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The need for effective communication in healthcare
The need for effective communication in healthcare
The need for effective communication in healthcare
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Hand off reporting is the transfer of care of one patient from one nurse to another. During report, the nurse gives the oncoming nurse information about a patient’s health status, changes during their shift, pending labs or diagnostic tests, and overall relevant information regarding the patient’s condition and how it is being managed. During this time, the oncoming nurse has the opportunity to ask questions, clarify, or address any concerns that weren’t mentioned such as IVs and medications. The real question that we ask ourselves is, what is better practice, hand off reporting (patient is nowhere near the nurses during report), or bedside reporting, where report is being given in front of the patient? There are many articles and statistics …show more content…
Communication is key in almost every possible setting in the health care field, whether you are the patient or the healthcare professional. Communication helps prevent medical errors and has an impact on the overall outcome of the patient’s health. About eighty percent of medical malpractice lawsuits were due to lack of proper communication which contributed to patient harm (Vines, Dupler, Van Son & Guido, 2014). The study inspires for there to be a change from hand off reporting outside of a patient’s room, to a more involved bedside reporting where the patient and their families are being included and thoroughly comprehending their treatment plan. The purpose of the paper is to further investigate the difference between bedside reporting and hand offs and its effect on patient outcome. It is intended to use evidenced based research to identify which approach is more effective to not only the client, but their family as …show more content…
As those key words were entered, thousands of useful articles popped up. In order to refine my search, a couple of settings were altered. I only wanted peer reviewed nursing journals that were less than five years old because I wanted to use the most recent data when preparing for my research, therefore, I searched only for articles from 2013-2018 and clicked on the option of academic peer reviews journals which further decreased the search results. The article that primarily answered the questions that were of main concern was Bedside Shift Report: Implications for Patient Safety and Quality Care. It offered an overview on the importance of bedside reporting and the impact it has on the patient’s overall health and recovery process. It provided statistical data on the number of patients that have suffered complications due to medical mistakes that arose from hand off reporting. They offered information on what should occur in order to ensure that bedside reporting will deliver successful patient outcomes (Ofori-Atta, Binienda, & Chalupka,
7). In an article by Rosalina Butao, RN, MSN, “Hitting Two Birds With One Bullet: Bedside Shift Reporting; “bedside reporting solidifies compliance to the Joint Commission’s 2009 National Patient Safety Goals: improve the accuracy of patient identification, improve communication among caregivers and encourage patient’s active involvement in their own care” all of which improves patient safety (Butao, 2010 p. S50). In a synthesis of literature by Sherman, et al., (2013), patient benefits include the patient being more knowledgeable and involved in their health care, improved the relationship between the nurse and patient, also improving patient satisfaction, as well as patient safety thus decreasing the number of falls, and increasing discharge times (p. 310). Bedside reporting allows the patient and family the opportunity to intervene during
In gathering articles for this review, numerous methods were used to narrow journal articles that were relevant to nursing. A search was conducted on EBSCO HOST for key terms such as ________. This was narrowed down to articles which were between 2009 and 2014, plus articles which had full text...
“Physicians and other health care professionals all agree on the importance of effective communication among the members of a health care team. However, there are many challenges associated with effective interprofessional (between physicians and other health care providers) communication, and these difficulties sometimes lead to unfavourable patient outcomes” (Canadian Medical Protection Association, 2011 p. 11).
Understanding that all patients needed to be treated justly and given the opportunity to make decisions in their care is important. Not causing harm and preventing them from harm is also the duty of health care workers. These ethical principles are essential to keep in mind with interdisciplinary communication. Ineffective communication has been associated with medical errors, patient harm, and increase length of stay. Failure to communicate properly has been associated with 79% of sentinel events (Dingley, Daugherty, Derieg & Persing, 2008). Good communication has been shown to improve patient satisfaction, increase in patient safety, as well as a decrease in health care costs (Paget et al.,
Clinical handover is a form of communication in the clinical setting which allow nurses to plan and prioritize patient care and manage their workload effectively. Clinical handover encompasses the exchange of patient information from one shift to another and it has been known for benefits such as being a platform for exchange of opinions amongst nurses, expression of feelings, teaching and learning. Bedside clinical handover was reported to be a patient-centred initiative that enhanced the standards of healthcare and reduced adverse events in the healthcare setting. The implementation of bedside clinical handover was found to be time-effective, reduced the risks of error and enabled nurses to spend more time with their patients.
The first article is, Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Chapter 34 “Handoffs: Implications for Nurses”, this article is applicable not only to my unit, but every nurse in the profession. It is imperative that the translation of patient information from one person to the next during shift change, patient transfer, or transfer to another facility is clear, accurate, understandable, and complete conveying all pertinent information about that patient. The article discusses why we have problems with handoffs, and different methods for handoff styles. There is no specific hand-off tool that is universal. With that being said it is important that research continues so that possibly in the
The problem of poor communication stems from an environment of high stress levels. After a consulting company scrutinized processes throughout the hospital related to care coordination and patient flow, the evidence was clear. The company identified areas for improvement around communication at many different levels. In order for patients to have a seamless transition from admission to discharge, the lines of communication needed to change. Daily face-to-face meetings were productive for the staff, hospital and overall satisfaction. The consulting firm worked for the hospital for several months, but as they departed, the prior culture of poor communication started to engulf...
Communication is cited as a contributing factor in 70% of healthcare mistakes, leading to many initiatives across the healthcare settings to improve the way healthcare professionals communicate. (Kohn, 2000.)
In this essay, the interactions of the nurse, doctor and patient in the video clip will be discussed from a communication perspective. Supported by the Australian Nursing and Midwifery Council (ANMC) standard and scholarly articles, the essay will also highlight how communication can affect the quality of patient care, health outcomes and the ability to meet individual patients' needs.
According to Maxson, Derby, Wrobleski and Foss (2012) the purpose of their study was to determine if bedside shift reports increases patients satisfaction as well as staff satisfaction with communication and accountability. During this study, they used a convenience sample of sixty patients, 30 before the practice of bedside handover report, and another 30 after implementing the practice. After getting the approval of the Institutional Review Board, information was collected using specific surveys given to nurses and patients. One question from the patient’s surveys was whether or not they were informed about their plan of care. Staff nurses were surveyed using an investigator-developed survey before and after implementation of bedside reports in which the questions from the survey were used to measure changes in accountability, prioritization of workload, and performance of medication reconciliation (Maxson et al., 2012).
Communication is one area of the survey that shows room for improvement. Lack of effective communication is causing patients to express feelings of dissatisfaction. It also can be noted that inadequate communication has been known to disrupt efficiency of care which can lead to increased length of stay. Finally, poor communication has been determined to be a main factor for sentinel events occurrences. A sentinel event is severe harm or death to a patient due to a detrimental cause or event (Dempsey et al., 2014,
I have learned that each health professional and non-professional individuals have important roles and responsibilities to the patient care and safety. Therefore, working in collaboration with all these individuals is crucial to ensure continuous patient care and safety. An effective communication with other healthcare members enhances patient safety and care. However, failure to the effectively communicate patient needs and concerns to other health members may jeopardize patient safety and quality care, also result in patient poor outcomes. Effective teamwork and communication between health-care professionals, caregivers, and patients are essential in continuous safe patient care (Nancarrow, Booth, Ariss, Smith, Enderby, & Roots, 2013).
I have explained three of the seven principles that I use while interacting with my patients daily. The three methods of communication were defined and explained how each is used in the healthcare setting. The communication method that works best on my unit was explained per my unit’s preference. The four-ethical principle regarding communication were explained along with how these principles and team communication affect patient safety. Overall, this paper has demonstrated why communication is important in the health care
Although those tasks are not done at the same time by each nurse who has a specific patient, it requires clear communication and making an effort for the benefit of other team members. For example, a hand off report is very important so that the continuation of care from nurse to nurse can transition smoothly with each shift. That means that each nurse should make an effort to gather all pertinent data about the patient’s status, orders or procedures to anticipate, and anything that will help the nurse coming on to provide good care without having to jump through hoops to figure out what was done and what should follow. The other way in which nurses help each other is by maintaining their documentation as clear and thorough as they can. Not only does it paint a picture of where the patient is at that moment, but it also provides a safety net for legal
Communication involves relaying information from an individual to another through the use of verbal and nonverbal techniques. Many factors affect the effectiveness of information relay. It involves evaluating verbal aspects such as tone of voice, the emotional content being communicated, the timing and rapport of the interaction with patients, and nonverbal techniques such as facial expressions, time invested. It is necessary for productive and satisfactory work environment, improved patient outcomes, and settling conflicts. The purpose of this paper is to identify issues with ineffective communication and ways to improve proper communication throughout the a hospital’s interdisciplinary team and patients.