Meanwhile, persuasive practices are associated to parents’ explanation of positive and negative impacts of doing things like taking medication (positive) and drug abuse (negative) (Honey, Fraser, Llewellyn, Hazell, Clarke, 2013). These also includes parents encouragements, dis-encouragement, and even criticism of PWMI’s negative behavior, like this instance when a father of the respondents yelled at him and said “Why are you doing it? Are you crazy?” (Honey, Fraser, Llewellyn, Hazell, Clarke, 2013, page 67).
There are a lot of factors which can influence the patient’s response to these practices. One factor is the timing; sometimes, patients do not get the importance of what they are asked or forced to do at that time but immediately they understand
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Health care professionals offer psychotherapy for the patients. For those who stay in the hospital, their relationship with the health professionals is an important thing to consider (Haron and Tran, 2014). During hospitalization, the patients expect support from the hospital staff more than their family (Haron and Tran, 2014).
Phatic and Empathic Communication
Nurses are expected to be provider of emotional support more than the doctors (Haron and Tran, 2014). The patients pay almost equal importance to the focus on medication and dialysis and provision of emotional support of the doctors attending to them (Haron and Tran, 2014). Being asked what a good doctor and nurse is, they listed characteristics such as empathic, warm, supportive, accepting, cooperative, compassionate, caring, patient, calming, and respectful (Haron and Tran,
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Sometimes, there are language barriers, especially in the cases of English-speaking physician and Asian patient and/or caregiver (August, Nguyen, Ngo-Metzger, Sorkin, 2011). Also, people who find it hard to understand the concepts being told by the physician are mostly with low level of education attained (August, Nguyen, Ngo-Metzger, Sorkin, 2011).
On the other hand, health professionals expressed willingness to be trained to improve their communication skills (Stensrud, Mjaaland, Finset, 2012). They specifically want to learn skills that are more focused on mental illness than the general diseases (Stensrud, Mjaaland, Finset, 2012). These includes facilitating coping, handling denial, etc. (Stensrud, Mjaaland, Finset, 2012).
Female physicians have a greater confidence in handling emotional conflicts while male physician have greater confidence in handling serious illnesses (Stensrud, Mjaaland, Finset, 2012).
However, lack of time is perceived as a problem by both the medical staff and the patient (Zantinge, Verhaak, de Bakker, van der Meer, Bensing, 2009). Physicians dissatisfied with the time tend to have longer consultations (Zantinge, Verhaak, de Bakker, van der Meer, Bensing, 2009). It is an avenue for the patients to raise more concerns but may be a cause of the doctor’s burnout (Zantinge, Verhaak, de Bakker, van der Meer, Bensing,
Anne Fadiman’s book, The Spirit Catches You and You Fall Down, explicitly illustrates the cultural divide between a Hmong family, the Lees, and the physicians treating their daughter, Lia Lee, at the Merced Community Medical Center. Lia first begins to experience seizures when she is about three months old. This is initially when the conflict arises between the physicians and the Lees. In contrast to Lia’s Western medicine diagnosis of epilepsy, her parents interpret epilepsy, or quag deb peg in the Hmong language, as both a serious and dangerous disease and a sign of distinction, indicating that she could potentially become a shaman (Fadiman 20-21). On the other hand, the physicians are continuously trying to prevent and treat Lia’s seizures,
Language barrier is a very important factor to be put in perspective when caring for an Asian American client. According to the president’s advisory commission on Asian Americans and Pacific Islanders. 42% of Vietnamese American, 41% of Korean American, and 40% of Chinese American household are linguistically isolated. This designation means that no one in the household age 14 years or older speaks English very well. (Kramer, Kwong, Lee, & Chung, 2002).
The articles does a good job explaining the concept of touch and how this affect us as a future nurses. I agree with the author about how touch is a important skill set to have in this nursing profession. When intimate touch is professional, and respectful, it can be a key to successful interaction and relationship with the patient and the nurse. The article also mention that some participants suggested that they want some type of relationship with nurses, they want their nurse to be there for them, and want to be able to make choices for themselves. A professional mutuality between the patient and nurse can foster comfort, trust, care, and respect.
Many studies have concluded that there seems to be a relationship between a physicians’ gender and the way that this affect patients. Roter and Hall (1998) explained why physician gender matters in shaping the physician-patient relationship. They mentioned in their research two sets of therapeutic relations that exists in the doctor-patient relationship— the paternalistic model and the informative model. In the paternalistic model the physician is an expert who conveys technical information sufficient for patients to select the medical intervention deemed more appropriate for themselves. On the other hand, the informative model is that in which the doctor assists patients with interpretation and understanding of the information within their
My personal philosophy of nursing seeks to incorporate the art of conveying nursing science holistically with care and human dignity. The four nursing metaparadigm concepts are described in relation to nursing as a science and an art and provide the base upon which my view of nursing and my personal philosophy are derived. As a nursing student at UIC, I am well aware of the fact that the best outcome for any patient may not be improvement in health, but rather, a dignified death during the end of life care. End of life care includes a significant quality in care and human dignity.
FACILITATED SENSEMAKING When a loved one is admitted to an ICU especially in critical health status, patient family members usually experienced anxiety, fear, depression, uncertainty and nervousness, traumatic experiences (post-traumatic stress). This needed support among the healthcare members especially nurses who assume the role of patient advocate. Family need to have a better understanding of the situation and what they should do to promote the feeling of comfort, security, serenity and to adapt to their new role as caregiver, thus preventing adverse psychological outcomes. Most ICU patients cannot make a decision for their own medical treatment, in such way family may be required to make a difficult decision on behalf of the patient,
Researchers have found that inadequate linguistic proficiency or conflicting professional notes imposed on the interpreter can impede interaction between doctors and their patients. 2.The role of interpreters in medical settings. An interpreter commented that she cannot interpret neutrally when she was interpreting for her mother, because she was there as a daughter, not an interpreter (Hsieh, 2006a). When interpreters provided services that overlapped with providers (e.g., providing medical information), they claimed the identity of a member of the health care team (Hsieh, 2007).
However, the question of whether or not empathy equates to better patient health remains. Proving that empathy does directly impact health, La Monica, Wolf, Madea, and Oberst, (1987) found that significantly reduced anxiety, depression, and hostility were observed in patients being cared for by nurses exhibiting high levels of empathy. Moreover, in a study overviewing the effectiveness of empathy on patient compliance and satisfaction, affective empathy resulting in a physician-patient partnership, was found to be the greatest factor in increasing compliance and satisfaction (Kim, Kaplowitz, & Johnston, 2004). Additionally, Bourgault et al. (2015) found that in nurses, higher levels of empathy was associated with greater psychological well-being, proving that empathy does not only benefit the patient, but the practitioner as well.
Being a nurse is not always as easy and picture perfect as people paint it to be. A nurse is expected to act perfectly professional, even when tears, anger and all-around emotions are begging to come out. A nurse must always be the one that has their life together, especially when others do not. They are there to be the ones to hold and care for others in desperate times of need. Nurses are expected to be more than just a nurse, but rather an advocate, caregiver, support system and professional.
Regarding effective communication, “good interpretation and good translation go a long way toward solving cross-cultural communication problems and language barriers in health care” (Dreachslin, Gilbert & Malone, 2013, p. 289). These services, through interpreters or voice-assisted devices, provide better opportunities to blend cultures and understand the tradition and beliefs of diverse populations. These two topics were just samplings of the information discussed, but they stuck out to me on a personal level, while pushing me to promote cultural competence and understanding beyond this course in all my future workplace
The key to establishing a trusting relationship is the integration, usage, and mastery of therapeutic communication skills (Belcher & Jones, 2009).Due to the high importance of effective communication in mental health nursing, it is essential in therapeutic interventions. (Peplau, 1952) states that effective interpersonal skills are central to a mental health nurse’s ability to form a sound therapeutic alliance and to the role of mental health nurses. Excellent interpersonal aptitudes are what every mental health nurse needs to communicate effectively with clients. Active listening is more than just hearing what the client has to say, nurse must be actively engaging with the client, physically, emotionally and mentally. Effective listening is therefore a cognitive, behavioural and an affective process (Arnold and Underman Boggs,
In this study like the others above, opposite sex dyads were the least patient-centred, the least calm, and in which doctors are rated the worst. Strikingly, an important characteristic of female doctors and male patient dyads is that male patients use them as an opportunity to address their emotional agenda more than they do if the doctor is male. Similar to the other studies, in female to female dyads, there is more psychosocial talk with the most encouraging communication style, relative ease in interactions, and the longest consultations in which more talk occurs than in any other dyad combination. However, is where the more biomedical talk about medical and therapeutic issues is most present (Sandhu et al.
However, since both men and women have the opportunity to become physicians, it has created more options for patients (4). This high variability amongst caretakers creates issues concerning patient comfort and preference particularly with OB/GYN physicians (1). In other medical fields, it is typically easy to adjust
In such an interaction, the Patient must also take Ownership. Specifically, the Patient owns the Reality that they are not experts in the field they are seeing the doctor for. The patient also has knowledge about their own fears and concerns and should Own the reality that doctors cannot read their minds. Patients do badly when they Refuse Ownership of the above.
PHC Primary health care(PHC) as a concept was officially launched in 1978 at a World Health Organization(WHO)UNICEF conference in Alma Ata, in the former soviet union, at which some 150 governments were represented .The Alma-Ata Declaration(World Health Organization 1978) defined PHC as follows: Primary health care is essential health care based on practical, scientifically sound and socially acceptable methods and technology made universally accessible to individuals and families in the community through their participation and at a cost that the community and country can afford to maintain at every stage of their development in the spirit of self-reliance and self-determination. It forms an integral part both of the country`s health system,