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Related Concept Videos

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

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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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Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch01:15

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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.
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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.
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Restorative Care01:19

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Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
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Therapeutic Communication01:30

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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.
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Barriers to Effective Communication II01:21

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The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
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Semantic barriers:
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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Palliative care communication with stroke patients: a best practice implementation project.

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  • 1School of Nursing, University of Mississippi Medical Center, Jackson, MS, USA.

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Implementing palliative care communication (PCC) evidence-based practices improved patient outcomes. Training and EHR integration enhanced PCC compliance for stroke patients, prioritizing quality of life.

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Area of Science:

  • Neurology
  • Healthcare Management
  • Evidence-Based Practice

Background:

  • Stroke patients often face severe deficits and terminal diagnoses, necessitating palliative care to enhance quality of life.
  • Palliative care communication (PCC) is frequently delayed or inefficiently utilized in stroke patient care.
  • Improving PCC is crucial for optimizing care for patients with debilitating neurological conditions.

Purpose of the Study:

  • To promote evidence-based practices (EBPs) in palliative care communication (PCC) for stroke patients.
  • To enhance the implementation of PCC EBPs within a healthcare setting.
  • To improve the quality of communication and decision-making for stroke patients receiving palliative care.

Main Methods:

  • Utilized the JBI Evidence Implementation Framework to guide the project.
  • Identified four PCC EBPs and established audit criteria.
  • Conducted baseline and follow-up audits to assess compliance, identified barriers, and implemented strategies including education and EHR modifications.

Main Results:

  • Baseline compliance with PCC EBPs ranged from 53% to 80%.
  • Identified barriers included limited healthcare professional knowledge, communication issues, and lack of standardized PCC documentation.
  • Follow-up audits showed a 20% to 34% improvement in compliance rates after implementing educational programs and EHR enhancements.

Conclusions:

  • Annual palliative care communication (PCC) training for healthcare professionals is recommended.
  • A multidisciplinary approach to PCC implementation fosters better discussions and decision-making.
  • Prioritizing PCC enhances patient quality of life and supports efficient care planning for stroke survivors.