Communication in health contexts Flashcards
Asnani 2009
Despite the knowledge of the clinician, they are unlikely to be of any help unless they can open good communication with the patient
Empathy in communication from clinician –> colds = (symptoms) = less severe
Rakel et al, 2011
Silent revolution
Couty and Dupont, 2005
Availability of information = more harm than good
Jadad et al, 1998)
Welton and Kay 2016
Shift in doctor-patient relationships from authoritarian to egalitarian
co-designing of discharge material = productive and more in line with person-centred care philosophy
Smith 2016
Demands not being met by health professionals in demanding care seen online e.g. battling false information in making valid medical choices
Mechanic 2001
social circle needs to be communicated with effectively
Kee at al 2018
Banaser et al 2017
shift rotations in doctors and nurses prevents close relationship formation and hence trust in medical advice and communication by patient
Zhang et al 2019
pressure on doctor-patient relationship, increases relationship strain and decreases the likelihood of fast recovery
Pre-conceptions and mistrust links with mis-diagnoses fears and disagreement with the care method proposed by doctor
DiSalvo 2009
Alpers 2016
Trust = crucial for effective healthcare treatments and outcomes
Anxiety = impact consultation, damaging relationship before it has formed
Tanis et al 2016
Bagchi 2009
Cultural incompetency and miscommunication impacts primary care visits
Institute of Medicine (IOM) - report on health professionals and training
Doctors and health professionals lack adequate training in providing high quality communication to patients
Qual analysis - in medical interviews, info must be discovered and negotiated to be seen as valid by patients (esp. parents)
Tannen and Wallat 1999
Hesse and Rauscher, 2019
Affectionate communication
Breaks down relationship and increases recovery time
Suggestion that time constraints get patients to pay increased attention to doctors,, However, this is emotion-focused over problem-focused coping. So if emotions lacking, significantly decreases trust and relationship formation - dissatisfaction
Lockenhoff 2004
Despite knowledge of the clinician, they are unlikely to be helpful if they are unable to open good patient communication
Asnani 2009
Ogden 2009
Health professional may conduct as many as 150,000 patient interviews in an entire career
4-day hospital stay - interact with 50 employees
Empathy –> colds = less severe
Rakel et al 2011
Royal College of Nursing, 2016
Must ensure patients are given clear attention in what it said - must be clear, accurate, honest and appropriate
Cultural barriers - patient preconceptions about doctor communication - if mismatch, can lead to lowered degree of motivation to verbally communicate by patient
Language used = important
Kim et al, 2000
Verbal Exchange Health Literacy (VEHL)
The ability to speak and listen to facilitate exchanging, understanding and interpreting of health info for health-decision making and navigation of healthcare system
Highly influential of health outcomes
Harrington and Valerio, 2014
Duggan 2007
Patient and patient family are unlikely to directly state they do not understand the caregiver, but instead rely on non-verbal communication to aid understanding
Nonverbal communication of health professional has been proven essential for the seriously ill patients’ experience of well-being in the form of positive thoughts and emotions - significant ethical element in caring for the patient
Timmermann et al 2016
Non verbal communication is important - contextually dependent, culturally intricate and socially affective
Yang 2017
Neumann et al 2007
Empathy - decreases recovery time and improvement in patient-reported outcomes of depression and QoL
Silent revolution - availability of info and change in power balance from authoritarian to egalitarian. Patient is more of an expert in their condition
Couty and Dupont, 2005
MAGIC - making good decisions in collaboration
encourage shared decision making - helps patients feel listened to, engaged and involved e.g. men with enlarged prostates choosing between drugs, therapy or lifestyle changes
Ogden 2009
York et al 2017
Patients should be encouraged to take an active role in their care which is not yet standard practice but should be to improve treatment efficacy
Improvements in inclusion of patients in healthcare choices leads to clearer information and understanding
Lloyd et al 2017
Ogden 2009 (issues with healthcare settings)
Ambient noise, busy setting, patient privacy
Kee et al 2018
Relatives and family communication - should still be communicated with effectively
Handover information - barrier in forming close relationships with professionals, damaging communications
Banaser et al 2017
Foronda et al 2016
Lack of team communication leads to an increase in medical errors (miscommunication and poor patient outcomes)
