Due to the information and instruction we received prior to participating in these patient interviews, there was several positive aspects of my interaction with my assigned patient. First, when moving onto a new question I would often reiterate part of the patient’s previous statement to both show that I was attentively listening and to justify the reason for asking that following question. An example of this was after briefly mentioning his wife, I asked “Speaking of your wife, how does she and the rest of your family support you through your medical treatments?” Positive aspects of my non-verbal communication include maintaining focused eye contact, maintaining a close, but appropriate distance between myself and the patient, and leaning forward with my hands together to express interest and support for the patient when they were talking. I also emulated the patient’s facial expressions as to have appropriate facial expressions when they were talking to me. There were also several actions throughout my interview that I wish to critique as well. Some verbal mistakes that I made during the interview was uttering “uh-huh” or …show more content…
The first question I asked was “How are you today?” and other examples of open-ended questions were “What, if any, negative experiences have you had with the medication that you currently take, or have taken in the past?” and others like “How has your treatments or medications hindered your ability to do the things you enjoy?” Some open-ended questions presented themselves like a series of open ended like “Tell me about your family” to “How do they support you with your medical conditions?” to “What types of support have they given through all of this?” Using these serial open-ended questions allowed me to control the direction of the conversation before it begun, because my patient liked to talk for 2-3 minute intervals and would usually get off topic or move onto a new topic in the
“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.
To start implementing this framework, one need to understand and acknowledge that every patient is not only different from one another, but a unique individual. Assumptions and stereotypes about a specific cultural group must be avoided, along with personal biases (Murphy, 2011). Furthermore, actively listening and fully engaging patients’ can improve nurse-patient communication and enhance patient outcome.
Upon the first point of contact between a nurse and patient, the way a nurse communicates through words, gestures or facial expressions can affect the patient's perception of the nurse. Communicating professionally helps to portray the nurse in a good light. This is important as having a positive perception of the nurse's image and behaviour is crucial to building patient trust — one of the key elements of a therapeutic nurse-patient relationship (Bell & Duffy, 2009; Wadell & Skarsater, 2007). The need for the establishment of therapeutic relationship is supported by th...
They should feel that they are cared for by friendly, approachable, available, helpful and informative staff who can listen to them, offer them advice, protect their dignity, anticipate their anxieties and act in appropriate ways.” (Proctor). She explains the importance of patient and caregiver communication, as well as, the characteristics to portray towards a patient. When a nurse shows respect and acknowledges the patient that shows they are willing to have an open relationship to give quality
...using words your patient is used to and will understand. Clarify your message with body language, tone of voice, facial expression touch and gestures.
Majority of people would like to think that verbal communication is all that physician use; when that’s not the case. About ten percent of verbal communication is use; whereas ninety percent of nonverbal communication is being use explained in the Journal of Clinical and Diagnostics Research. Using non-verbal communication determines the atmosphere that a physician and patients are in. Non-verbal communication is just as important as verbal communication. As a physician, it’s important to be engaged into what you’re asking a patient and the respond your giving to that patient. Using non -verbal communication such as facial expression, posture, and attitude can destroy the verbal communication that you’re having with that patient. An article by Elana Goodwin explains the importance of having good verbal and non-verbal communication with patients. In her article, she says,” Without communication, verbal, nonverbal, written, and otherwise, the medical field would be much less efficient and organized, and patients would suffer for it.” The non-verbal communication sets the tone for the verbal communication. For example, giving short answer to the question being ask by a patient would make that patient feel insignificant towards their physician. In my interview, she explains she seen one of her coworkers with bad non-verbal communication towards his patient that lead to the patient mood being change. Seeing the patient mood change lead that patients verbally stop communicating. Having a patient verbally stop communicating makes the job of physician even harder because we can’t no longer get enough information to help with the
As clinicians, it is imperative to listen empathetically during interview and health history. When one connects with their patients therapeutically, it builds trust and compliance. To build a therapeutic alliance with patients, clinicians must utilize these eight interviewing techniques: empathy, active listening, partnering, empowering the patient, positive body language, validation, reassurance and open communication (Bickley, 2017). For patient “a feeling of connectedness… of being deeply heard and understood is the heart of healing (Bickley, 2017).
I was able to talk to my client without being visibly nervous. I am proud to say I handled my client’s problems as they came up without fear that I may say the wrong thing. In the first video, I found myself repeating things, for what reason I do not know. I can say my nonverbal skills need improving. One specific aspect of the interview was my hand gestures and motions. I really got involved with my client’s problems, and the way I tried to help her understand what I was saying and to get an understanding what she was saying, so I used my hands. I tried to keep by body in a position that would let the client know that I was using attentive listening skills. I cared about why she came to the facility for help. Each session, I adjusted my seat to make eye contact so my client could like she could trust me with her information and that I cared enough to listen to her
I found the feedback the pharmacist gave me to be most effective in educating me and improving my clinical skills. The pharmacist’s comment about my lack of non-verbal communication was especially relevant. Mehrabian’s (1981) research shows that 55% of meaning is in facial expression, 7% in spoken words and 38% in tone of voice. Therefore, for more effective communication and patient education it is important that my body language is engaging and appropriate to the situation.
The verbal communication goal is to encourage the client to fully express the changes and wants of set outcomes established. Both verbal and non- communication can have an impact on the client once interaction is met. Non-verbal communication consists of body language, facial expressions, closeness, and eye contact (Schore, 2008). If a client senses the listener is uninterested or showing signs of discomfort due to their diagnosis or disability, it can cause one to be unengaged in the conversation. Verbal communication can also result in the same disengagement due to the social worker/ therapist tone of voice. Social workers are to be mindful and educated on the background of the client being served to be aware of the different approaches to take when engaging with the individual. The social work intern effective of non-verbal communication skills as the client continued to discuss her life before her recent hospitalization. The social work intern ensured to make steady eye contact, in which the client was receptive of. The social work intern also created a posture that created empathic body language, allowing the client to be more open during
I asked her about how difficult it was to talk to patients as they go through chemo-therapy. She seemed to have a positive response, telling me that its hard at times, but patients need to comprehend what the treatment does to their body. What I think I need to improve on for the future, is how I went about asking so many questions towards my contact. I consistently kept asking questions with little response about myself and what I was interested in. I think that my contact did not really understand much information about me because of my bombardment of questions. Next time I do talk to a professional in the health-care field, I will start off by paraphrasing more about myself to
During the interaction the nursing student felt fairly comfortable. Although, at times it did get quiet so this was corrected by asking more questions on the biopyschosocial assessment. That method wasn’t therapeutic because it may have made the patient uncomfortable answering so many questions. Overall the nursing student thought the interaction was smooth. The patient seemed to enjoy the company for a while. However, the patient may have felt a little overwhelmed with the amount of questions asked. The questions didn’t seem to affect the interaction. The patient was willing to answer all of them, but in the future the nursing student wont ask so many questions, rather just have a conversation with the patient.
I feel confident talking with my patients. I had a patient who has Hepatitis C and refused to take his lactulose medication. Every nurse complained about him and said he was giving them a hard time. I sat down with him and he explained how he doesn’t like when nurses come in and demand that he takes his medication. He told me that it’s not what you say it how you say it. He felt like they were rude and that they needed to respect their elders. I was very therapeutic and explained that we want to remove the toxins(ammonia) from his body and that he needs be consistent with taking his medication. I was sitting at his level and was gave eye contact. I discussed how I cared and the importance of this medication and he took his medication for me. I told him that we need to focus on his liver, so he can get better and get discharged. I told him that he needs to take his lactulose, because if he doesn’t it will prolong his hospital stay. He smiled and thanked me for listening to him.
Key words such as closed and open questions are very well explained. Differentiating when to use each type of question is described and useful for facilitating an interactive dialogue. It is important to understand how to assist the patient in relaying important details and to ensure that what the patient has expressed is understood.
After my first simulated patient interview, my main goals were to improve basic clinical interviewing skills such as paraphrasing and summarizing, to make a deeper contact with a client more focusing of client’s feelings and emotions than my own and to be more confident and relaxed during second simulated patient interview.