults. |
| communication with patients families: Communicating with Medical Patients Moira A. Stewart, Debra Roter, 1989-06 Designed to synthesize a growing international and interdisciplinary body of experience, this volume provides a mandate and a charge to medicine to fundamentally transform the traditional clinical method and the social relations it fosters between doctor and patient and between student and teacher. The contributors challenge the medical establishment to change their clinical method from that of a disease-centred to a patient-centred one. Four sections deal with issues related to the doctor's own transformation, the medical interview, teaching and learning, and validation. |
| communication with patients families: Physician Communication with Patients Jon B. Christianson, 2012-08-27 An analysis of the body of research into physician-patient communication |
| communication with patients families: Talking with Patients Philip Roger Myerscough, Michael J. Ford, 1996-02-15 This book introduces the reader to the basic skills necessary for good communication between doctors (and other health professionals) and patients. The practical importance of such skills is outlined, making the doctor much more effective in all fields of medicine. This is not a book for the specialist reader, but aimed at all those who need to talk with patients. |
| communication with patients families: Code of Ethics for Nurses with Interpretive Statements American Nurses Association, 2001 Pamphlet is a succinct statement of the ethical obligations and duties of individuals who enter the nursing profession, the profession's nonnegotiable ethical standard, and an expression of nursing's own understanding of its commitment to society. Provides a framework for nurses to use in ethical analysis and decision-making. |
| communication with patients families: The Patient Experience Brian Boyle, 2015-03-31 Brian Boyle tells a personal story of his fight back from near death after a horrific automobile accident. He focuses on his experience as a patient who, while in a two-month long medically induced coma, was unable to move or talk to anyone around him, yet he was able to hear, see and feel pain. Brian slowly clawed his way back to the living and found the strength to live to tell his story in his acclaimed memoir, Iron Heart. Now Brian provides vital information from the patient’s perspective to help caregivers gain valuable insight that will help them understand new ways on how to provide care to both patients and their families. By completion of this book, the participant will be able to: Recognize the variety of feelings and emotions of the patient Identify simple methods and interventions to provide emotional support to relax the patient Determine the importance of particular amenities to a patient who may be unable to communicate Evaluate patient life-history to determine appropriate intervention techniques Understand the motivational role that communication has between the healthcare provider and the patient and his or her family Brian’s story about catastrophe, survival, and transcending all odds has implemented new and innovative strategies for improving patient safety and quality of care on a national level, as well as serving as a learning experience for healthcare providers of all levels and backgrounds. When it comes to the patient experience, Brian has become a mouthpiece for the voiceless. |
| communication with patients families: Communication in Nursing and Healthcare Iris Gault, Jean Shapcott, Armin Luthi, Graeme Reid, 2016-10-18 Communication is an essential skill for nurses, midwives and allied health professionals when delivering care to patients and their families. With its unique and practical approach, this new textbook will support students throughout the three years of their degree programme and on into practice, focussing on how to develop person-centredness and compassionate and collaborative care. Key features include: * students′ experiences and stories from service users and patients to help readers relate theory to practice * reflective exercises to help students think critically about their communication skills * learning objectives and chapter summaries for revision * interactive activities directly linked to the Values Exchange Community website |
| communication with patients families: The Wiley Handbook of Healthcare Treatment Engagement Andrew Hadler, Stephen Sutton, Lars Osterberg, 2020-01-30 Winner of the 2021 PROSE Award for CLINICAL PSYCHOLOGY and PSYCHIATRY Against a global backdrop of problematic adherence to medical treatment, this volume addresses and provides practical solutions to the simple question: Why don't patients take treatments that could save their lives? The Wiley handbook of Healthcare Treatment Engagement offers a guide to the theory, research and clinical practice of promoting patient engagement in healthcare treatment at individual, organizational and systems levels. The concept of treatment engagement, as explained within the text, promotes a broader view than the related concept of treatment adherence. Treatment engagement encompasses more readily the lifestyle factors which may impact healthcare outcomes as much as medication-taking, as well as practical, economic and cultural factors which may determine access to treatment. Over a span of 32 chapters, an international panel of expert authors address this far-reaching and fascinating field, describing a broad range of evidence-based approaches which stand to improve clinical services and treatment outcomes, as well as the experience of users of healthcare service and practitioners alike. This comprehensive volume adopts an interdisciplinary approach to offer an understanding of the factors governing our healthcare systems and the motivations and behaviors of patients, clinicians and organizations. Presented in a user-friendly format for quick reference, the text first supports the reader’s understanding by exploring background topics such as the considerable impact of sub-optimal treatment adherence on healthcare outcomes, before describing practical clinical approaches to promote engagement in treatment, including chapters referring to specific patient populations. The text recognizes the support which may be required throughout the depth of each healthcare organization to promote patient engagement, and in the final section of the book, describes approaches to inform the development of healthcare services with which patients will be more likely to seek to engage. This important book: Provides a comprehensive summary of practical approaches developed across a wide range of clinical settings, integrating research findings and clinical literature from a variety of disciplines Introduces and compliments existing approaches to improve communication in healthcare settings and promote patient choice in planning treatment Presents a range of proven clinical solutions that will appeal to those seeking to improve outcomes on a budget Written for health professionals from all disciplines of clinical practice, as well as service planners and policy makers, The Wiley Handbook of Healthcare Treatment Engagement is a comprehensive guide for individual practitioners and organizations alike. 2021 PROSE Biological and Life Sciences Category for Clinical Psychology & Psychiatry |
| communication with patients families: Communication about the Heart Failure Trajectory in Patients, their Families and Health Care Professionals Lisa Hjelmfors, 2018-03-14 Introduction: There is an increasing awareness in the field of cardiology regarding the need for improved delivery of palliative care in patients with heart failure (HF). Professional guidelines have drawn attention to the importance of discussing the heart failure trajectory with patients and their families. These discussions can include, for example, talking about the prognosis, expectations for the future, and care at the end-of-life. It seems difficult for health care professionals to choose the right time for initiating these discussions. They often avoid these conversations because they are afraid of taking away hope and make the patients and their families anxious. Aim: The overall aim of this thesis was to improve communication about the heart failure trajectory in patients, their families, and health care professionals. Design and methods: This thesis includes five studies using different designs and data collection methods. Study I has a cross-sectional design using a questionnaire to collect data to describe heart failure nurses’ perceptions of and practice in discussing prognosis and end-of-life care with heart failure patients. Study II has a descriptive and comparative design, where a survey was performed to describe Swedish and Dutch heart failure nurses’ reasons for discussing or not discussing prognosis and end-of-life care with patients. Study III has an inductive and exploratory design, where HF patients participated in focus groups or individual interviews. Data was collected based on their perceptions of communication about the heart failure prognosis. Study IV was a small-scale ethnographic study describing and evaluating the delivery of a simulation when teaching third-year nursing students about end-of-life care at a Swedish university. Study V used co-design in which patients with HF from primary care, their family members and health care professionals (physicians and nurses) from palliative and HF care were invited to be constructive participants in the design process of a communication intervention. Health care professionals participated in a first feasibility testing of the intervention. Results: Most Swedish HF nurses had discussed prognosis (96%) and end-of-life care (84%) with a HF patient at some point in clinical practice. The nurses often reported that a physician was to have the main responsibility for such discussions (69%), but that the nurse was also believed to have a role to play (I). Prognosis and end-of-life care were, together with sexual activity, () the three least frequently discussed topics in HF clinics in both Sweden and the Netherlands (II). In conversations with 1,809 Swedish and Dutch HF patients, prognosis was discussed with 38% of the patients and end-of-life care was discussed with 10%. In study III, patients expressed different experiences of and preferences for communication about their HF prognosis. Many patients described that the health care professionals had not provided them with any prognosis information at all. The patients had different understandings of HF as a chronic illness, which had an impact on their preferences for communication about their prognosis (III). The simulation training described in the ethnographic study (IV) was part of an end-of-life care simulation during the last term of the 3- year bachelor degree level nursing education program, where students learn and practice basic palliative care. The students felt that the simulation training was a good opportunity to practice handling end-of- life situations as it gave them a chance to experience this situation and their own feelings and thoughts on death and dying. In study V, an intervention to improve communication about prognosis and end-of-life care in HF care was developed and some areas were feasibility tested. Heart failure patients, their families and health care professionals working in HF care or palliative care participated in the development process. Health care professionals (nurses and physicians) participated in the following feasibility testing of the intervention. Conclusions: This thesis shows that prognosis and end-of-life care are seldom discussed with HF patients in Swedish and Dutch heart failure care. and that many heart failure nurses have ambiguous attitudes towards discussing these topics with patients and their families (I+II). The patients described that they receive different messages concerning their heart failure, and that they also have different preferences for discussing the heart failure trajectory with health care professionals. The professionals need to understand the impact of heart failure on each patient and adapt the communication to each individual (III). End-of-life care simulation with skilled supervisors shows great promise for health care professionals to learn good communication skills in end-of-life care conversations (IV). A Question Prompt List and a communication course might be useful for improving communication about the heart failure trajectory in patients, their families, and health care professionals |
| communication with patients families: Communication in Cancer Care F. Stiefel, 2006-09-13 This book covers all the relevant aspects of communication in cancer care, such as communication in cancer prevention and genetic counseling, communication at different stages of disease and communication with the family and children. In addition, more general topics are discussed, such as the benefits and evidence of communication skills training and the challenges of interdisciplinary and cross-cultural communication. |
| communication with patients families: Communication for Nurses: Talking with Patients Lisa Kennedy Sheldon, 2008-12-17 Communication for Nurses offers direct, effective techniques that are delivered in a concise, user-friendly format that enables readers to develop a professional communication style. Topics include nursing, communication, and developmental theories; issues of cultural diversity and patient rights; concepts and interviewing techniques are presented for starting and developing the nurse-patient relationship; communicating with specific groups, including patients of different ages, patients with physical impairments, and patients in crisis. The Second Edition has been completely revised and updated with new, enhanced sections on emotional work in nursing, working with unmotivated patients, and communicating with colleagues. In addition, Web sites have been included throughout to provide additional learning resources. |
| communication with patients families: Equity and excellence: Great Britain: Department of Health, 2010-07-12 Equity and Excellence : Liberating the NHS: Presented to Parliament by the Secretary of State for Health by Command of Her Majesty |
| communication with patients families: Communication at the End of Life Jon F. Nussbaum, Howard Giles, Amber K. Worthington, 2015 This multi-contextual approach serves to integrate current findings, expand our theoretical understanding of the end of life, prioritize the significance of competent communication for scholars and practitioners, and provide a solid foundation upon which to build pragmatic interventions to assist individuals at the end of life as well as those who care for and grieve for those who are dying. |
| communication with patients families: Breaking Bad News Peter Kaye, 2023-02-24 Breaking Bad News provides practical guidance on the key principles needed to create a framework for discussions with the patient Key Features: Concise, practical guide Features a simple 10 step approach Clear explanations with key phrases for you to use For doctors, students and healthcare professionals The ability to impart bad news well is an important skill for all doctors and many healthcare professionals. But it is perceived as a particularly stressful part of the job, even though it is a skill that can easily be understood and practised. When handled well it can significantly enhance the relationship with the patient and their relatives. 10 Simple Steps The principles are presented as 10 simple steps which emphasise that the process of breaking bad news is a negotiation with the patient to ensure that you provide them with the correct level of information they need at that time. The steps also encourage the patient to talk and think about their situation. Each of the steps is clearly explained and sample questions and key phrases are provided to help you navigate these discussions effectively and with compassion. If you learn to ask questions of the patient first and then elicit their concerns, you will help them and you will gain their trust. |
| communication with patients families: High Quality Care for All Secretary of State for Health, 2008 This review incorporates the views and visions of 2,000 clinicians and other health and social care professionals from every NHS region in England, and has been developed in discussion with patients, carers and the general public. The changes proposed are locally-led, patient-centred and clinically driven. Chapter 2 identifies the challenges facing the NHS in the 21st century: ever higher expectations; demand driven by demographics as people live longer; health in an age of information and connectivity; the changing nature of disease; advances in treatment; a changing health workplace. Chapter 3 outlines the proposals to deliver high quality care for patients and the public, with an emphasis on helping people to stay healthy, empowering patients, providing the most effective treatments, and keeping patients as safe as possible in healthcare environments. The importance of quality in all aspects of the NHS is reinforced in chapter 4, and must be understood from the perspective of the patient's safety, experience in care received and the effectiveness of that care. Best practice will be widely promoted, with a central role for the National Institute for Health and Clinical Excellence (NICE) in expanding national standards. This will bring clarity to the high standards expected and quality performance will be measured and published. The review outlines the need to put frontline staff in control of this drive for quality (chapter 5), with greater freedom to use their expertise and skill and decision-making to find innovative ways to improve care for patients. Clinical and managerial leadership skills at the local level need further development, and all levels of staff will receive support through education and training (chapter 6). The review recommends the introduction of an NHS Constitution (chapter 7). The final chapter sets out the means of implementation. |
| communication with patients families: Communication in Palliative Nursing Elaine Wittenberg, Joy V. Goldsmith, Sandra L. Ragan, Terri Ann Parnell, 2019-12-24 Communication in Palliative Nursing presents the COMFORT Model, a theoretically-grounded and empirically-based model of palliative care communication. Built on over a decade of communication research with patients, families, and interdisciplinary providers, and reworked based on feedback from hundreds of nurses nationwide, the chapters outline a revised COMFORT curriculum: Connect, Options, Making Meaning, Family caregivers, Openings, Relating, and Team communication. Based on a narrative approach to communication, which addresses communication skill development, this volume teaches nurses to consider a universal model of communication that aligns with the holistic nature of palliative care. This work moves beyond the traditional and singular view of the nurse as patient and family educator, to embrace highly complex communication challenges present in palliative care-namely, providing care and comfort through communication at a time when patients, families, and nurses themselves are suffering. In light of the vast changes in the palliative care landscape and the increasingly pivotal role of nurses in advancing those changes, this second edition provides an evidence-based approach to the practice of palliative nursing. Communication in Palliative Nursing integrates communication theory and health literacy constructs throughout, and provides clinical tools and teaching resources to help nurses enhance their own communication and create comfort for themselves, as well as for patients and their families. |
| communication with patients families: Hospitalists' Guide to the Care of Older Patients Brent C. Williams, Preeti N. Malani, David H. Wesorick, 2013-07-25 The first book designed specifically for hospitalists and other hospital-based staff who need concise, evidence-based guidance on the vital topic of caring for older hospitalized patients Hospitalists' Guide to the Care of Older Patients is an up-to-date, practical reference in geriatric medicine for hospitalists, as well as other physicians and nurses working in the hospital setting. The book uses numerous tables, figures, and images to highlight the areas of geriatric medicine that are most relevant to hospitalists. Written by nationally recognized experts, chapters broadly follow the course of hospitalization, from admission through daily care and active management of the transition to post-hospital settings, providing practical, evidence-based guidance at each point. Contents include: A systematic approach to the care of older patients, emphasizing clinical skills and daily activities that can be implemented in today's hospital environment Techniques for effective communication with patients and their caregivers Tools and pearls for quickly and accurately assessing the whole patient, including risk for in-hospital complications, function, decision-making capacity, and home support Best practices for prevention and management of the complications of hospitalization, including delirium, falls, pressure ulcers, and hip fractures Specific recommendations in areas with wide practice variation, such as psychopharmacology and nutrition in older hospitalized patients Practical guidance on complex issues, such as establishing goals of care, managing patients who lack decision-making capacity, and managing the discharge transition Methods to improve the daily work and communication of the whole hospital team, including physicians, nurses, and other healthcare providers As the population ages, hospitalists are caring for an increasing number of older patients. This book helps hospitalists expand their knowledge, incorporate key clinical skills into daily practice, build more efficient patient care teams, and teach more effectively in today's fast-paced, complex hospital environment. |
| communication with patients families: Code of Practice Great Britain. Department of Health, 2008 This Code of Practice is a reference tool for those dealing with, and caring for people admitted to hospital and care homes with mental health problems. Authored by the Department of Health and produced following wide consultation with those who provide and receive services under the Mental Health Act, this publication will come into force on 3 November 2008. Through the Mental Health Act 2007, the Government has updated the 1983 Act to ensure it keeps pace with the changes in the way that mental health services are - and need to be - delivered. This publication provides guidance and advice to registered medical practitioners, approved clinicians, managers and staff of hospitals, and approved mental health professionals on how they should proceed when undertaking duties under the Act. It also gives guidance to doctors and other professionals about certain aspects of medical treatment for mental disorder more generally. The Mental Health Act Code of Practice is also aimed at all of those working in primary care, Mental Health Trusts, NHS Foundation Trusts as well as solicitors and attorneys who advise on mental health law. The Code should also be beneficial to the police and ambulance services and others in health and social services (including the independent and voluntary sectors) involved in providing services to people who are, or may become, subject to compulsory measures under the Act. It will also be a guide for those working with people with specific mental health needs such as those in nursing and care homes, and those in prison. |
| communication with patients families: Intelligent Kindness John Ballatt, Penelope Campling, 2011-06 This book calls on policymakers, managers, educators and clinical staff to apply and nurture intelligent kindness in the organisation and delivery of care. |
| communication with patients families: Physician Communication Terry L. Schraeder, 2019 Communication skills determine how the world perceives us - and how we perceive the world. Communication is at the heart of who we are and all that we do. As a clinician, your communication impacts how you take care of patients, work with colleagues, teach trainees, and engage audiences and the public. Communication encompasses all aspects of human skills, from listening and clearly articulating thoughts to an awareness of physical gestures, specific word choice, tone, and volume. Whether engaging with patients, peers, care teams, family members, residents, researchers, insurance agencies, management, or journalists, successful communication requires focusing on the importance of the relationship and the mission of each interaction. Today, due to the rise of digital technologies including electronic medical records, online forums, and video conferences, the content of information, the platform, and the audience are continuously changing and expanding for physicians. There is a great need in the physician community to learn how to facilitate the exchange of information, provide psychosocial support, partake in shared-decision making, translate complex information, and resolve controversies with sound science in a variety of settings. Addressing physicians at every level of training and practice, Physician Communication: Connecting with Patients, Peers, and the Public will enable providers to examine, analyse, and improve their skills in the art and science of communication. Divided into four sections: Face-to-face Communications; Digital Communications;Public Speaking; and Traditional Media, this book will help physicians navigate various situations using different methods and modes of communication. |
| communication with patients families: Oxford Textbook of Communication in Oncology and Palliative Care David William Kissane, Barry D. Bultz, Phyllis N. Butow, Carma L. Bylund, Susie Wilkinson, 2017 Communication is a core skill for medical professionals when treating patients. Cancer and palliative care present some of the most challenging clinical situations. This book provides evidence-based guidelines alongside case examples, tips, and strategies to achieve effective, patient-centred communication. |
Communication | Definition, Types, Examples, & Facts | Britannica
May 8, 2025 · Communication, the exchange of meanings between individuals through a common system of symbols. This article treats the functions, types, and psychology of communication. …
Communication - Wikipedia
There are many forms of communication, including human linguistic communication using sounds, sign language, and writing as well as animals exchanging information and attempts to …
What Is Communication? How to Use It Effectively
Communication is sharing messages through words, signs, and more to create and exchange meaning. Feedback is a key part of communication, and can be given through words or body …
What is Communication? Verbal, Non-Verbal & Written
Communication is simply the act of transferring information from one place, person or group to another. Every communication involves (at least) one sender, a message and a recipient. This …
What is Communication? The Definition of Communication
Apr 30, 2011 · Communication is the act of conveying information for the purpose of creating a shared understanding. It’s something that humans do every day. The word “communication” …
What is Communication? Types, Meaning and Importance - Vedantu
In simple terms, communication is the process of exchanging information between individuals or groups. It involves the transmission of ideas, feelings, or facts from one person (the sender) to …
1.1 What is Communication: Types and Forms
Communication generates meaning by sending and receiving symbolic cues influenced by multiple contexts. There are three types of communication: verbal, nonverbal, and written. Three forms of …
Effective Communication Improving Your Interpersonal Skills
Mar 13, 2025 · Whether you’re trying to improve communication with your romantic partner, kids, boss, or coworkers, learning the following communication skills can help strengthen your …
What is Communication? - National Communication Association
At its foundation, Communication focuses on how people use messages to generate meanings within and across various contexts, and is the discipline that studies all forms, modes, media, and …
12 Types of Communication (2025) - Helpful Professor
Sep 21, 2023 · Generally, we categorize it into the four main mediums of communication: verbal, nonverbal, written, and visual. However, we can also look at other ways to distil communication …
Engaging Patients and Families in Infection Prevention
in their patients and for problems and failings in the healthcare system. Patients and families can, and should, do the same….” • “Educate and train all personnel to be effective partners” 12 (Doyle …
Pre-IcU - HealthManagement.org
to provide support to patients and families, improve communication between medi-cal providers and patient/family, advocate for their wishes as well as being attuned to cultural needs (Eicholz …
Communication and swallowing difficulties in palliative …
patients: patients, families and/or caregivers perspective Dificuldades de comunicação e deglutição em doentes em ... communication difficulties, guaranteeing the development of
A scoping review of evidence relating to communication …
Sep 25, 2018 · communication failures and most common contributing factors. There is evidence of communication failures occurring across all parts of the care process, and within communication …
Family Texting in the Perioperative Care Setting - Walden …
social change for patients’ families, perioperative staff, and the hospital. Also, this project had the potential to positively impact social change by contributing to the current body of knowledge …
Nurses’ Reflections on Challenges and Barriers of …
Communication among nurses, patients, and families takes an important role in the intensive care unit in which the patients are in critical condition and unable to involve in two-way communication.
A Leadership Resource for Patient and Family Engagement …
different beliefs, preferences and values that can affect their choices for end-of-life care, communication with providers, diet and family presence. Creating an organization with systems …
Drexel 4 Year Away Rotation Evaluation - Drexel University
Communication: Patients/Families Unable to develop rapport with patients and families, or gives incorrect information, or is not attuned to patient needs Communicates in an effective and caring …
The impact of effective communication between nurses and …
anticipations of patients with respect to communication. Further investigation is warranted to determine how variables including age, cultural heritage, health literacy, and personal values …
PREPARING PATIENTS AND FAMILIES FOR THE CKD …
Affirmations: Responding to emotion Patients respond to bad news/uncertainty with emotion Providers often respond with cognitive information Emotion serves as a barrier to understanding; …
Nurses’ Perceptions and Experiences With End-of-Life …
patients and, in particular, communication problems with patients and family members, as well as by critical ... discussions with patients and families, and the use of specific palliative care ...
Collaboration with Patients and Families in Clinical Practice
patients, and their families (when appropriate) to ensure that decisions respect patients’ wants, needs, and preferences and that patients have the education and support they require to make …
ENGAGING AND COMMUNICATING WITH PATIENTS, …
patients’ stories to influence clinicians, and involving patients or carers as part of the team presenting at meetings – for example, to commissioners, executives, other patients or local …
Defining the PCMH - The Coordinating Center
as when patients are being discharged from the hospital. Medical home practices also excel at building clear and open communication among patients and families, the medical home, and …
Role of patients’ family members in end- of- life …
patients.27 This interdependent relationship between family caregivers and patients opposes the ideology of autonomy and self-determination that predominate in Western culture, and is to a …
Facilitating Telephone Communication Between Patients …
Facilitating Telephone Communication Between Patients and Family in PACU (Post Anesthetic Care Unit) Beverly Paulino, R.N. Pauline Creary, R.N. Introduction Communication: noun …
Why and how to have end-of-life discussions with your patients:
by improving their communication with patients and families.1 Six aspects of this communication are central in importance: •Talking with patients and families in an honest and straightforward way …
The Joint Commission Primary Care Medical Home (PCMH) …
Medical home practices also excel at building clear and open communication among patients and families, the medical home, and members of the broader care team. Concepts to be addressed in …
Exploring the role of communication barriers in healthcare
Exploring the role of communication barriers in healthcare To the Editor: Communication is a highly complicated process ... patients, and their families, and cultural challenges.4 ,6 7 Both physician …
Role modelling communication in healthcare: Strategies …
teacher/supervisors’ interactions with patients, families and colleagues, as well as their overall professional approach to clinical work, as a basis for learning approaches to communication and …
Culturally sensitive communication in healthcare: A concept …
Background: Limited guidance exists on culturally sensitive communication related to interactions between clinicians, patients and families. Objectives: To explore the concept of culturally …
Nurses’ Experiences Caring for Patients and Families During …
communication with patients and families during the time of restricted visitation policies. •Results highlight the innovative ways that nurses included families while comforting patients who were …
PCMH Standards and Guidelines - University of New England
Team-rganization (TC) 33 PCMH Standards and Guidelines (2017 Edition, Version 3) July 24, 2018 Team-Based Care and Practice Organization (TC) The practice provides continuity of care; …
Working with families, friends and carers - Skills for Care
maintain appropriate communication with families offer support to people who need care and support to maintain and manage family relationships. The framework is split up into ‘things to …
Working With Patient and Families as Advisors - Agency for …
Working with patients and families a s advisors at the organizational level is a critical part of patient and family engagement and patient - and family-centered approaches to improving quality and …
Collaboration with Patients and Families in Clinical Practice
patients, and their families (when appropriate) to ensure that decisions respect patients’ wants, needs, and preferences and that patients have the education and support they require to make …
Unraveling communication between child patients’ family
participants (doctors, nurses, patients), or more speciically, the full recovery of the patients (Mulyana, 2016). Based on the above contention, from the perspective of patients and their …
1998). - ed
Despite the emphasis on improving physician-consumer communication, patients, families and friends of patients, and other consumers still report frustrations during communication …
4th Year Grade Appeal Form - Drexel University
Communication: Patients/Families Unable to develop rapport with patients and families, or gives incorrect information, or is not attuned to patient needs. Communicates in an effective and …
Communicating with patients and families about difficult
Apr 27, 2020 · end of life with patients and their families.11 Because communication is an essential clinical skill, considerable scientific evidence has been produced to understand it. 12,13 There is …
Communicating with patients and their relatives - Medical …
to be given to patients with specific communication problems. They may require special arrangements to be able to communicate effectively and you may need to set aside more time. …
Guide to Improving Patient Safety in Primary Care Settings …
practices with interventions they can use to engage patients and families in ways that lead to improved patient safety. This comprehensive guide will include explicit instructions to help …
3 Year Clinical Grade Appeal Form
patients and families from all backgrounds Communicates in an effective and caring manner using language and non-verbal behaviors, considering health literacy and patient values. …
Communication between healthcare professionals and …
Jul 16, 2018 · Honest and timely communication can give relatives time to say goodbye and improve psychological outcomes and satisfaction with end-of-life care.5–10 Healthcare professionals …
What Matters to you: A patient, family and staff focused model …
Patients first Personal responsibility Passion for excellence Pride in our team Aim All patients and families say about staff:- You listen, you care, you know me We understand each other and I trust …
Patient-Centered Communication: Basic Techniques - AAFP
Communication skills needed for patient-centered care include eliciting the patient’s agenda with open-ended ques- ... patients often present with more than one concern (on average, 1.7 …
Engaging patients and families in communication across …
Background. Communication at transitions of care in acute care settings can be complex and challenging, with important information about patients not always clearly transferred between …
How Patient and Family Engagement Benefits Your Hospital
Not only is e ngaging patients and families and providing patient - and family-centered care the right thing to do , but also the many individual ... particularly related to patient -provider …
Report III: Contemporary Issues in Medicine: Communication …
Communication skills are integral to the education and effective function of physicians. There must be specific instruction and evaluation of these skills as they relate to physician responsibilities, …
Mechanisms of end-of-life communication contributing to …
palliative care (2). Effective communication between healthcare professionals, patients and their families is essential for providing high-quality end-of-life care (3-5). Good end-of-life …
The Cancer Communication Assessment Tool for Patients …
The Cancer Communication Assessment Tool for Patients and Families (CCAT-PF): a new measure Laura A. Siminoff, Stephen J. Zyzanski, Julia Hannum Rose and Amy Y. Zhang ... The Cancer …
Engaging patients and families in communication across …
Background. Communication at transitions of care in acute care settings can be complex and challenging, with important information about patients not always clearly transferred between …
Improving Communication Between Health Care …
pediatric patients with ASD. The program was piloted on a convenience sample of 31 pediatric patients diagnosed with ASD. Findings: Most patients were back to their baseline behavior …
Collaborative Communication Strategies - American …
How clinicians communicate with patients can influence treatment adherence. Below are some strategies you can implement immediately to help you communicate more effectively. ...
Partnering with Patients and Families to design a Patient- and …
Patients and Families to design a Patient- and Family-Centered health Care system recommendations and Promising Practices With support from the California HealthCare …
Telling the Volunteer Impact Story - California Hospital …
patients and families whose lives they touch. This session will introduce and explore VIMPACT — the volunteer impact and its effect on the journey of our patients and families. The presentation …
CKHA POLICY - ppno.ca
Communication Patients, families, and substitute decision makers (SDMs) are to be included in direct patient care as appropriate and at their level of comfort and with consent of the patient. …
Chapter 8: Notification and Communication - corha.org
Chapter 8: Notification and Communication . 2 . patients and their families and may be upsetting for the staff as well. Early in an outbreak, healthcare . providers and staff feel an understandable …
Journal of Pediatric Nursing
Translational Research – Effective Communication and Teaching Strategies for Improving the Quality of Pediatric Nursing Care for Hospitalized Children and Their Families Becky J. Christian, …
