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reflection on effective patient communication
reflection on effective patient communication
good communication in health care
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Doctors’ Listening Skills
When people go to the doctor’s office they want the doctor to listen. Competency and a correct diagnosis are appreciated too, but more than anything, patients value doctors’ silence (Richards, 1407). In addition, patients want “more and better information about their problem and the outcome, more openness about the side effects of treatment, relief of pain and emotional distress, and advice on what they can do for themselves” (Meryn, 1922). Doctors’ technical role is in excellent health; it is their interpersonal role that is in intensive care. If doctors are to meet the needs of their patients they must first listen with an empathic ear and practice responsive communication. Sadly, most doctors have better handwriting than communication skills.
“Effective listening – empathic listening – promotes growth in the listener, the one listened to, and the relationship between them” (Nichols, 1995).
Being listened to makes you feel good. The father of listening, Ralph G. Nichols said, “The most basic of all human needs is to understand and to be understood…. The best way to understand people is to listen to them.” Doctors’ can only treat physical ailments when they chose not to listen to patients’ needs. Listening is the doctors’ window to what is on the inside (Bently, 56).
Susan Urba used to take a pro-active approach with her cancer patients, doing all the talking, informing them about the disease. She learned her care was better received when she focused in on her patients’ needs and fears first. “Giving patients the chance to tell us what’s right for them can be hard,” said Urba, “but how else can we know what they truly need to feel better” (Urba, 167)?
Patients’ come to the doctor because they are suffering. So, to be treated effectively, the doctor must recognize and treat the suffering not with quick advice or a bottle of pills, but by taking the time to listen to what the patient is saying. Even though doctors can never truly experience another’s distress, they can do a better job at attending to their patients’ needs by simply listening. Because medicine has often replaced an ear to the suffering, “physicians may inadvertently cause suffering or fail to relieve it when relief is possible” (Cassell, 24). Empat...
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Cassell, Eric J. “Recognizing Suffering.” Hastings Center Report, p24 (8), May/June 1991.
Girzaitis, L. “We Listen with our Hearts.” Listening, A Response Activity, MN: St Mary's Press.
Gordon, Suzanne “What Nurses Know.” Mother Jones, 40 (7), Sept/Oct-1992.
Kaukas, Dick “A Woman's Touch.” Courier-Journal, H1+, 1 May 1994.
Krupet, E. “A Delicate Imbalance.” Psychology Today, p22 (5), November 1986.
Meryn, Siegfried “Improving Doctor-Patient Communication: Not an Option, but a Necessity.” British Medical Journal, v316 n7149 p1922 (1), 27 June 1998.
Nichols, R. “Listening: Questions and Problems.” Quarterly Journal of Speech, p3383 (4).
Richards, T. “Chasms in Communication.” British Medical Journal, p301 1407 (2), 1990.
Urba, Susan “Sometimes the Best Thing I do is Listening.” Medical Economics, v75 n9 p167 (4), 11 May 1998.
Walker, Kandi L. “Do You Ever Listen?: Discovering the Theoretical Underpinnings of Empathic Listening.” Journal of the International Listening Association.
Zimmerman, R. “Physicians' and Patients' Perceptions of Actual Versus Ideal Physicians' Communications and Listening Behaviors.” Journal of the International Listening Association, vol 4 p143 (22), 1990.
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.)
“A healthcare provider’s bedside manner encompasses their medical knowledge, personality, and ability to understand the patient and communicate their concern for them.” (Britt). Although some individuals don’t see the importance of communication and emotional connection with patients in the medical field, doctors who have problems properly interacting with their patients will have a lower chance of success in healing them. Doctors receive so much education but are never taught proper bedside manners, which is the way that physicians interact with patients. In order to ensure a patient’s comfort, psychological well-being, and physical health, a physician must truly understand their patient.
Communication plays a vital role in all areas of healthcare, yet its importance is often overlooked. Whether it is a doctor talking to patients about treatment options, or strangers comforting one another in a waiting room, communication is happening everywhere and almost always, we underestimate how important it is and how it truly affects our medical experience. In the movie The Doctor, this is exactly what happens, causing a whirlwind effect of emotions and learning.
Communication encompasses a wide range of processes such as the exchange of information, listening, posing of questions (Fleischer et al., 2009) or use of body language. In a healthcare environment where there are constant interactions among nurses, doctors, patients and other health professionals, professional and effective communication is important in ensuring high quality healthcare standards and meeting the individual needs of patients.
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.,
Truth in medicine is a big discussion among many medical professionals about how doctors handle the truth. Truth to a patient can be presented in many ways and different doctors have different ways of handling it. Many often believe that patient’s being fully aware of their health; such as a bad diagnosis, could lead to depression compared to not knowing the diagnosis. In today’s society doctor’s are expected to deliver patient’s the whole truth in order for patients to actively make their own health decisions. Shelly K. Schwartz discusses the truth in her essay, Is It Ever Ok to Lie to Patients?. Schwartz argument is that patients should be told the truth about their health and presented and addressed in a way most comfortable to the patient.
... often know their patients well enough to know details of their health status. Sadly however providers are becoming more and more specialized in order to increase efficiency and handle larger volumes of people. This is further fueled by the recent changes in healthcare reform; it’s inevitable that learning and telling a patient’s story has become an insignificant piece of the puzzle. Doctors simply can not scale to keep up with the ever growing number of health epidemics and so the story of a patient is slipping through the cracks and often has to be told and retold over and over. My view of this problem is a basic one and I believe is the root cause of why quality healthcare has become a rare commodity ties back to the lack of quality primary care where the doctor and the patient constantly communicate and the doctor has a good view of the patients health history.
Despite the frequency of verbal interactions, miscommunication of patient information occurs that can lead to patient safety issues. . . . ‘Effective communication occurs when the expertise, skills, and unique perspectives of both nurses and physicians are integrated, resulting in an improvement in the quality of patient care’ (Lindeke & Sieckert, 200...
Listening can be defined as empathy, silent, attention to both verbal and nonverbal communication and the ability to be nonjudgmental and accepting (Shipley 2010). Observing a patient’s non-verbal cues, for example, shaking or trembling may interpret as an underlying heart condition that may not have been addressed (Catto & Mahmud 2012). Empathy is defined as being mindful of and emotional to the feelings, opinions, and encounters of another (Merriam-Webster Online Dictionary 2009 as cited in Shipley 2010). Providing an environment conducive to nonjudgmental restraints allows the patient to feel respected and trusted whereby the patient can share information without fear of negativity (Shipley 2010). For example, a patient who trusts a nurse builds rapport enabling open communication advocating a positive outcome (Baker et al. 2013). Subsequently, repeating and paraphrasing a question displays effective listening skills of knowledge learned (Shipley 2010). Adopting a therapeutic approach to listening potentially increases the patient’s emotional and physical healing outcomes (Shipley 2010). Nonetheless, patients who felt they were genuinely heard reported feelings of fulfilment and harmony (Jonas- Simpson et al. 2006 as cited in Shipley 2010). Likewise, patients may provide
It takes time to make this shift, but it doesn’t take nearly as long to practice empathic listening as it does to back up and correct misunderstandings, or to live with unexpressed and unresolved problems only to have them surface later on.
The skill of listening according to Dr. Robert Bolton (1979) extends beyond simply hearing sound as a physiological sensory process but instead requires and involves interpreting and understanding the sensory experience or what is being heard (p 32). It also is an active experience wherein the listener is fully engaged and has absorbed the information of the speaker while showing interest and providing feedback all while demonstrating that they have heard and understand the message. It is a fair assertion that most people in varying relationships and environments listen in what is considered a passive capacity or only digesting and processing bits and pieces of the speaker’s message. This type of listening lends itself to frequent miscommunication, mixed messages and overall misunderstandings. Effective listening on the other hand provides concise communication, decreases interpersonal conflict and mistakes and also...
To further explicate this argument, it has been noted that listening, in addition to requi...
As a professional in today’s society, it is greatly important to be able to communicate effectively with other professionals, with clients, and with those that are encountered in daily living. In order to communicate in a proper manner, not only is talking and non-verbal communication, but a large aspect is the ability to listen. Listening is a vital task in order to build a relationship and find meaning in someone else’s words. In order to find this meaning one must follow the characteristics of active listening, face the challenges to listening, and reflect upon one’s own listening skills.
Let’s explore why listening is so critical. “Adam listened to Eve. In that first spoken word message and all since, no communication occurred until there was a listener. It follows, then, that there has become a much-heightened need to listen. We must understand the fundamental relationship involved, we cannot escape it” (Mills 1). The characteristics of good listening skills can be best understood by using the acronym MASTER. The “m” refers to mental. Mental is the ability to slow down and strategically control our ability to listen. “A” refers to active. Being active utilizes constructive listening responses and constant practice can keep this sharp. The “s” refers to sustaining attention. Experienced concentration is crucial for sustaining attention. “T” refers to target. There are four types of potential listening targets; responsive listening, implicative listening, critical listening and nondirective listening. Responsive listening is the agreement between listener and speaker. Implicative listening involves carefully understanding what is implied by hearing what is said. Critical listening is the process of coming to the point of a subject by clearing away all the non-important information. Nondirective listening is fully hearing the speaker out. The “e” refers to eliminating t...
In all aspects in life effective listening plays an important role in our lives, both professionally and personally. As many of know from experience listening is never easy in fact it can be difficult to understand what is being said by the speaker. Because of laps in attention we tend to misunderstand some of the messages that are being relayed to us or disregard them altogether. Effective listening is important for receiving the correct feedback from those you’re speaking with and requires a focus that should be central to what is being said or what topic is being discussed.