Although physicians’ communication style and perceptions affect outcomes, few studies have examined how these perceptions relate to the way physicians communicate with patients. Moreover, while any ...number of factors may affect the communication process, few studies have analyzed these effects collectively in order to identify the most powerful influences on physician communication and perceptions. Adopting an ecological approach, this investigation examined: (a) the relationships of physicians’ patient-centered communication (informative, supportive, partnership-building) and affect (positive, contentious) on their perceptions of the patient, and (b) the degree to which communication and perceptions were affected by the physicians’ characteristics, patients’ demographic characteristics, physician–patient concordance, and the patient's communication. Physicians (
N=29) and patients (
N=207) from 10 outpatient settings in the United States participated in the study. From audio-recordings of these visits, coders rated the physicians’ communication and affect as well as the patients’ participation and affect. Doctors were more patient-centered with patients they perceived as better communicators, more satisfied, and more likely to adhere. Physicians displayed more patient-centered communication and more favorably perceived patients who expressed positive affect, were more involved, and who were less contentious. Physicians were more contentious with black patients, whom they also perceived as less effective communicators and less satisfied. Finally, physicians who reported a patient-centered orientation to the doctor–patient relationship also were more patient-centered in their communication. The results suggest that reciprocity and mutual influence have a strong effect on these interactions in that more positive (or negative) communication from one participant leads to similar responses from the other. Physicians’ encounters with black patients revealed communicative difficulties that may lower quality of care for these patients.
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In all branches of medicine, effective communication between health care professionals and patients, families and carers is essential to ensure first-class treatment. Increasing public awareness of ...health issues and the ready availability of health information have lead the public to be more widely informed about common conditions and the treatments available. Patients therefore attend a medical consultation better informed so the need for improved communication skills is even greater. This book aims to demystify the ‘doctor-patient’ relationship in order that patients and potential patients can more easily understand the information which doctors are seeking to convey as well as gaining some insight into the difficulties of communication from a doctor’s perspective. Some conversations require specialised skills. Talking to people with difficult personalities and poor social skills can be challenging. Strong emotions of anger, frustration or distress need sensitive handling and particular age groups call on styles of address appropriate to their particular needs. Using the expertise of experienced doctors from many specialties this book covers not only the theory behind good communication skills but also gives a wealth of practical advice. The book covers ethical and legal issues, planning difficult conversations, the patient’s and doctor’s perspectives, issues surrounding special groups such as children and the elderly, and conversations with patients from different cultural backgrounds. Outlines of possible clinical cases posing specific problems are included with guidance on how to handle them.
Nursing is about growth, yet it spends so much time focusing on disease and entropy. While the nursing role is expanding into advanced practice roles, and twenty-first century nursing is almost ...unrecognisable compared to its nineteenth century roots, at the heart of nursing is growth. Sometimes called "caring", growth requires nurturing, and, while it is difficult to define, without it nurses are merely medical technicians. In the context of nursing, health is about change, change from a less healthy state to a more healthy state and the nurse's role is to promote that change whenever possible. However, change is difficult; we are creatures of habit, afraid of change, and preferring the illusion of safety with the "devil we know rather than the devil we don't know". However, when someone is ready to change, they have already grown.This book combines the author's twenty-five years of experience in Solution Focused Interactions and empirical evidence derived from his PhD research to argue that Solution Focused Interactions provide a means for nurses, in all domains of nursing and midwifery, to provide care that promotes growth and change in the people they work with, while restoring and maintaining their enthusiasm for practice. This book serves as an eminently practical introduction to how Solution Focused Interactions can be used across nursing practice, making use of transcripts and case studies to illustrate the ways in which nurses can help their patients to grow and change, while also growing and changing themselves.
Service Fanatics Merlino, James
c2015., 2014-10-31T00:00:00, 2014-11-01, 2015.
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Cleveland Clinic has long been recognized for driving some of the best clinical outcomes in the nation, but it was not always a leader in patient experience. There was a time when this revered ...organization ranked among the lowest in the country in this area. Within ten years, however, it had climbed to among the highest and has emerged as the thought leader in the space. How did Cleveland Clinic turn itself around so effectively and so quickly? More important, how can you do the same with your organization? In gripping, visceral, on-the ground fashion, Service Fanatics reveals the strategies and tactics the Clinic applied to become one of today's leading patient-experience healthcare organizations--methods that seamlessly translate to any business seeking to improveits customer experience.
The Medical Interview by Drs. Steven A. Cole and Julian Bird equips you to communicate effectively with your patients so you can provide optimal care! This best-selling, widely adopted resource ...presents a practical, systematic approach to honing your basic interviewing skills and managing common challenging communicating situations. Its Three-Function Approach - "Build the Relationship," "Assess and Understand," and Collaborative Management" offers straightforward tasks, behaviors, and skills that can be easily mastered, making this an ideal learning tool for beginners and a valuable reference for experienced healthcare professionals. Effectively meet a full range of communication challenges including language and cultural barriers, sexual issues, elderly patients, breaking bad news, and non-adherence.
There are certain phenomena, such as hypnosis, hysteria, multiple personality disorder, recovered memory syndrome, claims of satanic ritual abuse, alien abduction syndrome, and culture-specific ...disorders that, although common, are difficult to explain completely. The purpose of this volume is to apply a model of social relations to these phenomena in order to provide a different explanation for them. Wenegrat argues that they are socially constructed illness roles or purposive behavior patterns into which patients fall while receiving either unintentional or intentional cues during interactions with caretakers and authority figures. The application of the social-relations model raises some important, yet previously overlooked, questions about these phenomena. It also illustrates some important aspects of human nature and consciousness, places illness behaviors in their larger, cultural context, and shows the way to a new and different view of mental life.
The second edition of Genetic Counseling Practice: Advanced Concepts and Skills, provides in-depth content regarding the advanced competencies for meeting patient needs across the changing landscape ...of genetic counseling practice. The content aligns with the Reciprocal Engagement Model (REM) of practice which integrates the biomedical knowledge and psychosocial aspects of genetic counseling. This edition has been revised and expanded to reflect advances made in the present-day field. Edited by a team two genetic counselors and a psychologist, the chapters offer a holistic picture of genetic counseling. Chapter authors are all recognized experts in the profession. The chapters are grounded in evidence-based practice and research. Each chapter includes learning activities to help readers apply concepts and skills. Featured topic areas include: Meeting the needs of culturally diverse patients Addressing challenging patient dynamics Working with children, adolescents and families Using emerging service delivery models for genetic counseling Engaging in self-reflective, deliberate practice Promoting genetic counselor professional development Genetic Counseling Practice is an indispensable guide to the complex and evolving field of genetic counseling, and this updated second edition will help practitioners and trainees alike navigate its most pressing and practical challenges with skill and care.
Over the last fifty years, British patients have been made into consumers. Since the 1960s, concepts common within consumerism have found a place in health policy and practice. In a short space of ...time, the position of patients in Britain appears to have changed fundamentally. Until relatively recently, it was not uncommon for patients to be told little about the condition that they were suffering from or its likely outcome. That such a situation would be (almost) inconceivable today points not only to changes in the doctor-patient relationship, but also to a wider shift in the way in which patients see themselves and are seen by others. This book explores how and why such a shift took place, and why it was that these changes were framed by the concept of consumerism
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