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Related Concept Videos

Patient-centered Care01:13

Patient-centered Care

Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
Communication01:28

Communication

Sharing information, concepts, and emotions to foster mutual understanding is communication. The sender, recipient, and transaction must be considered in this manner. The sender is the person who shares the message, the recipient is the person who receives and understands the message, and the transaction is the method used to deliver the message and the variables that affect the communication's context and surroundings. The nurse-client connection is built on therapeutic communication.
Within...
Role of Communication in the Nursing Process II: Planning and Implementation01:25

Role of Communication in the Nursing Process II: Planning and Implementation

Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time for...
Therapeutic Communication01:30

Therapeutic Communication

Communication is a lifelong learning process. Through therapeutic communication, nurses can collect relevant assessment data, provide education and counseling, and interact during nursing interventions. Sending and receiving messages occur through verbal and nonverbal communication techniques and can happen separately or simultaneously.
Verbal communication depends on language or a prescribed way of using words so that people can share information effectively. The critical aspects of verbal...
Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch01:15

Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch

The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing01:23

Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing

Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Published on: February 16, 2011

What does patient-centred communication mean in Nepal?

Malcolm Moore1

  • 1BP Koirala Institute of Health Sciences, Dharan, Kathmandu, Nepal. malnepal@hotmail.com

Medical Education
|November 29, 2007
PubMed
Summary

Nepalese patients value respectful communication and adequate time from doctors but prefer a doctor-centered approach. Patient-centered care models need adaptation for local preferences and low-literacy settings.

Area of Science:

  • Medical Communication
  • Health Services Research
  • Cultural Competency in Healthcare

Background:

  • Understanding patient expectations is crucial for effective healthcare delivery.
  • Patient-centered communication (PCC) models are increasingly adopted globally.
  • Cultural context significantly influences communication preferences in healthcare.

Purpose of the Study:

  • To determine Nepalese patients' expectations regarding doctor-patient communication.
  • To assess the suitability of existing patient-centered care models for Nepal.
  • To inform medical communication training in Nepal.

Main Methods:

  • Cross-sectional survey conducted in a rural Nepalese outpatient department.
  • Utilized an adapted version of the Patient-Practitioner Orientation Scale (PPOS).

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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  • An alternative survey instrument derived from the PPOS was also employed.

    • Main Results:

    • Patients prioritized friendly, respectful treatment, comprehensive information, and sufficient consultation time.
    • Patients preferred a doctor-led approach and were less inclined to seek external information.
    • Responses indicated a stronger preference for doctor-centered communication compared to US studies.
    • A significant preference for receiving preventative care advice was noted.

    Conclusions:

    • Nepalese patients desire specific elements of patient-centered communication but show less interest in shared decision-making.
    • Existing patient-centered care models require localization to align with Nepalese cultural preferences.
    • Emphasis on effective communication techniques in clinical training is essential.
    • Information dissemination strategies must be improved for low-literacy populations in Nepal.