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Related Concept Videos

SBAR I: Understanding the Concept01:29

SBAR I: Understanding the Concept

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Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...
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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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Patient-centered Care01:13

Patient-centered Care

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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...
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Nursing Clinical Information System01:27

Nursing Clinical Information System

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Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
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Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing01:23

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

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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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SBAR II: Application of SBAR01:14

SBAR II: Application of SBAR

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SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
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Emergency Undocking in Robotic Surgery: A Simulation Curriculum
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Developing an Inpatient Relationship Centered Communication Curriculum (I-RCCC) rounding framework for surgical

Aussama K Nassar1, Barbette Weimer-Elder2, Rachel Yang3

  • 1Department of Surgery, Stanford University, Stanford, CA, USA. nassara@stanford.edu.

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|March 1, 2023
PubMed
Summary
This summary is machine-generated.

A new communication curriculum for acute care surgery teams improved provider-patient interactions and satisfaction. The Inpatient Relationship Centered Communication Curriculum (I-RCCC) training enhanced communication behaviors and showed a trend toward increased patient likelihood to recommend.

Keywords:
CommunicationCurriculumInpatientRelationship centeredTraining

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Area of Science:

  • Medical Education
  • Surgical Communication
  • Patient Experience

Background:

  • Acute care surgery (ACS) rounds in trauma centers face communication challenges due to high patient acuity and volume.
  • Limited curricula exist for trauma inpatient communication, leading to a lack of shared mental models among surgical teams.
  • A relationship-centered rounding framework was hypothesized to improve the provider-patient experience.

Purpose of the Study:

  • To develop and evaluate a relationship-centered communication curriculum for acute care surgery teams.
  • To address identified communication gaps and enhance the provider-patient experience in a trauma setting.
  • To assess the feasibility, practicality, and impact of the Inpatient Relationship Centered Communication Curriculum (I-RCCC).

Main Methods:

  • A mixed-methods approach included a needs assessment using patient satisfaction surveys (Press Ganey, HCAHPS) and direct observation of communication behaviors.
  • A five-hour workshop, the Inpatient Relationship Centered Communication Curriculum (I-RCCC), was designed based on identified needs for senior residents and Nurse Practitioners (NPs).
  • Pre- and post-course assessments evaluated communication behaviors, and patient satisfaction data was collected six months before and after the intervention.

Main Results:

  • Needs assessment revealed a lack of shared communication framework and leadership skills among senior trauma residents, with time constraints and interruptions as barriers.
  • Post-workshop surveys showed significant improvement in self-reported communication behaviors, with 100% of participants reporting 'always' listening without interrupting, speaking clearly, repeating key points, and checking for patient understanding.
  • Patient satisfaction data indicated a trend towards improvement, with a 20% increase in likelihood to recommend (LTR) and provider-related top box scores.

Conclusions:

  • The Inpatient Relationship Centered Communication Curriculum (I-RCCC) is a feasible, practical, and well-received training for surgical residents and NPs.
  • The curriculum demonstrated a positive trend in improving patient satisfaction and likelihood to recommend.
  • The I-RCCC has the potential for refinement and scalability to other surgical specialties.