Research Paper on "Health Care Communication"
Research Paper 5 pages (1391 words) Sources: 5
[EXCERPT] . . . .
It is estimated that one-third of adults with chronic illnesses underused their prescription medication due to cost concerns, but later fail to communicate this information to their physician. (Piette, J.D., Heisler, M. & Wagner, T.H., 2004, p. 1785).The relevancy of effective personal health care communication with other health care professional, clients, patients
Effective, timely communication between health care professionals is crucial for the treatment of the patient. The failure of common practitioners to be on the same page can result in countless wasted hours and untold delays in the delivery and throughput of patient care. The financial cost of communication-related errors in the U.S. hospitals alone exceeds U.S.$10 billion annually, and likely contributes to personnel shortages, staff and patient dissatisfaction, and medical errors.
In the high-stress world of health care, the low quality health communication between health care professionals affects not only the delivery of services to the patient, but employee and patient satisfaction and cooperation as well. Quarrels between colleagues, employee dissatisfaction with the health care institution, and employee disengagement can all contaminate the overall atmosphere of an institution as a center of healing.
For example, some physicians tend to speak to nurses in an aggressive, demanding tone. This tone could just be the result of a high-stress, fast-paced schedule that leaves physicians no time for niceties. Even if unintentional, such behavior does put the nurse in a bad mood, thereby diminishing the quality of the nurse's communication with patients later on.
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The Theories and Principles of Therapeutic Communication in Health Care Settings for the Health Care Professional.
In 1976, Psychologist Stewart Tubbs defined therapeutic communication most insightfully as "an interaction which provokes personal insight or reorientation." (Tubbs, S.L., 1976, p. 3). Recent scholars in the field understand "therapeutic communication" by comparing it with normal, everyday "social communication." (Rosenberg, S., 2008, p. 73). Social communication is highly casual, unreflective, and unfocused, whereas "therapeutic communication" is highly attentive and focused on bringing the other person into a certain frame of mind. In the health care field, the target frame of mind is one of comfort and trust towards the health care professional, so as to "create a healing exchange between nurse and patient." (Rosenberg, S., 2008, p. 75).
For health care professionals, the immediate objective in therapeutic communication is to keep communication open through expressions of care, interest, and respect. (Rosenberg, S., 2008, p. 76). These are expressed by specific tactics such as active listening reinforced by attentive body language, conversational prompts, and open-ended questions. Any self-criticism from the patient should be met with empathetic, non-judgmental responses and can be reinforced with encouraging words about the patient's past successes and ability to manage their condition.
Conclusion
Because of their level of authority, duty, and training relative to their patients, health care professionals have a heightened responsibility to make sure that the patient feels comfortable enough to communicate openly and honestly. The tremendous benefits of such communication have already been proven. For health care professionals, these benefits far outweigh the cost of developing their health communication skills.
Bibliography
U.S. Department of Health and Human Services. (2000). Healthy People 2010: Volume I, Focus Area 11: Health Communication (second edition) Washington, DC: U.S. Government Printing Office.
Zachariae, R. et. al. (2003). The relative importance of physician communication, participatory decision making, and patient understanding in diabetes self-management. British Journal of Cancer, 88(5), 658-65.
Heisler, M. et. al. (2002). The relative importance of physician communication, participatory decision making, and patient understanding in diabetes self-management. Journal of General Internal Medicine, 17(4), 243-52.
Safran, D.G. et. al. (1998). Linking primary care performance to outcomes of care. Journal of Family Practice, 47(3), 213-20.
Makaryus, A.N. & Friedman, E.A. (2005). Patients' understanding of their treatment plans and diagnosis at discharge. Mayo Clinic Proceedings, 80(8), 991-4.
Piette, J.D., Heisler, M. & Wagner, T.H. (2004). Cost-related medication underuse among chronically ill adults: the treatments people forgo, how often, and who is at risk. American Journal of Public Health, 94(10), 1782-7.
Rosenberg, S. (2008). Therapeutic Communication in the Clinical Setting. In Transit: The LaGuardia Journal on Teaching and Learning, 3, 72-84.
Tubbs, S.L.… READ MORE
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