Patient Satisfaction and Improved Caregiver-Patient Relationship
Zendjidjian et al. (2014) found that amongst other determinants, stronger patient satisfactions were firmly established when therapeutic communication (TC) was ingrained into the day to day patient care routine. The authors concluded that therapeutic relationship (TR) was the most important feature associated with a patient’s satisfaction and it is viewed as an important indicator of the quality of care received in a psychiatric setting. Providers and healthcare workers need to do a self-assessment of their communication skills in other to improve in therapeutic communication with their patients. According to Kameg, Mitchell, Chlochesy, Howard and Suresky (2009), psychiatric
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Because it is typical that that the mental health population is affected by poor communication techniques between patient and caregivers, there exists a need for improvement in the use of TC interventions. The purpose of this project is to implement the principles of TC in a mental health unit with a view to improve patient satisfaction with care, and improve caregiver-patient relationship through education provided to providers and healthcare workers.
Evaluation Question According to Hoggath and Comfort (2010), researchers that undertake the running of projects that involve people often measure performance and assess outcomes as one of the fundamental ways to demonstrate the project’s achievements. Thus the outcome question for this project: “In a psychiatric setting, how does giving education to providers and healthcare workers on the principles of therapeutic communication influence patient satisfaction and improve healthcare worker-patient relationship 3 months post intervention?”
Outcome
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The populations listed above will be excluded except for Native Americans who though not primarily targeted for the project may fall into the patient pool of patients who receive psychiatric/mental healthcare and may benefit from the educational intervention provided to providers/healthcare workers.
Inclusion criteria: Patients that are currently receiving psychiatric/mental health treatment, and are able to give consent
Exclusion criteria: Participants suffering from neuro-cognitive deficits and those that may not be able to sit for a period of up to 1hr.
Participants:
Participants will be categorized into two groups: Providers and Patients. The intervention group will be the providers. The providers will receive the intervention (education on TC) with educational materials provided to reinforce education after initial power point presentation.
The data will be collected over a period of 2 months, there will be no long term follow up.
Patient satisfaction survey, Doctor interpersonal skill questionnaire, scripts and instruction for participants, educational materials, flyers will be
Mental healthcare has a long and murky past in the United States. In the early 1900s, patients could live in institutions for many years. The treatments and conditions were, at times, inhumane. Legislation in the 1980s and 1990s created programs to protect this vulnerable population from abuse and discrimination. In the last 20 years, mental health advocacy groups and legislators have made gains in bringing attention to the disparity between physical and mental health programs. However, diagnosis and treatment of mental illnesses continues to be less than optimal. Mental health disparities continue to exist in all areas of the world.
Stickley, T. & Freshwater, D. (2006). “The Art of Listening to the Therapeutic Relationship” Journal of Mental health Practice. 9 (5) pp12 - 18.
The therapeutic aspect is focussed on the care received, and how it creates a positive outcome for the service user, this includes good communication, building strong relationships, person centred planning and the choices available to the person in receipt of care. (Miller, J, 2015) (Gibb and Miller, 2007)
Bylund, C., Peterson, E., & Cameron, K. (2011). A practitioner’s guide to interpersonal communication theory: An overview and exploration of selected theories. Patient Education and Counselling. Volume 87. Issue 3. Pages 261- 267. doi: 10.1016/j.pec.2011.10.006.
Current research implies that an empathetic clinician-client relationship and interrelated ecosystems play the majority role in the success of therapy (Kilpatrick & Holland, 2009). The clinician’s ability to be present and actively perceive what the client is experiencing is of utmost importance in creating a therapeutic alliance. It is imperative that the clinician gains positive regard towards the client and their environment displaying honest acceptance towards the client no matter what issues are presented in session. This closely relates to a sincere presentation of genuineness that instills a feeling of honesty within the client and clinician (Kilpatrick & Holland, 2009). An experienced clinician builds upon the therapeutic
Therapeutic relationship is an essential part of nursing; it is the foundation of nursing (CNO, 2009). The National Competency Standard for Registered Nurses state that nurses are responsible for “establishing, sustaining and concluding professional relationship with individuals/groups.” Throughout this essay the importance of forming a therapeutic relationships will be explained. The process of building a therapeutic relationship begins from prior to time of contact with a patient, the interpersonal skills of the nurse; then the process includes skills required by the nurse to communicate effectively, including respect, trust, non-judgment and empathy. The way to portray these skills can be via verbal or non-verbal cues that are important to understand how they influence a person. The process and skills listed below are all relevant to nurses working in the contemporary hospital environment today.
Mental health nurses are skilled at using therapeutic communication techniques. They use different forms of communication with patients to help them either heal or cope with their mental state. Giving recognition, being available and accepting, offering encouragement, verbalising observations, restating what the patient has said, seeking clarification, putting feelings of the patient into words, and many other therapeutic techniques are used when communicating with a patient.
Communication plays a major role in preventing and resolving behavior problems and enhancing your patient’s quality of life by allowing them to feel, even when they no longer know or recognize those around them that they are in the midst of people who care about them and are concerned about their physical and emotional well being.
These points of view control the positive brain, science or comprehensive quality emotional wellness. Our therapy incorporates our clients to appreciate life and to accomplish mental strength. “In all things I have shown you that by working hard in this way we must help the weak and remember the words of the Lord Jesus, how he himself said, ‘It is more blessed to give than to receive’” (Acts 20:35, ESV). Our culture is to help people with mental issues to learn from their problems. Therefore, we have to have patience, compassion and believe whole-heartedly in honesty. We lead by example, whether it comes from our director, and she is telling us ways to engage with our patients or the face-to-face sessions while putting ourselves in the shoes our
Stickley, T., & Freshwater, D. (2006). The art of listening in the therapeutic relationship. Mental Health Practice, 9 (5), 12-18.
We see a diverse group of clients, whom we refer to as patients, however, a majority of our patients suffer from a severe mental illness, such as schizophrenia or bipolar disorder. Commonly, our patients are treated with medical and psychotherapeutic modalities. Most of our on staff therapists and social workers use cognitive behavioral techniques during therapy, but I have been using an integrative approach with solution-focused brief therapy techniques in the mix. I like to use solution-focused brief therapy for various reasons. Essentially, our patients are with us for only a short period of time. For example, most of our patients are discharged within three days of their admission, with the exception of the court-committed patients who are waiting on a bed at the Mississippi State Hospital. It only makes sense to use an approach that focuses on making small changes in a short amount of time. In addition to this, we also deal with patient’s family members. Often times, family members are not educated on the illness and create more problems. I think it is important for patients along with their family members to create small changes and make
In nursing practice, communication is essential, and good communication skills are paramount in the development of a therapeutic nurse/patient relationship. This aim of this essay is to discuss the importance of communication in nursing, demonstrating how effective communication facilitates a therapeutic nurse/patient relationship. This will be achieved by providing a definition of communication, making reference to models of communication and explaining how different types of communication skills can be used in practise.
Stickley,T. & Freshwater, D. (2006). “The Art of Listening to the Therapeutic Relationship” Journal of Mental health Practice. 9 (5) pp12 - 18.
Therapeutic communication is an important skill for a nurse to utilize when it comes to relationships between the patient and nurse. In Regina’s case, integration of empathetic and compassionate communication skills in combinat...
Healthcare professionals require effective communication skills in order to communicate with the varied range of patients they deal with in health and social care settings. ‘Effective communication skills are key in health and social care because they help you to establish and develop relationships with colleagues, management and families. Communication is the simplest way to really get a sense of how a person is coping and what steps you need to take to improve their health and wellbeing’ (Stonebridge College 2016).