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Communication in healthcare settings

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15 papers 0 to 25 followers
By Jamie Jarmul Md / PhD student at UNC - Chapel Hill, PhD in Health Policy and Management
Joshua R Lakin, Susan D Block, J Andrew Billings, Luca A Koritsanszky, Rebecca Cunningham, Lisa Wichmann, Doreen Harvey, Jan Lamey, Rachelle E Bernacki
IMPORTANCE: The Institute of Medicine recently called for systematic improvements in clinician-led conversations about goals, values, and care preferences for patients with serious and life-threatening illnesses. Studies suggest that these conversations are associated with improved outcomes for patients and their families, enhanced clinician satisfaction, and lower health care costs; however, the role of primary care clinicians in driving conversations about goals and priorities in serious illness is not well defined...
September 1, 2016: JAMA Internal Medicine
David C Miller, Jakob I McSparron, Peter F Clardy, Amy M Sullivan, Margaret M Hayes
Effective communication between providers and patients and their surrogates in the intensive care unit (ICU) is crucial for delivery of high-quality care. Despite the identification of communication as a key education focus by the American Board of Internal Medicine, little emphasis is placed on teaching trainees how to effectively communicate in the ICU. Data are conflicting on the best way to teach residents, and institutions vary on their emphasis of communication as a key skill. There needs to be a cultural shift surrounding the education of medical residents in the ICU: communication must be treated with the same emphasis, precision, and importance as placing a central venous catheter in the ICU...
September 2016: Annals of the American Thoracic Society
Sarah King, Josephine Exley, Sarah Parks, Sarah Ball, Teresa Bienkowska-Gibbs, Calum MacLure, Emma Harte, Katherine Stewart, Jody Larkin, Andrew Bottomley, Sonja Marjanovic
PURPOSE: Patient-reported data are playing an increasing role in health care. In oncology, data from quality of life (QoL) assessment tools may be particularly important for those with limited survival prospects, where treatments aim to prolong survival while maintaining or improving QoL. This paper examines the use and impact of using QoL measures on health care of cancer patients within a clinical setting, particularly those with brain cancer. It also examines facilitators and challenges, and provides implications for policy and practice...
September 2016: Quality of Life Research
O Popa-Velea, V L Purcărea
Communication issues are extensively considered a topic of high interest for improving the efficacy of the therapeutic act. This article aimed to overview several issues of therapeutic communication relevant for improving quality of care. A number of 15 bibliographic resources on these topics published in peer-reviewed journals between 1975 and 2010, and indexed in PubMed, ProQuest and EBSCO databases were examined, to seek for evidence regarding these data. Results highlight a number of communication problems commonly reported in the literature, such as the lack of physician communicational skills or their deterioration, the persistence of an asymmetric therapeutic communicational model, communication obstacles brought by the disease itself or by several variables pertaining to the patient, including specific demographic and psychological contexts...
2014: Journal of Medicine and Life
Eleanor Winpenny, Marc N Elliott, Ann Haas, Amelia M Haviland, Nate Orr, William G Shadel, Sai Ma, Mark W Friedberg, Paul D Cleary
OBJECTIVE: To examine the relationship between physician advice to quit smoking and patient care experiences. DATA SOURCE: The 2012 Medicare Consumer Assessment of Healthcare Providers and Systems (MCAHPS) surveys. STUDY DESIGN: Fixed-effects linear regression models were used to analyze cross-sectional survey data, which included a nationally representative sample of 26,432 smokers aged 65+. PRINCIPAL FINDINGS: Eleven of 12 patient experience measures were significantly more positive among smokers who were always advised to quit smoking than those advised to quit less frequently...
April 8, 2016: Health Services Research
Claire F Friedman, Jedd D Wolchok
In clinical practice, a successful patient-physician partnership can improve the outcome of treatment, especially in cases of chronic disease or cancer. To establish this partnership, physicians must explain treatment options and potential outcomes, but how to best do this when treatment is based on scientific principles and findings that the lay patient will not be familiar with? Here we present a paradigm for patient-physician communication using the immunotherapy of cancer as a model. In this context, we argue for the importance of incorporating techniques in communicating science with patients into the training of early career physicians...
June 2016: Trends in Immunology
Kathleen Broderick-Forsgren, Wynn G Hunter, Ryan D Schulteis, Wen-Wei Liu, Joel C Boggan, Poonam Sharma, Steven Thomas, Aimee Zaas, Jonathan Bae
Background Patient-physician communication is an integral part of high-quality patient care and an expectation of the Clinical Learning Environment Review program. Objective This quality improvement initiative evaluated the impact of an educational audit and feedback intervention on the frequency of use of 2 tools-business cards and white boards-to improve provider identification. Methods This before-after study utilized patient surveys to determine the ability of those patients to name and recognize their physicians...
May 2016: Journal of Graduate Medical Education
Matthew D Di Guglielmo, Jay S Greenspan, Diane J Abatemarco
BACKGROUND: Pediatric patients seek timely access to subspecialty care within a complex delivery system while facing barriers: distance, economics, and clinician shortages. Aim We examined stakeholder perceptions about solutions to the access challenge. We engaged over 300 referring primary care pediatricians in the evaluation of Access Clinics at an academic children's hospital. METHODS: Using an anonymous online survey, we asked pediatricians about their and their patients' experiences and analyzed factors that may influence referrals...
May 17, 2016: Primary Health Care Research & Development
Anne M Walling, Nancy L Keating, Katherine L Kahn, Sydney Dy, Jennifer W Mack, Jennifer Malin, Neeraj K Arora, John L Adams, Anna Liza M Antonio, Diana Tisnado
PURPOSE: Little is known about factors associated with unmet needs for symptom management in patients with cancer. METHODS: Patients with a new diagnosis of lung and colorectal cancer from the diverse nationally representative Cancer Care Outcomes Research and Surveillance cohort completed a survey approximately 5 months after diagnosis (N = 5,422). We estimated the prevalence of unmet need for symptom management, defined as patients who report that they wanted help for at least one common symptom (pain, fatigue, depression, nausea/vomiting, cough, dyspnea, diarrhea) during the 4 weeks before the survey but did not receive it...
June 2016: Journal of Oncology Practice
Ronald Burian, Miriam Franke, Albert Diefenbacher
OBJECTIVE: Concordance with consultation-liaison (CL) psychiatrists' recommendations by general practitioners (GP) has hardly been studied systematically. We studied if telephone calls or written notes from a hospital based CL-service to GPs, whose patients were treated on medical-surgical wards, can improve GP-concordance, as compared to the usual communication pathway by standard discharge letters written by hospital physicians, and if higher GP-concordance improves outcomes of depressive and anxious symptoms...
July 2016: Journal of Psychosomatic Research
Nao Hagiwara, Richard B Slatcher, Susan Eggly, Louis A Penner
Physician racial bias can negatively affect Black patients' reactions to racially discordant medical interactions, suggesting that racial bias is manifested in physicians' communication with their Black patients. However, little is known about how physician racial bias actually influences their communication during these interactions. This study investigated how non-Black physicians' racial bias is related to their word use during medical interactions with Black patients. One hundred and seventeen video-recorded racially discordant medical interactions from a larger study were transcribed and analyzed using Linguistic Inquiry and Word Count (LIWC) software...
June 16, 2016: Health Communication
Veronica Perry, Mollie Christiansen, Angela Simmons
Interprofessional bedside rounds are essential for patient-centered care. However, it may be difficult for nurses to round with physicians on medical-surgical units. Using a daily goals tool for indirect rounds improved nurse-physician communication and interprofessional care for patients.
March 2016: Medsurg Nursing: Official Journal of the Academy of Medical-Surgical Nurses
Susan M Renz, Jane M Carrington
Over-hospitalization of institutionalized older adults remains a serious concern in the health care industry. Communication failures between nurses and medical providers have been linked to numerous errors, including unnecessary hospitalizations for conditions that could be safely managed in the long-term care setting. Suboptimal communication, especially between nurses and physicians, concerning unstable nursing home residents has been identified as a causative factor for reduced nurse and medical provider satisfaction...
June 17, 2016: Journal of Gerontological Nursing
Alisa Khan, Jayne E Rogers, Catherine S Forster, Stephannie L Furtak, Mark A Schuster, Christopher P Landrigan
BACKGROUND AND OBJECTIVE: Communication breakdowns between members of the health care team compromise patient safety and experience. Communication breakdowns with parents, an important but often overlooked part of the health care team, are understudied. Parents may play a particularly important role in nighttime care given decreased staffing and inadequate transitions of care at night. We studied communication breakdowns evidenced by lack of shared understanding between parents and night-team residents about the reason for admission and care plan...
June 2016: Hospital Pediatrics
Lipika Samal, Patricia C Dykes, Jeffrey O Greenberg, Omar Hasan, Arjun K Venkatesh, Lynn A Volk, David W Bates
BACKGROUND: Health information technology (HIT) could improve care coordination by providing clinicians remote access to information, improving legibility, and allowing asynchronous communication, among other mechanisms. We sought to determine, from a clinician perspective, how care is coordinated and to what extent HIT is involved when transitioning patients between emergency departments, acute care hospitals, skilled nursing facilities, and home health agencies in settings across the United States...
2016: BMC Health Services Research
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