30 Questions
What has been identified as an essential component for quality healthcare and patient safety?
Effective communication
According to Koutoukidis et al., what are some aspects of communication skills that can impair effective communication?
Barriers to communication
What is the main focus of strategies to communicate with a person from a non-English speaking or culturally diverse background?
Overcoming language barriers
In healthcare, what is the significance of addressing actual and potential constraints to communication?
Improving patient outcomes
Which group of individuals require specific communication strategies to ensure effective interaction?
Physically impaired persons
What is a common barrier that inhibits effective communication as discussed by Koutoukidis et al.?
'Communication Skills'
What is the acronym used to deliver distressing information to patients and their families?
SPIKES
In the SPIKES model, what does the 'S' stand for?
Setting
What is the main goal of using the SPIKES model when delivering distressing information to patients?
To provide support and collaborate on a treatment plan
What should clinicians establish during the 'Setting' phase of the SPIKES model?
The physical context and privacy
Why is it important for clinicians to gather information from the patient when delivering distressing news?
To tailor the information and support provided
What should clinicians explore when addressing 'Perception' in the SPIKES model?
What the patient understands about their illness
What should healthcare providers do when communicating with a person wearing glasses and hearing aids?
Ensure they are allowed enough time
Why should healthcare providers not argue over the correct words or names during communication?
To respect the individual's communication style
When should healthcare providers utilize family members for translation purposes?
When the patient prefers it
Why is it advised to avoid using a family member for translation during distressing conversations, such as end of life care discussions?
It could lead to misunderstandings or distress for the family member
How can healthcare providers show respect, professionalism, and provide holistic care when dealing with cultural differences?
By providing translated information brochures
What proficiency level in English might prompt the use of flashcards in the patient's language to ask questions?
Minimal English proficiency
What is a recommended way to communicate effectively with a person who is hearing impaired?
Reduce distance and optimize lighting
When communicating with a vision impaired client, what should you avoid?
Channeling conversation through a third person
What is a key suggestion for effective communication with a vision impaired client?
Speak naturally and clearly
In a group situation with a vision impaired client, what should you do first when introducing the other people present?
Name the other people present accurately
How should you modify your speaking pace when communicating with a person who is hearing impaired?
Speak clearly and slowly
What should you do to confirm that a person who is hearing impaired understands you?
Check for understanding
Which healthcare professionals can be involved in assessing the needs of a client?
Social worker, case manager, medical officer
What is the primary role of advocacy in healthcare?
Speaking up for a client
Why is it important not to attempt to support a client alone?
To link the client to experts and make referrals
Which book is associated with the fundamentals of nursing and midwifery?
Kozier and Erb’s Fundamentals of Nursing Vol 3
What is the main message conveyed regarding client support in the text?
Know the supports & resources available to the client
Why should individuals reflect on their thoughts and feelings according to the text?
To build emotional intelligence and self-awareness
Study Notes
Barriers to Communication
- Communication has been identified as an essential component for quality healthcare and patient safety
- Koutoukidi et al. (2014) states that there are several aspects of communication skills that can impair effective communication
- Barriers to communication can be addressed and overcome with strategies such as re-clarification/reiteration of information and improving communication skills
Strategies to Communicate with Patients
- Communicating in a culturally safe manner involves understanding and respecting cultural differences
- Strategies to communicate with patients include:
- Using closed-ended questions (yes or no) and short sentences with simple explanations
- Using visual cue cards and family members to translate when appropriate
- Ensuring body language matches verbal language and using interpreter services
- Communicating with non-English speaking patients involves:
- Assessing the need for an interpreter
- Using minimal English proficiency and flashcards in the target language
- Providing translated information and assuring confidentiality of interpreter services
- Avoid using family members or bilingual coworkers as interpreters, especially for distressing information
Communicating with Hearing Impaired Patients
- Gain attention by facing the person and avoiding background noise
- Speak clearly and slowly, using facial and body expressions
- Check hearing aids are working and in place
Communicating with Visually Impaired Patients
- Identify yourself, speak naturally and clearly, and use accurate language when giving directions
- Avoid leaving a conversation without saying so and asking for help when needed
- Use thoughtful language and avoid situations with competing noise
Advocacy
- Advocating involves speaking up for a client and working with them to establish needs
- Assessment of needs can be established by the healthcare team and linking clients to experts and resources
Breaking Bad News
- The SPIKES strategy can be used to deliver distressing information to patients and their families
- SPIKES stands for:
- S: Setting (establishing a private and comfortable environment)
- P: Perception (establishing what the patient already knows)
- I: Invitation (allowing the patient to ask questions)
- K: Knowledge (providing clear and empathetic communication)
- E: Empathy (providing emotional support)
- S: Summary (summarizing the conversation)
Explore communication skills in nursing practice, focusing on addressing constraints, cultural safety, and strategies for communicating with individuals with different impairments. Written by Twinkle Mashruwala from RMIT.
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