...Patient Handoff: A Clinical Issue Patient care errors occur in health care due to lack of effective communication. It is estimated that 80 percent of serious adverse events involve ineffective handoff between medical providers (Joint Commission Center, 2013, para. 1). “The majority of avoidable adverse events are due to the lack of effective communication” (Solet, Norvell, Rutan, & Frankel, 2005, p. 1094). Varying styles of communication and interruptions are barriers to the effective handoff and can be a detriment to successful implementation of an effective communication strategy. The inquiry for this investigation is attempting to reveal that implementation of a systematic tool for communication as well as performing the handoff at the bedside are considered best practices in decreasing adverse patient events. It is necessary to perform an investigative research using quantitative and qualitative studies to help describe a problem that is an important clinical issue in health care. Defining the elements to a process change through a systematic research study will help to find solutions for best practice. Implementing successful communication strategies will help to reach out to the patient community who seeks out best care practices and who know more from technological advances. The problem faced by health care personnel is the lack of a standardized tool for communication. When nurses attempt to give report to another nurse without a systematic way of providing the information...
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...nothing to fear and it goes with the saying “he has a good bedside manner”. Physicians who communicate well are less likely to be sued for malpractice than poor communicators, says Dr. Greg Schneider, assistant professor of family practice and community medicine at UT Southwestern Medical School at Dallas(Good Bedside Manners Make a Difference, Internet Article, Megan Malugani). 2. What are the ramifications of teacher misbehaviors on education? Teachers are pivotal to student perceptions of learning (West, 1994). Some of the educational outcomes of teacher misbehavior are it demotivates the student from learning, it causes a higher negative effect toward course material and it also negatively effects the learning development of low achieving students. Reference: Causes and effects of teacher conflict-inducing attitudes towards pupils: a path analysis model, Florin A. Sava, 12 December 2001 3. Which management communication style would be most useful in the fast food industry? Why? The most effective communication style for the fast food industry to me would be Tell style because in a face paced industry like the fast food industry a manager should be making the decisions while the employee does the labor. I also think that the level of a fast food employee is such that there really is only one direction that communication can go unless it is directly related to how to perform their job. Reference: MANAGEMENT COMMUNICATION STYLE, TOLERANCE FOR DISAGREEMENT, AND INNOVATIVENESS...
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...Organizational Change Plan Part II Mia A. Lowe HCS/587 December 2, 2013 Dr. Sonnia Oliva Organizational Change Plan Part II Moving, which is the implementation phase is the second phase in Kurt Lewin’s theory. During this phase, organizations begin to implement changes and the behaviors of the employees start to change (Spector, 2010). According to Lewin (2010), “Those new behaviors, must become permanent, for at least a desired period of time” (p. 29). The stakeholder’s agreement to implement a Telemedicine Intensive Care Unit (tele-ICU) in the Medical Intensive Care Unit (MICU) becomes operational. The second part of this Organizational Change Plan focuses on strategies for implementing a tele-ICU in the MICU. The chief medical director assigns a project manager to the project to oversee the implementation of the tele-ICU. The project manager schedules large weekly meetings with the stakeholders to ensure everyone is completing their assigned tasks. The project manager has an issues log containing issues categorized by subject, owner, and pending due date or completed date. The purpose of the issues log is to track and resolve issues as identified to keep the project moving forward. If the stakeholders in the meeting cannot resolve the issues, the project manager reviews the issues with the chief medical director for resolution. In addition, the project manager schedules small group meeting with different departments. The small groups report...
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...Introduction In preparation for an accreditation audit, I will discuss the current communication compliance status of the organization based on the Nightingale Community Hospital’s previous Joint Commission Survey. A corrective action plan will be submitted to ensure compliance with the Joint Commission along with a brief summary on why a communication review is important to the hospital. Body A. In reviewing the Joint Commission (TJC) survey results on Nightingale Community Hospital from 2 years prior, communication was cited on a direct finding relating to a Leadership Standard (Joint Commission Perspectives, 2013). Further review indicates that miscommunication is associated to the other 5 findings, as well. Noguchi (2013) discusses medical errors resulting from miscommunication, adding that medical errors may rank as the third leading cause of death in America. For the purpose of this executive summary, the focus will remain on Leadership standard LD.04.01.05 and its direct finding that hospital leaders did not effectively communicate a functional screening criteria policy to staff nurses. Nightingale Community Hospital (NCH) currently utilizes a pre-procedure hand-off form and site identification and verification process/policy to ensure that correct patient, site, and procedure is completed in surgery. The pre-procedural hand-off is a detailed checklist that aids the nurses from hand-off to accepting patient prior to a procedure. Although detailed, several key...
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...Running head: A change in shift change 1 A change in shift change: Handoff Report Improvement Part II By Paula McKay HCS/587 November 9, 2013 Alex Kadrie A change in shift change 2 A change in shift change; handoff report improvement Effective handoff communication among nurses is an important necessity for safe patient care. As described by Carroll et al “Communication quality is a key requirement of effective interdependent work processes in complex work settings such as hospital-based healthcare” (2011 p. 586). Handoff communication is the transferring of vital, relevant patient information to the next caregiver. Is occurs not only between nurses, but also physicians, and ancillary staff as well. Many studies have discovered the inconsistencies between information handed off to the next caregiver and the information documented on the patient. Healthcare staff has to improve this task by standardizing handoff report more than just the SBAR mnemonic. Within our current organization, implementation of a voice recorded report was established a couple of years ago. It has not been well received within the hospital. Different department have different request for information that they want to...
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...Communication and Information Technology HCS/320 January 28, 2012 Dr. B Communication and Information Technology Communication has been a key element in the health care field for many years. A patient communicates to the physician what is wrong with them, the physician communicates with the nurse what is to be done, and the information is entered into the patient file. The medical biller then bills the insurance or patient by sending an electronic claim, and the payer sends back a statement of payment. All this is considered communication. Over the years technology has advanced and the ways these communications have been used have changed. Now communication is done electronically, sent by email and even text message; there is even a way to teleconference over video phone with a patient or physician. After researching new technology I found Vocera, a communication system that makes communicating between team members faster and easier. The system uses a hand held device as well as a computer based program to communicate messages even alerts to get in touch with team members. The voice activated hand held device is the size of a cell phone and is typically hung around the neck. The hand held voice activated device can be used to call another team member, or can be used to access a paging system in case of emergency situations. Physicians can use the device to turn on their status, such as on call or on lunch break. When the computer based program is accessed by a nurse looking...
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...Simply because nursing school and on-the-job training and orientation does not adequately prepare the nurse for delivering traumatic diagnostic and prognostic information that requires life-changing, delicate, and emotional discussions, I was honestly unaware that evidenced-based, best practices even existed. Nevertheless, I was cognizant of diverse models of communication, however, the ones I encountered appeared unrealistic and I have been unable to grasp how to incorporate them into my nursing practice. Regarding an enormous barrier on a high acuity, Medical Oncology Unit that stifles this delivery are, ASCOM phones and pagers. It is a rare occurrence that one or the other does not interrupt an opportunity of full disclosure concerning a patient’s new prognosis or diagnosis. With the tension of the unknown, this is distracting, embarrassing, and gives a sense as if that very patient, in that exact moment, isn’t the most important patient on the nurses or physicians assignment. Another barrier is the...
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...In the following I am going to analyze how staring works and how the disabled body is portrayed and perceived in this photograph and the ones we discussed in class. Photography authorizes staring and enables partial communication between the sitter and the viewer. In the photograph “Mexican dwarf in his hotel room in N.Y.C. 1970” you can see a man sitting on a bed. He is naked besides a towel around his hips, a hat and a mustache. His left arm leans casually on the bedside table, next to a bottle of alcohol and he is looking directly in the camera. He seems laddish, cool even macho-like or patronizing because of his facial expression and body language. There is a stress on his disability because one can see his feet under the towel and therefore assess his stunted growth, other than that he is portrayed as the typical Mexican womanizer. The sitter does not seem to be embarrassed of his disability. He wants to polarize and display that he can “get all the ladies”. Therefore he seeks to be stared at and to communicate with the viewer. Staring works for me as a tool to communicate with him and to get to know his story. I do not feel ashamed of staring or pity for him but rather invited to stare. On may 5th we were presented several portraits. The portraits of burn survivors from the “State of Grace” series seem to make us feel watched because they are looking directly in the camera as if they want to tell us their story, similar to the “Mexican dwarf”. However, you can only...
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... timely, and precisely is one of the most important aspects in nursing care. On average, about 1,000 patient die per year as a direct result of miscommunication (Lancaster, Koloswky-Hayner, Kovacich, & Greer-Williams, 2015). These breakdowns in communication are also responsible for increased hospital stays and medical errors, along with decreased employee satisfaction (Dingley, Daugherty, Derieg, & Persing, 2008). Not only does this negatively impact the health and wellbeing of our patient, but it also has a negative effect on the associated facility, as executives do not have the correct information needed for the facility to have continued success (Garon, 2011). Effective communication decrease treatment...
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...to Communicate with Patients, Families and Physicians Communication is a key element for nurses to interact effectively with patients, family members and the healthcare team. To participate effectively in all these relationships, nurses most understand the structure and functions of communication (Hood, 2014). According to Hood (2014), “Communication is an essential element of helping others. Mutual goals cannot be defined or achieved without effective communication.” With effective communication; respect and patient satisfaction will be the positive outcome. The two types of communication that will be discussed will be communicating with family members and communicating with the health care team. Learning the skills of communication through work experience and reading evidence based articles will help the future nurses to succeed in proper communication. Communicating with patients and family members Communication is an essential part of quality care within all areas of health care especially at the bedside. Bedside nurses provide not only physical care to their patients but also informational and emotional support to patients and their family members (Milic, Puntillo, Turner, Joseph, Peters, Ryan, Anderson, 2015). Through communication during nurse-client interactions, the nurse hopes to enable the client to acknowledge the importance of and live a healthy lifestyle (Hood, 2014). Verbal Communication Nurses must be aware of their body language, eye contact...
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...P1- explain the role of effective communication and interpersonal interaction in a health and social care context In this report I am going to write about the role of effective communication in health and social care settings. Effective communication is the ability to interact with other people, it is when you are sending a message to another person and it is received and using a range of different skills to communicate. This can be achieved verbally and non-verbally. An example of effective communication is body language this is done non-verbally. This is vital because 70% of what we mean is communicated through our body language. This is important in a health and social care setting because there are people of different needs and only certain skills are needed for them. You would have to prevent mistakes and misunderstandings in treatment. For example if you give the wrong medication, this could have a big effect on Mr Abramovich. You would also have to make sure that individual needs are met. For example, if he doesn’t like a particular type of food you would have to respect that and prepare something else. Lastly, you would need to maintain continuity of care for clients. Building trust in a workplace is very important because, if there is no trust between you and the patient, then they are not willing to listen to anything you say. In order to gain someone’s trust, you would have to make sure that there is confidentiality. This is because they would be talking you to as...
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...Personal Growth Opportunities Communication is essential in a health care setting. It is important that clear and concise communication is being transferred effectively to ensure positive patient outcomes. As health care professionals, patients are our number one goal, so gaining knowledge to know the different communication styles is imperative. This paper is going to give specific growth opportunities in written, oral and nonverbal communication in the health care setting and state which ones have been personally used for our professional advancement. A personal growth opportunity and one personally used in written communication would be the transition from written documentation/charting to electronic computerized documentation/charting. Written communication has come a long way with the technological advances in health care. Most hospitals are in the process of switching from paper charting to electronic charting. Having all the information in one place is important so that crucial medical information does not get missed and to ensure patient safety and confidentiality. Oral communication in nursing is very important. As professionals, we collaborate with a multidisciplinary team to ensure positive patient goals and outcomes. A personal growth opportunity and one that is personally used in oral communication would be between physicians and nurses. It is paramount that we have clear and open communication between all people who have a hand in on...
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...transmitted with the wrong idea. Our body language can help or hurt our messages. These are examples of demonstrative communications. Demonstrative communication can be defined as verbal and non-verbal forms of communicating. These forms can be ineffective if both the sender and receiver do not achieve the delivery or process the received message. To demonstrate effectively is to use the proper components of tone, knowledge, gestures and the environment to build a lasting relationship professionally. Effective communication is not only about transmitting a message or idea but the listeners have to understand and respond to it. To effectively communicate between two parties requires sending and receiving messages in both directions. It is important to have good communication from our daily family life to our work environment. When a store manager talks to their employees about new goals is a way of communicating. The store manager is the sender of the message but in order for them to be effective is for their employees to respond to the message to complete a cycle of communication. This will ensure the process of ideas and understanding between everyone and work towards a common goal. This will help build the relationship between the manager and employees as they gain trust with each other. Effective communication is important but ineffective communication can happen and lead to...
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...Communication Strategies Communication Strategies Communication is the activity of conveying meaningful information. How that information is transmitted can come from several different means. Non-verbal, verbal, written and visual are just a few of the ways in which we communicate information to each other. As each person is different so is the way they communicate. Whether it is a gesture, hand shake, eye contact or a simple smile non-verbal communication is done with no words. This powerful way to communicate can be used by all people regardless of ability. Communicating with words is known as verbal communication. With verbal communication we must hope that the person in which we are communicating with can understand what we are saying. The tone of one’s voice can change the meaning of a statement without intention. Verbal communication is the hardest yet easiest of all communication. Written communication is that when words are in written forms. Written communication should be grammatically correct, organized and have good structure. Finally there is visual communication; this is what we can see with our eyes. Visual aids help us understand information in which we cannot otherwise understand. In healthcare today all types of communication are used to help with patients understanding of their care. As this field continues to grow, it is imperative to know the type of communication that is best for each individual as patient care is first priority. Non-Verbal...
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...Effective Nonverbal Communication at Work Steven D. Gubbins Indiana Wesleyan University BBAO58 ADM201 Principles of Self-Management February 23, 2011 Dean Moore, Professor I have read and understand the plagiarism policy as outlined in the syllabus and the sections in the Student Bulletin relating to the IWU Honesty/Cheating Policy. By affixing this statement to the title page of my paper, I certify that I have not cheated or plagiarized in the process of completing this assignment. If it is found that cheating and/or plagiarism did take place in the writing of this paper, I understand the possible consequences of the act/s, which could include expulsion from Indiana Wesleyan University. Effective Nonverbal Communication at Work Success in leading and functioning within any organization depends upon the effective use of nonverbal communication. On the factory floor or in the corner office, getting things done requires employees and managers alike to become skilled at reading others and emitting appropriate nonverbal cues that support their messages. The effectual exchange of ideas and clear delivery of instructions relies on something more than selecting the “right” words. As we will see, most of the communication process takes place in the realm of the unspoken. Understanding Nonverbal Communication Anthropologist Ray Birdwhistell asserted that 95 percent of communication is unconsciously expressed through subtle body movements and posturing (Talley...
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