Throughout the course of a year, I had a first hand experience of patients and the inner workings of a hospital. As a courier, each day was composed of handling medication, blood, food, and interacting with patients. A visit to the hospital is not a patients first choice by any means, and this was expressed through multiple emotions such as gratitude towards the staff, irritation due to their situation, or the occasional felon who would express their feelings through the use of expressive language. Their interactions provided an alternate perspective, as the staff would handle each situation with a smile on their faces no matter the circumstance. I truly came to understand the importance of communication between a physician, their staff, and
Prior to walking in, my expectations for what I was about to partake in and experience were all over the place. I didn’t know whether to expect the absolute worst types of situations going on such as people being rushed into medical rooms or the most basic situations such as patients waiting for a strep throat test. I did expect to see a wide range of patients in terms of race, class, age, and gender. Contrary to the patients, I didn’t expect to see a wide range of race, class, age, and gender within the staff. I expected to see mostly female nurses, and male doctors, majority being Caucasian and middle age. I didn’t expect there to be that much security or any type of possible crime that could go on within a medical facility. I expected the waiting area and facility to be very large, large enough to accommodate a lot of patients at once. Lastly, I expected that taking our field notes would be a challenge because writing notes down in front of patients would be awkward and during interviews it would be hard to conduct a good interview while writing the whole time.
Teaching hospitals are meant to train future professionals while ensuring that they provide the uppermost care for their patients. However, what some teaching hospitals fail to maintain is a strong and positive doctor-patient relationship. You would think that television shows and films
Marcus Engel emphasized on communication and empathy when dealing with patients in his book, I’m Here: Compassionate Communication in Patient Care. As he struggled to cope with his hospital stay, certain health care providers helped him improve his mental and physical health. He wrote about the doctors, nurses, and other health care providers he met. In his book he mentioned how the behavior and tone of health care providers impacted him. He touched on various topics such as patient privacy, care, and interaction.
Honorable doctors do their best to uphold the Hippocratic oath by being kind to their patients and doing their best to connect. At Harvard, they are now teaching how to connect and bond with patients through Patient-Doctor classes to create a more effective and comforting hospital experience. I know when I go to the hospital, I enjoy when doctors and nurses talk to me about my life and theirs. That bond that is created helps build a trust that this doctor cares and wants what's best for those that they treat; when things go wrong, it also opens up the ability to comfort one another. Building relationships between doctors and patients change the dynamics so that it ends up being doctor
This parable is one of the strangest of the strange. Commentators are all over the map in their opinions of what we should
Handoff communication is a fundamental element in the medical field. According to the article by Cohen, Hilligoss, and Kajdacsy-Balla Amaral (2012), “Hospital handoffs are believed to be a key locus of communication breakdown that can endanger patient safety and undermine the quality of care” (p. 1). This article explains five common features of a handoff to ensure important information is not forgotten. These features orient the oncoming party about the patient and sensitize the new
Communication plays a vital role in the healthcare setting, as the relationship with the healthcare professional sets the tone of the care experience and has a powerful impact on patient satisfaction. It is “the shared process in which messages are sent and received between two or more people which are made up of a sender, receiver, and message in a particular context” (cite, date). This essay highlights the importance of, and some common barriers to, effective communication in the healthcare setting. It involves many interpersonal skills such as effective observation, questioning and listening, giving feedback, recognizing and removing barriers.
Good physician patient communication is the cornerstone of a patient centered care. I am grateful for the ones that have devoted their lives to aid others .Patients want information about their conditions and treatment in ways they can understand. What about what doctors will not tell you? Yet, patients are reluctant to engage in information-seeking behavior during visits. Ted Talk by Dr. Wen is an eye opener about what your doctor will not disclose and paint a different picture of a health care provider. Transparency in communication by physicians can do a great deal to alleviate patient uncertainty and engender empathy and respect during medical visits. Doctors should be more transparent about diagnosis and treatment, billing, physicians’ background and introducing care that is more preventive.
The set up was similar to my clinical routine. On entering the room, my teammates and I greeted her and asked her how she was doing. She was alert and oriented. She sounded exhausted. She was having generalized pain. I asked her if she was feeling short of breath she said “no.” She was already on 3L of oxygen through nasal cannula with an oxygen saturation of 93%. Her skin was warm to touch and her pulse bounding. She had crackles throughout her lung field. During my clinicals, I learned to link my patient’s assessment findings to her labs and orders. I also practiced using the SBAR to contact the physician. I attended an interdisciplinary round at the oncology unit where the team was planning palliative care for a patient. I noticed that the team was more directed towards pain management and therapeutic interventions. The team also made sure to include the family and the patient in the care. During the simulation, we contacted the doctor for an order of morphine.
During my time there, I shadowed a pediatric doctor. While I was asking him questions, he was called into an emergency surgery, and I was unfortunately not old enough to watch according to the hospital restrictions. So as I was waiting around, a PA swooped me up and let me shadow her instead. I was embarrassed to admit to her that I was not aware of a PA’s responsibilities to the hospital. Throughout the rest of the day, I followed the PA into patient rooms and recovery rooms. I was able to observe how the PA interacted with patients with such a reassuring and caring attitude that I had not seen with the previous physician I had met. I not only respected her compassionate personality, but I related to it.
One aspect that helps to enhance the process of communication is patient-centered care. This type of care ensures that staff communicates in a respectful manner that is responsive to the preferences of the patient (Adams et al., 2014). Another way is to identify the way staff attitudes, and behaviors, lead to conflict. Health professionals have approach patients with empathy as this encourages these patients to tell the health professionals about any concerns (West & Lyubovnika, 2013).
This is an excellent model to analyze the industry. The analysis of the industry is essential for choosing the strategy. Factors that influence an industry influence all companies within that industry and every company reacts to those factors. The attractiveness of an industry is measured with the average profitability. According to Porter, the competitive rivalry has great impact on the profitability of an industry. Different intensity of the competitive rivalry causes the differences in the profitability degree. The biggest profits are realized in industries with moderate performance of competitive rivalry while the industries with the extreme acting of competitive rivalry, like monopoles, suffer from the profitability crisis.
“I must say this gentleman has good bedside manners. He is going to become a great doctor in the future.” I was flattered in front of my attending, when my patient, an old veteran in his 80’s honored me with respect. A good physician is calculated by his knowledge and experience, but an ideal physician is measured by his care and attention towards his patient. He told my attending how I remember his name in every encounter and he liked the way I discuss about his family issues, work stress and personal life along with my routine history and physical. I remember my attending smiled at me and said “You have portrayed an image of an ideal physician”. As a physician, we are intimately attached with our patients, through frightening illnesses as
The only people doctors spend more time with then patients are, in fact, other Doctors. Whether communication is personal interaction or through writing, in a hospital
“Doctor or patient?” These may be the first words many hear upon entering a hospital emergency room. Often overlooked, the source of this phrase happens to be extremely important to the productivity of an emergency room. Many usually assume that doctors, patients, and visitors are the only roles involved in a hospital emergency room; however, within all of the chaos, another, often unnoticed, character works busily: a volunteer. Volunteers observe every aspect of the emergency room, from the pictures on the walls in the waiting room to the security guards’ use of humor that adds a sprinkle of happiness to the air. Assisting patients and visitors upon entering the emergency room and delivering paperwork to doctors are a just a few of a