Nurses’ Assertive Communication: A Review and Future Directions

2018 ◽  
Vol 2 (2) ◽  
Author(s):  
Nur’ain Balqis Haladin ◽  
Noor Aireen Ibrahim ◽  
Azizah Rajab
Keyword(s):  
Health Care ◽  
Communication Skills ◽  
Health Care Professionals ◽  
Daily Basis ◽  
Clinical Settings ◽  
Future Directions ◽  
Good Communication ◽  
Potential Barriers ◽  
Work Settings ◽  
Workplace Factors

Nurses interact with patients, colleagues and other health care professionals on a daily basis and this interaction is improved when nurses have good communication skills. Becoming more assertive can lead to increased respect and recognition as a person and as a nurse. This paper aims to gain more insights on nurses’ assertive communication at the workplace by reviewing current research on assertiveness and nursing. There is an abundance of studies to support the use of assertiveness skills in clinical settings. Although forms of assertive behaviour have been investigated in many situations, there is still insufficient empirical evidence with regard to the frequency and the use of assertiveness skills by nurses in clinical settings. Moreover, there is also a lack of research describing potential barriers to this, and it has been suggested that the factors in nurses’ work settings that promote or inhibit assertive behaviour need to be explored and identified. This paper will conclude with a discussion of a proposed study which will examine the level of assertiveness among nurses in Malaysia, the influence of workplace factors, the factors supporting the use of assertive behaviour and the factors that hinders the use of assertive behaviour.

Patient Communication

2019 ◽  
pp. 45-62
Author(s):  
Michael Breyer ◽  
Lee Shockley
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Communication Skills ◽  
Medical Errors ◽  
Staff Morale ◽  
Good Communication ◽  
Potential Barriers ◽  
Good Patient ◽  
Care Workers ◽  
Good Patient Care

Good communication with patients has now been recognized as critical to their care. Although there are many potential barriers to communication in the patient care setting, health care workers understand that breaking them down to communicate in a healthy, positive fashion helps to provide patients with better care, improves staff morale, and decreases medical errors. Skilled practitioners recognize these challenges and come equipped with a toolbox designed to communicate well with patients, as they know good communication skills denote good patient care.

Improving Communication Skills in Health Care

2013 ◽  
Vol 20 (3) ◽  
pp. 109-117
Author(s):  
Lynda Katz Wilner ◽  
Marjorie Feinstein-Whittaker
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Communication Skills ◽  
Health Care Professionals ◽  
Skills Training ◽  
International Medical Graduate ◽  
Medical Graduate ◽  
Health Care Environment ◽  
Medical Interpreters ◽  
Accent Modification

Hospital reimbursements are linked to patient satisfaction surveys, which are directly related to interpersonal communication between provider and patient. In today’s health care environment, interactions are challenged by diversity — Limited English proficient (LEP) patients, medical interpreters, International Medical Graduate (IMG) physicians, nurses, and support staff. Accent modification training for health care professionals can improve patient satisfaction and reduce adverse events. Surveys were conducted with medical interpreters and trainers of medical interpreting programs to determine the existence and support for communication skills training, particularly accent modification, for interpreters and non-native English speaking medical professionals. Results of preliminary surveys suggest the need for these comprehensive services. 60.8% believed a heavy accent, poor diction, or a different dialect contributed to medical errors or miscommunication by a moderate to significant degree. Communication programs should also include cultural competency training to optimize patient care outcomes. Examples of strategies for training are included.

The Impact of the SAGE & THYME Foundation Level Workshop on Factors Influencing Communication Skills in Health Care Professionals

2014 ◽  
Vol 34 (1) ◽  
pp. 37-46 ◽  
Author(s):  
Michael Connolly ◽  
Joanne M. Thomas ◽  
Julie A. Orford ◽  
Nicola Schofield ◽  
Sigrid Whiteside ◽  
...  
Keyword(s):  
Health Care ◽  
Communication Skills ◽  
Health Care Professionals ◽  
Factors Influencing ◽  
The Impact

Achieving shared understanding in chronic care interactions: the role of caregivers

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Sarah Bigi
Keyword(s):  
Health Care ◽  
Elderly Patients ◽  
Health Care Professionals ◽  
Chronic Care ◽  
Second Step ◽  
Original Research ◽  
Clinical Settings ◽  
Shared Understanding ◽  
Content Type

Purpose Within the context of a research program on the most relevant discourse types in chronic care medical encounters, this contribution reports on a qualitative study on the role caregivers play within the process of shared understanding occurring between health-care professionals and elderly patients. The purpose of the paper is to highlight one dimension of such complexity, by bringing to light the challenges connected to the achievement of shared understanding between health-care professionals and elderly patients when caregivers are involved in the conversation. Design/methodology/approach The paper reports on a two-step analysis of a corpus of transcripts of interactions in diabetes and hypertension settings. In the first step, caregivers’ contributions to deliberative sequences have been analyzed. In the second step, the analysis was extended to caregivers’ contributions to the whole encounter. Findings The results show that professionals’ ability to engage caregivers in deliberations during the encounter and, more generally, to assign a role to caregivers as legitimate participants in the consultation may favor the smooth development of the interaction and an effective process of shared understanding among all participants. Originality/value The paper further develops original research about the functions of the argumentative component in dialogues occurring in clinical settings.

Testing health care professionals' communication skills: the usefulness of highly emotional standardized role-playing sessions with simulators

2000 ◽  
Vol 9 (4) ◽  
pp. 293-302 ◽  
Author(s):  
Darius Razavi ◽  
Nicole Delvaux ◽  
Serge Marchal ◽  
Michel De Cock ◽  
Christine Farvacques ◽  
...  
Keyword(s):  
Health Care ◽  
Communication Skills ◽  
Health Care Professionals ◽  
Role Playing

scholarly journals The Standardized Professional Encounter: A New Model to Assess Professionalism and Communication Skills

2015 ◽  
Vol 7 (2) ◽  
pp. 230-233 ◽  
Author(s):  
Scott D. Lifchez ◽  
Carisa M. Cooney ◽  
Richard J. Redett
Keyword(s):  
Health Care ◽  
Conflict Management ◽  
Communication Skills ◽  
Health Care Professionals ◽  
Treatment Plan ◽  
Health Care Team ◽  
Standardized Patient ◽  
Self Assessment ◽  
Assessment Scores ◽  
Patient Model

Abstract Background Physician-patient communication is vital to patient care, and physician-nurse interactions are equally critical. Conflict between nurses and physicians can greatly impair communication, increasing the risk of treatment errors, yet physicians receive little education during training on recognizing and resolving professional conflicts. Innovation We created and implemented the Standardized Professional (S-Pro) Encounter to improve training and provide opportunities to evaluate resident professionalism and communication with health care team colleagues. Methods The standardized patient model is well established for teaching and assessing clinical and communication skills. Using the standardized patient concept, we created a nurse-resident encounter with 2 professionally trained medical portrayers (1 “nurse,” 1 “patient”), in which the nurse disagrees with the resident's treatment plan. Residents were surveyed for prior experience with nurse-physician conflict management, and we assessed postencounter for collaborative skills and conflict resolution. Results All residents (n = 18) observed at least 1 physician-nurse conflict in front of patients. Eleven (61%) reported being involved in at least 1 conflict. Twelve residents (67%) had 2 or fewer prior education experiences in interprofessional conflict management. Faculty assessment and S-Pro scores demonstrated high agreement, while resident self-assessment scores demonstrated low agreement with faculty and S-Pro scores. Conclusions Participants and evaluators found the encounter to be reasonably authentic. There was strong agreement between the faculty and S-Pro assessment of resident performance when using the Boggs scale. The S-Pro Encounter is easily adapted for other clinical situations or training programs, and facilitates the assessment of professionalism and communication skills between residents and other health care professionals.

Barriers to General Practitioner Participation in a Clinical Trial Initiated by Pharmacists

2005 ◽  
Vol 138 (8) ◽  
pp. 52-60
Author(s):  
Bita Bateni ◽  
Stephen Shalansky ◽  
Scot Simpson
Keyword(s):  
Health Care ◽  
Clinical Trial ◽  
General Practitioner ◽  
Health Care Professionals ◽  
Community Setting ◽  
Community Pharmacists ◽  
Legal Liability ◽  
Patient Recruitment ◽  
Anticoagulation Management ◽  
Potential Barriers

Objective: The purpose of this study was to determine general practitioners' (GPs) reasons for not entering patients into a randomized trial that compared outpatient anticoagulation management by community pharmacists with that of physicians. Methods: An anonymous survey was mailed to all GPs who were invited to participate in the anticoagulation study ( n = 118). Results: Completed surveys were received from 78/110 (71%) of GPs who had declined to participate in the anticoagulation study. Of those who had consented to participate, 8/8 completed surveys were received. The top-ranked reasons for not entering patients were “pharmacist should accept legal liability” (40%), “concern about other health care professionals taking over physician responsibilities” (33%), and “concern about responsibility for my patients” (29%). Other frequently cited barriers included concern about pharmacists' ability to manage warfarin patients, general issues related to control over patient care decisions, and lack of time. The top-ranked reason for agreeing to participate was the belief that “research advances the profession” (87%). Shortly after this survey, a statement published by the College of Physicians and Surgeons of BC reinforced physicians' concern about legal liability and recommended that physicians avoid referring patients to community pharmacy—based anticoagulation programs. Conclusion: Pharmacists who plan to conduct research in the community setting should thoroughly investigate potential barriers to GP involvement in patient recruitment, because of the difficulty in anticipating the most crucial issues. Local physicians may not support pharmacy-based anticoagulation programs, whether or not they are implemented as part of a clinical trial.

Incidence and outcomes of bulimia nervosa: a nationwide population-based study

2008 ◽  
Vol 39 (5) ◽  
pp. 823-831 ◽  
Author(s):  
A. Keski-Rahkonen ◽  
H. W. Hoek ◽  
M. S. Linna ◽  
A. Raevuori ◽  
E. Sihvola ◽  
...  
Keyword(s):  
Health Care ◽  
Bulimia Nervosa ◽  
Health Care Professionals ◽  
Psychological Symptoms ◽  
Population Based ◽  
Clinical Settings ◽  
Birth Cohorts ◽  
Clinical Recovery ◽  
Dsm Iv ◽  
First Time

BackgroundLittle is known about the epidemiology of bulimia nervosa outside clinical settings. We report the incidence, prevalence and outcomes of bulimia nervosa using for the first time a nationwide study design.MethodTo assess the incidence and natural course and outcomes of DSM-IV bulimia nervosa among women from the general population, women (n=2881) from the 1975–79 birth cohorts of Finnish twins were screened for lifetime eating disorders using a two-stage procedure consisting of a questionnaire screen and the Structured Clinical Interview for DSM-IV (SCID). Clinical recovery was defined as 1-year abstinence from bingeing and purging combined with a body mass index (BMI) ⩾19 kg/m2.ResultsThe lifetime prevalence of DSM-IV bulimia nervosa was 2.3%; 76% of the women suffered from its purging subtype and 24% from the non-purging subtype. The incidence rate of bulimia nervosa was 300/100000 person-years at the peak age of incidence, 16–20 years, and 150/100000 at 10–24 years. The 5-year clinical recovery rate was 55.0%. Less than a third of the cases had been detected by health-care professionals; detection did not influence outcome. After clinical recovery from bulimia nervosa, the mean levels of residual psychological symptoms gradually decreased over time but many women continued to experience significantly more body image problems and psychosomatic symptoms than never-ill women.ConclusionsFew women with bulimia nervosa are recognized in health-care settings. Symptoms of bulimia are relatively long-standing, and recovery is gradual. Many clinically recovered women experience residual psychological symptoms after attaining abstinence from bingeing and purging.

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