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Communicating in Hospital Emergency Departments 2015 ed. [Kõva köide]

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  • Formaat: Hardback, 158 pages, kõrgus x laius: 235x155 mm, kaal: 4293 g, 20 Illustrations, color; XIX, 158 p. 20 illus. in color., 1 Hardback
  • Ilmumisaeg: 12-May-2015
  • Kirjastus: Springer-Verlag Berlin and Heidelberg GmbH & Co. K
  • ISBN-10: 3662460203
  • ISBN-13: 9783662460207
Teised raamatud teemal:
Communicating in Hospital Emergency Departments 2015 ed.Suurem pilt
  • Formaat: Hardback, 158 pages, kõrgus x laius: 235x155 mm, kaal: 4293 g, 20 Illustrations, color; XIX, 158 p. 20 illus. in color., 1 Hardback
  • Ilmumisaeg: 12-May-2015
  • Kirjastus: Springer-Verlag Berlin and Heidelberg GmbH & Co. K
  • ISBN-10: 3662460203
  • ISBN-13: 9783662460207
Teised raamatud teemal:
Püsilink: https://www.kriso.ee/db/9783662460207.html
Märksõnad:

This book was conceived in response to the increasing recognition of the central role of communication in effective healthcare delivery, particularly in high-stress contexts such as emergency departments. Over a three-year period, the research team investigated communication between patients and clinicians (doctors, nurses and allied health professionals) in five representative emergency departments (EDs). Combining qualitative ethnographic analysis of the social practices of each ED with discourse analysis of the spoken interactions between clinicians and patients, the book describes the communicative complexity and intensity of work in the ED and, against this backdrop, identifies the features of successful and unsuccessful patient-clinician interactions. Drawing on authentic examples of communication within the ED, the book provides detailed, comprehensive communication strategies for healthcare professionals that can be readily transferred and integrated into everyday practice.

Professor Diana Slade and her colleagues have written an innovative and practical book on communication and relationships in emergency departments and their effects on the patient experience. Rarely does one find a book that so seamlessly translates research findings into practical action strategies. The book is an invaluable resource for the training of physicians, nurses, hospital administrators and others in healthcare.

Elizabeth A. Rider, MSW, MD, FAAP, Department of Pediatrics, Harvard Medical School

Chair, Medicine Academy, National Academies of Practice

My participation in the UTS Emergency Communication project provided extraordinary insights into the complexities and subtleties of communication encounters during a patient’s emergency department journey. Personally I found the discussion and feedback both fascinating and rewarding. This project, driven by the dedication and expertise of Diana’s team, has made a lasting impact on my daily work, and I hope will improve emergency patient care into the future.

Dr Nick Taylor, Emergency Medicine Specialist, The Canberra Hospital

(286 words)


For the on-line version only can you also include this third quote:

The Emergency Communication project is important qualitative research. The captured clinical conversations between doctors, nurses and patients are fascinating. The analysis of the communication is informative and relevant to everyday practice. The discussion and conclusions provide a rare insight into an integral and critical component of Emergency Medicine practice. Moreover, as a participant at one of the research hospitals, I experienced no interference or slowing of my work. The team, led by Professor Slade, was truly unobtrusive, professional and personable.

Dr Marian Lee

Emergency Physician

Director of Emergency Medicine Training

1 The Role of Communication in Safe and Effective Health Care
1(24)
1.1 Introduction
1(2)
1.2 Communication and Patient Safety
3(3)
1.2.1 Patient-Centred Care
5(1)
1.3 Communication in Emergency Departments
6(5)
1.3.1 Research on Patient Experience and Satisfaction
6(3)
1.3.2 Research into Communication Practices in Emergency Departments
9(2)
1.4 Our Qualitative Approach
11(7)
1.4.1 Data Collection
11(2)
1.4.2 Methods
13(2)
1.4.3 Research Sites
15(3)
1.5 Conclusion
18(7)
References
20(5)
2 The Context of Communication in Emergency Departments
25(30)
2.1 Introduction
25(1)
2.2 Setting the Scene: A Busy Day in an Emergency Department
26(3)
2.3 The Context of the Emergency Department
29(8)
2.3.1 Operational Hours and Uncapped Patient Loads
29(1)
2.3.2 Increased Presentations and Overcrowding in Emergency Departments
30(2)
2.3.3 Short-term, Episodic Patient Care: The Lack of Familiarity Between Emergency Department Patients and Clinicians
32(1)
2.3.4 The Physical Environment: Noise Levels, Privacy and Comfort
32(1)
2.3.5 Multidisciplinary Healthcare Teams
33(1)
2.3.6 Joint Role of Emergency Departments as Training Facilities
34(1)
2.3.7 Time Constraints
35(1)
2.3.8 Face-to-Face Spoken Communication
36(1)
2.3.9 Linguistic and Cultural Diversity
36(1)
2.4 The Communicative Complexity of the Emergency Department
37(14)
2.4.1 Networks of Care
37(7)
2.4.2 Risks to Knowledge/Information Transfer
44(1)
2.4.3 Communication Load
45(1)
2.4.4 Communication Burden
45(1)
2.4.5 Communication Challenges of Multidisciplinary Care
46(2)
2.4.6 The Patient as Outsider: The Importance of Explanations
48(2)
2.4.7 Different Understandings of Time
50(1)
2.5 Conclusion
51(4)
References
53(2)
3 The Patient's Journey in the Emergency Department from Triage to Disposition
55(24)
3.1 Introduction
55(1)
3.2 Triage
56(6)
3.2.1 Waiting Room
57(2)
3.2.2 Ambulance Bays
59(1)
3.2.3 Communication in the Triage Stage
60(1)
3.2.4 Communication in the Triage Stage: Summary
61(1)
3.3 Nursing Admission
62(3)
3.3.1 Communication in the Nursing Admission Stage
63(1)
3.3.2 Summary: Communication in Nursing Admission
64(1)
3.4 Medical Consultations
65(12)
3.4.1 Comparative Effectiveness of the Communication Styles of Senior and Junior Doctors
67(2)
3.4.2 Initial Medical Consultation: Greeting, Initial Contact, Exploration of Condition, History-Taking, Diagnostic Tests and Procedures
69(2)
3.4.3 Communication in the Initial Medical Consultation
71(1)
3.4.4 Summary: Communication in the Initial i Medical Consultation
72(1)
3.4.5 Final Medical Consultation: Diagnosis, Treatment and Disposition
73(1)
3.4.6 Communication in the Final Medical Consultation Stage
74(3)
3.4.7 Summary: Communication in the Final Medical Consultation
77(1)
3.5 Conclusion
77(2)
References
77(2)
4 Communication Risk in Clinician-Patient Consultations
79(18)
4.1 Introduction
79(1)
4.2 Link Between Communication and Health Outcomes
80(1)
4.3 Potential Risk Points in the Consultation
81(10)
4.3.1 Potential Risk Point: Failure to Track the Patient's Narrative and Listen to the Patient's Cues
82(3)
4.3.2 Potential Risk Point: Patient Involvement---Not Listening to the Patient
85(2)
4.3.3 Potential Risk Point: Patient Involvement---Not Informing the Patient
87(1)
4.3.4 Potential Risk Point: Delivery of Diagnosis
87(1)
4.3.5 Communication Breakdowns in Transitions of Care
88(3)
4.4 Systemic Order of Risk
91(3)
4.5 Communication as a Risk Factor in Patient Safety
94(1)
4.6 Conclusion
94(3)
References
95(2)
5 Effective Clinician--Patient Communication: Strategies for Communicating Medical Knowledge
97(28)
5.1 Introduction
97(1)
5.2 Bridging the Information Gap: Effective Strategies for Developing Shared Medical Knowledge and Decision-Making
98(25)
5.2.1 Make Space for the Patient's Story
98(9)
5.2.2 Recognise the Patient's Knowledge and Opinions About Their Condition
107(3)
5.2.3 Explain Medical Concepts in Common-sense Language
110(1)
5.2.4 Spell Out Explicitly Management/Treatment Rationales
111(4)
5.2.5 Provide Clear Instructions for Medication and Other Follow-Up Treatment
115(2)
5.2.6 Signpost the Hospital Process
117(2)
5.2.7 Negotiate Shared Decision-Making About Treatment
119(3)
5.2.8 Repeat, Check and Clarify Throughout
122(1)
5.3 Conclusion
123(2)
References
124(1)
6 Effective Clinician--Patient Communication: Strategies for Bridging the Interpersonal Gap
125(22)
6.1 Introduction
125(4)
6.2 Bridging the Interpersonal Gap---Effective Strategies for Developing Rapport and Empathy with Patients
129(14)
6.2.1 Introduce Yourselves as Clinicians and Explain your Roles
129(3)
6.2.2 Use Inclusive Language
132(2)
6.2.3 Use Colloquial Language and Softening Expressions
134(2)
6.2.4 Give Positive and Supportive Feedback
136(4)
6.2.5 Recognise the Patient's Perspective
140(1)
6.2.6 Intersperse Medical Talk with Interpersonal Chat
141(1)
6.2.7 Share Laughter and Jokes
142(1)
6.2.8 Demonstrate Intercultural Sensitivity
143(1)
6.3 Conclusion
143(4)
References
145(2)
7 Action Strategies for Implementing Change
147(8)
7.1 Introduction
147(1)
7.2 Action Strategies
148(5)
7.2.1 Achieve a Balance Between Medical and Interpersonal Communication
148(1)
7.2.2 Provide Explicit Explanations to Patients About Processes and Procedures in the Emergency Department
148(2)
7.2.3 Develop Effective Interdisciplinary Teamwork
150(1)
7.2.4 Develop Cross-Cultural Communication Awareness and Strategies
150(1)
7.2.5 Introduce More Effective and Durable Forms of Patient Records
151(1)
7.2.6 Provide Training with Authentic Materials
152(1)
7.2.7 Examine Communication in Clinical Handovers
152(1)
7.2.8 Examine Continuity of Care from Discharge to the Community
153(1)
7.3 Conclusion
153(2)
References
154(1)
Index 155