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Related Concept Videos

Role of Communication in the Nursing Process II: Planning and Implementation01:25

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

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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...
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Barriers to Effective Communication II01:21

Barriers to Effective Communication II

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The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
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Barriers to Effective Communication I01:30

Barriers to Effective Communication I

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A communication barrier is any distortion or interruption during a conversation, resulting in miscommunication of the message. A good communicator should know these barriers and continuously check for the listener's understanding by obtaining feedback.
Communication barriers include the following:
Physiological barriers: They are limitations caused by a person's health condition or disability, such as hearing loss, poor eyesight, illness, or unconsciousness. An example to overcome this...
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Nursing Implementation01:15

Nursing Implementation

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Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
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Role of Communication in the Nursing Process III: Evaluation and Documentation01:08

Role of Communication in the Nursing Process III: Evaluation and Documentation

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A successful patient outcome depends mainly on the evaluation stage of the nursing process. Evaluation determines effectiveness by reviewing what was done previously after the completion of nursing interventions. Every time a healthcare professional steps in or administers treatment, they must reassess or evaluate the action to ensure the intended result. During the evaluation phase, there are three probable patient outcomes:
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Communication01:28

Communication

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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.
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Ensuring successful implementation of communication-and-resolution programmes.

Michelle M Mello1, Stephanie Roche2, Yelena Greenberg3

  • 1Stanford Law School and Stanford University College of Medicine, Stanford, California, USA mmello@law.stanford.edu.

BMJ Quality & Safety
|January 22, 2020
PubMed
Summary
This summary is machine-generated.

Successful implementation of communication-and-resolution programmes (CRP) in Massachusetts hospitals was linked to strong leadership support, physician education, and collaborative efforts. These factors contributed to high fidelity without increasing liability costs.

Keywords:
communicationdisclosuremalpracticemedical liabilitypatient safety

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Area of Science:

  • Healthcare Management
  • Patient Safety Initiatives
  • Medical Malpractice

Background:

  • Communication-and-resolution programmes (CRP) aim to enhance transparency, patient safety, and reconciliation following adverse events.
  • While some organizations struggle, two Massachusetts hospital systems successfully implemented CRPs with high fidelity and no increased liability costs.

Purpose of the Study:

  • To identify factors contributing to the successful implementation of CRPs in two Massachusetts hospital systems.
  • To understand the facilitators behind high-fidelity CRP adoption and sustained success.

Main Methods:

  • The study involved a collaborative design of the CRP by academic medical centers and community hospitals.
  • Data were collected through key informant interviews and analysis of teleconference notes from implementation teams.
  • Thematic content analysis was used to analyze data from 45 participants and 89 teleconferences.

Main Results:

  • Key facilitators included strong institutional leadership support and significant investment in physician education.
  • Positive relationships between risk managers and liability insurers, formal decision protocols, and effective project management were crucial.
  • Collaborative group implementation and smaller institutional size were also identified as contributing factors.

Conclusions:

  • Several distinctive factors appear associated with successful CRP implementation, though not necessarily causal.
  • Leadership, education, collaboration, and structured processes are vital for effective CRP adoption in healthcare settings.