In healthcare, certain factors affect good nurse-patient communication which are time, language, environment, shortage of nursing staff, assumptions etc. These factors lead to error in medication, misdiagnosis and even death. So, the need for good nurse-patient communication should be emphasized in nursing practice. 3.3 Application in current job I really do know and understand the benefits of a good nurse-patient communication.
IntroductionClinical empathy is an essential element of quality care and is associated with improved patient satisfaction, adherence to treatment, and fewer malpractice complaints. It has been suggested that in contrast to models of “detached concern,” physicians who attempt to understand what their patient is feeling and communicate their concern achieve a number of valuable outcomes for their patients and for themselves . Empathy in medicine is challenging though, because doctors are dealing with the most emotionally distressing situations–illness, dying, suffering in every form–and such situations would normally make an empathic person anxious, perhaps too anxious to be helpful . This painful reality may take its toll on these individuals
This case is an exemplar of ACHE competency domain 1, Communication and Relationship Management(American Health Care Executives). As the CEO and the Chair of the Department of Psychiatry each had differing priorities and concerns for the best operational measures for their respective units, it was critical that they come together to understand the needs and desires that impacted both their own points of view as well as that of the other party. Clearly, as they were able to reach a compromise and continue working together for the benefit of Memorial Hospital and its patients, this objective was achieved(Ascencio and Mujkic). While the details of the discussions between the two parties are not clearly articulated in the case, the outcome of
Besides that, the doctor also should provide a balance view between the options available for the patient and explain regarding the importance of having an informed consent in the process of discussion so that the patient can make a meaningful decision. This is important because sometimes the patient may have limited awareness on legal implications of signing or not signing the consent forms, and they may not realize regarding the role of written consent as primarily serving their interests (Zafar et al.,
The one piece of information I found most significant for me is, the ARNP and patient must negotiate a plan of care. This concept is so important for the sake of trust and compliance. The need for negotiations can be due to factors that can affect a patients’ compliance which can range from cost, timing, ethnicity and culture, language, and a whole host of other barriers. Patients need to understand why this medication is being prescribed and the education you are providing them will gain their buy in. For example, if a medication is too costly, or the side effects are unacceptable to them, the ARNP needs to find an alternative treatment that fits their budget and has acceptable outcomes.
Chiropractors, also known as doctors of chiropractic or chiropractic physicians, diagnose and treat patients with health problems of the musculo skeletal system and treat the effects of those problems on the nervous system and general health. Recently, the chasm between chiropractors and medical doctors has started to narrow as they have begun to share information and provide each other with more insight into their respective methodologies, practices, and treatments. The diagnosis and treatment of vertebral subluxations is one of the sticking points between medical doctors and chiropractors. Since there is often some disagreement between these two groups about what constitutes a spine that is out of alignment.
This may cause trouble for the physician as many patients complain when doctors want to take an extremely detailed history. Some patients fail to realise that this step is necessary for the doctor to make an accurate diagnosis. Another reason why so many people praise the biopsychosocial model is because it allows the doctor and patient to work as a team when discussing outcome and treatment options. However, this can also be quite difficult for a physician if a patient decides against a treatment option which the doctor feels is best. At the end of the day, doctors are only human and it
Posner said that she was research, it rang so many bells that I did not catch through-out the movie. I thought Dr. Posner was just a bit shy of Vivian because he knew her on a personal level but it was all for research. The multitude of times Vivian tried to just have a normal conversation and he just brushed it off was ridiculous. If I do have any patients in the future I will try and respect their wishes and if I see anything that is a red flag I would talk to them about it.
Along with his lack of communication he also was seen “speaking to a patient inappropriately while trying to obtain their consent to a repeated attempt at a cannulation (intravenous line) procedure when working as a surgical SHO”(8), this particular incident relates to the question excellently, this behaviour is completely inappropriate, furthermore the doctor in question was a Senior House Officer (SHO); a trusted, senior doctor who is looked to for a good
Clinical decision support system (CDSS)is a system that assist in compiling patient -specific information with a list of possible prognosis, treatments, drug interactions , as well as reminders for the patient’s care all while giving the clinicians a database to input new information in knowledge-base for the specific patient. CDS has a number of important benefits such as Increased quality of care and enhanced health outcomes, Avoidance of errors and adverse events, Improved efficiency, cost-benefit, and provider and patient satisfaction. The summary for first study antibiotic resistance is now a major issue confronting healthcare providers and their patients because if we do not use antibiotics carefully, they will lose their efficacy.
A patient 's motivation to adhere to prescribed treatment by increasing the perceived importance of adherence, and strengthening confidence by building self-management skills, are behavioral treatment targets that must be addressed concurrently with biomedical ones if overall adherence is to be improving (Mathevula, 2013a and Mathevula, 2013b). c. Health care team/ health system related factors: Relatively little research has been conducted on the effects of the health care team and system-related factors on adherence. Whereas a good patient-provider relationship may improve adherence, there are many factors that have a negative effect. These include, poorly developed health services with inadequate or non-existent reimbursement by health insurance plans, poor medication distribution systems, lack of knowledge and training for health care providers on managing chronic diseases, overworked health care providers (Stroke Association.
Atul Gawande in his article “Whose body is it, anyway?” introduced couple of cases, which discussed a controversial topic, doctors dealing with patients and making important medical decisions. These are difficult decisions in which people might have life or death choices. Who should make the important decisions, patients or doctors? Patients don’t usually know what is better for their health and while making their decisions, they might ignore or don’t know the possible side effects and consequences of these decisions.
The ability to understand the different professional roles when working collaboratively is important. This is because there is a need to see how all the roles are related and how they are all vital parts of a service user journey through care. It is perceived that multi-disciplinary collaboration when it comes to service user care is linked to more positive outcomes and experiences. This could be because a greater understanding of the different professional roles allows for professionals to relate the different roles. Therefore professionals are able to inform service users of what to expect of different services used in their care pathway.
The University of Pittsburg Medical Center (UPMC) has taken a unique approach to improving revenue and reducing bad debt. By taking “a proactive, patient-friendly approach to communicating with patients about their financial responsibility through an integrated revenue cycle model,” UPMC has increased patient payments from an average of $16 million per month in 2012 to an average of $20 million per month since March 2013 (Langford, 2013, p. 88). Additionally, UPMC has been able to “significantly reduced bad debt and enhanced patient relationships through greater financial advocacy” (Langford, 2013, p. 88). In the fiscal year of 2009, UPMC’s bad debt accounted for 52% of UPMC’s uncompensated care, and as of 2013, the bad debt accounts for 24%
Medical Group Practice Models There are four main models of medical group practice. These are Highly Deductible Health Plans (HDHPs), Preferred Provider Organizations (PPOs), Health Maintenance Organizations (HMOs) and Accountable Care Organizations (ACOs). All these models have a common goal of improving care accessibility and affordability but they achieve this objective by the use of different strategies that control utilization of health care services. PPOs are the least restrictive model because it gives the member the freedom to choose preferred health care provider but is also the most expensive model. On the other hand, HMOs model is highly controlled by physicians and thus are the least cost model.